I moved my father into Brookdale Charleston Gardens and I'm very pleased. The facility is clean and well-maintained, the staff are warm, caring and responsive, and the nursing/memory-care team is excellent. Chef-prepared, nutritious meals, a lovely dining room, plentiful activities and good communication give our family real peace of mind - I would recommend it.
Loved one of resident
Aug 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Coordination with health care providers
Medication management
Mental wellness program
Healthcare staffing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Special dietary restrictions
Room
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Telephone
Wifi
Memory care community services
Mild cognitive impairment
Specialized memory care programming
Transportation
Transportation arrangement (medical)
Transportation to doctors appointments
Common areas
Beauty salon
Dining room
Garden
Outdoor space
Pet friendly
Community services
Move-in coordination
Activities
Community-sponsored activities
Resident-run activities
Scheduled daily activities
Reviews
4.08·(76)
Overall rating
5
4
3
2
1
Care
3.7
Staff
4.0
Meals
4.0
Amenities
4.1
Value
2.0
Pros
Attentive, compassionate staff
Chef-prepared, restaurant-style dining
Regular transportation and community outings
Varied activity programming (bingo, movies, church, social events)
Clean, well-maintained common areas
Home-like, family atmosphere
24-hour on-site nursing availability
Private studio/apartment options with kitchenettes
Accessible outdoor seating and courtyard
Physical therapy and rehabilitation services
Monthly apartment cleaning service
Veteran-focused programming
Proactive family communication in many cases
Seasonal/festive community events
Support with VA and benefits information
Cons
Inconsistent medication-management processes
Delays in staff responsiveness and assistance
Inconsistent bathing and incontinence-care practices
Pest-control concerns in some units
Gaps in emergency-response coordination and follow-up
Variable cleanliness and sanitation practices
Staffing shortages and shift-level instability
Variability in staff professionalism and conduct
Gaps in family communication and contract transparency
Additional fees for basic supplies and services
Privacy and security gaps in some memory-care areas
Maintenance and facility-upkeep variability
Summary of reviews
Brookdale Charleston Gardens elicits strongly mixed impressions. Many reviewers describe a warm, home-like community with attentive caregivers, chef-style dining, and an active calendar of outings and on-site activities. Common positive notes include clean common areas, a family atmosphere, regular transportation to local shopping and restaurants, an array of enrichment options (bingo, movies, church services, seasonal events), and 24-hour nursing coverage. Several families praised staff responsiveness, proactive communication, and assistance with benefits such as VA support.
At the same time, a set of operational concerns appears repeatedly. Medication-management processes and clinical follow-up are described as inconsistent by multiple reviewers; examples cited include medication changes without timely family notification and missed or delayed administrations. Reviewers also raised issues with responsiveness—delays when residents need assistance—and with bathing and incontinence-care practices. A small number of reviews raised serious concerns about pest control and staff conduct; these accounts contrast sharply with positive reports and warrant independent verification.
Dining and activities are generally seen as strengths, with many residents enjoying varied menus and restaurant-style service as well as frequent outings and in-house social programming. However, reviewers also described variability in meal quality and portioning. Facility amenities are frequently praised: tidy common spaces, outdoor seating, physical therapy, kitchenette-equipped units, and monthly apartment cleaning were noted positively. Some units were described as smaller or older and may require residents to furnish certain items; reviewers also reported inconsistent upkeep in specific areas.
Management and administrative themes are mixed. Positive commentary highlights helpful, transparent staff and timely move-ins; negative commentary points to billing and contract-disclosure issues, extra charges for basic supplies, and uneven managerial availability. Staffing levels and professionalism are described as variable across shifts—while many families commend individual caregivers, others cite understaffing and conduct concerns that affect perceived quality of care. For families considering this community, a careful tour that includes review of medication protocols, emergency procedures, memory-care security measures, contract terms, and pest-control history is advisable to reconcile the divergent experiences reflected in these reviews.
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Location
Brookdale Charleston Gardens is located at 800 Association Dr, Charleston, WV, 25311.
About Brookdale Charleston Gardens
Brookdale Charleston Gardens is a senior living community in Charleston, West Virginia, offering both assisted living and memory care services in a welcoming and comfortable environment. Designed to support residents who need a little extra help with daily tasks as well as those living with Alzheimer’s or other forms of dementia, the community provides a blend of support and independence. Residents can enjoy private apartments with personalized care options, allowing them to receive exactly the level of assistance needed while still maintaining a sense of autonomy and privacy.
The team at Brookdale Charleston Gardens is committed to delivering service with compassion, understanding, and respect. Residents in the assisted living area receive gentle help with activities of daily living and can take advantage of assistance with household chores such as cleaning and laundry. For those in the memory care program, the approach is deeply person-centered, with trained associates and thoughtfully designed environments that support seniors experiencing cognitive challenges. The personal care that Brookdale Charleston Gardens offers is rooted in helping each resident feel a sense of belonging and purpose while preserving their sense of self.
A unique element of life at Brookdale Charleston Gardens is its vibrant social activity calendar and robust array of amenities. Residents are invited to join clubs such as the Gardening Club and Drama Circle, creating opportunities to form strong friendships and shared experiences. Community spaces, including the community living room, café, dining room, fitness room, TV room, and courtyard, provide comfortable and engaging environments for group activities or quiet moments. After dinner, residents often unwind with neighbors, participate in group events, or simply relax with a book or some television. The community’s prime location also makes it easy to enjoy local attractions like peaceful walks along the trails at Cato Park, visits to the Clay Center for the Arts and Sciences with its inspiring exhibits and performances, or outings to the Capitol Market for fresh produce and homemade treats.
Dining and housekeeping are included in the monthly service for both assisted living and memory care residents, freeing up more time to pursue meaningful activities and connect with others. For those who prefer or need additional cost-effective solutions, semi-private rooms may be available. Residents benefit from the “Personal Solutions” program, which allows them or their families to order personal care items—like toothpaste, hand and body soap, hearing aid batteries, and hygiene products—that are delivered directly to their door in discreet packaging and charged to the monthly bill, providing convenience and peace of mind.
The private and inviting atmosphere at Brookdale Charleston Gardens is designed for comfort and support at every step. With a focus on enabling vibrant living and fostering meaningful connections, this community offers a safe and engaging home for seniors who wish to maintain their independence while benefiting from personalized care and a rich tapestry of social opportunities. Whether attending a special event, taking part in a club, or simply enjoying a homemade apple fritter in the café, every day brings the possibility of new experiences and cherished connections.
