Inspection Reports for The Wyngate Senior Living Barboursville

Follow-up visit to verify correction of deficiencies identified during the annual survey.

The deficiencies identified in the previous annual survey were corrected as of the follow-up visit.

Second follow-up to Complaint #38980 to verify correction of previously identified deficiencies.

The deficiency identified in the prior complaint investigation was corrected as of the follow-up visit.

Complaint #38980; second follow-up visit confirmed the deficiency was corrected.

Annual survey conducted from 09/29/25 to 10/02/25 to assess compliance with health care standards and administrative requirements at The Inn at Wyngate.

Deficiencies were cited related to failure to maintain accurate nursing documentation, lack of written procedures for call system response, failure to report abuse to Adult Protective Services, inadequate housekeeping and maintenance, delayed response to resident call pendants, and insufficient nursing monitoring and documentation of residents' conditions.

Investigation of Complaint #39958 at The Inn at Wyngate conducted from 09/29/25 to 09/30/25.

The complaint was substantiated, but no deficiencies were cited during the investigation.

Complaint #39958 was substantiated with no deficiencies cited.

Annual environmental inspection conducted to assess the facility's compliance with health and safety regulations.

The inspection found no deficiencies cited during the annual environmental survey. The census at the time of inspection was 50 residents.

First follow-up to Complaint #38980 to verify correction of previously cited deficiencies related to medication storage and administration.

The licensee failed to store all medications in their original containers as required, with pre-filled medication cups observed. The deficiency was re-cited and a plan of correction was implemented to ensure medications are administered individually and stored properly.

First follow-up to Complaint #38980. The deficiency was re-cited.

The inspection was conducted as an investigation of Complaint #38980 regarding medication storage practices at the facility.

The licensee failed to store all medications in their original containers as required by the West Virginia Board of Pharmacy rules, with pre-filled medication cups found in medication carts. The complaint was substantiated and a deficiency was cited.

Complaint #38980 was substantiated, and a deficiency was cited related to medication storage practices.

Follow-up to Annual Survey to verify correction of previous citations.

The citations identified in the prior annual survey were corrected as of the follow-up visit.

Annual survey conducted from 07/08/2024 to 07/11/2024 to assess compliance with health, safety, medication, dietary, nursing care, and administrative regulations at the facility.

The facility was found deficient in multiple areas including medication storage, housekeeping and maintenance, employee screening, timely health assessments, tuberculosis testing documentation, nursing care documentation, and reporting of significant resident weight changes. Corrective plans were provided for each deficiency.

Annual environmental inspection conducted to assess the physical facilities, maintenance, housekeeping, and safety conditions of the residence.

The inspection found that the licensee failed to maintain a safe, sanitary, and accident-free living environment, with visibly soiled kitchen floors, dust and dead insects on kitchen equipment, and various maintenance issues such as carpet damage and missing bathroom fixtures.

Investigation of Complaint #29086 conducted from 10/02/23 to 10/03/23.

All allegations in the complaint were found to be unsubstantiated during the investigation.

Complaint #29086 was investigated; all allegations were unsubstantiated.

The inspection was conducted as an annual survey of the facility to assess compliance with regulatory standards.

The annual survey found no deficiencies cited during the inspection period from July 3 to July 5, 2023.

Annual environmental inspection conducted to assess compliance with health and safety regulations.

No deficiencies were cited during this annual environmental inspection.

The inspection was conducted as a behavioral health survey to assess the safety and appropriateness of the environment for adolescent consumers.

The facility was found to have safety concerns including lack of alarms on outside doors in adolescent girls' bedrooms and lack of awake staff supervision on weekend nights. A plan of correction was proposed to provide awake-night supervision during weekend shifts by July 1, 2004.

Follow-up to annual survey to verify compliance with prior deficiencies related to personnel records and housekeeping.

