Inspection Reports for The Lodge at Glen Cove

An unannounced investigation was conducted in response to a complaint alleging that staff did not assist residents in a timely manner, the facility was not sanitary and in good repair, and staff did not keep the facility free from pests.

The investigation found no evidence to substantiate the allegations. The call system was not fully operational but staff managed responses appropriately. The facility was addressing laundry machine repairs and pest control issues, including an ant problem with ongoing extermination efforts.

The complaint was unsubstantiated based on interviews, observations, and record reviews. There was no preponderance of evidence to prove the alleged violations occurred.

An unannounced investigation was conducted in response to a complaint alleging that staff were occupying residents' rooms without authorization.

The investigation found no preponderance of evidence to support the allegation. A staff member was reported to have been caught sleeping in a resident room in May 2025, was reprimanded, and later quit. The facility does not allow staff to use resident rooms for breaks or sleep, and no evidence was found to substantiate the complaint.

The complaint was unsubstantiated due to lack of sufficient evidence to prove the alleged violation occurred.

An unannounced complaint investigation visit was conducted in response to an allegation of neglect/lack of care and supervision received on 07/22/2025.

The investigation found that Resident 1 was issued an eviction notice for refusing care and being aggressive. The facility has been updating the care plan as needed and attempting to provide care when allowed. There was insufficient evidence to substantiate the allegation, resulting in an unsubstantiated finding.

The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violation occurred.

The inspection visit was an unannounced case management visit conducted in response to an incident report submitted by the facility on 2025-06-02 regarding a resident who contacted law enforcement and threatened harm to another resident.

The Licensing Program Analyst reviewed records and interviewed staff, confirming the resident was able to leave unassisted and had left the building during the incident. The facility has been in constant contact with the resident's physician and responsible party, updating the care plan as needed. No citations were issued during the visit.

The visit was triggered by a complaint/incident report involving a resident who threatened physical harm to another resident and left the facility unassisted. The complaint was investigated and no citations were issued.

The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that a resident's room was not clean and sanitary.

The investigation found that the resident's room was observed to be unclean with a strong smell of urine and trash present, but the resident had continuously refused housekeeping services. Due to lack of preponderance of evidence, the complaint was determined to be unsubstantiated and no deficiencies were cited.

The complaint alleged that a resident's room was not clean and sanitary, with a strong smell of urine, trash on the floor, unmade beds, and dirty dishes. The resident was under a lawful 30-day eviction notice due to refusal to allow cleaning. The complaint was found unsubstantiated.

Unannounced complaint investigation visit conducted to investigate allegations that staff did not provide adequate supervision to a resident resulting in multiple falls.

The investigation found that although the resident had multiple falls and exhibited aggressive behavior, the facility followed medical and hospice orders, developed a fall prevention plan, and staff supervision was adequate according to service plans and interviews. The allegation was unsubstantiated due to lack of preponderance of evidence.

Allegation that staff did not provide adequate supervision to resident in care resulting in multiple falls was investigated and found unsubstantiated.

This was a required unannounced 1-year inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulations.

The facility was found to be in compliance with no deficiencies cited. The environment was safe and well-maintained, with proper food supplies, emergency preparedness, and staff training documented.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-10-03 regarding staff response times to call bells and resident hygiene needs not being met.

The investigation found that most call bells were answered within 10 minutes, with no documentation supporting calls being answered up to an hour. Resident hygiene concerns were related to a resident refusing showers. Interviews and records did not substantiate the allegations, resulting in an unsubstantiated finding with no citations issued.

The complaint involved allegations that staff do not respond to call bells in a timely manner and that resident hygiene needs were not being met. The investigation was unsubstantiated based on records, observations, and interviews.

Unannounced visit/investigation of a complaint received on 2024-05-02 regarding neglect/lack of supervision resulting in resident's care needs not being met and the facility not being kept clean and sanitary.

