I live here and am very satisfied - the staff are friendly, caring and responsive, the facility and grounds are clean and well maintained, and the community feels safe and family-like. Meals are good and varied, the dining room and outdoor spaces are lovely, and there are plenty of activities (cards, crafts, outings, fitness and therapy), plus convenient services like transportation, housekeeping and clear communication. Overall a well-run place where I'm happy.
Current/former resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
Schedule a Tour
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
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Internet
Kitchenettes
Private bathrooms
Telephone
Wifi
Transportation
Community operated transportation
Transportation arrangement
Common areas
Beauty salon
Computer center
Fitness room
Gaming room
Garden
Outdoor patio
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
4.02·(55)
Overall rating
5
4
3
2
1
Care
3.7
Staff
3.9
Meals
3.4
Amenities
4.0
Value
2.1
Pros
Clean, odor-free environment
Courteous and compassionate staff
Bright, spacious apartment units
Well-maintained grounds and landscaping
User-friendly design and accessibility
Robust activity program (crafts, outings, games)
On-site fitness and physical-therapy services
Scheduled transportation and shuttle service
Multiple communal amenities (library, chapel, game rooms)
Apartment-style living with private balconies and views
Friendly resident community and social atmosphere
Regular housekeeping and responsive maintenance in many areas
Dining accommodations and flexibility for special requests
Competitive value options and special pricing packages
Staff assistance with medical appointments and transportation
Cons
Chronic understaffing and high staff turnover
Inconsistent staff communication and responsiveness
Inconsistent meal quality and menu execution
Inconsistent housekeeping and linen-change schedules
Intermittent mechanical failures (elevators and building systems)
Activity-program variance between independent and assisted living
Limited overnight staffing and safety-monitoring gaps
Frequent management transitions and administrative instability
Rent increases and concerns about cost–value alignment
Regulatory citations and compliance concerns
Variable infection-control and PPE adherence
Summary of reviews
Elison Independent & Assisted Living of Maplewood elicits a mixed but coherent pattern of strengths and operational weaknesses. Many families and residents praise the facility’s physical environment: bright, spacious apartments, well-kept grounds, accessible design features, and a range of communal amenities (library, chapel, game and activity rooms, fitness/therapy space, and outdoor walkways). Independent-living residents in particular describe an active social environment, frequent on-site programming, transportation services, and staff who coordinate medical appointments and outings.
Staff quality is a central and divided theme. Numerous accounts describe courteous, compassionate, and helpful caregivers, dining staff, housekeeping, and activities personnel who provide attentive service and go beyond expectations in individual cases. At the same time, recurring operational issues — chronic understaffing, high turnover, and staff working multiple roles — are described as constraining the level of care available, producing slow response times, reduced evening and overnight coverage, and uneven service consistency.
Dining and housekeeping show notable variability. Several reviews describe appealing, high-end dining experiences, accommodating kitchen staff, and good portions; others describe inconsistent meal quality, occasional menu execution problems, and errors related to allergies or preferences. Housekeeping and linen services are generally present and effective in many areas, but there are repeated mentions of inconsistent cleaning schedules and infrequent bedding changes in some units, which suggests variability in routine care delivery.
Activity programming is a clear strength in independent living — with crafts, field trips, games, worship services, and therapeutic activities well-represented — but multiple comments indicate that assisted-living activity offerings can be less robust. Prospective residents should note that program content and frequency may differ by care level, and that family members sometimes perceive a gap in engagement options for assisted-living residents.
Facility maintenance and safety present a mixed picture. The campus and many interior areas are described as well maintained and attractive, but persistent references to mechanical issues (notably intermittent elevator failures), carpet and carpeting needs, and other building-system problems point to maintenance and reliability concerns that can affect resident mobility and daily routines. Several reviewers also raised concerns about night-time monitoring and sundowning management, indicating potential gaps in overnight supervision and safety monitoring.
Management and policy issues appear repeatedly in the narrative. Reviewers reference operator transitions, substantial rent increases, regulatory citations, and protective-services inquiries, alongside complaints about communication and administrative responsiveness. These items reflect organizational- and governance-level challenges that can influence day-to-day resident experience and the facility’s capacity to address operational problems promptly.
Overall, the pattern is polarized: many residents and families report positive experiences driven by caring staff, robust social programs (especially in independent living), and attractive physical spaces, while others document systematic operational shortcomings — notably staffing shortages, inconsistent dining and housekeeping, equipment reliability issues, and administrative instability. Prospective residents and families should visit in person, ask for current information about staffing levels (including overnight coverage), housekeeping and linen schedules, recent maintenance logs (e.g., elevator servicing), dining menus and allergy protocols, and the status of any regulatory citations or management changes before making a placement decision.
