SweetBriar Assisted Living

    505 Caldwell Ln, Dunbar, WV 25064
    • Assisted Living
    • Memory Care

    Warm attentive staff, safe home

    I placed my mom here and have been very satisfied - the staff are warm, attentive, compassionate, and often go above and beyond, with responsive medical support and strong memory-care services. The community feels homey and clean, beautifully decorated (especially at holidays), with spacious rooms, delicious meals and plenty of activities; I feel she's safe, well cared for, and supported.

    Loved one of resident
    Jul 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
    • Medication management

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • 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

    4.57·(28)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.8
    • Staff

      4.7
    • Meals

      3.8
    • Amenities

      4.8
    • Value

      1.0

    Pros

    • Compassionate, respectful caregiving staff
    • Personalized staff–resident relationships
    • Attentive administration and housekeeping
    • Engaging activity program (bingo, exercise, music, church)
    • Memory-care services and suitability
    • Bright, clean interior and courtyard
    • Spacious, private resident rooms
    • Attractive, homelike dining and common areas
    • Regular social outings and events
    • Holiday and seasonal decorations
    • Open communication and regular progress reporting
    • Convenient highway-access location

    Cons

    • Inconsistent dining quality and portion control
    • Billing and move-out account reconciliation problems
    • Allegations of theft and financial misconduct
    • Perceived lack of transparency in management communication
    • Location distance may be inconvenient for some families

    Summary of reviews

    Overall impression: SweetBriar Assisted Living is described predominantly as a clean, comfortable, and well-maintained community with a strong emphasis on compassionate, person-centered caregiving. Many comments emphasize that staff are friendly, know residents by name, and are willing to go beyond routine duties to provide emotional support and practical assistance. The facility's physical environment — bright interiors, attractive dining area, courtyard with rocking chairs, and spacious private rooms — is frequently noted as calming and homelike.

    Care and staff: Staffing is repeatedly characterized as attentive and empathetic. Reviewers describe respectful interactions, hands-on emotional support during family visits, and staff who monitor residents, provide reminders for meals and activities, and follow up with families. Administration and housekeeping receive positive mention for responsiveness and maintaining a clean, odor-free environment. Memory care services are highlighted as a strength, with specific praise for programming tailored to residents with cognitive impairment.

    Activities and social life: The community offers a variety of engagement opportunities including bingo, exercise classes, music programs, church activities, live singers, sewing, and organized outings such as lunches. These offerings contribute to a family-oriented, social atmosphere that many families found meaningful for their relatives. Seasonal decorations and regular events also support a homelike, community-focused environment.

    Dining and food service: Dining impressions are mixed. Several sources describe meals as appealing, well-presented, and delicious, while others cite inconsistent food quality and insufficient portions. This variability suggests operational inconsistencies in kitchen output or in portioning practices; prospective residents should directly sample meals and ask about menu rotation and portion standards if dining is a high priority.

    Management, billing, and financial concerns: While many reviewers praise communication and progress reporting, there are notable and serious concerns related to billing and financial controls. Multiple accounts describe disputed charges, unclear move-out billing practices, and at least one set of allegations concerning staff theft and financial mishandling. These issues have led to strong dissatisfaction and, in some cases, threats of eviction in the context of billing disputes. Because these concerns affect trust and resident/family financial security, prospective families should request written billing policies, move-out reconciliation procedures, and information on internal financial controls before committing.

    Notable patterns and guidance for families: The dominant pattern is one of high-quality interpersonal care, active programming, and an attractive physical environment. However, inconsistent dining experiences and documented billing/financial concerns introduce important caveats. Prospective residents and families would benefit from an in-person tour, a meal trial, written clarification of billing and move-out procedures, and direct questions about financial safeguards and incident escalation processes. Verifying these operational details can help balance the facility's clear strengths in caregiving and environment against the financial and dining inconsistencies that have been reported.

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    Location

    Map showing location of SweetBriar Assisted Living

    SweetBriar Assisted Living is located at 505 Caldwell Ln, Dunbar, WV, 25064.

    About SweetBriar Assisted Living

    Sweetbriar is an assisted living community dedicated to providing personalized and compassionate care in a warm, comfortable environment. With over 44 years of experience guiding families through important transitions, Sweetbriar understands how vital it is to find the right fit for loved ones requiring additional support. The community offers various care options to fit the unique needs of each resident, including assisted living, a secure wing for those with cognitive challenges, specialty care, and respite care for short-term stays. This variety ensures that each individual receives the right level of support, whether they are seeking long-term accommodation or temporary assistance.