The facility failed to ensure that each employee received an eligibility fitness determination or variance from the West Virginia Clearance for Access Registry and Employment Screening (WVCARES) for one of six applicable employees. Additionally, the facility failed to maintain adequate housekeeping and maintenance, including issues such as damaged carpet, missing bathroom fixtures, and unclean sinks.

Annual survey conducted from 09/13/21 to 09/15/21 to assess compliance with licensing and regulatory requirements for the assisted living residence.

The facility was found deficient in ensuring all employees had completed required eligibility fitness determinations and annual in-service training. Additionally, housekeeping and maintenance issues were noted, including damaged carpets, missing bathroom fixtures, and cleanliness concerns.

Annual environmental inspection conducted to assess compliance with health and safety regulations.

No deficiencies were cited during this annual environmental inspection.

Routine infection control survey conducted at The Inn At Wyngate on January 5, 2021.

No deficiencies were cited during the infection control survey. The Ombudsman was notified via e-mail.

Follow-up 1st visit to annual survey to verify correction of previously cited deficiencies.

Deficiencies previously cited were corrected. The Ombudsman was notified via e-mail.

Annual environmental inspection of The Inn at Wyngate conducted to assess compliance with health and safety regulations.

No deficiencies were cited during this annual environmental inspection. The facility was found to be in compliance with applicable standards.

Annual survey inspection conducted to assess compliance with state regulations for assisted living residence.

The facility was found deficient in multiple areas including administrative admission and discharge documentation, personnel records (eligibility and TB screening), housekeeping and maintenance, dietary staff certifications, locked storage for hazardous materials, treatment rights, policies and procedures documentation, staffing CPR certification, resident health assessments, and emergency preparedness plan review.

The document is a plan of correction following a behavioral health survey conducted from February 9-11, 2004, addressing deficiencies found during that survey.

The original survey found that the center did not implement programs in a safe environment appropriate for adolescent consumers, including lack of alarms on outside doors and inadequate awake staff supervision on weekends. The plan of correction states that all deficiencies were corrected as of the revisit on 11/21/19 based on credible evidence accepted in lieu of an onsite revisit.

Annual licensure survey conducted to assess compliance with health, safety, personnel, and administrative regulations at the facility.

The inspection identified multiple deficiencies including failure to complete annual tuberculosis screenings timely for employees, inadequate documentation of resident activities, improper release of resident belongings upon death, incomplete advanced directive documentation, delayed complaint responses, failure to notify physicians upon resident death, incomplete new hire training on policies and procedures, and inadequate transfer documentation for residents sent to emergency rooms. Additionally, housekeeping and maintenance issues were observed such as damaged carpets, missing bathroom fixtures, and unclean sinks.

One complaint was investigated regarding lack of communication between the facility and a resident's daughter who is also the Medical Power of Attorney. The facility failed to respond in writing within four days, responding 14 days late. A verbal conversation occurred earlier as a partial response.

Annual environmental inspection of the facility was conducted to assess compliance with health and safety standards.

No deficiencies were cited during this annual environmental inspection, indicating compliance with applicable regulations.

The inspection was conducted to assess compliance with health and safety regulations in a behavioral health facility, focusing on the safety and appropriateness of the environment for adolescent consumers.

The facility was found to have deficiencies related to safety, including lack of alarms on outside doors in adolescent girls' bedrooms and an unlocked outside door in the TV room. Staffing issues were noted with no awake staff on weekend nights to monitor consumers. A plan of correction was proposed to provide awake-night supervision during weekend shifts by July 1, 2004.

The inspection was conducted as a complaint investigation at The Inn at Wyngate in Barboursville, WV, focusing on compliance with health care standards related to resident service plans and incident notifications.

The facility failed to ensure that resident service plans reflected current needs, specifically failing to document the use of a bed pad alarm for Resident #50. Additionally, the facility did not promptly notify the responsible party or next of kin following a major incident involving Resident #50, and documentation of such notifications was incomplete.