About Brookdale
Brookdale Charleston Gardens is managed by Brookdale.
Brookdale Senior Living Inc. (NYSE: BKD) is the largest senior living operator in the United States, managing over 640 communities with capacity for approximately 59,000 residents across 41 states and employing around 36,000 associates. Founded in 1978 and publicly traded since 2005, Brookdale solidified its market leadership through major acquisitions including American Retirement Corporation (2006) and Emeritus Senior Living (2014), making it the only national full-spectrum senior living company. Headquartered in Nashville, Tennessee, Brookdale has topped the American Seniors Housing Association's ASHA 50 list and Argentum's largest providers list for multiple consecutive years.
The company's comprehensive care continuum includes independent living, assisted living, memory care, skilled nursing, and continuing care retirement communities (CCRCs). Brookdale's signature Clare Bridge program, developed over 30 years ago by dementia-care experts, provides specialized Alzheimer's and dementia care through two distinct levels: Clare Bridge communities for comprehensive memory support and the Clare Bridge Solace program for advanced-stage dementia residents. The program is recognized by the Alzheimer's Association® for incorporating evidence-based Dementia Care Practice Recommendations and features secure environments, enclosed courtyards, Daily Path programming with six structured activities daily, and the InTouch technology platform offering personalized brain-stimulating games and therapeutic content.
Brookdale's holistic Optimum Life® wellness approach balances six dimensions—Purposeful, Physical, Emotional, Social, Spiritual, and Intellectual—implemented through signature programs including B-Fit (eight exercise class options), Brain Fit (mental fitness workouts), My Life Story (resident storytelling), EngagementPlus (interest-based connections), Growing Together (collaborative learning), and The Ageless Spirit (kindness and gratitude practices). The Embrace Family Partnership provides caregiver education and support for families of memory care residents.
The company's Brookdale HealthPlus® care coordination model, winner of the 2024 Argentum Best of the Best Award placing it among the top 1% of operators, is a technology-enabled healthcare service featuring dedicated RN Care Managers who proactively manage residents' health, coordinate care transitions, and help prevent avoidable hospitalizations. Communities using HealthPlus report 78% fewer urgent care visits, 36% fewer hospitalizations, and 63% more completed annual wellness visits. The Personal Solutions program delivers hygiene products, medications, and daily necessities directly to residents' doors with discreet packaging and monthly billing convenience.
Following a strategic divestiture of its home health and hospice operations to HCA Healthcare (completed December 2023), Brookdale now focuses exclusively on senior living operations while maintaining its position as the industry's largest operator, committed to its mission of enriching lives with compassion, respect, excellence, and integrity.
People often ask...
Brookdale Charleston Gardens offers competitive pricing, with rates starting at a cost of $5,079 per month.
Brookdale Charleston Gardens offers assisted living and memory care.
There are 37 photos of Brookdale Charleston Gardens on Mirador.
The full address for this community is 800 Association Dr, Charleston, WV 25311.
No, Brookdale Charleston Gardens does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In West Virginia, the Office of Health Facility Licensure & Certification licenses care facilities, conducting health and life-safety surveys, complaint investigations, and revisits.
Identified deficiencies in documenting wound care per orders; treatment records contained blanks for wound treatments.
—Incomplete or inaccurate treatment administration records
09 Jan 2025Life Safety
09 Jan 2025Life Safety
Found no deficiencies. Determined substantial compliance with state requirements.
17 Dec 2024Complaint
17 Dec 2024Complaint
Investigated a complaint and found no deficiencies cited.
17 Dec 2024Complaint
17 Dec 2024Complaint
Investigated the complaint and found no deficiencies cited.
23 Apr 2024Complaint
23 Apr 2024Complaint
Investigated a complaint and found no deficiencies.
22 Feb 2024Complaint
22 Feb 2024Complaint
Investigated the complaint and found no deficiencies.
28 Nov 2023Life Safety
28 Nov 2023Life Safety
Identified deficiencies related to environmental and resident care standards.
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25 Oct 2023Complaint
25 Oct 2023Complaint
Investigated a complaint and found no violations.
25 Oct 2023Complaint
25 Oct 2023Complaint
Investigated the complaint and found no deficiencies.
04 Oct 2023Licensure
04 Oct 2023Licensure
Observed brown, crusty food particles on the top exterior of the dishwasher indicating the kitchen equipment was not kept clean; a remodel and replacement were planned. The remodel and replacement were underway with monitoring to follow.
10.1.4Keep interior and exterior of the residence clean and in good repair
04 Oct 2023Life Safety
04 Oct 2023Life Safety
Found deficiencies in the physical environment, laundry practices, call systems, and air quality affecting resident safety and sanitation.
—Physical Facilities
—Call System Accessibility
—Laundry Storage Practices
—Physical Environment - Exit Door Lock/Keypad
04 Oct 2023Complaint
04 Oct 2023Complaint
Investigated the complaint and found no deficiencies.
07 Jun 2023Revisit
07 Jun 2023Revisit
Investigated the complaint revisit and found no deficiencies.
30 Mar 2023Complaint
30 Mar 2023Complaint
Found that a resident had unordered medication at the bedside without a current order for self-administration, and eye drops were present without verification, creating a risk for improper medication use.
R 400.14305Medication administration and management
08 Nov 2022Complaint
08 Nov 2022Complaint
Investigated a complaint about escalating cognitive and behavioral issues in a resident; found multiple deficiencies in notifying physicians, nursing assessments, emergency response, and care management.
—Accident, Illness, and Major Incident Procedure
—Health Care Standards
—Limited and Intermittent Nursing Care
—Health Care Standards
—Initial Comments
08 Nov 2022Complaint
08 Nov 2022Complaint
Investigated the complaint and conducted a follow-up visit.
01 Nov 2022Licensure
01 Nov 2022Licensure
Investigated deficiencies showed failures in memory care oversight, including no designated unit coordinator, incomplete care plans, inadequate quarterly IT reviews, and insufficient daily monitoring of psychotropic medications.
64CSR85-6.3.a.-f.Assessments & Plans of Care 6.3.a.-f.
64CSR85-6.6.Assessments & Plans of Care 6.6.