    One of the defining features of Sweetbriar is its commitment to round-the-clock care. Licensed nursing professionals are present on-site at all times, not merely on call. This constant presence means that should a medical situation arise—be it in the middle of the night or during the day—residents can expect immediate and effective assistance. This commitment provides peace of mind for both residents and their families, knowing that help from experienced professionals is always close at hand.

    Sweetbriar strongly believes in the importance of an engaging and sociable environment. A dedicated recreation department coordinates a full calendar of activities, making the community lively and active. Residents are encouraged, though never required, to participate in the social and recreational offerings, which helps reduce feelings of isolation and loneliness that can sometimes accompany the transition to assisted living. Live entertainment and a rich variety of events foster new friendships and create opportunities for meaningful connection.

    Dining at Sweetbriar is a highlight for many residents. The culinary team prepares three nutritious, home-cooked meals each day, all of which are approved by a certified dietician. Meals are served in the welcoming dining room, allowing residents to enjoy both the food and the company of their peers. This approach contributes to overall well-being, ensuring that residents receive balanced nutrition in a pleasant setting.

    Residents of Sweetbriar enjoy a secure, homelike atmosphere, with rooms designed to offer privacy while maintaining a sense of community. Multiple floor plans are available to ensure that each resident can select a living space that feels like home. Despite moving to an assisted living environment, residents are encouraged to maintain independence and personal choice. Amenities such as an activities room and a beauty salon/barber shop enhance daily life, providing relaxation and opportunities for self-care.

    The professional team at Sweetbriar is deeply committed to lessening the daily responsibilities of residents and creating new opportunities for enjoyment. Every aspect of the community is designed to maximize quality of life and independence, while offering the support that residents need to thrive. Whether dealing with recent health changes, recovering from a fall, or simply seeking a vibrant new home, Sweetbriar stands ready to provide compassionate guidance and exceptional care for every resident.

    People often ask...

    SweetBriar Assisted Living offers competitive pricing, with rates starting at a cost of $5,343 per month.

    SweetBriar Assisted Living offers assisted living and memory care.

    There are 14 photos of SweetBriar Assisted Living on Mirador.

    The full address for this community is 505 Caldwell Ln, Dunbar, WV 25064.

    No, SweetBriar Assisted Living 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 number1819
    StatusActive
    Facility typeAssisted Living Residence
    Capacity119 residents
    LicenseeSWEETBRIAR ASSISTED LIVING, LLC
    EffectiveApril 1st, 2026
    ExpiresMarch 31st, 2027
    View the official license record