The complaint investigation focused on Resident #50, who had a fall and a bed pad alarm was placed but not documented in the service plan. The facility also failed to notify the responsible party or next of kin promptly and did not document the notification properly. The investigation included interviews with staff and review of documentation.

The inspection was conducted as an annual licensure survey focusing on the environmental conditions of the facility.

The annual environmental survey found no deficiencies cited at the facility during the inspection.

The inspection was conducted as an annual licensure survey of The Inn at Wyngate to assess compliance with state regulations including employee training, dietary services, and facility maintenance.

The facility failed to provide and maintain records of annual in-service training on infection control for all staff, and failed to ensure staff weighed residents monthly and reported significant weight changes to physicians. Additionally, housekeeping and maintenance deficiencies were noted, including damaged carpets, missing bathroom fixtures, and unclean areas.

The inspection was conducted as an annual licensure survey of the facility.

The report documents the annual licensure survey conducted from October 22-25, 2018, with a census of 47 residents. A follow-up survey on December 26, 2018, with a census of 49, confirmed that deficiencies identified were corrected.

Follow-up survey conducted to verify correction of deficiencies cited during the annual licensure survey conducted October 23-26, 2017.

Deficiencies cited during the annual licensure survey were corrected as of the follow-up visit on January 2, 2018.

The inspection was conducted as an annual licensure survey of The Inn at Wyngate to assess compliance with regulatory requirements.

The licensee failed to ensure the written contract contained all required information regarding costs and resident rights. Deficiencies were also found related to the release of resident belongings upon death, and housekeeping and maintenance issues were noted in a prior behavioral health survey.

Annual licensure survey conducted to assess environmental compliance and overall facility conditions.

No deficiencies were found during the survey; however, four recommendations were made. The facility has a sprinkler system type 13 and uses public sewer.

The document is an annual licensure survey conducted to assess compliance with regulatory requirements for the facility.

The annual licensure survey conducted from November 28-30, 2016 found no deficiencies at the facility.

Annual licensure survey conducted to assess environmental and physical facility compliance with health and safety regulations.

The facility was found deficient in disaster and emergency preparedness due to incomplete staff participation and lack of critique documentation. Physical facility deficiencies included missing light covers, damaged drywall, damaged doors, and inadequate housekeeping and maintenance.

The document reports on the annual licensure survey conducted at The Inn at Wyngate to assess compliance with environmental and other regulatory standards.

The survey identified deficiencies coded as (0249), (0252), and (0254), which were later corrected as noted in the follow-up survey conducted on 12/27/2016.

The inspection was conducted as a complaint investigation at the facility.

No deficiencies were identified during the complaint investigation conducted on October 5, 2016.

Complaint investigation conducted with no deficiencies found.

The visit was conducted as an Annual Licensure Survey to assess the facility's compliance with regulatory requirements, including environment and disaster preparedness.

The facility was found deficient for failing to review and update the disaster and emergency preparedness plan on an annual basis and failing to sign and date the plan to verify the review. One deficiency was cited related to this issue.

The inspection was conducted as an Annual Licensure Survey to assess compliance with regulatory requirements.

The survey identified one deficiency related to the environment of the facility.

The inspection was conducted as an annual licensure survey of the assisted living residence to assess compliance with licensing rules, policies, and applicable laws.

The facility failed to comply with policies regarding timely review and updating of service plans for residents, proper storage and security of medications for residents who self-administer, and appropriate release of resident belongings upon death. Additionally, housekeeping and maintenance deficiencies were noted in the physical environment.

The inspection was conducted as an annual licensure survey of the facility.

The report documents the annual licensure survey conducted from October 5-7, 2015, with a census of 50 residents. A follow-up survey was conducted on December 10, 2015, with a census of 46 residents. Specific deficiencies or severity levels are not detailed in the provided text.

The inspection was conducted as a complaint investigation related to Complaint #WV00013022.