64CSR85-7.3.a.-e.Behavioral Management 7.3.a.-e.
20 Oct 2022Life Safety
20 Oct 2022Life Safety
Found no deficiencies.
06 Sept 2022Revisit
06 Sept 2022Revisit
Concluded that the prior citations were cleared on a follow-up visit.
12 Jul 2022Complaint
12 Jul 2022Complaint
Identified deficiencies in documenting residents' condition after accidents or illnesses; monitoring was not performed every eight hours for 24 hours for two residents.
64-14-6.5.3.Accident, Illness, and Major Incident Procedures
23 Feb 2022Revisit
23 Feb 2022Revisit
Found no deficiencies.
28 Jan 2022Complaint
28 Jan 2022Complaint
Investigated a complaint; all allegations were unsubstantiated. No deficiencies were cited.
28 Jan 2022Complaint
28 Jan 2022Complaint
Concluded all allegations were unsubstantiated and no deficiencies were identified.
06 Jan 2022Revisit
06 Jan 2022Revisit
Verified that all deficiencies were corrected after a follow-up to a prior complaint.
23 Nov 2021Revisit
23 Nov 2021Revisit
Verified correction of a prior deficiency; no new deficiencies cited.
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23 Nov 2021Revisit
23 Nov 2021Revisit
Found bed bug sightings in resident rooms persisted despite pest-control efforts.
—Keep residence free of insects, rodents, and vermin
23 Nov 2021Revisit
23 Nov 2021Revisit
Investigated a follow-up to a complaint and corrected a citation.
14 Oct 2021Complaint
14 Oct 2021Complaint
Observed roaches in dining areas and storage spaces despite ongoing extermination efforts, indicating a persistent pest problem that could affect residents.
—Insect, rodent, and vermin control to keep residence free of pests
14 Oct 2021Complaint
14 Oct 2021Complaint
Observed a cleanliness deficiency due to a mold-like substance on a wheelchair stored in an unused room near Memory Care.
—Interior cleanliness and condition requirements
02 Sept 2021Inspection
02 Sept 2021Inspection
Identified missing or incomplete new-employee training records for four agency staff, failing to ensure training within 15 days of employment before unsupervised work.
—New employee orientation and training records not maintained
31 Aug 2021Life Safety
31 Aug 2021Life Safety
Found no deficiencies. No violations were cited.
05 May 2021Complaint
05 May 2021Complaint
Investigated a complaint and found it unsubstantiated.
31 Mar 2021Complaint
31 Mar 2021Complaint
Investigated complaint and found no deficiencies.
26 Jan 2021Revisit
26 Jan 2021Revisit
Found one deficiency and it has been corrected.
13 Jan 2021Inspection
13 Jan 2021Inspection
Found no deficiencies.
02 Dec 2020Revisit
02 Dec 2020Revisit
Cleared all citations and found no deficiencies.
04 Nov 2020Life Safety
04 Nov 2020Life Safety
Investigated deficiencies identified during a survey; deficiencies were noted initially and corrected by the follow-up visit.
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01 Oct 2020Life Safety
01 Oct 2020Life Safety
Identified safety and cleanliness issues in the memory care area and overall interior, including worn furnishings, mold/mildew, and damaged flooring.
64CSR85-10.1Alzheimer's/dementia unit environment
64CSR85-10.1Physical Facilities
64CSR85-10.1Physical Facilities - cleanliness and repair
23 Sept 2020Inspection
23 Sept 2020Inspection
Investigated deficiencies found failures to update functional needs assessments and service plans, complete annual health assessments, provide proper transfer/discharge summaries, and administer medications per orders.
64-14-6.3.4.Assessment and Service Plans
64-14-6.4.2.Medications and Treatments
64-14-6.1.7.Health Care Standards
64-14-6.3.1.Assessments and Service Plans
23 Sept 2020Revisit
23 Sept 2020Revisit
Investigated the complaint and found that all citations were cleared after the revisit.
24 Jun 2020Complaint
24 Jun 2020Complaint
Investigated and substantiated the complaint, with no deficiencies cited.
12 May 2020Complaint
12 May 2020Complaint
Found no deficiencies after review of the complaint and related activities.
08 Jan 2020Complaint
08 Jan 2020Complaint
Investigated a complaint alleging delays in notifying a physician after a fall and inadequate pain management; found deficiencies involving failure to promptly notify medical staff, failure to inform MPOA of a medication change, and neglect related to pain management.
E399Accident, Illness, and Major Incident Procedure
E330Treatment
E331Restraints
25 Oct 2019Complaint
25 Oct 2019Complaint
Found that residents on the Memory Care unit were not allowed to choose utensils for meals, causing 11 of 12 residents to eat without appropriate utensils.
—Residents’ right to participate in activities of daily living, including meal utensils
17 Oct 2019Inspection
17 Oct 2019Inspection
Found no deficiencies. The review documented an annual census with entry and exit times recorded during a multi-day visit.
17 Oct 2019Complaint
17 Oct 2019Complaint
Investigated the complaint and determined the allegation was true. No citations were issued.
24 Sept 2019Life Safety
24 Sept 2019Life Safety
Identified deficiencies in the storage of soiled laundry and in kitchen cleanliness; corrective actions were begun.
—Laundry - storage of soiled linen
—Physical Facilities - cleanliness and repair
31 Jan 2019Complaint
31 Jan 2019Complaint
Found no deficiencies.
08 Jan 2019Revisit
08 Jan 2019Revisit
Identified a deficiency that was corrected.
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25 Sept 2018Life Safety
25 Sept 2018Life Safety
Found no deficiencies cited during the survey.
13 Sept 2018Complaint
13 Sept 2018Complaint
Found no deficiencies during the annual licensure survey.
25 Oct 2017Complaint
25 Oct 2017Complaint
Found no deficiencies. The complaint investigation concluded that no violations were cited.
12 Oct 2017Licensure
12 Oct 2017Licensure
Found no deficiencies. Census count was 102.
11 Sept 2017Life Safety
11 Sept 2017Life Safety
Found no deficiencies.
07 Sept 2017Complaint
07 Sept 2017Complaint
Investigated a complaint and found no deficiencies.
06 Mar 2017Complaint
06 Mar 2017Complaint
Found no deficiencies.
01 Dec 2016Complaint
01 Dec 2016Complaint
Found no deficiencies.
20 Oct 2016Licensure
20 Oct 2016Licensure
Found no deficiencies.