    Inspection Reports

    157

    Reports

    10

    Type A Citations

    2

    Type B Citations

    76

    Complaints

    25

    Years

    19 Aug 2025Revisit
    Verified the deficiency was corrected.
    02 Jul 2025Complaint
    Investigated the complaint and found no deficiencies.
    07 May 2025Complaint
    Found that a major incident involving a medication error wasn't reported to OHFLAC by the next business day, and a resident received medications prescribed for another resident. This raised concerns about medication administration and reporting practices.
    • Subsection 2.23 of the applicable ruleMajor incident reporting
    • W. Va. Code §§16-5O-1, et seq.; W. Va. Code R. §§64-60-1, et seq.; and the Department of Health and Human Resources rule, 'Medication Administration and Performance of Health Maintenance Tasks by Approved Medication Assistive Personnel'Medications and Treatments
    11 Dec 2024Revisit
    Concluded that a deficiency identified in follow-up to a complaint was corrected.
    11 Dec 2024Revisit
    Concluded that identified deficiencies were corrected.
    10 Oct 2024Complaint
    Found that major incidents were not reported to the OHFLAC as required in a timely manner.
    • Major incident reporting to OHFLAC
    10 Oct 2024Life Safety
    Found items stored in the communal shower area, including mop buckets and bags of soiled laundry. Violating storage standards for laundry and cleaning equipment in bathing facilities.
    • Type AToilets, Hand Washing, and Bathing Facilities
    10 Oct 2024Licensure
    Identified multiple deficiencies across licensing, resident care, and operations, including advertising a memory care unit without an additional license, incomplete activity calendars, and outdated or missing resident assessments, plans, and agreements. Also noted failures in incident monitoring, staff food-handling verification, and access for officials on a locked unit.
    • General Licensing Provisions
    • Activities
    • Assessment and Service Plans
    • Assessment and Service Plans – Health Assessments
    • Accident, Illness, and Major Incident
    • Administrative Admission and Discharge – Medication
    • Food Handling Certification
    • Access, Visitation, and Communication
    • Administrative Admission and Discharge – Nursing Care
    24 Sept 2024Complaint
    Investigated the complaint and found no deficiencies.
    07 Mar 2024Revisit
    Cleared all deficiencies from the follow-up visit.
    04 Jan 2024Complaint
    Investigated a major incident reporting failure and multiple resident care, recordkeeping, policy, training, dietary, and facility cleanliness deficiencies.
    • Major incidents reporting
    • Assessment and Service Plans
    • Dietary Services
    • General Administrative Requirements
    • Employee Orientation and Training
    • Treatment
    • Physical Facilities
    • Medications and Treatments
    • Records
    02 Jan 2024Life Safety
    Observed unsecured cleaning chemicals in a secured unit shower room, creating a safety hazard. A deficiency was cited for failing to maintain a safe environment.
    • Type ALocking mechanism on secure unit shower room
    22 Jun 2023Complaint
    Observed pest problems and unsanitary conditions in the kitchen and residents' rooms, along with insufficient bed linens and housekeeping.
    • Type AKeep residence free of insects, rodents, and vermin
    • Type ALinen and laundry supplies to provide minimum two changes per bed
    • Type AMaintenance and housekeeping to maintain a safe, sanitary environment
    08 May 2023Revisit
    Cleared deficiencies identified during the prior visit on a follow-up review.
    12 Apr 2023Revisit
    Cleared deficiencies following a revisit.
    13 Feb 2023Licensure
    Found deficiencies in timely annual tuberculosis screenings and in reporting unplanned weight changes to physicians.
    • Assessment and Service Plans; TB screening
    • Dietary Services; Weight monitoring and reporting to physician
    07 Feb 2023Life Safety
    Concluded that the residence substantially met state requirements, with no deficiencies cited.
    05 Jan 2023Complaint
    Found evidence of mice and fecal matter in multiple rooms, indicating failure to keep the residence free of rodents; violations cited.
    • E 453Keep residence free of insects, rodents, and vermin.
    • E 394Infection control standards; provide resident care and services according to current standards of practice.