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Location
Elison Independent & Assisted Living of Maplewood is located at 1000 S Maplewood Dr, Bridgeport, WV, 26330.
About Elison Independent & Assisted Living of Maplewood
Elison Independent & Assisted Living of Maplewood sits in a quiet valley in Bridgeport, West Virginia, where you can look out at the hills, farms, and a pond, and if you like getting outside, there are long walking paths winding through the grounds, and there are gardens with raised beds and even a butterfly and hummingbird area that's nice to sit by when the weather's good. The three-story brick building looks out at all this and has a columned front with a covered entrance for easy drop-off and pick-up-plenty of parking, too, and easy access to the courtyard, outdoor patio, and main inside areas.
This community has independent living apartments for folks over 55 who want privacy and an active life, as well as assisted living options for those who need daily help like with bathing, dressing, or medicine. If someone's care needs increase, there's on-site skilled nursing, and there are special programs for people with Alzheimer's or other forms of memory loss, and the care team, including aides, housekeepers, dining staff, and nurses, is around all hours. Apartments come in studio, one-bedroom, or two-bedroom plans, from generous 396-sq.-ft. studios in assisted living up to 1,484-sq.-ft. two-bedrooms in independent living, and all have full baths and kitchens, plus private balconies on many units so you can sit outside or let in sunlight through big windows-there's room for scooters to get around, too.
The community is known for its scenery but also for having a down-to-earth, small-town feel where staff are kind and focus on each resident's needs. You'll find shared spaces like a cozy lobby, a comfortable library with plenty of natural light, a salon for haircuts and styling, a game room, and a bistro, and there's even a movie theater, billiards lounge, and fitness center. Meals are served in a dining room with restaurant-style tables-private family dinners happen in a set-aside room-and the kitchen staff cooks up hearty food like lasagna, soups, salads, and roasts, with vegetarian, kosher, low-sodium, and low-sugar choices, and there's always coffee and cookies out for everyone. Housekeepers handle cleaning and laundry, there's transportation to appointments and outings, and activities like bingo, singing, crafts, movies, and religious services fill the calendar, with social events often open to the public.
Everything feels designed for both comfort and independence, with wide hallways, wheelchair-accessible showers, and well-maintained grounds where you can walk, garden, play outdoor games, or just enjoy the views. Folks stay busy joining classes or interest groups, using the gym, or spending time with friends in the lounge. Sagora Senior Living runs the place, which means they try to keep things friendly, organized, and focused on helping each person enjoy daily life, no matter their health needs or interests.
About Sagora Senior Living
Elison Independent & Assisted Living of Maplewood is managed by Sagora Senior Living.
Sagora Senior Living, founded in 1990 under The Covenant Group, has established itself as one of the nation's top 50 senior housing operators and a leading provider of comprehensive senior living services. Headquartered in Fort Worth, Texas, the privately-owned company has experienced remarkable growth, expanding from 61 communities in 2023 to 95 communities by 2025, representing a 56% increase in just two years. The company operates across 12 states, with significant presence in Texas, Oklahoma, Florida, Alabama, California, New York, Ohio, West Virginia, Mississippi, and Nebraska.
People often ask...
Elison Independent & Assisted Living of Maplewood offers competitive pricing, with rates starting at a cost of $2,740 per month.
Elison Independent & Assisted Living of Maplewood offers independent living and assisted living.
There are 132 photos of Elison Independent & Assisted Living of Maplewood on Mirador.
The full address for this community is 1000 S Maplewood Dr, Bridgeport, WV 26330.
No, Elison Independent & Assisted Living of Maplewood 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.
License number
112052
Status
Active
Facility type
Assisted Living Residence
Capacity
56 residents
Licensee
BISHOP MAPLEWOOD LESSEE LLC TRADENAME ELMCROFT OF MAPLEWOOD
Found multiple environmental, safety, and laundry deficiencies and failures to update disaster plans and conduct annual drills.
—Environmental cleanliness and maintenance
—Disaster and Emergency Preparedness Plan not reviewed/updated annually
—Disaster plan rehearsals not conducted annually
—Laundry storage and handling
16 Dec 2025Revisit
16 Dec 2025Revisit
Verified that the previously identified deficiencies were corrected.
21 Oct 2025Complaint
21 Oct 2025Complaint
Investigated a complaint and found two deficiencies: license renewal not maintained, and one AMAP staff member's CPR certification had expired.
—Administrative Requirements
—Health Care Standards
21 Jan 2025Life Safety
21 Jan 2025Life Safety
Identified four deficiencies during the initial survey. A follow-up confirmed all deficiencies corrected.
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11 Dec 2024Life Safety
11 Dec 2024Life Safety
Identified deficiencies during a follow-up visit, with at least one deficiency cited.