The report does not provide detailed findings or deficiencies related to the complaint investigation.

Complaint #WV00013022 was investigated on April 2, 2015, with a census of 50 residents at the facility.

The inspection was conducted as a complaint investigation (Complaint # WV00013022) to assess compliance with health care standards related to resident service plans and care.

The investigation found that the facility failed to ensure that the assessment and service plans reflected the current needs of one resident (#13), specifically regarding prosthetic care and use. The resident's service plan was not updated to include physical therapist instructions, and daily care documentation was lacking.

Complaint # WV00013022 was investigated from February 23-25, 2015. The complaint was substantiated based on findings that the resident's service plan was not current and did not include necessary prosthetic care instructions.

The inspection was conducted as a complaint investigation for complaint #WV00013022 from February 23-25, 2015.

The report documents a complaint investigation followed by a survey follow-up visit to verify compliance. Census increased slightly from 49 to 50 between visits.

Complaint #WV00013022 was investigated during the visit from February 23-25, 2015, with a follow-up survey on April 2, 2015 to assess correction.

The inspection was conducted as an annual licensure survey of the facility.

The report documents the annual licensure survey conducted from October 14-16, 2014, with a census of 51 residents. No specific deficiencies or severity levels are detailed in the provided text.

The inspection was conducted to evaluate the assisted living residence's compliance with disaster and emergency preparedness regulations.

The facility failed to provide a 'Fire Watch Policy' within their Emergency Preparedness Plan, which could affect the entire facility, residents, staff, and visitors.

The inspection was conducted to evaluate the assisted living facility's compliance with disaster and emergency preparedness regulations, specifically reviewing the presence of a Fire Watch Policy within the Emergency Preparedness Plan.

The facility failed to provide a Fire Watch Policy in their Emergency Preparedness Plan, which could affect all residents, staff, and visitors. The deficiency was corrected with the submission of Fire Watch Procedure Guidelines and Forms, bringing the facility into compliance.

The inspection was conducted as a complaint investigation (CI# 10712) regarding failure to notify a resident's physician of a significant change in condition and proper documentation.

The licensee and registered nurse failed to notify the resident's physician and document the notification after the resident coughed up blood. The facility also failed to maintain adequate housekeeping and maintenance in the residence, including issues with carpet damage and missing bathroom fixtures.

Complaint investigation CI# 10712 focused on failure to notify physician and document significant change in resident's condition. The complaint was substantiated based on record review and interviews.

The inspection was conducted as a complaint investigation (CI# 10712) at The Inn at Wyngate.

The report documents findings related to the complaint investigation conducted from March 17-20, 2014, but specific findings or deficiencies are not detailed in the provided text.

Complaint Investigation CI# 10712 was conducted during the survey period.

The document reports on the Annual Licensure Survey conducted from September 16-18, 2013, and a follow-up survey on December 2, 2013, for license renewal purposes.

The report summarizes the completion of the annual licensure survey and a follow-up survey with a census of 50 residents. Specific deficiencies or findings are not detailed in the provided document.

The inspection was conducted as an annual licensure survey to assess compliance with regulatory requirements.

The facility was found to have no deficiencies during the annual licensure survey, though technical assistance was provided.

The document is an annual licensure survey conducted from September 16-18, 2013, to assess compliance with licensing standards at The Inn at Wyngate.

The survey identified multiple deficiencies including failure to provide timely employee orientation and training, inadequate housekeeping and maintenance, and failure to update resident service plans annually. Deficiencies were classified mostly as Class II.

Annual licensure survey conducted from October 29-31, 2012 to evaluate compliance with staffing requirements, housekeeping and maintenance standards, and medication administration records.

The facility was found deficient in maintaining adequate direct care staffing levels on multiple days in September 2012, inadequate housekeeping and maintenance including damaged carpets and missing bathroom fixtures, and incomplete medication administration records for four of ten residents.

The inspection was conducted as an annual licensure survey of the facility.