    29 Dec 2022Complaint
    Found unsafe medication practices, including crushing meds without a physician order and serving crushed meds in soup, plus incomplete MAR documentation and administration by unlicensed staff.
    • W. Va. Code §16-5O-1 et seq.; W. Va. Code R. §§64-60-1 et seq.Medications and Treatments
    • W. Va. Code §16-5O-1 et seq.; W. Va. Code R. §§64-60-1 et seq.Medications and Treatments
    • W. Va. Code §16-5O-1 et seq.; W. Va. Code R. §§64-60-1 et seq.Treatment
    • W. Va. Code §16-5O-1 et seq.; W. Va. Code R. §§64-60-1 et seq.Medications and Treatments
    • W. Va. Code §16-5O-1 et seq.; W. Va. Code R. §§64-60-1 et seq.Initial Comments
    18 Nov 2022Complaint
    Found that there was no documentation showing whether activities occurred; staff shifted to a weekly plan and monthly calendar without recording completion.
    • Activities documentation incomplete
    18 Nov 2022Complaint
    Identified deficiencies in complaint response time, medication verification, and pendant-system safety.
    • Complaint response time and documentation
    • Medication administration verification and discontinuation
    • Safety and maintenance of call systems
    06 Jul 2022Revisit
    Concluded that deficiencies were corrected after the follow-up to the change of ownership survey conducted on 2022-07-06.
    • E 001 deficiency
    06 Jul 2022Revisit
    Corrected a deficiency identified in a prior complaint during a follow-up visit.
    06 Jul 2022Revisit
    Corrected deficiencies noted during the follow-up to a prior complaint. The follow-up confirmed that the corrections were completed.
    06 Jul 2022Revisit
    Corrected the deficiency identified in the follow-up to a complaint.
    17 Apr 2022Revisit
    Cleared deficiencies identified on the revisit.
    29 Mar 2022Complaint
    Investigators found failures to notify the licensing agency within 72 hours after an abuse allegation and to document and investigate the alleged sexual abuse between two incapacitated residents.
    • Notification to licensing agency within 72 hours of an abuse allegation
    • Sanctions to prevent reoccurrence of abuse
    • Policy compliance related to abuse reporting and investigation
    • Immediate and thorough documentation and investigation of abuse allegations
    29 Mar 2022Complaint
    Investigated a failure to report a major incident; a resident fall with hospital transfer and later death were not reported to OHFLAC within the required timeframe, and the major incident documentation was not available.
    • Subsection 2.23 of this ruleMajor incident reporting
    29 Mar 2022Complaint
    Found that the resident's service plan did not reflect weekly weights or dressing changes and was not updated after a significant change in condition.
    • Type AFunctional needs assessment and service plan updates
    06 Feb 2022Revisit
    Cleared a previously identified deficiency after a revisit.
    06 Feb 2022Revisit
    Cleared a previously identified deficiency after a revisit.
    12 Jan 2022Inspection
    Identified deficiencies due to missing information in admission agreements about medication disposition and licensed nurse coverage, and incomplete written policies and procedures.
    • Administrative Admission and Discharge
    • General Administrative Requirements
    • Administrative Admission and Discharge
    12 Jan 2022Life Safety
    Concluded substantial compliance with applicable requirements during the ownership transition.
    04 Jun 2021Revisit
    Confirmed that prior citations were corrected.
    29 Apr 2021Life Safety
    Found no deficiencies. Observation and document review showed the interior was maintained as a safe environment for residents.
    28 Apr 2021Inspection
    Found multiple deficiencies related to assessments, admission processes, death documentation, and weight tracking at intake. Noted failures to complete timely functional Needs assessments, proper health assessments, complete admission records, document funeral home staff, disclose all costs, and obtain admission weights.
    • Assessment and Service Plans
    • Resident Death
    • Administrative Admission and Discharge
    • Assessment and Service Plans
    • Dietary Services
    28 Apr 2021Complaint
    Found no deficiencies. All four allegations were unsubstantiated.
    13 Jan 2021Life Safety
    Found no deficiencies identified during an infection control assessment.
