Inspection Reports for Wesley Palms

The visit was an unannounced Case Management visit in response to the self-reported death of Resident 1 on 2025-03-11.

A wellness check was conducted with no health or safety issues identified. Residents appeared appropriate for the facility and no deficiencies were cited or observed.

An unannounced required annual inspection was conducted to evaluate the facility's compliance with licensing regulations.

The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required equipment, furnishings, and safety measures were verified to be in working order.

The inspection was an unannounced complaint investigation visit triggered by allegations that the licensee did not provide residents with reappraisals and staff did not assist residents with incontinence care.

The investigation found no preponderance of evidence to substantiate the allegations. Interviews and record reviews indicated that residents received timely reappraisals and incontinence care as required.

The complaint alleged that the licensee did not provide residents with reappraisals after aggressive behaviors and that staff did not assist residents with incontinence care. The investigation was unsubstantiated based on interviews, record reviews, and corroborating evidence.

The visit was an unannounced Case Management visit in response to the self-reported death of Resident 1 on 2024-08-03.

No health or safety issues were identified during the wellness check, and no deficiencies were cited or observed on this date.

An unannounced required one-year inspection was conducted to evaluate compliance with licensing regulations for the facility.

The facility was found to be in compliance with all licensing requirements. No deficiencies were cited. The environment was safe, sanitary, and well-maintained, with sufficient staff and appropriate resident care observed.

The visit was an unannounced Case Management Visit conducted in response to the self-reported death of Resident 1 on 2023-11-27.

A wellness check was conducted with no health or safety issues identified. Residents appeared appropriate for the facility. No deficiencies were cited or observed during this visit.

The inspection was conducted in response to a complaint received on 2023-04-18 alleging that food is served cold, residents are not pre-appraised, and residents' needs are not being met.

The investigation found that residents generally do not receive cold food during in-person dining, and food delivery protocols include warming methods and insulated bags. All residents reviewed had documented pre-appraisals prior to admission. Interviews and record reviews indicated that residents' needs were being met and no evidence supported the allegations.

The complaint was unsubstantiated based on facility inspection, interviews, and record reviews. Allegations included cold food service, lack of resident pre-appraisals, and unmet resident needs, none of which were supported by evidence.

The visit was a case management visit to deliver an amended report from a complaint visit conducted on 2023-04-25.

The amended report was reviewed with the Executive Director, signatures were obtained, and an exit interview was conducted. All staff present have current criminal record clearances.

An unannounced case management visit was conducted to follow-up on an incident reported to Community Care Licensing involving a resident who was physically injured by an unknown source.

During the visit, pertinent resident records were collected and a health and safety check was conducted. No deficiencies were cited during the visit.

The visit was triggered by an incident report received on 2023-05-01 regarding physical injury to Resident #1 by an unknown source.

The visit was an unannounced Case Management inspection conducted in response to an LIC624 Incident Report submitted by the licensee regarding missed antibiotic medication doses for Resident #1 (R1).

The licensee failed to assist one resident (R1) with self-administered medications as prescribed, resulting in two missed antibiotic doses over a ten-day period. A deficiency was cited and a Plan of Correction was developed. Staff received remedial training following the incident.

The visit was complaint-related, triggered by an incident report of missed medication doses for Resident #1. The missed doses did not result in visible adverse health consequences. Staff involved were identified and received training. The complaint was substantiated by the deficiency citation.

An unannounced complaint investigation was conducted regarding an allegation that staff did not notify responsible parties of a resident's hospitalization.

The investigation found that staff failed to notify the responsible party of Resident #1's hospitalization after a fall on 01/24/2023, despite the responsible party residing at the facility. The facility also failed to submit required incident reports to the licensing agency. The allegation was substantiated.

The complaint alleged that staff did not notify responsible parties of a resident's hospitalization. The allegation was substantiated based on interviews and record review.

The visit was an unannounced complaint investigation triggered by allegations that residents were being left unsupervised and that the facility was unsanitary.

The investigation found no preponderance of evidence to support the allegations. Staff and resident interviews, as well as facility tours, indicated that memory care residents were supervised and the facility was clean and sanitary with no urine odor detected.

The complaint was unsubstantiated. Allegations included residents being left unsupervised and the facility being unsanitary. Investigations included interviews and tours, which did not corroborate the allegations.

An unannounced Case Management Visit was conducted to follow up on events self-reported by the licensee regarding an unusual incident involving a resident who left the facility and was later returned safely.

The Licensing Program Analyst toured the facility, performed a welfare check on the resident involved, reviewed records and staff interviews, and found that the resident was able to safely leave unassisted and that staff followed the facility's Absentee Notification Plan. No deficiencies were identified or cited during the visit.

An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with licensing requirements and infection control protocols.

The Licensing Program Analyst conducted a tour and observed staff and residents, provided technical assistance on COVID-19 mitigation, and found no deficiencies during this inspection.

An unannounced Case Management Inspection was conducted to follow-up on previous incidents initiated on December 12, 2018, related to theft of residents' credit/debit cards and fraudulent charges on residents' financial accounts.

The investigation determined that a staff member committed fraud and theft against the financial welfare of elderly residents, involving unauthorized charges and purchases. The staff member pleaded guilty to four felony counts including financial elder abuse and was sentenced to four years in county prison. A citation was issued and a Plan of Correction was developed.

The Department conducted an on-site visit to provide technical assistance and to evaluate the facility's mitigation plan including disinfection, testing, vaccination, screening protocols, and use of personal protective equipment (PPE).

During the visit, no deficiencies were cited. The team conducted interviews and a walk-through of the facility, concluding with a debriefing with the Administrator.