The report summarizes the annual licensure survey conducted from October 29-31, 2012, with a census of 50 residents. A follow-up survey on December 6, 2012, with a census of 51, confirmed that deficiencies were corrected.

The inspection was conducted as an annual licensure survey focusing on environmental conditions at the facility.

No deficiencies were cited during the survey, and no technical assistance was provided.

The inspection was conducted as a complaint investigation regarding incidents involving a facility dog injuring residents.

The licensee failed to protect the physical and mental well-being of two residents when the facility dog jumped on them causing injuries. The dog was often in the kitchenette area accessible to residents, and staff acknowledged the dog's rambunctious behavior. A plan of correction was directed to keep the dog separated from residents when staff are not present and to continue obedience training.

Complaint Investigation #WV00007008. The complaint involved incidents on March 18, 2012, where Resident #36 was bitten by the facility dog causing lacerations and a puncture wound, and Resident #3 was scratched by the dog. The dog was often enclosed in the kitchenette where residents could reach it. The licensee was directed to ensure the dog is separated from residents in the absence of staff.

The inspection was conducted as a complaint investigation at The Inn at Wyngate.

The report documents a complaint investigation and a subsequent follow-up visit where the deficiency was corrected.

Complaint investigation #WV00007008 was conducted on March 26, 2012 with a census of 51. A follow-up visit on April 17, 2012 with a census of 52 confirmed the deficiency was corrected.

The inspection was conducted as a complaint investigation regarding failure to notify responsible parties of significant changes in residents' conditions.

The administrator failed to ensure that the responsible parties were notified of significant changes in condition for two residents, despite physician orders for treatment. The facility policy requires notification, but documentation was lacking.

The complaint investigation found that the administrator did not ensure notification of the medical power of attorney for two residents regarding changes in condition and treatment orders.

The inspection was conducted as a complaint investigation for facility #WV00006941 on March 5-6, 2012, followed by a complaint follow-up visit on April 17, 2012.

The complaint investigation identified deficiencies which were subsequently corrected as confirmed by the follow-up visit on April 17, 2012.

Complaint investigation #WV00006941 was conducted with a census of 52. A follow-up visit confirmed that the deficiency was corrected.

The document is an annual licensure survey conducted to assess compliance with regulatory requirements for the facility.

No deficiencies were cited during the survey, and technical assistance was provided to the facility.

The visit was conducted as an annual licensure survey of the facility.

No deficiencies were cited during the annual licensure survey. Technical assistance was provided.

The visit was conducted as an annual licensure survey to assess environmental compliance at the facility.

No deficiencies were cited during the survey, and technical assistance was provided.

The inspection was conducted as an annual licensure survey of the facility.

No deficiencies were cited during the survey. Technical assistance was provided to the facility.

The inspection was conducted as an annual licensure survey to assess the environment and compliance of the facility.

The annual licensure survey found no deficiencies and only provided technical assistance to the facility.

The inspection was conducted as an annual licensure survey of the facility to assess compliance with health care standards and physical facility requirements.

The survey found deficiencies related to medication administration errors involving sliding scale insulin, inadequate housekeeping and maintenance issues, and failure to ensure locked storage of housekeeping supplies.

The inspection was conducted as an annual licensure survey to assess compliance with regulatory requirements for the facility.

The report documents the annual licensure survey conducted on October 20-21, 2009, and a follow-up survey on November 16, 2009, confirming that deficiencies identified were corrected.

The visit was a follow-up survey conducted to verify correction of deficiencies identified during the annual licensure survey conducted December 1-3, 2008.

The follow-up survey found that the previously cited deficiency was corrected.

The inspection was conducted as an annual licensure survey of the facility to assess compliance with health and safety regulations.

The survey found deficiencies related to unsecured toxic substances accessible to residents, including cleaning supplies left unattended and unlocked storage areas. The facility also had issues with maintenance and housekeeping, such as damaged carpets, missing bathroom fixtures, and general cleanliness concerns.

