Deficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Follow-Up
Census: 49
Deficiencies: 0
Oct 23, 2025
Visit Reason
Follow-up to the annual survey to verify correction of previously identified deficiencies.
Findings
The deficiency identified in the prior annual survey was corrected as of the follow-up visit.
Report Facts
Census: 49
Inspection Report
Annual Inspection
Census: 496
Deficiencies: 0
Sep 22, 2025
Visit Reason
The inspection was conducted as an annual recertification survey to assess compliance with regulatory standards.
Findings
The follow-up survey conducted on 09/22/2025 reviewed the correction of previously cited tags 290 and 318, which were completed. The survey included an annual environmental inspection with a sample size of 80%.
Report Facts
Census: 496
Sample Size: 80
Inspection Report
Annual Inspection
Census: 52
Deficiencies: 1
Aug 28, 2025
Visit Reason
Annual survey conducted from 08/25/25 to 08/28/25 to assess compliance with health care standards and facility regulations.
Findings
One deficiency was cited related to failure to ensure each resident had a written, signed, and dated annual health assessment. Specifically, Resident #8's record lacked documentation of a completed health assessment for 2025 at the time of survey.
Deficiencies (1)
| Description |
|---|
| Failure to ensure each resident had a written, signed, and dated annual health assessment, found for one of ten residents reviewed (Resident #8). |
Report Facts
Deficiencies cited: 1
Census: 52
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed and stated unawareness of missing annual health assessment for Resident #8. |
Inspection Report
Annual Inspection
Census: 49
Deficiencies: 3
Aug 25, 2025
Visit Reason
The inspection was an annual environmental survey conducted to assess the physical facilities and overall maintenance of the healthcare facility.
Findings
The facility was found to have maintenance deficiencies including black mildew on HVAC vents, dust buildup on bathroom exhaust vents, and hot water temperatures exceeding the required range. Corrective actions were planned and implemented to address these issues.
Deficiencies (3)
| Description |
|---|
| Black mildew like substance observed on HVAC vents throughout the facility. |
| Dust buildup on all resident bathroom exhaust vents throughout the facility. |
| Hot water temperatures in resident rooms measured at 118.8 degrees Fahrenheit, exceeding the required maximum of 115 degrees. |
Report Facts
Census: 49
Tags Cited: 2
Water Temperature: 118.8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Facility Manager | Acknowledged findings during exit interview | |
| Maintenance Staff | Acknowledged findings and performed repairs |
Inspection Report
Annual Inspection
Census: 31
Deficiencies: 0
Jul 25, 2024
Visit Reason
Annual environmental inspection of Welty Home Assisted Living conducted on July 25, 2024.
Findings
No deficiencies were cited during this annual environmental inspection.
Report Facts
Census: 31
Inspection Report
Annual Inspection
Census: 42
Deficiencies: 0
Jul 24, 2024
Visit Reason
The inspection was conducted as an annual survey of the facility to assess compliance with regulatory requirements.
Findings
The annual survey conducted from 07/22/24 to 07/24/24 found no deficiencies cited at the facility.
Report Facts
Census: 42
Inspection Report
Complaint Investigation
Census: 42
Deficiencies: 0
Jan 3, 2024
Visit Reason
Investigation of Complaint #30210 regarding facility conditions and care.
Findings
The complaint was unsubstantiated, and no deficiencies were cited during the investigation.
Complaint Details
Complaint #30210 was investigated and found to be unsubstantiated with no deficiencies cited.
Report Facts
Census: 42
Inspection Report
Follow-Up
Census: 50
Deficiencies: 0
Sep 12, 2023
Visit Reason
First revisit to the annual survey to verify correction of previously cited deficiencies.
Findings
The revisit found that all previously cited deficiencies were cleared and no new deficiencies were identified during the inspection.