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18 Nov 2024Revisit
18 Nov 2024Revisit
Verified that deficiencies identified in prior actions were corrected.
—
11 Oct 2024Revisit
11 Oct 2024Revisit
Cleared the deficiency after accepting credible evidence in lieu of an onsite revisit.
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12 Sept 2024Licensure
12 Sept 2024Licensure
Identified multiple deficiencies across resident records, admission contracts, care planning, and monitoring practices, including missing legal authority documents, undisclosed costs, incomplete or delayed service plans, unrecorded resident data, a recording device in a private room, and missing weight measurements.
6.2.2Legal authority documents in resident records
6.2.2Admission contract not containing cost-disclosure assurance
6.2.2.eAssessment and service plans not timely or complete
6.2.2RN-developed care plans not consistently documented
6.2.2.aMissing resident demographic data
—Restriction on visual and auditory monitoring
8.4Weight monitoring not documented timely
10 Sept 2024Life Safety
10 Sept 2024Life Safety
Found multiple safety and sanitation deficiencies, including damaged ceilings and walls, brown- and black-like substances, and unfinished repairs in various areas.
Type A—Maintenance of interior and exterior living environment
Type B—Maintenance of interior and exterior living environment
c—Maintenance of interior and exterior living environment
d—Maintenance of interior and exterior living environment
e—Maintenance of interior and exterior living environment
f—Maintenance of interior and exterior living environment
g—Maintenance of interior and exterior living environment
h—Maintenance of interior and exterior living environment
i—Maintenance of interior and exterior living environment
j—Maintenance of interior and exterior living environment
k—Maintenance of interior and exterior living environment
l—Maintenance of interior and exterior living environment
09 Sept 2024Revisit
09 Sept 2024Revisit
Found that the monthly activity calendar did not document the duration of activities. Durations were presented as estimates.
—Provide a monthly calendar listing the duration of all social and recreational activities
08 Aug 2024Complaint
08 Aug 2024Complaint
Identified deficiencies in documentation and supervision: activity calendars lacked durations for activities, and AMAPs did not receive quarterly supervision.
—Activities calendar duration
—Medications and Treatments - AMAP observations
29 Nov 2023Licensure
29 Nov 2023Licensure
Identified multiple deficiencies across resident death handling, dietary labeling, medication administration oversight, staff training, health assessments, service plans, and facility safety.
Type A—Resident Death
Type AW. Va. Code R. §§64-17-1, et seq.Dietary Services
Type AWV Code Article 50; WV Code R. §§64-60-1 et seq.Medications
Type A—Employee Orientation and Training
Type A—Alzheimer's Disease Training
Type A—Resident Death
Type A—Assessment and Service Plans
Type A—Limited and Intermittent Nursing Care
Type A—Physical Facilities
28 Nov 2023Life Safety
28 Nov 2023Life Safety
Identified failures to annually update the disaster and emergency plan, document evacuation education for new residents within 24 hours of admission, and rehearse and document staff training for emergencies.
—Disaster and emergency preparedness plan reviewed and updated annually
—Show and document evacuation procedures for all new residents within 24 hours of admission
—Rehearse and document disaster and emergency preparedness plan with all staff annually
13 Jun 2023Complaint
13 Jun 2023Complaint
Found no deficiencies.
22 Jan 2023Revisit
22 Jan 2023Revisit
Found no deficiencies. Follow-up confirmed compliance.
06 Dec 2022Licensure
06 Dec 2022Licensure
Investigated and identified multiple deficiencies related to staffing, medical record accuracy, patient assessments, and admission/discharge processes.