20 Oct 2016Licensure
20 Oct 2016Licensure
Found no deficiencies.
27 Sept 2016Life Safety
27 Sept 2016Life Safety
Found no deficiencies. Census counted 82 residents at the time of the visit.
27 Sept 2016Life Safety
27 Sept 2016Life Safety
Found no deficiencies cited after the licensure survey; census was 14 residents in memory care.
19 Nov 2015Complaint
19 Nov 2015Complaint
Investigated a complaint related to a licensed service. No deficiencies were cited.
14 Oct 2015Life Safety
14 Oct 2015Life Safety
Found no deficiencies.
14 Oct 2015Life Safety
14 Oct 2015Life Safety
Found no deficiencies.
10 Sept 2015Licensure
10 Sept 2015Licensure
Found no deficiencies during the licensure survey.
10 Sept 2015Licensure
10 Sept 2015Licensure
Found no deficiencies during the licensure survey.
13 Apr 2015Revisit
13 Apr 2015Revisit
Investigated a complaint and conducted a follow-up to verify information.
09 Mar 2015Complaint
09 Mar 2015Complaint
Identified deficient practice where the nurse failed to provide needed training on knee immobilizer use and toe touch weight bearing transfers for one resident, and the training content was missing from the care binder.
64CSR14-7.6.i.Health Care Standards
10 Feb 2015Complaint
10 Feb 2015Complaint
Found no deficiencies.
05 Dec 2014Complaint
05 Dec 2014Complaint
Investigated findings showed failures in timely written responses to complaints and in documenting investigations for memory care residents.
64CSR85-6.2Complaint policy and investigations
03 Dec 2014Revisit
03 Dec 2014Revisit
Found no deficiencies.
03 Dec 2014Revisit
03 Dec 2014Revisit
Found no deficiencies.
12 Nov 2014Life Safety
12 Nov 2014Life Safety
Found no deficiencies.
02 Oct 2014Licensure
02 Oct 2014Licensure
Identified deficiencies in assessments, care planning, medication reassessments, and activities credentialing. Initial assessments were not completed within seven days, care plans were not timely or properly signed, physician reassessments were missing or late, and the activities director did not meet credentialing requirements.
64CSR85-6.2.Assessments & Plans of Care
64CSR85-6.3.a.-f.Assessments & Plans of Care
64CSR85-7.5.Behavioral Management
64CSR85-9.2.a.-d.Activities
02 Oct 2014Licensure
02 Oct 2014Licensure
Found deficiencies in medication management and weekly RN oversight, with undocumented or missing orders for six residents and delayed or absent nursing progress notes for seven residents.
64CSR14-7.4.b.Medication management: prescription orders and documentation
64CSR14-7.6.hRegistered nurse weekly visits and progress notes
10 Sept 2014Life Safety
10 Sept 2014Life Safety
Observed deficiencies in cleanliness and safety, including items in dry goods storage, cigarette litter and non-designated smoking areas, unlocked electrical panels, and soiled laundry without liners.
64CSR14-11.1.d.Physical Facilities
64CSR14-11.6.b.Physical Facilities
10 Sept 2014Life Safety
10 Sept 2014Life Safety
Found no deficiencies.
13 Aug 2014Complaint
13 Aug 2014Complaint
Investigated a complaint; found no deficiencies.
13 Aug 2014Complaint
13 Aug 2014Complaint
Found no deficiencies.
26 Jun 2014Revisit
26 Jun 2014Revisit
Found no deficiencies. A follow-up census was conducted.
13 May 2014Complaint
13 May 2014Complaint
Found deficiencies in monitoring and documenting residents after illness, in promptly notifying physicians and family about significant changes, and in keeping interior spaces clean and in good repair.
64CSR14-7.5.c.Health Care Standards
64CSR14-7.5.d.Health Care Standards
64CSR14-11.1.d.Physical Facilities
30 Apr 2014Complaint
30 Apr 2014Complaint
Investigated a complaint; no deficiencies cited.
12 Dec 2013Revisit
12 Dec 2013Revisit
Found no deficiencies. A licensure survey occurred in early September 2013, followed by a follow-up in December 2013.
12 Nov 2013Revisit
12 Nov 2013Revisit
Found that medications and treatments were not always administered according to physicians' orders and MAR documentation was frequently incomplete or missing.
64CSR14-7.4.b.Health Care Standards
29 Oct 2013Life Safety
29 Oct 2013Life Safety
Corrected deficiencies identified during the annual licensure survey. The follow-up confirmed corrections for the cited items.
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05 Sept 2013Licensure
05 Sept 2013Licensure
Investigated failures to report major incidents, administer medications per orders, assess self-administration capability, respond promptly to complaints, and weigh residents monthly.
64CSR14-5.2.f.Major incidents reporting to OHFLAC
64CSR14-6.2.n.Resident complaints and written response
64CSR14-7.4.b.Medication administration per physician orders
64CSR14-9.1.d.Weighing residents and reporting weight changes
05 Sept 2013Licensure
05 Sept 2013Licensure
Found no deficiencies.
20 Aug 2013Life Safety
20 Aug 2013Life Safety
Cited multiple safety and sanitation deficiencies, including improper oxygen storage, unusually high hot water temperatures, improper soiled laundry handling, and unlocked hazardous materials.
64CSR14-11.1.bPhysical Facilities
64CSR14-11.5.bHot water temperatures
64CSR14-11.6.bLaundry storage and handling
64CSR14-11.6.cLocked storage for hazardous materials
20 Aug 2013Life Safety
20 Aug 2013Life Safety
Found no deficiencies.
30 May 2013Revisit
30 May 2013Revisit
Identified deficiencies that were corrected after follow-up with technical assistance provided.
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23 Apr 2013Revisit
23 Apr 2013Revisit
Investigated a complaint alleging memory care staffing shortages, overall staffing gaps, and unsafe kitchen conditions. Found multiple deficiencies including insufficient memory care staffing, unmaintained staffing records, and poor kitchen sanitation.
64CSR85-4.2.b.1-2Memory care unit staffing requirements
64CSR14-5.4.bStaffing Requirements
64CSR14-5.4.gStaffing records
64CSR14-11.1.bPhysical facilities maintenance
14 Mar 2013Complaint
14 Mar 2013Complaint
Identified staffing shortages on the memory care unit and unsafe kitchen conditions. Violations cited for staffing levels, staffing records, and facility sanitation.