Report Facts
Census: 50
Inspection Report
Annual Inspection
Census: 50
Deficiencies: 3
Aug 16, 2023
Visit Reason
The inspection was conducted as an annual survey to assess compliance with health and safety regulations, including medication administration and facility environment.
Findings
The facility was found deficient in maintaining accurate medication administration records for three of seven residents reviewed, with missing signatures on medication administration records. Additionally, the facility environment showed housekeeping and maintenance issues such as damaged carpet, missing bathroom fixtures, and personal belongings improperly stored.
Severity Breakdown
Class I: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to keep a record of all medications administered to residents, with missing signatures in medication administration records for three residents (#17, #27, #34). | Class I |
| Failed to ensure adequate housekeeping and maintenance, including damaged carpet, missing towel bars and toilet paper holders, and dirty sink. | — |
| Unsafe environment due to lack of alarm on outside doors and inadequate awake-night supervision on weekends. | — |
Report Facts
Residents reviewed: 7
Residents with medication record deficiencies: 3
Census: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Facility Manager | Interviewed regarding medication administration deficiencies | |
| Registered Nurse | Interviewed regarding missing medication signatures | |
| Licensed Practical Nurse | Interviewed regarding medication administration record signing |
Inspection Report
Annual Inspection
Census: 47
Deficiencies: 0
Aug 11, 2022
Visit Reason
The inspection was conducted as an annual survey of the facility to assess compliance with regulatory standards.
Findings
The annual survey found no deficiencies cited at the facility during the inspection period.
Report Facts
Census: 47
Inspection Report
Annual Inspection
Census: 47
Deficiencies: 0
Aug 8, 2022
Visit Reason
Annual environmental inspection of Welty Home Assisted Living conducted on August 8, 2022.
Findings
No deficiencies were cited during this annual environmental inspection.
Report Facts
Census: 47
Inspection Report
Routine
Census: 41
Deficiencies: 0
Aug 26, 2021
Visit Reason
Routine inspection conducted to assess compliance with health and safety regulations at Welty Home, L C.
Findings
No deficiencies were found during the inspection conducted from August 23 to August 26, 2021, with a census of 41 residents.
Report Facts
Census: 41
Inspection Report
Renewal
Census: 41
Deficiencies: 0
Aug 25, 2021
Visit Reason
The inspection was conducted as a re-licensure survey to assess the facility's compliance with licensing requirements.
Findings
The residence was found to be in substantial compliance with the licensing rule based on record review, facility tour, and staff interview.
Report Facts
Sample size: 80
Census: 41
Inspection Report
Routine
Census: 40
Deficiencies: 0
Jan 27, 2021
Visit Reason
The inspection was conducted as an Infection Control Survey from January 25 to January 26, 2021.
Findings
No deficiencies were found during the infection control survey.
Report Facts
Census: 40
Inspection Report
Plan of Correction
Deficiencies: 2
Dec 1, 2020
Visit Reason
The document is a statement of deficiencies and plan of correction following a behavioral health survey conducted to assess compliance with health and safety regulations.
Findings
The survey 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.
Deficiencies (2)
| Description |
|---|
| The adolescent girls' bedrooms have outside doors without alarms or alert devices, and staff are not awake on weekend nights to monitor consumers, compromising safety. |
| An outside door in the TV room does not lock, posing a safety risk. |
Report Facts
Center census: 6
Sample size: 3
Plan implementation date: Jul 1, 2004
Inspection Report
Annual Inspection
Census: 39
Deficiencies: 4
Oct 7, 2020
Visit Reason
The inspection was the annual survey conducted from October 5 to October 7, 2020, to assess compliance with regulatory requirements for the assisted living facility.
Findings
The facility failed to maintain a resident register with complete transfer information, did not submit a completed CARES application for one employee, and failed to provide written notification to residents about the use of visual monitoring devices. Additionally, housekeeping and maintenance deficiencies were noted, including damaged carpets, missing bathroom fixtures, and unclean areas.