Staffing Requirements. Day shift - In addition to the one direct care staff person on the day shift, the residence shall have one direct care staff on the day shift for each 10 residents identified on their needs assessments to have two or more of the following care needs: dependence on staff for eating, toileting, ambulating residents from one location to another, bathing, dressing, repositioning, oral hygiene, personal grooming, or one or more inappropriate behaviors that reasonably require additional staff to control, such as sexually acting out, stripping in public settings, refusing basic care, destroying property, or injurious behavior to self or othersStaffing Requirements
Personnel Records. A health record containing the results of a pre- employment and annual screening for tuberculosis and other communicable diseases as indicated by exposure, prevalence, or currently accepted medical practice in congregate living situations as indicated by the Secretary.TB screening and health records
Assessment and Service Plans. The licensee shall ensure that the functional needs assessment and service plans reflect the resident's current needs and are updated annually or as indicated by a significant change in the resident's condition.Assessment and Service Plans
Treatment. A resident has the right to prompt action by the licensee to resolve any complaints the resident has, including those with respect to the behavior of other residents. The licensee shall respond to the complainant in writing no later than four days after the complaint is filed.Complaint handling
Health Care Standards. Prior to transfer or discharge, a summary shall accompany the resident including medical history, functional needs assessment, current physician's orders, advance directives, allergies, and progress notes.Transfer/Discharge summary
Assessment and Service Plans. Each resident shall have a health assessment by a physician or licensed professional not more than 60 days prior to admission or within 5 working days after admission and at least annually thereafter, including TB screening if indicated.Health assessments and TB screening
Limited and Intermittent Nursing Care. If not full-time, a record must exist for each RN visit including date/time in/out, duties, concerns, actions, and signature.RN visit documentation
Administrative Admission and Discharge. The residence shall include information about liability insurance in admission agreements.Liability insurance in admissions
Staffing Requirements. Night shift - In addition to the one direct care person on the night shift, there shall be at least one additional direct care staff per 18 residents with two or more special care needs.Night shift staffing
Medication storage, handling, distribution, and disposition, and responsibility for payment; admission agreements updated to include medication policies.Medication storage in admission agreements
Dietary Services. Weighing and reporting weight changes; notify physician for significant changes.Weight monitoring and reporting
Administrative Admission and Discharge. Admission agreements must include health and nursing care services, including licensed nurse coverage.Nursing care services in admissions
05 Dec 2022Revisit
05 Dec 2022Revisit
Found previously cited deficiencies corrected.
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29 Nov 2022Revisit
29 Nov 2022Revisit
Corrected a deficiency identified during a follow-up to a complaint; ombudsman notified by e-mail.
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23 Nov 2022Revisit
23 Nov 2022Revisit
Investigated a complaint and found that all deficiencies were corrected.
02 Nov 2022Life Safety
02 Nov 2022Life Safety
Found no deficiencies cited after the annual environmental review. The census was 64.
12 Oct 2022Revisit
12 Oct 2022Revisit
Identified a deficiency during the follow-up; no new deficiencies were cited.
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22 Sept 2022Revisit
22 Sept 2022Revisit
Found deficiencies in power outage planning, including failure to identify residents needing oxygen during outages and lack of emergency lighting in resident rooms, causing darkness and safety concerns.
—Power failure contingency planning for oxygen-dependent residents
—Emergency lighting in resident rooms during power failures
22 Sept 2022Complaint
22 Sept 2022Complaint
Found deficiencies in disaster and emergency planning, evacuation training, fire safety maintenance, and emergency preparedness documentation and testing.
Type A—Disaster and Emergency Preparedn
Type B—Disaster and Emergency Preparedn
—Disaster and Emergency Preparedn
—Fire Safety, Disaster and Emergency Preparedn
—Fire Safety, Disaster and Emergency Preparedn
—Fire Safety, Disaster and Emergency Preparedn
—Fire Safety, Disaster and Emergency Preparedn
—Fire Safety, Disaster and Emergency Preparedn
—Fire Safety, Disaster and Emergency Preparedn
—Fire Safety, Disaster and Emergency Preparedn
—Fire Safety, Disaster and Emergency Preparedn
—Fire Safety, Disaster and Emergency Preparedn
—Fire Safety, Disaster and Emergency Preparedn
—Fire Safety, Disaster and Emergency Preparedn
—Fire Safety, Disaster and Emergency Preparedn
—Fire Safety, Disaster and Emergency Preparedn
Type A—Fire Safety, Disaster and Emergency Preparedn
Type B—Fire Safety, Disaster and Emergency Preparedn
—Fire Safety, Disaster and Emergency Preparedn
31 Aug 2022Complaint
31 Aug 2022Complaint
Investigated found multiple deficiencies across hair restraints, staff screening, temperature control, medication security, storage, and preventive maintenance.
Type AW. Va. Code R. 64-17-1, et seq.Hair restraints
Type AW. Va. Code R. §69-10-3General Administrative Requirements
Type AW. Va. Code R. 64-17-1, et seq.Physical Facilities
Type AW. Va. Code R. 64-17-1, et seq.Laundry
Type AW. Va. Code R. 64-17-1, et seq.Preventive Maintenance
Type AW. Va. Code R. 64-17-1, et seq.Medications and Treatments
Type AW. Va. Code R. 64-17-1, et seq.Physical Facilities
Type AW. Va. Code R. 64-17-1, et seq.Physical Facilities
13 Jul 2022Complaint
13 Jul 2022Complaint
Investigated the complaint and found no deficiencies.
25 May 2022Complaint
25 May 2022Complaint
Found that physician orders for medications and treatments were not followed for several residents and one resident did not have an appropriate bed/mattress, risking resident well-being.