    02 Dec 2020Complaint
    Investigated the complaint and found no deficiencies.
    06 Feb 2020Revisit
    Verified all deficiencies cited during the prior survey were corrected.
    23 Jan 2020Inspection
    Found deficiencies in the admission contract and pets policy; the contract didn't specify nursing care services or CPR, and pets were not addressed.
    • Administrative Admission and Discharge
    • Pets and Other Animals
    09 Jan 2020Complaint
    Investigated a complaint and found no deficiencies.
    02 Jan 2020Life Safety
    Found no deficiencies. The interior was maintained as a safe environment.
    25 Sept 2019Complaint
    Found no deficiencies.
    06 Mar 2019Inspection
    Found no deficiencies cited during the change of ownership survey.
    04 Mar 2019Life Safety
    Found no deficiencies.
    13 Dec 2018Complaint
    Investigated a complaint and found no deficiencies.
    19 Mar 2018Revisit
    Corrected deficiencies were noted.
    15 Mar 2018Life Safety
    Found no deficiencies during the annual licensure survey.
    28 Feb 2018Licensure
    Identified deficiencies in staff training, dementia training, release of belongings after death, and dietary management.
    • 64CSR14-5.5.b.Employee Orientation and Training
    • 64CSR14-5.5.c.Alzheimer's Disease and Related Dementias Training
    • 64CSR14-7.7.c.Health Care Standards
    • 64CSR14-9.1.c.Dietary Services
    27 Feb 2018Revisit
    Investigated the complaint and cited two deficiencies; one was corrected during follow-up.
    06 Feb 2018Complaint
    Investigated a complaint and found that locked storage for housekeeping supplies and hazardous materials was not consistently used. Unlocked storage areas contained cleaners, pesticides, and other chemicals, and doors’ locks did not function properly.
    • 64CSR14-11.6.c.Physical Facilities
    06 Nov 2017Complaint
    Investigated a complaint and found no deficiencies cited.
    29 Jun 2017Complaint
    Found no deficiencies cited.
    02 Mar 2017Licensure
    Found no deficiencies during the annual licensure survey.
    27 Feb 2017Life Safety
    Identified 56 deficiencies during the annual licensure survey.
    02 Aug 2016Complaint
    Investigated the complaint; no deficiencies were described in the provided information.
    24 Mar 2016Licensure
    Found no deficiencies.
    02 Mar 2016Life Safety
    Found no deficiencies.
    13 Jan 2016Complaint
    Found no deficiencies.
    13 Jan 2016Complaint
    Investigated the complaint and found no deficiencies.
    08 Jul 2015Complaint
    Found no deficiencies.
    25 Mar 2015Licensure
    Found no deficiencies during the annual licensure survey.
    17 Mar 2015Life Safety
    Found no deficiencies.
    08 Jan 2015Complaint
    Investigated a complaint and found no deficiencies.
    23 Jul 2014Complaint
    Investigated a complaint and found no deficiencies.
    22 Jul 2014Life Safety
    Investigated a complaint and found deficiencies under code E 004.
    30 Jun 2014Complaint
    Found no deficiencies.
    31 Mar 2014Licensure
    Found no deficiencies.
    25 Mar 2014Life Safety
    Found no deficiencies during the annual licensure survey.
    06 Jan 2014Complaint
    Found no deficiencies.
    18 Dec 2013Complaint
    Investigated and found that medications were administered contrary to physician orders for one resident, with two drugs given when the hold threshold was met.
    • 64CSR14-7.4.b.Health Care Standards
    13 Dec 2013Complaint
    Investigated a complaint and found no deficiencies.
    14 Nov 2013Complaint
    Found no deficiencies.
    07 Oct 2013Revisit
    Found no deficiencies.
    29 Jul 2013Complaint
    Investigated the complaint and substantiated the allegation, but found no deficiencies.
    17 Jul 2013Complaint
    Investigated a complaint and found deficiencies in promptly addressing resident complaints and in nursing oversight of discharge medications. Specifically, a complaint was not responded to within four days, and discrepancies in discharge orders were not clarified with the PCP.
    • 64CSR14-6.2.n.Resident Rights
    • 64CSR14-7.6.a.Health Care Standards
    10 Jun 2013Complaint
    Investigated the complaint and found no deficiencies.
    14 May 2013Revisit
    Investigated deficiencies in the Alzheimer's unit management and staff training, including failure to hold monthly educational/family meetings, insufficient unit coordinator qualifications, inadequate annual memory care training, and missing resident disclosure copies.