Severity Breakdown
Class III: 2
Class II: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to maintain a register of all residents in order by admission dates including transfer information. | Class III |
| Failed to submit a completed West Virginia CARES application for one employee. | Class II |
| Failed to provide written notification to residents/legal representatives about the use of visual monitoring devices. | Class III |
| Inadequate housekeeping and maintenance including personal belongings behind furniture, iron burns and bleach spots on carpet, torn chair, missing towel bar and toilet paper holder, and dirty sink. | — |
Report Facts
Census: 39
Number of applicable employees: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #22 | Failed to submit completed CARES application. | |
| Manager #13 | Verified resident register deficiencies. | |
| Human Resource Director #42 | Human Resource Director | Interviewed regarding CARES application status for Employee #22. |
| Director of Nursing #6 | Director of Nursing | Interviewed about installation of video cameras. |
Inspection Report
Routine
Census: 47
Deficiencies: 0
Jun 8, 2020
Visit Reason
The inspection was conducted as a routine environmental survey of the facility.
Findings
No deficiencies were cited during the inspection.
Report Facts
Census: 47
Inspection Report
Annual Inspection
Census: 47
Deficiencies: 0
Apr 17, 2019
Visit Reason
Annual licensure survey conducted to assess environmental compliance and overall facility conditions.
Findings
The inspection found no deficiencies cited during the annual licensure survey.
Report Facts
Census: 47
Inspection Report
Annual Inspection
Census: 45
Deficiencies: 0
Apr 10, 2019
Visit Reason
The inspection was conducted as an Annual Licensure Survey to assess compliance with state regulations for Welty Home LC.
Findings
The report includes initial comments and notes the census during the survey. No specific deficiencies or severity levels are detailed in the provided document.
Report Facts
Census: 45
Inspection Report
Follow-Up
Census: 51
Deficiencies: 0
Jul 16, 2018
Visit Reason
The visit was a follow-up survey conducted to verify correction of deficiencies identified during the annual licensure survey conducted May 7-9, 2018.
Findings
The follow-up survey found that the previously cited deficiencies were corrected.
Report Facts
Census: 50
Census: 51
Inspection Report
Annual Inspection
Census: 50
Deficiencies: 5
May 9, 2018
Visit Reason
Annual licensure survey conducted May 7-9, 2018 to assess compliance with assisted living residence licensing rules and regulations.
Findings
The facility failed to comply with policies requiring annual and new hire employee training on emergency procedures, resident rights, confidentiality, abuse prevention, infection control, and Alzheimer's disease training. Multiple employees had training completed late or missing documentation. Additionally, housekeeping and maintenance deficiencies were noted from a prior 2004 behavioral health survey, including damaged carpet, missing bathroom fixtures, and cleanliness issues.
Deficiencies (5)
| Description |
|---|
| Failure to comply with residence's policy for employees to complete annual training on emergency procedures, resident rights, confidentiality, abuse prevention, complaint procedures, specialty care, resident activities, and infection control. |
| Failure to provide and maintain records of training to new employees prior to scheduling them to work unsupervised within 15 days of hire. |
| Failure to provide and maintain records of in-service annual training to all staff on resident rights, confidentiality, abuse prevention, resident activities, infection control, and fire safety. |
| Failure to provide training to all new employees within 15 days of employment and annually thereafter on Alzheimer's disease and related dementias, including maintaining training records. |
| Housekeeping and maintenance deficiencies observed including miscellaneous personal belongings behind dresser, iron burn and bleach spots on carpet, torn chair, missing towel bar and toilet paper holder, and dirty sink. |
Report Facts
Census: 50
Training delay days: 25
Training delay days: 30
Training delay days: 102
Training delay days: 168
Training delay days: 153
Training delay days: 148
Training delay days: 157
Training delay days: 166
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Named in findings for late new hire training and Alzheimer's training. | |
| Employee #2 | Interviewed regarding training system change to RELIAS and missing training modules. | |
| Employee #4 | Named in findings for failure to complete annual training and in-service training. | |
| Employee #20 | Named in findings for late training completion on multiple topics including Alzheimer's training. | |
| Employee #22 | Named in findings for late new hire training and Alzheimer's training. | |
| Employee #24 | Named in findings for incomplete documentation of annual training and Alzheimer's training. | |
| Employee #25 | Named in findings for late new hire training and Alzheimer's training. |
Inspection Report
Annual Inspection
Census: 49
Deficiencies: 0
Apr 11, 2018
Visit Reason
The visit was conducted as an annual licensure survey focusing on environmental aspects of the facility.