—Failure to follow physician orders for medications and treatments
—Bed and mattress not meeting size/quality standards
—Substantiated complaint regarding bed and mattress adequacy
24 May 2022Complaint
24 May 2022Complaint
Investigated staffing levels and found insufficient direct care staff on day shifts for residents with two or more care needs, with shifts lacking clear coverage.
—Staffing requirements for day shift with residents needing special care
22 Mar 2022Revisit
22 Mar 2022Revisit
Found no deficiencies. A revisit to the annual survey was conducted.
25 Oct 2021Revisit
25 Oct 2021Revisit
Found deficiencies in documenting the release of residents' belongings after death, in staff training records, and in resident medical records before transfers.
E 417Disposition of personal belongings after resident death
E 269Employee Orientation and Training
E 364Health Care Standards
22 Sept 2021Revisit
22 Sept 2021Revisit
Found no deficiencies.
24 Jun 2021Inspection
24 Jun 2021Inspection
Investigated multiple deficiencies: missing annual service plan updates, incomplete transfer/discharge and medical records, unsecured laundry storage, lapses in staff training and licensing, and inadequate nursing documentation.
—Assessment and Service Plans
—Personal Belongings
—Personnel Records
—Records
—Laundry
—Staffing Requirements
—Employee Orientation and Training
—Resident Rights
—Health Care Standards
—Assessment and Service Plans
—Records
—Limited and Intermittent Nursing Care
—Health Assessment and TB Screening
14 Jun 2021Life Safety
14 Jun 2021Life Safety
Identified a deficiency coded E 001 during the survey.
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25 May 2021Revisit
25 May 2021Revisit
Cited multiple deficiencies in documentation and procedures, including death documentation, transfer records, infection control, and staff training. The issues involved failure to document to whom belongings or bodies were released, incomplete transfer/discharge forms, and missing or incomplete training records.
—Resident death: documentation of release of belongings to estate
—Infection control: compliance with mask guidance
—Resident death: body release documentation
—Employee orientation and training: annual in-service and specialty care
—Health care standards: transfer/discharge documentation
06 Jan 2021Inspection
06 Jan 2021Inspection
Found no deficiencies.
05 Nov 2020Complaint
05 Nov 2020Complaint
Identified deficiencies in medication management and documentation, including lack of physician notification for unavailable meds, refusals not consistently documented, illegible MAR initials, and missing oxygen orders.
—Documentation of health status and medication administration in resident records
27 Oct 2020Revisit
27 Oct 2020Revisit
Investigated a complaint and cited a deficiency; follow-up confirmed all deficiencies were corrected.
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15 Oct 2020Revisit
15 Oct 2020Revisit
Identified deficiencies in major incident reporting, health assessments, functional needs assessments/service plans, transfer/discharge documentation, nursing care records, and medication security. These issues showed noncompliance with required standards.
—Major incident reporting
—Functional needs assessment and service plans accuracy
—Transfer/discharge documentation and retention
—Health assessments
—Nursing care records for intermittent RN visits
—Medication storage and security
—Weekly nursing assessments and progress notes
14 Sept 2020Revisit
14 Sept 2020Revisit
Observed unsafe and unsanitary conditions due to incomplete refrigerator temperature logs and dusty ceilings and equipment in kitchen areas.
—Physical Facilities - maintenance and sanitation
23 Jul 2020Inspection
23 Jul 2020Inspection
Identified multiple deficiencies across admissions records, assessment and care planning, medication management, resident death documentation, rights, policy adherence, staff training, and transfer/discharge processes.
—Administrative Admission and Discharge
—Assessment and Service Plans
—Medications and Treatments
—Medications and Treatments – Administration
—Personnel Records
—Resident Death
—Resident Rights
—Treatment
—Resident Death
—General Administrative Requirements
—Administrator
—Employee Orientation and Training
—Employee Orientation and Training – Dementia
—Limited and Intermittent Nursing Care
—Health Care Standards
—Assessment and Service Plans
—Initial Comments
06 Jul 2020Life Safety
06 Jul 2020Life Safety
Found no deficiencies.
23 Jun 2020Complaint
23 Jun 2020Complaint
Found deficiencies in maintaining a safe, sanitary living environment, including incomplete refrigerator temperature logs and dusty kitchen conditions.
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17 Feb 2020Revisit
17 Feb 2020Revisit
Found no deficiencies.
17 Feb 2020Revisit
17 Feb 2020Revisit
Investigated a deficiency identified during a follow-up; the deficiency was corrected.
06 Jan 2020Revisit
06 Jan 2020Revisit
Investigators found nine residents had outdated or inaccurate health/medication documentation and staff did not consistently administer or notify about unavailable medications for several residents.