    • Type A64CSR85-4.1.a.1.-5.Human Resources- Qualifications
    • Type B64CSR85-4.1.b.Human Resources- Qualifications
    • d64CSR85-4.1.d.Human Resources-Orientation & Training
    • 64CSR85-5.4.Admission, Transfer & Discharge
    02 Apr 2013Complaint
    Investigated the complaint and found no deficiencies.
    28 Mar 2013Licensure
    Identified deficiencies in dementia care coordination, staff qualifications, training, and resident disclosure documentation.
    • 64CSR85-4.1.a.1.-5Alzheimer's unit coordinator: monthly educational and family support group meetings
    • 64CSR85-4.1.bAlzheimer's unit coordinator minimum qualifications
    • 64CSR85-4.1.dAlzheimer's unit staff training (minimum of 8 hours annually)
    • 64CSR85-5.4Prior to admission, disclosure statement
    28 Mar 2013Licensure
    Found no deficiencies.
    06 Mar 2013Life Safety
    Found no deficiencies identified during the survey conducted March 6, 2013; census counted 51 residents.
    06 Mar 2013Life Safety
    Found no deficiencies.
    27 Jan 2013Revisit
    Investigated the complaint and found no deficiencies.
    22 Oct 2012Complaint
    Investigated a complaint and found no deficiencies.
    30 Apr 2012Complaint
    Found that a major incident was not reported to the licensing agency promptly, involving two residents in an inappropriate sexual incident.
    • 64CSR14-5.2.f.The licensee shall report major incidents to the licensing agency as soon as possible and no later than the next business day
    30 Apr 2012Revisit
    Deficiency corrected on follow-up.
    09 Apr 2012Complaint
    Investigated a complaint and found no deficiencies.
    27 Feb 2012Licensure
    Found deficiencies in employee orientation and training, with inadequate training within the first 15 days and missing required topics.
    • Type A64CSR14-5.5.a.Employee Orientation and Training
    27 Feb 2012Licensure
    Found no deficiencies during the survey.
    22 Feb 2012Life Safety
    Found no deficiencies. No violations were cited.
    22 Feb 2012Life Safety
    Found no deficiencies.
    07 Dec 2011Complaint
    Investigated a complaint and found it unsubstantiated.
    06 Jun 2011Revisit
    Found deficiencies during the licensure survey and later confirmed corrections were completed on follow-up.
    06 Jun 2011Revisit
    Found deficiencies cited for two items during follow-up (E 003 and E 005).
    20 Apr 2011Revisit
    Identified deficiencies in contract administration and medication security in memory care.
    • 64CSR14-5.7.c.Admission and Discharge
    • 64CSR14-7.4.g.Health Care Standards
    20 Apr 2011Revisit
    Identified failures to provide copies of disclosure statements to residents or legal representatives and to maintain signed and dated copies in the residents' records, with multiple incomplete forms identified.
    • 64CSR85-5.4Admission, Transfer & Discharge
    23 Mar 2011Life Safety
    Found no deficiencies during the annual licensure survey. No technical assistance was needed.
    23 Mar 2011Life Safety
    Found no deficiencies. No technical assistance was provided.
    24 Feb 2011Licensure
    Identified deficiencies in annual memory-unit staff training and resident disclosure statements; several staff did not complete the required training and some disclosures were incomplete or unsigned.
    • 64CSR85-4.1.d.Human Resources-Orientation & Training
    • 64CSR85-5.4Admission, Transfer & Discharge
    24 Feb 2011Licensure
    Found deficiencies in staff training, contract documentation, and medication management, including training gaps, incomplete contracts, MAR inaccuracies, unlocked med storage, and infection control lapses during med administration.
    • 64CSR14-5.5.b.Employee Orientation and Training
    • 64CSR14-5.7.c.Admission and Discharge
    • 64CSR14-7.4.a.Health Care Standards
    • 64CSR14-7.4.f.Health Care Standards
    • 64CSR14-7.4.g.Health Care Standards
    • 64CSR14-7.4.m.Health Care Standards
    02 May 2010Complaint
    Determined lack of evidence to support the allegation.
    21 Apr 2010Revisit
    Corrected all deficiencies and provided technical assistance.
    30 Mar 2010Complaint
    Investigated the complaint and found no deficiencies.
    30 Mar 2010Complaint
    Investigated the complaint and found it unsubstantiated.
    08 Mar 2010Life Safety
    Found no deficiencies cited during the survey.