The investigation substantiated the allegations that resident R1 was found with feces on their body and clothing soaked in urine, and the facility failed to keep R1 clean and dry and maintain a clean and sanitary environment. The facility did not meet R1's care needs and the room was found to have a strong urine odor and feces stains.

Complaint investigation was substantiated based on observations and statements that resident R1 was neglected and the facility was not kept clean and sanitary. The resident was found with feces on their body and soaked in urine, and the room had strong urine odor and feces stains. The resident's family reported moving the resident out due to lack of care. Statements from the resident were not obtained due to dementia diagnosis.

The visit was an unannounced case management inspection to review a recent incident involving inappropriate staff actions towards a Memory Care resident and to assess compliance with dementia care regulations.

The Licensing Program Analyst reviewed the incident report, interviewed involved staff and residents, and found the facility had terminated the staff member involved. The facility was reminded of dementia care regulations and requested to submit updated medical assessments and service plans for residents with dementia. No citations were issued at this time.

The inspection was conducted as a complaint investigation due to failure by the facility's Assisted Living Care Coordinator to report several incidents and a death report for resident R1 to Community Care Licensing as required.

The facility was found deficient for failing to report several incidents and a death report in November 2023, which is a potential risk to the health and safety of residents. A plan of correction and staff training were required.

During the complaint investigation, it was discovered that the Assisted Living Care Coordinator failed to report incidents and a death report for resident R1 in November 2023. The deficiency was prior to the current Executive Director's tenure.

The visit was an informal meeting conducted to address concerns regarding a self-reported incident by the facility on 2024-02-09 involving staff and a resident.

The administrator took action by submitting required reports, conducting an internal investigation, and providing Mandated Reporter retraining for all staff. No deficiencies were cited during the informal meeting.

The visit was an unannounced case management visit to gather information and records regarding a self-reported incident on 2024-02-09 involving staff and a resident, and to issue citations observed during a prior complaint investigation on 2024-02-02.

Deficiencies were found related to accessible hazardous items to residents with dementia and improper staff fingerprint clearance association to the facility. Items such as vitamins, a sharp knife, cleaning solution, and a hammer were accessible to residents with dementia, posing immediate risk. Staff fingerprint clearance was not properly associated with the facility as required.

The visit was an unannounced complaint investigation conducted by the Licensing Program Analyst to address concerns regarding unauthorized staff and potentially unsafe items in residents' rooms.

The Licensing Program Analyst found a staff member not associated with the facility as required and discovered residents with dementia possessing potentially hazardous items such as vitamins, a sharp knife, and a hammer. Items were removed and made inaccessible, but no citations were issued at this time.

The complaint investigation revealed unauthorized staff presence and unsafe items in residents' rooms. No citations were issued during this visit, but a return visit was planned to issue warranted citations.

The inspection was an unannounced complaint investigation visit conducted in response to complaints alleging that staff did not seek medical attention for a resident in a timely manner and that the facility ran out of food and served a resident a salad for dinner.

The investigation found the first complaint unsubstantiated due to lack of preponderance of evidence, with staff and documents indicating appropriate medical attention was given. The second complaint was found unfounded as the facility consistently provided adequate food and met nutritional standards.

The complaint investigation addressed allegations that staff failed to seek timely medical attention for a resident exhibiting unusual behavior and high blood pressure, and that the facility ran out of food and served a salad for dinner. Both complaints were determined to be unsubstantiated or unfounded based on staff statements, document reviews, and site visits.

This was an unannounced annual inspection visit conducted to evaluate compliance with licensing requirements for the assisted living and memory care facility.

The inspection included a tour of the facility and review of staff and resident records. No deficiencies were cited, but several documents were required to be updated and submitted by 02/10/2024.

The inspection visit was an unannounced complaint investigation triggered by concerns about a resident's significant change in condition since initial placement.

The Licensing Program Analyst observed that Resident 1's condition had significantly deteriorated, requiring substantial bed rest due to a pressure injury, but the resident's care plan and appraisal had not been updated as required by regulation, resulting in a cited deficiency.