—Documentation of health status and medication administration records
—Documentation of health status and medication administration records
—Documentation of health status and medication administration records
06 Jan 2020Revisit
06 Jan 2020Revisit
Found that one resident did not have a timely annual health assessment completed with required screenings.
—Assessment and Service Plans
—Assessment and Service Plans
05 Dec 2019Revisit
05 Dec 2019Revisit
Identified deficiencies in pre-employment TB screening documentation for two new hires, with one lacking documentation and another having a delayed screen.
—Pre-employment tuberculosis and other communicable diseases screening
04 Sept 2019Complaint
04 Sept 2019Complaint
Found no deficiencies.
29 Aug 2019Complaint
29 Aug 2019Complaint
Identified failures to keep TB screening records for employees and residents up to date, and failures to timely develop resident service plans and maintain weekly nursing notes for residents with nursing needs.
—Health Records
—Assessment and Service Plans
—Limited and Intermittent Nursing Care
—Limited and Intermittent Nursing Care
26 Aug 2019Revisit
26 Aug 2019Revisit
Investigated the complaint and found one deficiency corrected and another repeat deficiency.
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30 Jul 2019Complaint
30 Jul 2019Complaint
Investigated the complaint and found the deficiency unsubstantiated.
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30 Jul 2019Life Safety
30 Jul 2019Life Safety
Found no deficiencies.
02 Jul 2019Life Safety
02 Jul 2019Life Safety
Identified deficiencies in disaster and emergency preparedness, including failure to post emergency call information near all telephones and failure to conduct and document annual staff rehearsals.
64CSR14-10.2.f.Disaster & Emergency Preparedness - Emergency call information posted near telephones
64CSR14-10.2.g.Disaster & Emergency Preparedness - Rehearsal and documentation of drills
16 May 2019Complaint
16 May 2019Complaint
Investigated admission agreements and entry rights language found missing protections: residents could be charged undisclosed costs and staff could enter rooms without identification.
64CSR14-5.7.b.1-8Admission and Discharge
64CSR14-6.2.l.Resident Rights
16 May 2019Complaint
16 May 2019Complaint
Found no deficiencies.
10 Mar 2019Revisit
10 Mar 2019Revisit
Investigated credible evidence and corrected citations.
06 Sept 2018Licensure
06 Sept 2018Licensure
Found no deficiencies in change of ownership survey.
04 Sept 2018Life Safety
04 Sept 2018Life Safety
Found no deficiencies.
19 Oct 2017Licensure
19 Oct 2017Licensure
Concluded no deficiencies cited during the annual licensure survey.
17 Oct 2017Life Safety
17 Oct 2017Life Safety
Found no deficiencies during the environmental survey.
22 Nov 2016Revisit
22 Nov 2016Revisit
Found three deficiencies during the initial survey; follow-up found no deficiencies.
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13 Oct 2016Licensure
13 Oct 2016Licensure
Identified deficiencies in staff training (including dementia care) and improper handling of residents' belongings after death.
64CSR14-5.5.a.Employee Orientation and Training
64CSR14-5.5.c.Employee Orientation and Training
64CSR14-7.7.c.Health Care Standards
04 Oct 2016Life Safety
04 Oct 2016Life Safety
Observed no deficiencies.
21 Dec 2015Life Safety
21 Dec 2015Life Safety
Investigated deficiencies cited during a follow-up visit.
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09 Dec 2015Revisit
09 Dec 2015Revisit
Found no deficiencies.
17 Nov 2015Revisit
17 Nov 2015Revisit
Identified failures to complete abuse registry checks before hire and to submit central registry information for several employees, including a repeat deficiency.
64CSR14-5.1.gGeneral Administrative Requirements Prior to Hiring
64CSR14-5.1.gGeneral Administrative Requirements Prior to Hiring
64CSR14-5.1.gGeneral Administrative Requirements Prior to Hiring
10 Nov 2015Life Safety
10 Nov 2015Life Safety
Found deficiencies in annual disaster and emergency plan review and in cleaning and maintaining interior and exterior areas, with several repair needs identified.
64CSR14-10.2.e.Disaster & Emergency Preparedness
64CSR14-11.1.d.Physical Facilities
16 Sept 2015Licensure
16 Sept 2015Licensure
Identified multiple deficiencies in background checks, registry screenings, health screenings, staff training, and proper handling of resident belongings after death.
64CSR14-5.1.gGeneral Administrative Requirements
64CSR14-5.5.aEmployee Orientation and Training
64CSR14-5.5.aEmployee Orientation and Training
64CSR14-5.5.cAlzheimer's disease and related dementias training
64CSR14-5.6.aTB screening and health records
64CSR14-7.5.cHealth Care Standards — post-fall/illness monitoring
64CSR14-7.7.cHealth Care Standards — release of belongings after death
09 Apr 2015Complaint
09 Apr 2015Complaint
Found no deficiencies.