Identified that no employee per shift was designated to lead activities, and schedules did not show who was responsible; leadership was unaware of the requirement.
64CSR85-9.3Activities
25 Oct 2012Licensure
25 Oct 2012Licensure
Investigated multiple deficiencies across privacy, staffing training, medical records, medication management, transfers, nutrition, and facility upkeep, resulting in cited violations.
64CSR14-5.2.a.The Licensee
64CSR14-5.5.a.Employee Orientation and Training
64CSR14-6.2.j.Resident Rights
64CSR14-7.1.g.Health Care Standards
64CSR14-7.2.a.Health Care Standards
64CSR14-7.4.b.Health Care Standards
64CSR14-7.4.f.Health Care Standards
64CSR14-7.4.g.Health Care Standards
64CSR14-9.1.a.Dietary Services
64CSR14-9.1.c.Dietary Services
64CSR14-9.1.d.Dietary Services
64CSR14-11.1.b.Physical Facilities
17 Oct 2012Revisit
17 Oct 2012Revisit
Investigated a complaint and identified deficiencies, with some findings confirmed.
—Z 004
—Z 006
17 Oct 2012Revisit
17 Oct 2012Revisit
Investigated a complaint and found deficiencies; follow-up showed correction of one deficiency.
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19 Sept 2012Life Safety
19 Sept 2012Life Safety
Found no deficiencies.
19 Sept 2012Life Safety
19 Sept 2012Life Safety
Found no deficiencies.
29 Aug 2012Complaint
29 Aug 2012Complaint
Found inadequate two-staff coverage on the Alzheimer's unit on multiple shifts and inaccurate staffing records, with several time cards missing or not matching schedules.
64CSR14-5.4.b.Staffing Requirements
64CSR14-5.4.g.Maintain Staffing Records
09 Aug 2012Complaint
09 Aug 2012Complaint
Found insufficient night staffing to safely administer medications and violations of residents' rights related to wake time choices.
Type A64CSR14-5.4.a.Staffing Requirements
—Complaint Investigation
64CSR14-6.2.h.Resident Rights
07 Mar 2012Complaint
07 Mar 2012Complaint
Investigated a complaint; one allegation was unsubstantiated and another was substantiated with no deficiencies, and technical assistance was provided.
13 Feb 2012Revisit
13 Feb 2012Revisit
Verified prior deficiencies were corrected during follow-up review.
13 Feb 2012Revisit
13 Feb 2012Revisit
Found no deficiencies.
30 Jan 2012Complaint
30 Jan 2012Complaint
Investigated a complaint and found no deficiencies.
03 Jan 2012Revisit
03 Jan 2012Revisit
Investigated found medications given without physician orders and not consistently documented; numerous missed doses and missing signatures on medication records.
64CSR14-7.4.bHealth Care Standards – Prescription orders and medication administration
64CSR14-7.4.fHealth Care Standards – Medication administration records and signatures
03 Jan 2012Revisit
03 Jan 2012Revisit
Identified that no employee per shift was designated to coordinate activities programming, with a repeat deficiency noted during follow-up.
64CSR85-9.3Activities
21 Dec 2011Complaint
21 Dec 2011Complaint
Investigated the complaint and found it unsubstantiated.
03 Nov 2011Licensure
03 Nov 2011Licensure
Found deficiencies in transfer/discharge documentation and in monitoring after incidents.
64CSR14-7.1.g.Health Care Standards - Transfer or discharge summary
64CSR14-7.5.c.Health Care Standards - Observation and monitoring after accident or onset of illness
03 Nov 2011Licensure
03 Nov 2011Licensure
Found that some residents’ rooms on the Alzheimer's unit were not individually identified to aid recognition; frames were used to identify the rooms for several residents.
64CSR85-10.3.e.Physical Environment
26 Oct 2011Life Safety
26 Oct 2011Life Safety
Identified hot water temperatures exceeding 120°F in several locations. This posed an immediate safety risk to residents, visitors, and the public.
64CSR14-11.5.c.Hot water temperatures
26 Oct 2011Life Safety
26 Oct 2011Life Safety
Found no deficiencies. Provided technical assistance.
23 Sept 2011Revisit
23 Sept 2011Revisit
Investigated a complaint and conducted a follow-up review.
16 Aug 2011Complaint
16 Aug 2011Complaint
Identified insufficient direct care staffing across multiple days and related care delivery concerns, including delayed call bell responses and inconsistent ADL care.
64CSR14-5.4.a.Staffing requirements - direct care staff 24 hours
64CSR14-5.4.b.Additional direct care staff per functional needs assessment
19 Jul 2011Complaint
19 Jul 2011Complaint
Investigated the complaint and determined it to be unsubstantiated.
08 Jun 2011Complaint
08 Jun 2011Complaint
Found no deficiencies and provided technical assistance.
15 Apr 2011Complaint
15 Apr 2011Complaint
Investigated the complaint and found no deficiencies.
04 Jan 2011Life Safety
04 Jan 2011Life Safety
Corrected deficiencies were addressed on follow-up after the annual licensure survey.
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03 Jan 2011Revisit
03 Jan 2011Revisit
Corrected deficiencies.
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03 Jan 2011Revisit
03 Jan 2011Revisit
Deficiencies were corrected on follow-up inspection.
24 Nov 2010Complaint
24 Nov 2010Complaint
Investigated a complaint and found no deficiencies.
18 Nov 2010Complaint
18 Nov 2010Complaint
Identified multiple deficiencies across records, supervision, abuse/neglect handling, health assessments, complaints, and facility conditions affecting memory care residents.
64CSR14-5.2.c.The licensee shall maintain accurate records and reports required by this rule.
64CSR14-5.4.h.Staffing Requirements
64CSR14-6.2.d.Resident Rights - Abuse and Neglect Investigations
64CSR14-6.2.e.Resident Rights - Action to Prevent Recurrence
64CSR14-6.2.n.Resident Rights - Complaints
64CSR14-7.3.a.Health Care Standards - Health Assessments
64CSR14-11.1.b.Physical Facilities - Maintenance and Cleanliness
03 Nov 2010Revisit
03 Nov 2010Revisit
Corrected deficiencies identified during the annual licensure survey were addressed on follow-up.