Findings
No deficiencies were cited during the annual licensure survey conducted on April 11, 2018.
Report Facts
Census: 49
Inspection Report
Annual Inspection
Census: 50
Deficiencies: 0
Apr 11, 2017
Visit Reason
The inspection was conducted as an annual licensure survey focusing on environmental conditions at the facility.
Findings
The survey found no deficiencies cited during the annual licensure inspection.
Report Facts
Census: 50
Inspection Report
Annual Inspection
Census: 49
Deficiencies: 3
Mar 9, 2017
Visit Reason
The inspection was conducted as an annual licensure survey to assess compliance with health facility licensure regulations and standards.
Findings
The facility was found deficient in reporting major incidents timely to the Office of Health Facility Licensure and Certification, maintaining adequate housekeeping and maintenance, and ensuring prescriptions and physician orders for medications and treatments were properly documented and followed.
Severity Breakdown
Class III: 1
Class I: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to report major incidents to OHFLAC as soon as possible and no later than the next business day for four residents who eloped. | Class III |
| Inadequate housekeeping and maintenance including personal belongings left behind furniture, carpet damage, torn furniture, missing bathroom fixtures, and unclean sink. | — |
| Failure to ensure prescriptions from authorized professionals for obtaining, altering, discontinuing, and administering medications and treatments for five residents. | Class I |
Report Facts
Residents with unreported major incidents: 4
Residents with medication order deficiencies: 5
Missed medication doses: 6
Census: 49
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Director of Nursing | Counseled nursing staff on reporting procedures and medication regulations; unaware of reporting requirements for elopements and over-the-counter medication orders. |
Inspection Report
Annual Inspection
Census: 49
Deficiencies: 0
Mar 6, 2017
Visit Reason
The inspection was conducted as an Annual Licensure Survey to assess compliance with regulatory requirements for the facility.
Findings
The report indicates that the annual licensure survey was conducted with 49 residents present and deficiencies were noted. A follow-up survey on May 23, 2017, with a census of 51, found no deficiencies and confirmed correction of prior issues.
Report Facts
Deficiencies cited: 0
Inspection Report
Annual Inspection
Census: 50
Deficiencies: 0
Apr 6, 2016
Visit Reason
The inspection was conducted as an annual licensure survey to assess compliance with regulatory requirements.
Findings
The annual licensure survey found no deficiencies cited during the inspection conducted from April 4 to April 6, 2016.
Report Facts
Census: 50
Inspection Report
Annual Inspection
Census: 50
Deficiencies: 1
Apr 5, 2016
Visit Reason
The inspection was conducted as an annual licensure survey to assess environmental conditions and compliance with physical facility maintenance standards.
Findings
The facility was found deficient in maintaining a safe, sanitary, and accident-free living environment due to improper oxygen storage area signage, unsecured cylinders, and failure to identify empty and full cylinders. The deficiency was discussed with management and a plan of correction was agreed upon.
Severity Breakdown
Class I: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Oxygen storage area lacked proper signage, cylinders were not secured, and empty and full cylinders were not identified. | Class I |
Report Facts
Deficiencies cited: 1
Inspection Report
Annual Inspection
Census: 41
Deficiencies: 0
Jul 13, 2015
Visit Reason
The inspection was conducted as an Annual Licensure Survey with a follow-up survey to verify correction of previous deficiencies.