The inspection was conducted as an annual licensure survey of the facility.

The annual licensure survey found no deficiencies at the facility during the inspection.

The inspection was conducted as an Annual Licensure Survey to assess compliance with health and safety regulations at the facility.

The survey identified deficiencies related to the physical environment and safety, including unsecured outside doors and maintenance issues such as carpet damage and missing bathroom fixtures. Corrective actions and plans for repairs were outlined, and technical assistance was provided.

The inspection was conducted as an annual licensure survey to assess compliance with health care standards and regulatory requirements at The Inn at Wyngate.

The survey found multiple deficiencies including failure to monitor and document residents' conditions adequately following accidents or illness onset, failure to perform timely nursing assessments within 24 hours of admission or significant change in condition, and inadequate housekeeping and maintenance in the facility environment.

Annual licensure survey conducted to assess compliance with health and safety standards, staffing requirements, nursing assessments, and transfer documentation.

The facility was found deficient in multiple areas including inadequate staffing levels on some shifts, failure to maintain accurate staffing records, inadequate housekeeping and maintenance, failure to send complete transfer summaries with residents, and failure of registered nurses to perform timely nursing assessments and develop service plans for residents with nursing needs.

The inspection was conducted as an annual licensure survey and a follow-up survey to assess compliance with health care standards and regulatory requirements.

The facility was found deficient in several areas including failure to send complete transfer summaries with residents, inadequate monitoring and documentation of residents' conditions following accidents or illnesses, and failure of registered nurses to perform and document timely nursing assessments within 24 hours of admission or significant change in condition. Additionally, housekeeping and maintenance issues were noted from a prior behavioral health survey.

Annual licensure survey conducted to assess compliance with state regulations for The Inn at Wyngate.

The facility was found deficient in multiple areas including staffing requirements for CPR certification, employee training on dementia, contract documentation, transfer summaries, service plan updates, resident monitoring post-incident, nursing assessments, and housekeeping/maintenance issues.

The visit was conducted as an annual licensure survey to assess the facility's environment and compliance with regulatory standards.

The inspection found no deficiencies, and technical assistance was provided during the survey.

The visit was conducted as an annual licensure re-survey to assess compliance with regulatory requirements.

No deficiencies were cited during the survey, and technical assistance was provided to the facility.

Annual licensure survey conducted to assess the environment and compliance with physical facility standards.

The survey identified multiple deficiencies including unsafe heating elements with missing protective covers, hot water temperatures exceeding safe limits, inadequate housekeeping and maintenance issues such as damaged carpet and missing bathroom fixtures, and failure to provide locked storage for toxic materials.

The inspection was conducted as an annual licensure survey to assess the environment and compliance of the facility.

The report indicates that deficiencies identified during the annual licensure survey were corrected as confirmed by a follow-up survey conducted on December 5, 2006.

Annual licensure survey conducted to assess compliance with health facility licensure and certification standards.

The facility was found deficient in several areas including failure to maintain a safe and appropriate environment, inadequate housekeeping and maintenance, failure to submit required abuse registry screening information prior to hiring, lack of documentation of annual in-service training for staff, and failure to provide secure medication storage for residents who self-administer medications.

Annual licensure survey conducted to assess compliance with health and safety regulations at the facility.

The survey identified deficiencies which were later corrected during a follow-up visit. Technical assistance was provided to the facility.

The inspection was conducted as an annual licensure survey to assess environmental and safety compliance at the facility.

The survey identified deficiencies in the facility's emergency preparedness plan, including lack of a utility failure policy, incomplete emergency shelter and transportation agreements, and environmental maintenance issues such as damaged carpet, missing bathroom fixtures, and inadequate housekeeping.

The inspection was conducted as an annual licensure survey to assess environmental conditions and compliance at the facility.