02 Nov 2010Revisit
02 Nov 2010Revisit
Identified failures to maintain complete medication administration documentation and to update service plans after significant changes, with repeat deficiencies noted.
64CSR14-7.4.b.Health Care Standards
64CSR14-7.6.g.Health Care Standards
28 Sept 2010Life Safety
28 Sept 2010Life Safety
Determined that Room 134 may be used as a double for a married couple and that a second bed cannot be added. Found no deficiencies.
27 Sept 2010Life Safety
27 Sept 2010Life Safety
Found no deficiencies.
01 Sept 2010Licensure
01 Sept 2010Licensure
Found that monthly educational and family support meetings were not offered monthly in the memory care unit, and signed disclosure forms were not maintained for two residents.
Identified multiple deficiencies across staffing CPR training, resident rights, medication management, and nursing oversight.
64CSR14-5.4.c.Staffing Requirements
64CSR14-6.2.n.Resident Rights
64CSR14-7.4.b.Health Care Standards
64CSR14-7.5.c.Health Care Standards
64CSR14-7.6.g.Health Care Standards
64CSR14-7.6.h.Health Care Standards
18 Jun 2010Complaint
18 Jun 2010Complaint
Investigated the complaint and found no deficiencies.
23 Mar 2010Revisit
23 Mar 2010Revisit
Identified deficiencies during the initial licensure survey; follow-up confirmed corrections were completed.
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12 Jan 2010Revisit
12 Jan 2010Revisit
Investigated a complaint and corrected the deficiency noted under E 006.
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12 Jan 2010Revisit
12 Jan 2010Revisit
Investigated medication administration practices revealed repeated failures to administer medications per physician orders, with numerous blanks, circled entries, and unaccounted-for omissions across multiple residents.
64CSR14-7.4.b.Health Care Standards
24 Nov 2009Revisit
24 Nov 2009Revisit
Deficiencies cited during the initial survey were corrected at the follow-up.
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24 Nov 2009Revisit
24 Nov 2009Revisit
Identified deficiencies in service plans, medication orders, and resident weights. Service plans were not completed timely or accessible; medication orders were missing or not properly documented; monthly weights were not obtained for most residents.
64CSR14-7.3.c.Service plans not completed timely or accessible
64CSR14-7.4.b.Prescriptions/orders for medications not on file or not administered as ordered
64CSR14-9.1.d.Monthly weights not obtained or reported
24 Nov 2009Complaint
24 Nov 2009Complaint
Investigated a complaint and found no deficiencies.
01 Oct 2009Life Safety
01 Oct 2009Life Safety
Found no deficiencies. The visit provided technical assistance only.
01 Oct 2009Life Safety
01 Oct 2009Life Safety
Found no deficiencies.
24 Sept 2009Licensure
24 Sept 2009Licensure
Identified multiple deficiencies in staffing, employee training, health care standards, dietary services, medical record-keeping, and facility safety.
64CSR14-5.4.b.Staffing Requirements
64CSR14-5.4.g.Staffing Requirements
64CSR14-5.5.a.Employee Orientation and Training
64CSR14-5.5.b.Employee Orientation and Training
64CSR14-5.6.a.Personnel Records
64CSR14-7.1.g.Health Care Standards
64CSR14-7.3.a.Health Care Standards
64CSR14-7.3.c.Health Care Standards
64CSR14-7.3.d.Health Care Standards
64CSR14-7.4.b.Health Care Standards
64CSR14-7.6.h.Health Care Standards
64CSR14-9.1.c.Dietary Services
64CSR14-9.1.d.Dietary Services
64CSR14-11.6.c.Physical Facilities
24 Sept 2009Licensure
24 Sept 2009Licensure
Found multiple deficiencies in staff dementia-care training, disclosure statements at admission, care planning updates, and monitoring of psychotropic medications.
64CSR85-4.1.c.Human Resources-Orientation & Training
64CSR85-5.4.Admission, Transfer & Discharge
64CSR85-6.3.a.-f.Assessments & Plans of Care
64CSR85-7.3.a.-e.Behavioral Management
64CSR85-7.4.Behavioral Management
27 May 2009Revisit
27 May 2009Revisit
Investigated a complaint; deficiencies were cited and corrected, with technical assistance provided.
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22 Apr 2009Complaint
22 Apr 2009Complaint
Found deficiencies in pre-hire central abuse registry checks for contract staff and in providing required orientation and training. Documentation and training records were incomplete.
64CSR14-5.1.gGeneral Administrative Requirements
64CSR14-5.1.gComplaint Investigation
64CSR14-5.5.aEmployee Orientation and Training
22 Apr 2009Complaint
22 Apr 2009Complaint
Found no deficiencies after investigating the complaint.
17 Mar 2009Complaint
17 Mar 2009Complaint
Found no deficiencies. Technical assistance was provided.
04 Feb 2009Complaint
04 Feb 2009Complaint
Investigated found deficient staffing leading to inadequate housekeeping, dining services, and maintenance, with numerous cleanliness, safety, and diet-order issues observed and reported.
64CSR14-5.4.f.Staffing Requirements
64CSR14-5.4.h.Dietary Therapeutic Diets Not Provided as Ordered
64CSR14-11.1.b.Physical Facilities
13 Jan 2009Revisit
13 Jan 2009Revisit
Cited deficiencies were identified and later corrected.
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23 Oct 2008Licensure
23 Oct 2008Licensure
Investigated multiple deficiencies across medical care, staffing, training, transfers, medication management, diet, and facility safety, with notable failures in resident safety and documentation.
64CSR14-5.2.b.Protection of resident well-being
64CSR14-5.4.c.CPR certification on duty
64CSR14-5.4.g.Accurate staffing records
64CSR14-5.4.h.Supervision and care adequacy
64CSR14-5.5.a.New employee training within 15 days
64CSR14-5.5.b.Annual in-service training
64CSR14-5.5.c.Alzheimer's/Dementia training
64CSR14-7.1.g.Health care transfer summaries
64CSR14-7.3.a.Health assessments on admission and annually
64CSR14-7.3.d.Service plans updated to reflect current needs
64CSR14-7.4.f.Medication administration records complete
64CSR14-7.4.j.Schedule II drugs stored securely
64CSR14-7.4.m.Infection control and standard of practice
64CSR14-7.5.c.Post-accident monitoring
64CSR14-7.6.f.RN assessment after hospital/ER return
64CSR14-9.1.c.Dietary therapies and calories
64CSR14-11.1.b.Facility maintenance and safety
23 Oct 2008Revisit
23 Oct 2008Revisit
Investigated a resident complaint and found the administrator failed to document follow-up and notify relevant parties, resulting in a deficiency for resident rights.