Findings
The initial annual survey identified deficiencies which were subsequently corrected by the follow-up survey on July 13, 2015. The facility had a census of 41 residents at the time of inspection.
Report Facts
Census: 41
Inspection Report
Annual Inspection
Census: 41
Capacity: 52
Deficiencies: 2
Apr 14, 2015
Visit Reason
The inspection was conducted as an annual licensure survey to assess compliance with regulatory requirements including disaster and emergency preparedness.
Findings
The facility failed to review and update the disaster and emergency preparedness plan annually and did not rehearse the plan with all staff from each shift annually. The last documented review was in 2013 and the last rehearsal was in 2009.
Severity Breakdown
CLASS III: 1
CLASS I: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to review and update the disaster and emergency preparedness plan on an annual basis and sign and date the plan to verify review. | CLASS III |
| Failure to rehearse the disaster and emergency preparedness plan with all staff from each shift annually and keep documentation of the rehearsal. | CLASS I |
Report Facts
Census: 41
Total Capacity: 52
Inspection Report
Annual Inspection
Census: 41
Deficiencies: 0
Apr 9, 2015
Visit Reason
The visit was conducted as an annual licensure survey of the facility.
Findings
The report summarizes the annual licensure survey conducted from April 6-9, 2015, with a census of 41 residents. No specific deficiencies or severity levels are detailed in the provided document.
Report Facts
Census: 41
Inspection Report
Annual Inspection
Census: 48
Deficiencies: 0
Apr 1, 2014
Visit Reason
The visit was conducted as an annual licensure survey of the facility.
Findings
The annual licensure survey conducted on April 1-2, 2014, found no deficiencies at the facility.
Report Facts
Census: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Keith Carpenter | Named in the report as associated with the annual licensure survey |
Inspection Report
Annual Inspection
Census: 48
Deficiencies: 0
Mar 12, 2014
Visit Reason
The inspection was conducted as an annual licensure survey of the facility.
Findings
The report documents the annual licensure survey conducted from March 10-12, 2014, with a census of 48 residents. No specific deficiencies or severity levels are detailed in the provided page.
Report Facts
Census: 48
Inspection Report
Annual Inspection
Census: 46
Deficiencies: 0
Apr 25, 2013
Visit Reason
The facility underwent an annual licensure survey conducted from April 22-25, 2013 to assess compliance with regulatory requirements.
Findings
No deficiencies were cited during the survey, and technical assistance was provided to the facility.
Report Facts
Census: 46
Inspection Report
Annual Inspection
Census: 48
Deficiencies: 0
Mar 27, 2013
Visit Reason
Annual licensure survey conducted to assess environmental compliance and overall facility conditions.
Findings
No deficiencies were cited during the inspection and no technical assistance was given.
Report Facts
Census: 48
Inspection Report
Annual Inspection
Census: 49
Deficiencies: 0
Apr 16, 2012
Visit Reason
The visit was conducted as an annual licensure survey of the facility.
Findings
No deficiencies were cited during the survey. Technical assistance was provided to the facility.
Report Facts
Census: 49
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jane Cost | RN HFNS II | Surveyor |
| Louise Hall | RN HFNS II | Surveyor |
Inspection Report
Annual Inspection
Census: 50
Deficiencies: 0
Apr 4, 2012
Visit Reason
The visit was conducted as an annual licensure survey to assess compliance with regulatory requirements.
Findings
No deficiencies were cited during the annual licensure survey conducted on April 4, 2012.
Report Facts
Census: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Keith Carpenter | Surveyor | Conducted the annual licensure survey |
Inspection Report
Annual Inspection
Census: 49
Deficiencies: 0
Apr 6, 2011
Visit Reason
Annual licensure survey conducted to assess environmental compliance and overall facility conditions.