The visit was complaint-related, investigating a significant change in Resident 1's condition that was not reflected in the care plan or appraisal. The deficiency was substantiated as the appraisal had not been updated.

An unannounced complaint investigation was conducted in response to a complaint alleging that staff did not allow a resident to have a visitor take the resident out of the facility.

The investigation found that the complaint was the result of a miscommunication regarding a visitor seeking to take a resident outside while remaining on facility premises. The allegation was determined to be unfounded and the complaint was dismissed.

The complaint alleged that staff did not allow a resident to have a visitor take the resident out of the facility. The investigation found this allegation to be unfounded due to a miscommunication and confirmed by statements from the complainant.

The inspection was an unannounced complaint investigation triggered by an allegation that facility staff were not meeting residents' needs.

The investigation found that although the allegation may be true or valid, there was not a preponderance of evidence to prove it. Staff complied with Home Health recommendations, and both Home Health personnel and the resident's Power of Attorney believe appropriate care is being provided. Therefore, the allegation was unsubstantiated.

The complaint alleged that staff left a resident in a wheelchair all day causing leg swelling. The investigation included statements from staff, witnesses, and review of documents and multiple site visits. The allegation was determined to be unsubstantiated.

An unannounced complaint investigation visit was conducted following a complaint received on 2023-05-18 regarding allegations of inadequate hygiene service, food service, call bell response, and facility disrepair.

The investigation found that while some allegations may be true, there was insufficient evidence to substantiate them. Observations included refusal of showers by one resident on certain dates, generally timely call bell responses, fresh and nourishing food, and the facility being clean and in good repair.

The complaint was unsubstantiated after investigation through multiple site visits, witness statements, and document reviews. No citations were issued.

An unannounced Case Management - Incident visit was conducted to review several incident reports submitted by the facility, including falls and medication errors involving residents.

The facility failed to ensure resident R2's medication was administered correctly, resulting in a medication error with two Fentanyl patches applied simultaneously. Resident R1 left the facility unsupervised on multiple occasions, posing an immediate health and safety risk. A civil penalty was assessed for repeated citation.

The inspection was an unannounced complaint investigation visit triggered by allegations that the facility did not provide assistance with resident care needs and did not notify the resident's responsible party or properly address a resident's injury.

The investigation substantiated that the facility failed to provide adequate assistance with oral care and self-care needs to resident R1 and failed to notify the resident's family of an injury, with bandages left unchanged for several days without medical assessment. Deficiencies were cited related to resident care and reporting requirements.

The complaint investigation was substantiated based on evidence that the facility did not provide assistance with resident care needs for Dementia resident R1 and failed to notify the resident's responsible party of an injury. The bandages on R1 were not changed for several days and there was no documentation of medical assessment.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 07/06/2022 regarding untrained staff assisting residents and the facility not following COVID-19 procedures.

The investigation substantiated that untrained staff assisted residents without completing required medication training and that the facility failed to follow COVID-19 procedures, including inadequate visitor screening and hand sanitizing, especially on weekends. An allegation of insufficient staffing was found unsubstantiated.

The complaint investigation was substantiated for allegations of untrained staff assisting residents and failure to follow COVID-19 procedures. The allegation of insufficient staffing was unsubstantiated.

The inspection was an unannounced Required - 1 Year annual inspection focused on Infection Control procedures and practices at this Residential Care Facility for the Elderly.

The facility demonstrated infection control practices including COVID-19 symptom screening, PPE supply, and cleaning protocols. However, the alarm on the 30 second delayed egress door in the memory care area was not loud enough to alert staff and did not send a signal to staff, requiring a plan to ensure staff are alerted. No deficiencies were cited during this inspection.

Unannounced complaint investigation visit conducted due to allegations of inadequate medication management, unmet resident needs, and untimely response to call buttons.

The allegation of inadequate medication management was substantiated, with evidence showing a medication was initially not provided due to staff error, posing an immediate health and safety risk. Allegations regarding unmet resident dietary needs and untimely call button responses were unsubstantiated due to lack of corroborating evidence.