64CSR14-6.2.n.Resident Rights
23 Oct 2008Licensure
23 Oct 2008Licensure
Found multiple deficiencies in care planning, behavioral management, medication monitoring, and unit environment, indicating noncompliance with regulations.
64CSR85-6.3.a.-f.Assessments & Plans of Care
64CSR85-6.4.Assessments & Plans of Care
64CSR85-7.1.a.-h.Behavior Management
64CSR85-7.3.a.-e.Behavioral Management
64CSR85-7.4.Behavioral Management
64CSR85-7.5.Behavioral Management
64CSR85-10.3.h.Physical Environment
30 Sept 2008Life Safety
30 Sept 2008Life Safety
Found no deficiencies.
30 Sept 2008Life Safety
30 Sept 2008Life Safety
Found no deficiencies.
02 Sept 2008Complaint
02 Sept 2008Complaint
Identified deficiencies in staffing, resident rights, and dietary monitoring due to insufficient staffing, inadequate complaint resolution, and incomplete weight documentation.
64CSR14-5.4.a.Staffing Requirements
64CSR14-6.2.n.Resident Rights
64CSR14-9.1.d.Dietary Services
18 Jun 2008Complaint
18 Jun 2008Complaint
Investigated and found no deficiencies.
22 Apr 2008Revisit
22 Apr 2008Revisit
Cited deficiencies were corrected. Technical assistance was provided.
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22 Apr 2008Revisit
22 Apr 2008Revisit
Found no deficiencies.
22 Apr 2008Revisit
22 Apr 2008Revisit
Deficiencies corrected after investigation and follow-up. Follow-up visits confirmed corrections.
04 Feb 2008Revisit
04 Feb 2008Revisit
Found multiple deficiencies in care planning and behavior/medication management for residents on the memory care unit. These included failure to develop timely preliminary care plans, incomplete care plans, and inadequate ongoing evaluation and medication monitoring.
Type A64CSR85-6.1Assessments & Plans of Care
Type A64CSR85-6.3Assessments & Plans of Care
Type A64CSR85-6.4Care plans accessible to staff
Type A64CSR85-7.1Behavioral Management
Type A64CSR85-7.3Behavioral Management - Psychotropic medications
Type A64CSR85-7.4Medication monitoring by RN
Type A64CSR85-7.5Physician reassessment for continued use of psychotropic meds
04 Feb 2008Revisit
04 Feb 2008Revisit
Investigated found deficiencies in handling resident complaints; documentation of investigations and timely written responses were inadequate.
64CSR14-6.2.n.Resident Rights
04 Feb 2008Revisit
04 Feb 2008Revisit
Investigated findings showed multiple deficiencies in resident health assessments, dietary management, staffing, major incident reporting, and facility sanitation and safety.
64CSR14-5.2.b.Protection of resident well-being
64CSR14-5.2.f.Major incidents reporting
64CSR14-5.4.f.Major incidents reporting to licensing agency
64CSR14-7.1.g.Transfer/discharge information
64CSR14-7.3.a.Health assessments
64CSR14-7.3.b.Functional needs assessment within seven days
64CSR14-7.3.c.Service plan based on functional needs
64CSR14-7.3.d.Service plans updated as needs change
64CSR14-7.4.b.Medication orders and administration
64CSR14-7.4.m.Infection control
64CSR14-7.5.c. documentation after accidents in dementia
64CSR14-7.6.f.RN nursing assessment after admission
Verified deficiencies were corrected during follow-up.
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04 Dec 2007Revisit
04 Dec 2007Revisit
Identified deficiencies during the licensure survey; corrections were completed by follow-up.
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04 Oct 2007Life Safety
04 Oct 2007Life Safety
Found no deficiencies. The survey was conducted during the annual licensure review focusing on environment.
04 Oct 2007Life Safety
04 Oct 2007Life Safety
Found no deficiencies.
26 Sept 2007Licensure
26 Sept 2007Licensure
Identified deficiencies in Alzheimer’s unit staff training, including incomplete initial training for new employees and inadequate annual training for existing staff.
64CSR85-4.1.c.4.1.c. Alzheimer’s Unit staff training
64CSR85-4.1.d.4.1.d. Annual training for Alzheimer’s Unit staff
26 Sept 2007Licensure
26 Sept 2007Licensure
Identified multiple deficiencies across staffing, care planning, medication management, dietary services, and staff training, indicating noncompliance with regulatory standards.
64CSR14-5.4.b.Staffing Requirements
64CSR14-5.4.b.Staffing Requirements
64CSR14-5.5.a.Employee Orientation and Training
64CSR14-5.5.b.Employee Orientation and Training
64CSR14-7.3.d.Health Care Standards
64CSR14-7.4.b.Health Care Standards
64CSR14-7.6.g.Health Care Standards
64CSR14-9.1.c.Dietary Services
26 Sept 2007Revisit
26 Sept 2007Revisit
Investigated found staffing levels and dietary services failed to meet required standards, resulting in delays in care and unsafe dietary practices for residents with special diets or allergies.
64CSR14-5.4.b.Staffing Requirements
64CSR14-9.1.c.Dietary Services
01 Aug 2007Complaint
01 Aug 2007Complaint
Found staffing and dietary-service deficiencies that affected resident care and diet management.
Identified deficiencies during licensure; follow-up confirmed corrections were completed.
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22 Nov 2006Complaint
22 Nov 2006Complaint
Investigated a complaint and found no deficiencies; provided technical assistance on staffing schedules.
25 Oct 2006Life Safety
25 Oct 2006Life Safety
Identified deficiencies; corrected.
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20 Sept 2006Licensure
20 Sept 2006Licensure
Investigated deficiencies identified in care planning, medication order documentation, and dietary management, with plans not updated to reflect current needs and orders not consistently followed.
64CSR14-7.3.d.Health Care Standards
64CSR14-7.4.b.Health Care Standards
64CSR14-9.1.c.Dietary Services
20 Sept 2006Revisit
20 Sept 2006Revisit
Investigated a complaint and the deficiency was corrected.