09 Dec 2014Life Safety
09 Dec 2014Life Safety
Investigation followed up on a prior licensure event, noting a census of 43 residents.
15 Oct 2014Life Safety
15 Oct 2014Life Safety
Found that the disaster and emergency plan was not rehearsed with all staff from each shift annually; only a policy/procedure review occurred.
Type A64CSR14-10.2.g.Disaster & Emergency Preparedness
08 Oct 2014Licensure
08 Oct 2014Licensure
Found no deficiencies.
15 Jun 2014Revisit
15 Jun 2014Revisit
Investigated a complaint and followed up; census counts were recorded during the visits.
23 Apr 2014Complaint
23 Apr 2014Complaint
Investigated deficiencies in complaint handling, major incident reporting, and neglect/abuse reporting; found failures to document investigations, timely report incidents, and provide written responses to complaints.
64CSR14-5.2.a.Complaint policy compliance and response to complaints
64CSR14-5.2.f.Major incidents reporting
64CSR14-6.2.c.Neglect/abuse reporting to APS and 48-hour reporting
64CSR14-6.2.n.Prompt action on complaints; written response within four days
16 Dec 2013Life Safety
16 Dec 2013Life Safety
Investigated follow-up confirmed the elevator remained unfixed and census updated; kitchen and dietary areas were reported clean.
—Elevator not fixed
—Environmental follow-up
10 Dec 2013Revisit
10 Dec 2013Revisit
Investigated the October 2013 licensing survey and follow-up; found no deficiencies.
08 Nov 2013Life Safety
08 Nov 2013Life Safety
Identified that the elevator was not maintained in good repair, with an expired certificate and ongoing repairs needed due to water damage.
64CSR14-11.1.d.Physical Facilities - keep interior and exterior in good repair
10 Oct 2013Licensure
10 Oct 2013Licensure
Found deficiencies in staff screening and licensing records, including missing central abuse registry screening before hire for one employee and missing nurse aide registry checks for several employees, plus lack of active license verification for licensed nurses.
64CSR14-5.1.gCentral abuse registry screening and nurse aide registry checks prior to hire
64CSR14-5.6.a.3Personnel Records—License verification for licensed staff
03 Oct 2013Life Safety
03 Oct 2013Life Safety
Identified dirt and debris in kitchen and food storage areas and an elevator without a current certificate of operation.
Type A64CSR14-11.1.d.Physical Facilities
Type B64CSR14-11.1.d.Physical Facilities
04 Mar 2013Revisit
04 Mar 2013Revisit
Investigated a complaint and cited deficiencies; deficiencies were corrected on follow-up.
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23 Jan 2013Complaint
23 Jan 2013Complaint
Investigated concerns found failures to protect residents' well-being, respect daily living rights, provide complete transfer documentation, and administer medications as prescribed, exacerbated by staffing and pharmacy issues.
64CSR14-5.2.b.Protection of residents' physical and mental well-being
—Complaint investigation deficiency
64CSR14-6.2.h.Right to daily life activities and choices
64CSR14-7.1.g.Pre-transfer/discharge information
64CSR14-7.4.b.Medications administered per orders; documentation
27 Dec 2012Revisit
27 Dec 2012Revisit
Investigated a complaint and cited two unrelated deficiencies.
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27 Dec 2012Revisit
27 Dec 2012Revisit
Identified two deficiencies during the survey, with one corrected at follow-up.
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10 Dec 2012Life Safety
10 Dec 2012Life Safety
Identified deficiencies were cited and later corrected, with a follow-up confirming corrections.
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07 Nov 2012Licensure
07 Nov 2012Licensure
Identified multiple deficiencies in policies and procedures, staff training, admission contracts, TB screening, and transfer/discharge documentation.
64CSR14-5.1.a.General Administrative Requirements
64CSR14-5.1.b.General Administrative Requirements
64CSR14-5.1.a.General Administrative Requirements
64CSR14-5.5.a.Employee Orientation and Training
64CSR14-5.5.b.Employee Orientation and Training
64CSR14-5.7.c.Admission and Discharge
64CSR14-5.7.h.Admission and Discharge
64CSR14-7.3.a.Health Care Standards
64CSR14-7.3.a.Health Care Standards
64CSR14-7.5.c.Health Care Standards
64CSR14-7.6.i.Health Care Standards
07 Nov 2012Life Safety
07 Nov 2012Life Safety
Identified deficiencies in disaster preparedness rehearsal for all staff and in maintaining hot water temperatures within safe limits.