The complaint investigation was substantiated for inadequate medication management based on statements and record review. Allegations regarding unmet resident needs and delayed call button response were unsubstantiated.

The visit was an unannounced Case Management - Incident inspection to follow up on a self-reported incident involving a resident in memory care who made a comment about inappropriate behavior by a male staff member during the night shift.

The facility attempted to gather more information from the resident, who later did not mention the matter further. The facility notified the resident's family and Community Care Licensing. No other complaints were received and no citations were issued during this visit.

The inspection visit was an unannounced case management incident inspection to ensure the health and safety of residents following a self-reported fire incident on 07/28/2022.

The facility staff observed and contained a fire involving an air conditioning unit outside the dining room window. The fire was extinguished without resident injury or structural damage. Smoke entered one resident apartment, which was ventilated and offered relocation for repairs. No deficiencies were cited during the inspection.

The visit was an unannounced follow-up on a self-reported incident involving a medication error that occurred on 2022-03-10, where a staff member accidentally gave the wrong medication to a resident.

The facility failed to ensure that resident R1 received medication as prescribed when staff member S1 gave R1 medication intended for another resident with the same first name, posing an immediate health and safety risk. The facility implemented corrective actions including resident photo cards and staff training.

The visit was an unannounced complaint investigation triggered by allegations received on 2022-01-10 regarding medication accessibility to residents and staff training adequacy.

The Licensing Program Analyst conducted inspections, observations, and interviews but found no evidence supporting the allegations. Medication was not left accessible to residents, and staff training records were current. The allegations were determined to be unsubstantiated.

The complaint alleged medication was accessible to residents due to unlocked medication rooms or cabinets and that staff were not adequately trained, including medication techs handing out medication to untrained staff. The investigation found no corroborating evidence or statements to substantiate these claims. The allegations were unsubstantiated.

The inspection was an unannounced Required - 1 Year annual inspection focused on Infection Control procedures and practices at this Residential Care Facility for the Elderly.

The inspection found that infection control practices were in place, including COVID-19 symptom screening, PPE usage, visitor vaccination verification, and daily cleaning and disinfection. Fire safety measures were also observed to be compliant with no hazards noted. No deficiencies were cited during this inspection.

An unannounced complaint investigation was conducted based on allegations that staff did not safeguard a resident's personal items, specifically an electric shaver, and other complaints regarding resident care including unexplained weight loss, hygiene assistance, and meal provision.

The allegation that staff did not safeguard the resident's personal items was substantiated, with evidence showing the resident's electric shaver was missing and the facility reimbursed the family $70. Other allegations regarding weight loss, hygiene, and meal provision were unsubstantiated due to lack of sufficient evidence.

The complaint investigation was substantiated for the allegation that staff did not safeguard resident's personal items. Other allegations related to unexplained weight loss, hygiene care, and meal provision were unsubstantiated due to insufficient evidence.

The inspection was an unannounced Post Licensing visit focused on Infection Control procedures and practices at this Residential Care Facility for the Elderly.

No deficiencies were cited during this inspection. The facility demonstrated compliance with COVID-19 mitigation measures, infection control practices, and safety regulations including fire extinguisher maintenance and water temperature checks.

This was a prelicensing inspection conducted to evaluate the facility prior to licensing and to ensure compliance with regulations including fire clearance, safety, and COVID-19 protocols.

The facility was found to have no apparent safety hazards or concerns. All required safety equipment, emergency supplies, and COVID-19 precautions were in place and functioning. The facility met requirements for fire safety, medication security, and emergency preparedness.

This was an initial licensing evaluation conducted via telephone call with the Community Care Licensing analyst to verify applicant and administrator understanding of Title 22 and facility operation requirements.

The applicant and administrator successfully completed the COMP II component, confirming understanding of licensing requirements including facility operation, staff qualifications, training, grievances, food service, and medication management. No deficiencies were noted.

report_28_486803921_inx27_2024-07-23.pdf