Findings
No deficiencies were cited during this annual licensure survey.
Report Facts
Census: 49
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Randy Akers | Surveyor | Named as surveyor conducting the annual licensure survey |
| Keith Carpenter | Surveyor | Named as surveyor conducting the annual licensure survey |
Inspection Report
Annual Inspection
Census: 49
Deficiencies: 0
Mar 23, 2011
Visit Reason
The document is an annual licensure survey conducted to assess compliance with regulatory requirements for the facility.
Findings
No deficiencies were cited during the survey. Only technical assistance was provided.
Report Facts
Census: 49
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jane Cost | RN, HFNS II | Surveyor |
| Louise Hall | RN, HFNS II | Surveyor |
Inspection Report
Complaint Investigation
Census: 47
Deficiencies: 0
Sep 29, 2010
Visit Reason
The inspection was conducted as a complaint investigation at Welty Home, L C.
Findings
The complaint investigation was unsubstantiated and technical assistance was provided.
Complaint Details
The complaint investigation was unsubstantiated.
Report Facts
Census: 47
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Dodrill | HFSII Surveyor | Conducted the complaint investigation |
Inspection Report
Annual Inspection
Census: 46
Deficiencies: 0
Mar 31, 2010
Visit Reason
The inspection was conducted as an annual licensure survey of the facility.
Findings
No deficiencies were identified during the survey. Technical assistance was provided to the facility.
Report Facts
Census: 46
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jane Cost | RN HFNS II | Surveyor during the annual licensure survey |
| Louise Hall | RN HFNS II | Surveyor during the annual licensure survey |
Inspection Report
Annual Inspection
Census: 46
Deficiencies: 0
Mar 2, 2010
Visit Reason
The inspection was conducted as an annual licensure survey to assess compliance with regulatory requirements.
Findings
No deficiencies were cited during the survey, but technical assistance was provided to the facility.
Report Facts
Census: 46
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason T. Lintner | Surveyor | Conducted the annual licensure survey |
Inspection Report
Annual Inspection
Census: 49
Deficiencies: 0
May 6, 2009
Visit Reason
The visit was conducted as an annual licensure survey of the facility.
Findings
No deficiencies were found during the survey. Technical assistance was provided to the facility.
Report Facts
Census: 49
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jane Cost | RN HFNS II | Surveyor during the annual licensure survey |
| Louise Hall | RN HFNS II | Surveyor during the annual licensure survey |
Inspection Report
Annual Inspection
Census: 50
Deficiencies: 0
Apr 18, 2009
Visit Reason
The visit was conducted as an annual licensure survey to assess the environment and compliance of the facility.
Findings
No deficiencies were found during the inspection. Only technical assistance was provided.
Report Facts
Census: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Keith Carpenter | Named in the annual licensure survey report | |
| Jason Lintner | Named in the annual licensure survey report |
Inspection Report
Annual Inspection
Census: 52
Deficiencies: 0
Apr 8, 2008
Visit Reason
The inspection was conducted as an annual licensure survey of the facility.
Findings
The report documents the annual survey conducted on April 7-8, 2008, with a census of 52 residents. No specific deficiencies or severity levels are detailed in the provided report.
Report Facts
Census: 52
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernie Chafin | HFNS II | Surveyor for the annual licensure survey |
| Louise Hall | HFNS II | Surveyor for the annual licensure survey |
| Betty Marine | LSW, HFSII | Surveyor for the annual licensure survey |
Inspection Report
Annual Inspection
Census: 23
Deficiencies: 0
Apr 2, 2008
Visit Reason
Annual licensure survey conducted to assess the environment and compliance of the facility.
Findings
No deficiencies or technical assistance were identified during the survey.
Report Facts
Census: 23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Keith Carpenter | Surveyor | Conducted the annual licensure survey |
Inspection Report
Annual Inspection
Census: 52
Deficiencies: 0
May 10, 2007
Visit Reason
The visit was conducted as an annual licensure survey to assess the environment and compliance of the facility.