    08 Mar 2010Life Safety
    Found no deficiencies identified during the survey.
    24 Feb 2010Licensure
    Identified deficiencies in dementia care training, care planning and assessments, behavior management, medication monitoring, and activity program credentials.
    • 64CSR85-4.1.c.Human Resources-Orientation & Training
    • 64CSR85-6.3.a.-f.Assessments & Plans of Care
    • 64CSR85-7.1.a.-h.Behavior Management
    • 64CSR85-7.3.a.-e.Behavioral Management - Psychotropic Medication Monitoring
    • 64CSR85-9.2.a.-d.Activities
    24 Feb 2010Licensure
    Found no deficiencies. Technical assistance was provided.
    29 Dec 2009Complaint
    Identified medication administration deficiencies, including pre-pouring in unmarked cups and timing changes without proper orders, risking resident safety.
    • 64CSR14-7.4.aHealth Care Standards
    • 64CSR14-7.4.bHealth Care Standards – Prescription orders for medications
    22 Sept 2009Complaint
    Investigated the complaint and found no deficiencies.
    28 May 2009Revisit
    Identified a deficiency that was corrected.
    29 Apr 2009Revisit
    Found deficiencies in medication administration records due to missing routes of administration for multiple residents.
    • 64CSR14-7.4.f.Health Care Standards
    29 Apr 2009Initial
    Found no deficiencies during the initial licensure survey.
    08 Apr 2009Life Safety
    Found no deficiencies. Census counted 57 residents.
    08 Apr 2009Life Safety
    Found no deficiencies.
    26 Mar 2009Licensure
    Found deficiencies in handling resident complaints, ensuring transfer/discharge documentation accompanies residents, and documenting routes of medication administration.
    • 64CSR14-6.2.n.Resident Rights
    • 64CSR14-7.1.g.Health Care Standards - Transfer/Discharge Summary
    • 64CSR14-7.4.f.Health Care Standards - Medication Documentation and Administration
    01 Feb 2009Revisit
    Corrected deficiencies following the complaint investigation.
    • Deficiency E006
    16 Apr 2008Revisit
    Deficiencies identified during the initial licensure survey were corrected at follow-up, with technical assistance provided.
    20 Mar 2008Life Safety
    Found no deficiencies.
    18 Mar 2008Licensure
    Identified multiple deficiencies including lack of privacy during personal care, complaints not being resolved promptly, medications not being available for administration, and meals not consistently freshly prepared.
    • 64CSR14-6.2.j.Privacy during personal assistance
    • 64CSR14-6.2.n.Resident rights - prompt action on complaints
    • Type A64CSR14-7.4.a.Health care standards - medications administered as ordered
    • Type B64CSR14-9.1.b.Dietary services - freshly prepared meals
    25 Jun 2007Revisit
    Investigated a May 15-16, 2007 complaint and found a deficiency that was corrected.
    16 May 2007Revisit
    Corrected deficiencies during the follow-up with technical assistance provided.
    16 May 2007Complaint
    Investigated found that staff mishandled medications and failed to report a major incident, leaving a large quantity of DuoNeb unsecured and not properly accounted for.
    • Type A64CSR14-5.2.a.Medication handling and accountability
    • f64CSR14-5.2.f.Reporting major incidents
    • g64CSR14-7.4.g.Storage of medications; locked storage
    28 Mar 2007Licensure
    Investigated deficiencies found in staff training and medication administration practices. Found failures to provide annual in-service on required topics and to observe actual medication passes with proper documentation.
    • 64CSR14-5.5.b.Employee Orientation and Training
    • 64CSR14-7.4.a.Health Care Standards
    28 Mar 2007Revisit
    Investigated a complaint; deficiencies were corrected after follow-up.
    26 Mar 2007Life Safety
    Found no deficiencies.
    19 Feb 2007Complaint
    Investigated found that major incidents were not reported to the licensing authority as required and uncovered additional deficiencies in activities, facility cleanliness, and odor control.
    • 64CSR14-5.2.f.Major incident reporting
    • 64CSR14-3.23Major incident reporting
    • 4.11.aDeficiency class assignment
    • 64CSR14-8.2.a.-c.Activities
    • 64CSR14-11.1.d.Physical Facilities
    25 Jul 2006Revisit
    Corrected deficiencies cited during the survey.
    06 Jul 2006Revisit
    Identified repeat failures to ensure timely TB screening and reading of TB tests for residents, with multiple overdue or unread results noted.
