Inspection Reports for Wood Glen Hall

An unannounced annual inspection visit was conducted to evaluate the facility's compliance with licensing requirements and state regulations.

The facility was found to be in compliance with no deficiencies noted during the inspection. The facility maintains conformity with State Fire Marshall regulations and has appropriate emergency preparedness measures in place.

An unannounced complaint investigation was conducted based on allegations that staff do not ensure resident binders are up to date and that staff are pre-pouring medications.

The investigation found that resident binders were up to date with all required documents and that staff followed proper procedures when pre-pouring medications, including wearing gloves and labeling medication cups. Both allegations were unsubstantiated and no deficiencies were noted.

The complaint investigation was unsubstantiated based on records reviewed, interviews conducted, and observations made regarding the allegations about resident binders and medication pre-pouring.

The inspection was an unannounced complaint investigation visit triggered by allegations that the licensee does not ensure staff are conducting disaster drills and receiving required training.

The allegation that staff were not conducting disaster drills was substantiated as the facility had not conducted a disaster drill between November 2024 and June 2025, posing an immediate health and safety risk. A disaster drill was conducted on 6/26/2025 to address this. The allegation that staff were not receiving required training was unsubstantiated, with records showing monthly all-staff trainings covering safety and emergency topics.

The complaint investigation was substantiated regarding failure to conduct disaster drills but unsubstantiated regarding failure to provide required staff training.

An unannounced complaint investigation was conducted based on allegations received on 2025-06-03 regarding unsanitary conditions, presence of rodents, and failure to maintain accurate residents' records at the facility.

The allegation that the facility is unsanitary was substantiated due to observations of a fly trap with dead flies above a food preparation area, mold and dirt in a staff room, and stained carpets in residents' rooms. The allegation of rodents was unsubstantiated as no evidence or sightings were found. The allegation that staff failed to maintain accurate residents' records was also unsubstantiated based on interviews and record reviews.

The complaint investigation was substantiated for unsanitary conditions but unsubstantiated for allegations of rodents and failure to maintain accurate residents' records.

The inspection was an unscheduled, required annual evaluation visit to ensure compliance with Title 22 regulations and to assess the facility's health and safety conditions.

The facility was found to be in compliance with health and safety regulations, including proper food service and storage, clean and well-maintained physical plant areas, appropriate resident accommodations, and operational safety equipment. No hazards or deficiencies were noted during the inspection.

The inspection was conducted as an unannounced complaint investigation visit following a complaint alleging that staff do not provide adequate food service to the residents.

Based on observations, interviews with residents and staff, documentation review, food sampling, and photographs, the allegation that staff do not provide adequate food service was found to be unsubstantiated at this time.

The complaint alleged that staff do not provide adequate food service to residents, with some residents complaining about the quality of food. The investigation included interviews with 12 residents and 5 staff members, review of menus and dietary contracts, and observation of food service. The complaint was determined to be unsubstantiated.

The visit was an unannounced complaint investigation triggered by an allegation that staff do not ensure residents are served food of good quality, including claims of overcooked proteins and limited meal variety over the past three months.

The Licensing Program Analyst observed the dining areas and kitchen, interviewed residents and staff, and reviewed documentation. The food was found to be of good quality with no expired or stale items, proper storage, and sufficient variety. Most residents reported satisfaction with the food quality, and staff denied claims of budget cuts affecting food quality. The allegation was deemed unsubstantiated due to insufficient evidence.

The complaint alleged poor food quality, including overcooked proteins and limited meal variety. The investigation found no evidence to substantiate these claims, and the complaint was unsubstantiated.

The visit was a required 1-Year Annual facility site inspection to ensure compliance with Title 22 Regulations for the Residential Care for the Elderly facility.

The facility was found to be in compliance with all applicable regulations, including health and safety standards, infection control, medication management, and record keeping. No deficiencies were cited during the inspection.

An unannounced complaint investigation visit was conducted in response to allegations that staff were not providing medication assistance and were not meeting residents' needs.

The investigation found insufficient evidence to prove the allegations that facility staff allowed a private caregiving company to provide medication assistance exclusively and that staff did not meet residents' needs. The caregiving company was fully licensed and contracted to assist residents, and the allegations were deemed unsubstantiated.

The complaint alleged that staff were not providing medication assistance and not meeting residents' needs, specifically that a private caregiving company provided medication assistance without background clearance. The allegations were found unsubstantiated.

An unannounced complaint investigation visit was conducted in response to allegations that the administrator was not communicating residents' conditions with representatives and was inappropriately speaking to residents in care.

The investigation found insufficient evidence to substantiate the allegations. The administrator did communicate with responsible parties about the flu-like outbreak symptoms but did not specify the illness. The administrator's statements to residents regarding quarantine and late payments were factual and not inappropriate.

The complaint alleged that the administrator failed to communicate the resident's condition to representatives and spoke inappropriately to residents by forcing isolation and threatening eviction for late payments. Both allegations were found unsubstantiated based on interviews and evidence.

The visit was a required unannounced 1-year infection control annual inspection to evaluate the facility's compliance with infection control protocols.

No deficiencies were observed during the visit. The facility has implemented and is following all infection control protocols, including screening, PPE use, isolation procedures, and staff training.

An unannounced complaint investigation was conducted based on an allegation that staff were not associated with the facility.

The investigation substantiated that fifteen staff from a home care agency and eight facility staff were working at the facility without being properly associated or having appropriate criminal record clearance transfers, posing an immediate health and safety risk to residents.

The complaint alleging that staff were not associated with the facility was substantiated based on record review and interviews.