Findings
The survey found no deficiencies in the environment during the annual licensure inspection.
Report Facts
Census: 52
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Keith Carpenter | Surveyor | Conducted the annual licensure survey |
Inspection Report
Annual Inspection
Census: 48
Deficiencies: 0
Apr 3, 2007
Visit Reason
Annual licensure survey conducted to assess compliance with regulatory requirements.
Findings
No deficiencies were found during the survey. Technical assistance was provided to the facility.
Report Facts
Census: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jane Cost | RN HFNS II | Surveyor |
| Louise Hall | RN HFNS II | Surveyor |
Inspection Report
Annual Inspection
Census: 52
Deficiencies: 0
Apr 10, 2006
Visit Reason
Annual licensure survey conducted to assess the environment and compliance of the facility.
Findings
No deficiencies were issued during this annual licensure survey.
Report Facts
Census: 52
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Keith Carpenter | Named in relation to the annual licensure survey |
Inspection Report
Annual Inspection
Census: 47
Deficiencies: 0
Feb 13, 2006
Visit Reason
Annual licensure survey conducted from February 13-15, 2006 to assess compliance with licensure requirements.
Findings
The report documents the annual licensure survey with no specific deficiencies detailed on this page. The census at the time of inspection was 47 residents.
Report Facts
Census: 47
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jane Cost | RN, HFNS II | Named as surveyor in the annual licensure survey |
| Louise Hall | RN, HFNS II | Named as surveyor in the annual licensure survey |
Inspection Report
Routine
Census: 52
Deficiencies: 0
Apr 13, 2005
Visit Reason
Routine environmental inspection conducted on April 13-14, 2005 to assess the facility's compliance with health and safety standards.
Findings
No deficiencies were found during the inspection. The environment was deemed compliant with applicable regulations.
Report Facts
Census: 52
Last Sanitarian Inspection Date: May 21, 2003
Inspection Report
Annual Inspection
Census: 49
Deficiencies: 0
Apr 7, 2005
Visit Reason
Annual survey conducted from April 5-7, 2005 to review medical and personnel records and assess compliance with regulatory requirements.
Findings
The report includes review of medical records and personnel files with no specific deficiencies detailed in the provided page. The census was 49 at the time of inspection.
Report Facts
Medical Records Reviewed: 6
Personnel Records Reviewed: 9
Census: 49
Inspection Report
Environmental Survey
Census: 50
Deficiencies: 0
Apr 28, 2004
Visit Reason
Environmental survey conducted to assess facility conditions and compliance related to environmental safety and infection control.
Findings
No deficiencies were cited during the environmental survey. Discussion was held with the administrator regarding laundry ventilation to prevent cross contamination if new washers and dryers are provided.
Report Facts
Census: 50
Inspection Report
Annual Inspection
Census: 6
Deficiencies: 0
Apr 14, 2004
Visit Reason
Annual survey conducted from April 12-14, 2004 to assess compliance with health and safety regulations.
Findings
No deficiencies were cited during the annual survey conducted at the facility.
Report Facts
Center Census: 6
Inspection Report
Annual Inspection
Census: 6
Deficiencies: 3
Apr 16, 2003
Visit Reason
Annual survey conducted at Welty Home For the Aged on April 14-16, 2003 to assess compliance with health and safety regulations and facility standards.
Findings
The survey found no deficiencies warranting citations but provided technical assistance regarding employee CPR and criminal records checks. Observations from a behavioral health survey in 2004 noted safety and housekeeping issues including lack of awake weekend night staff supervision, unlocked doors, and maintenance problems such as carpet damage and missing bathroom fixtures.