64CSR14-10.2.g.Disaster & Emergency Preparedness
64CSR14-11.5.b.Physical Facilities - Hot water temperature
02 Nov 2012Complaint
02 Nov 2012Complaint
Investigated staffing and abuse-reporting concerns; found inadequate direct care staffing, incomplete records, failure to report abuse promptly, and mishandling of complaints.
64CSR14-5.4.b.Staffing Requirements
64CSR14-5.4.g.Staffing Requirements
64CSR14-6.2.c.Resident Rights - Reporting Abuse
64CSR14-6.2.d.Resident Rights - Investigation of Allegations
64CSR14-6.2.f.Resident Rights - Notify Licensing Agency
64CSR14-6.2.n.Resident Rights - Complaint Handling
04 Oct 2012Life Safety
04 Oct 2012Life Safety
Found deficiencies in disaster preparedness rehearsals and hot water temperature control.
64CSR14-10.2.g.Disaster & Emergency Preparedness
64CSR14-11.5.b.Physical Facilities
14 Dec 2011Initial
14 Dec 2011Initial
Identified deficiencies in background checks, CPR staffing on shifts, and medication administration practices.
64CSR14-5.1.gGeneral Administrative Requirements
64CSR14-5.4.cStaffing Requirements
64CSR14-7.4.bHealth Care Standards
25 Nov 2011Revisit
25 Nov 2011Revisit
Observed that thirteen residents unable to self-preserve were admitted/retained, and that staffing for emergencies was insufficient.
Type A64 CSR 75-7.1.a.Admission of self-preservation residents
02 Nov 2011Life Safety
02 Nov 2011Life Safety
Approved the building for assisted living and issued initial licensure.
25 Oct 2011Complaint
25 Oct 2011Complaint
Investigated a complaint about admitting residents unable to self-preserve; identified multiple residents with physical or cognitive impairments who could not safely exit in an emergency and noted insufficient night staffing to assist.
Type A64 CSR 75-7.1.a.Admission
05 Oct 2011Life Safety
05 Oct 2011Life Safety
Found no deficiencies.
12 Sept 2011Revisit
12 Sept 2011Revisit
Investigated a complaint and the deficiency was corrected.
27 Jul 2011Revisit
27 Jul 2011Revisit
Investigated a complaint and found that initial nursing assessments were not completed within 24 hours of admission, and follow-up assessments after changes in condition were not consistently documented within 24 hours.
64CSR75-12.2.b.3NURSING SERVICES
13 Apr 2011Revisit
13 Apr 2011Revisit
Investigated a complaint about admission procedures, medication administration without orders, and alleged abuse/neglect, finding multiple deficiencies in patient records, nursing supervision, and reporting procedures.
64CSR75-5.2.b.1-4Licensee responsibilities under 5.2.b
64CSR75-6.3.b.1Abuse, neglect and mistreatment – general standard
64CSR75-6.3.cMandatory reporting to APS/OHFLAC
64CSR75-6.3.dInvestigation of alleged abuse/neglect
64CSR75-6.3.fOHFLAC notification within 72 hours
64CSR75-7.4.aRecords retention
64CSR75-7.7.bMedication orders required for administration
64CSR75-7.8.eMajor incidents reporting
64CSR75-12.2.b.2Nursing supervision
64CSR75-12.2.b.3Initial nursing assessment within 24 hours
64CSR75-12.2.b.4Service plan development
64CSR75-7.4.cResident's record content
64CSR75-7.4.c.1-9Specific content requirements for resident records
15 Mar 2011Complaint
15 Mar 2011Complaint
Investigated a complaint and found several deficiencies in admission practices, medication administration without orders, abuse/neglect reporting, and records management.
64CSR75-12.2.b.4NURSING SERVICES (Service plan coordination)
27 Jan 2011Complaint
27 Jan 2011Complaint
Investigated a complaint; some allegations were supported, but no deficiencies were found.
05 Jan 2011Revisit
05 Jan 2011Revisit
Investigated a deficiency identified during the initial licensure survey and confirmed it was corrected on follow-up.
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17 Nov 2010Life Safety
17 Nov 2010Life Safety
Investigated a change of ownership survey and identified deficiencies; a follow-up was scheduled.
21 Sept 2010Life Safety
21 Sept 2010Life Safety
Identified a fire safety deficiency due to absence of sprinklers inside the hydraulic elevator shaft.
64CSR75-10.1.aFire safety rule – sprinklers in hydraulic elevator shaft
05 Aug 2010Inspection
05 Aug 2010Inspection
Found no deficiencies during the change of ownership survey.
03 Aug 2010Life Safety
03 Aug 2010Life Safety
Observed multiple electrical safety deficiencies, including scorched emergency lights, water in walk-in cooler/freezer light fixtures, and a sprinkler room light with exposed wiring.
Type A64CSR75-11.8.a.Electrical Requirements
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