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20 Sept 2006Licensure
20 Sept 2006Licensure
Found no deficiencies during the annual licensure survey.
14 Sept 2006Life Safety
14 Sept 2006Life Safety
Observed deficiencies in cleanliness and organization of the food preparation and storage areas, including unlabeled foods, mold on lemons, a damaged walk-in cooler door gasket, and improper storage of scoops.
64CSR14-11.1.d.Physical Facilities
14 Sept 2006Life Safety
14 Sept 2006Life Safety
Found no deficiencies during the annual licensure survey of the environment.
09 Aug 2006Complaint
09 Aug 2006Complaint
Identified deficiencies in reporting major incidents to the licensing agency, documenting health status changes, and notifying the primary contact when changes occurred.
64CSR14-5.2.f.Reporting major incidents to the licensing agency
64CSR14-7.2.c.Documentation of current health status and changes in health status
64CSR14-7.5.d.Notification of significant changes in resident's condition and documentation
02 Nov 2005Licensure
02 Nov 2005Licensure
Found deficiencies related to abuse/neglect policy alignment with state law, missing physician orders for self-administered medications, and improper storage of medications.
64CSR14-5.1.aAdministrative Requirements
64CSR14-7.4.bHEALTH CARE STANDARDS - Medication orders
64CSR14-7.4.hHEALTH CARE STANDARDS - Medication storage and labeling
02 Nov 2005Licensure
02 Nov 2005Licensure
Found no deficiencies. The survey recorded a census of 14 during the visit.
12 Oct 2005Life Safety
12 Oct 2005Life Safety
Found no deficiencies.
12 Oct 2005Life Safety
12 Oct 2005Life Safety
Observed environmental conditions in the Alzheimer's unit; found no deficiencies.
16 Feb 2005Life Safety
16 Feb 2005Life Safety
Investigated the complaint and its follow-up; found no deficiencies.
12 Jan 2005Life Safety
12 Jan 2005Life Safety
Investigated a complaint and found deficiencies in dietary service operations: the dishwashing final rinse failed to reach sanitation temperature and a hot water heater was inoperable, with manual sanitation not implemented.
64CSR17Food Establishments
10 Jan 2005Revisit
10 Jan 2005Revisit
Investigated a follow-up survey and cited a deficiency labeled E005 that was corrected.
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12 Oct 2004Life Safety
12 Oct 2004Life Safety
Found no deficiencies.
14 Sept 2004Licensure
14 Sept 2004Licensure
Found no deficiencies. The review included interviews and staff file checks, with technical assistance provided.
03 Dec 2003Inspection
03 Dec 2003Inspection
Identified multiple deficiencies across personnel records, admissions/contracts, resident registries, care plans, medication administration, nursing assessments, and death documentation.
64CSR14-5.6.a.1-4PERSONNEL RECORDS
64CSR14-5.7.b.1-8ADMISSION AND DISCHARGE
64CSR14-5.7.h.ADMISSION AND DISCHARGE
64CSR14-7.3.c.HEALTH CARE STANDARDS
64CSR14-7.4.b.HEALTH CARE STANDARDS
64CSR14-7.4.f.HEALTH CARE STANDARDS
64CSR14-7.6.f.HEALTH CARE STANDARDS
64CSR14-7.7.b.1-2HEALTH CARE STANDARDS
64CSR14-7.7.c.HEALTH CARE STANDARDS
08 Oct 2003Life Safety
08 Oct 2003Life Safety
Identified deficiencies in disaster preparedness planning and living environment safety due to extension cords and unsecured oxygen tanks.
64CSR14-10.2.b.Disaster & Emergency
64CSR14-11.1.b.Physical Facilities
19 Feb 2003Revisit
19 Feb 2003Revisit
Corrected deficiencies after the initial and follow-up visits.
23 Oct 2002Complaint
23 Oct 2002Complaint
Identified extensive deficiencies across infection control, admissions waivers, staffing, training, health assessments, medication administration, and nursing oversight, creating potential safety risks for residents.
64CSR65-5.2.b.1-4Infection control and sharps safety
64CSR65-5.5.bRestricted admissions
64CSR65-6.2.aStaffing requirements
64CSR65-6.3.aEmployee orientation & training
64CSR65-8.2.aAssessment
64CSR65-8.5.bMedications
64CSR65-8.5.b.3Self-administration of medications
64CSR65-8.5.cMedication regimen review
64CSR65-11.3.eGeneral living environment - toxic materials
64CSR65-12.1.aLimited and intermittent nursing requirements
08 Oct 2002Life Safety
08 Oct 2002Life Safety
Found deficiencies in disaster and emergency preparedness and sanitation, including missing detailed procedures for severe weather events, failure to inform new residents within 24 hours, and safety hazards from cords and unsecured helium tanks.
64CSR65-10.2.b.Disaster & Emergency Preparedness
64CSR65-10.2.f.Disaster & Emergency Preparedness
64CSR65-11.2.g.Sanitation
06 Aug 2002Complaint
06 Aug 2002Complaint
Found deficiencies in notifying the licensing agency of administrator changes within the required timeframe and in responding to complaints promptly.
g64CSR65-5.3.g.ADMINISTRATOR
Type B64CSR65-7.7.b.COMPLAINTS
19 Jun 2002Revisit
19 Jun 2002Revisit
Investigated deficient documentation and management of behavioral issues among residents with dementia; ongoing evaluations and behavior management plans were incomplete and inconsistently applied.
64CSR85-7.1.a.-h.Behavior Management
15 Apr 2002Revisit
15 Apr 2002Revisit
Found widespread deficiencies in staff qualifications, orientation and training, resident assessments and care planning, social services involvement, and medication administration.
64CSR85-4.1.b.Alzheimer's program coordinator qualifications
64CSR85-8.1.a.Social Services – Comprehensive social assessments
64CSR85-8.1.b.Social Services – Interdisciplinary care planning
64CSR65-8.5.b.Medications – Administration per orders
15 Jan 2002Revisit
15 Jan 2002Revisit
Identified multiple deficiencies across qualifications, staffing, training, care planning, disclosures, social services, behavior management, and medication management.
64CSR85-4.1.b.Human Resources- Qualifications
64CSR85-4.1.c.Human Resources-Orientation & Training
64CSR65-12.1.a.Limited and Intermittent Nursing Requirements
64CSR85-8.1.a.-h.Social Services
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