Severity Breakdown
Class I: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Lack of awake night supervision on weekends and unlocked outside doors in adolescent girls' bedrooms and TV room. | — |
| Inadequate housekeeping and maintenance including personal belongings behind dresser, iron burn and bleach spots on carpet, torn chair, missing towel bar and toilet paper holder, and dirty sink. | — |
| Failure to provide locked storage for laundry and housekeeping supplies, with toxic materials accessible in unlocked laundry and janitor rooms. | Class I |
Report Facts
Center census: 6
Sample size: 3
Survey dates: 3
Work order completion timeframe: 30
Carpet replacement deadline: Sep 30, 2004
Laundry and janitor room toxic materials: 24
Bleach quantity: 12
Inspection Report
Census: 6
Deficiencies: 5
Apr 11, 2002
Visit Reason
The inspection was conducted to evaluate the facility's compliance with health and safety regulations, disaster preparedness, and environmental conditions.
Findings
The facility failed to conduct the required annual disaster rehearsal and lacked written emergency agreements. Additionally, the environment was found unsafe and inadequately maintained, with issues such as unsecured doors, damaged carpets, and missing bathroom fixtures.
Severity Breakdown
Class II: 3
Deficiencies (5)
| Description | Severity |
|---|---|
| The emergency and disaster plan had not been reviewed annually and lacked documentation of review. | Class II |
| The disaster and emergency preparedness plan had not been rehearsed by all personnel from all shifts once yearly. | Class II |
| The home had no written agreements for emergency water, alternate shelter, or emergency transportation. | Class II |
| The adolescent girls' bedrooms had outside doors without alarms, and staff were not awake on weekend nights to monitor safety. | — |
| The facility failed to ensure adequate housekeeping and maintenance, including damaged carpet, missing towel bars, and dirty sinks. | — |
Report Facts
Sample Size: 3
Completion Date: May 6, 2002
Completion Date: May 24, 2002
Completion Date: Sep 30, 2004
Inspection Report
Deficiencies: 10
Apr 18, 2001
Visit Reason
The inspection was conducted to assess compliance with state regulations regarding resident care, staff qualifications, housekeeping, maintenance, resident assessments, medication administration, and incident reporting at Welty Home, L C.
Findings
The facility was found non-compliant in multiple areas including failure to ensure resident care was provided by appropriately licensed health care professionals, inadequate housekeeping and maintenance, lack of current functional needs assessments and evaluations for residents, failure to document residents' ability to self-administer medications, and absence of written policies for incident reporting and nurse notification in emergencies.
Severity Breakdown
Class I: 3
Class II: 6
Deficiencies (10)
| Description | Severity |
|---|---|
| Administrator failed to ensure resident care was carried out by appropriately licensed health care professionals; personnel records lacked current state licensure documentation. | Class I |
| Lack of proper documentation of Red Cross first aid training for staff; no staff member on duty at all times with current first aid certificate. | Class II |
| Failure to obtain and keep current statements that services provided are appropriate to meet residents' needs. | Class II |
| Failure to re-evaluate residents for the need for sleep time supervision. | Class I |
| Failure to establish and keep current individualized functional needs assessments for residents. | Class II |
| Failure to ensure supervising nurse monitors residents' care using functional needs assessments; assessments not accessible to nursing staff. | Class II |
| Failure to document residents' ability to self-administer medications; some residents lacked current evaluations. | Class II |
| Failure to establish written policies and procedures for contacting family, legal representatives, physicians, or health service providers in the event of significant changes in resident condition. | Class II |
| Failure to provide assessment by a licensed nurse in the event of significant change in resident condition or injury; staff not instructed to notify nurse during night shifts. | Class I |
| Inadequate housekeeping and maintenance observed including personal belongings behind furniture, carpet damage, missing bathroom fixtures, and dirty sink. | — |
Report Facts
Resident records reviewed: 9
Incident reports reviewed: 5
Residents lacking current functional needs assessment: 6
Residents lacking current medication self-administration evaluation: 2
Residents not re-evaluated for sleep time supervision: 6
Carpet replacement deadline: 2004
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