The report notes an annual environmental survey conducted on October 13, 2005, with a follow-up survey on November 10, 2005, indicating that deficiencies identified were corrected by the follow-up date.

Annual survey conducted on November 8-9, 2004 with a first follow-up on December 21, 2004 to assess compliance with health and safety regulations.

The inspection identified deficiencies related to the safety and appropriateness of the environment for adolescent consumers, including lack of alarms on outside doors and insufficient awake staff supervision on weekend nights.

Annual survey conducted on November 8-9, 2004 to assess compliance with regulatory requirements for the facility.

The facility was found deficient in multiple areas including employee orientation and training, housekeeping and maintenance, resident contract compliance, complaint response timeliness, and infection control during medication administration.

The inspection was conducted as an environmental survey of the facility.

No deficiencies were issued during this environmental inspection.

Annual survey conducted at The Inn at Wyngate on December 10-11, 2003 to assess compliance with health, safety, and regulatory standards.

The survey found multiple deficiencies including failure to ensure safe and appropriate environment, inadequate housekeeping and maintenance, failure to notify the Office of Health Facility Licensure and Certification of major incidents, staff entering resident rooms without permission, unsecured medications for self-medicating residents, and toxic substances accessible to confused residents who wander.

The inspection was conducted as a complaint investigation (#WV00000785) regarding the admission and retention of individuals requiring ongoing or extensive nursing care at The Inn at Wyngate.

The administrator failed to ensure that residents requiring ongoing or extensive nursing care were not admitted or retained in the facility. Two residents were identified with feeding tubes or requiring specialized care beyond the facility's licensed level of service.

Complaint investigation #WV00000785 conducted on September 22, 2003. The complaint was substantiated as the administrator failed to ensure residents requiring extensive nursing care were not admitted or retained. No written documentation was found regarding discussions about resident discharge, and the Office of Licensure and Certification was not notified about one resident.

First follow-up to annual survey conducted at The Inn At Wyngate on January 29, 2003, to verify correction of medication administration deficiencies.

The facility failed to ensure medications were administered according to physician orders and applicable laws. Observations included medication errors in three of seven resident records and inadequate housekeeping and maintenance issues noted during a later behavioral health survey.

The visit was a follow-up to a previous environmental survey conducted on 10/24/02 to verify correction of deficiencies related to food service sanitation and housekeeping.

The facility was found to have ongoing deficiencies in food service sanitation and housekeeping, including unsealed floor covering in the dry food storage room, residue build-up on kitchen equipment, and general cleanliness issues. A new kitchen floor was budgeted for January 2003, but the deficiencies were repeated at the follow-up.

Annual survey conducted at The Inn at Wyngate on November 18-20, 2002 to assess compliance with state and federal regulations regarding medication disposal, resident records, nursing oversight, and facility maintenance.

The inspection found deficiencies in medication disposal documentation for discharged residents, incomplete resident records regarding personal effects, lack of registered nurse oversight for residents requiring nursing services, and inadequate housekeeping and maintenance issues such as damaged carpets, missing bathroom fixtures, and unclean sinks.

The inspection was conducted to assess compliance with food service sanitation, housekeeping, maintenance, and electrical safety requirements at The Inn at Wyngate.

The inspection found multiple deficiencies including unsealed and stained floor covering in the dry food storage room, disorganized and dirty hot water tank closet, missing cover plates exposing wiring, uncovered garbage containers, residue build-up on kitchen equipment, poor housekeeping in the residence with damaged carpet and missing bathroom fixtures, and electrical outlets lacking ground fault interrupting devices.

The inspection was conducted to assess compliance with health and safety regulations, staff training and orientation requirements, housekeeping, maintenance, and infection control at the facility.

The facility was found deficient in maintaining a safe and appropriate environment for consumers, including inadequate supervision during weekend nights, poor housekeeping and maintenance issues, and failure to provide required CPR and first aid training to new staff within the first fifteen days of employment.