    • 64CSR14-7.3.a.Health Care Standards
    • 64CSR14-7.3.a.Health Care Standards
    • 64CSR14-7.3.a.Health Care Standards
    06 Jul 2006Complaint
    Investigated the complaint. Found no deficiencies.
    26 May 2006Revisit
    Found deficiencies in staffing levels and on-call coverage, gaps in TB screening and health assessments, and lack of clear PRN medication parameters, raising safety concerns for residents.
    • 64CSR14-5.4.a.Staffing Requirements
    • 64CSR14-7.3.a.Health Care Standards - TB Screening
    • 64CSR60Medication Administration by Unlicensed Personnel
    05 Apr 2006Life Safety
    Found no deficiencies.
    28 Mar 2006Licensure
    Identified multiple deficiencies in administrative requirements and health care standards, including pre-hire abuse registry checks, health assessments, PRN medication parameters, prescription orders, and self-administration oversight.
    • 64CSR14-5.1.g.ADMINISTRATIVE REQUIREMENTS
    • 64CSR14-7.3.a.HEALTH CARE STANDARDS
    • 64CSR14-7.4.a.HEALTH CARE STANDARDS
    • 64CSR14-7.4.b.HEALTH CARE STANDARDS
    • 64CSR14-7.4.c.HEALTH CARE STANDARDS
    21 Nov 2005Revisit
    Investigated a complaint and deficiencies were identified and later corrected.
    21 Nov 2005Complaint
    Deleted after informal dispute resolution; concerns about night shift staffing and delays in responding to residents were noted.
    31 Aug 2005Revisit
    Identified improper medication administration by unlicensed staff, insufficient RN oversight, missing quarterly AMAP reviews, and inadequate Schedule II drug controls.
    • WV Code §16-5O-1 et seq.; 64CSR60Re-Licensure quarterly reviews for AMAPs
    • 64CSR14-7.4.a.; WV Code §16-5O-1 et seq.; 64CSR60Health care standards – licensed professionals provide care; AMAP scope and delegation
    • 64CSR14-7.4.j.; WV Code §60A-1-101 et seq.Health care standards – documentation and control of Schedule II medications
    21 Jul 2005Revisit
    Identified extensive deficiencies in staffing, medication management, care planning, and facility safety systems, indicating non-compliance with state standards.
    • 64CSR14-5.4.a.STAFFING REQUIREMENTS
    • 64CSR14-7.3.d.HEALTH CARE STANDARDS - Assessments and service plans
    • 64CSR14-7.4.a.HEALTH CARE STANDARDS - Licensed staff for care and medications
    • 64CSR14-7.4.b.HEALTH CARE STANDARDS - Prescriptions and MAR accuracy
    • 64CSR14-7.4.e.HEALTH CARE STANDARDS - Physician review of med regimens
    • 64CSR14-7.4.g.HEALTH CARE STANDARDS - Secure medication storage
    • 64CSR14-7.4.h.HEALTH CARE STANDARDS - Original containers and labeling
    • 64CSR14-7.4.m.HEALTH CARE STANDARDS - Infection control
    • 64CSR14-7.6.h.HEALTH CARE STANDARDS - RN weekly progress notes
    • 64CSR14-11.1.i.PHYSICAL FACILITIES - Call system accessibility
    15 Jun 2005Revisit
    Found numerous deficiencies in staffing, resident care, medication management, and recordkeeping, showing repeated failures to meet state rules.
    • 64CSR14-5.4.a.STAFFING REQUIREMENTS
    • 64CSR14-5.4.g.STAFFING REQUIREMENTS
    • 64CSR14-5.5.b.EMPLOYEE ORIENTATION AND TRAINING
    • 64CSR14-7.3.d.HEALTH CARE STANDARDS
    • 64CSR14-7.4.a.HEALTH CARE STANDARDS
    • 64CSR14-7.4.b.HEALTH CARE STANDARDS
    • 64CSR14-7.4.c.HEALTH CARE STANDARDS
    • 64CSR14-7.4.h.HEALTH CARE STANDARDS
    • 64CSR14-7.5.c.HEALTH CARE STANDARDS
    • 64CSR14-7.6.f.HEALTH CARE STANDARDS
    • 64CSR14-7.6.g.HEALTH CARE STANDARDS
    • 64CSR14-7.6.h.HEALTH CARE STANDARDS
    • 64CSR14-7.7.c.UPON DEATH, BELONGINGS DISPOSITION
    • 64CSR14-11.1.d.PHYSICAL FACILITIES
    24 Mar 2005Life Safety
    Found no deficiencies. Environment section recorded a census of 73.
    16 Mar 2005Complaint
    Identified multiple deficiencies across resident care, staffing, medication management, recordkeeping, activities, and abuse reporting.
    • 64CSR14-5.1.aAdministrative Requirements
    • 64CSR14-5.3.eTHE ADMINISTRATOR
    • 64CSR14-5.4.gSTAFFING REQUIREMENTS
    • 64CSR14-5.5.aEMPLOYEE ORIENTATION AND TRAINING
    • 64CSR14-5.5.bEMPLOYEE ORIENTATION AND TRAINING
    • 64CSR14-5.6.aPERSONNEL RECORDS
    • 64CSR14-6.2.cRESIDENT RIGHTS
    • 64CSR14-7.2.b.1-5HEALTH CARE STANDARDS
    • 64CSR14-7.3.cHEALTH CARE STANDARDS
    • 64CSR14-7.3.dHEALTH CARE STANDARDS
    • 64CSR14-7.4.aHEALTH CARE STANDARDS
    • 64CSR14-7.4.bHEALTH CARE STANDARDS
    • 64CSR14-7.4.gHEALTH CARE STANDARDS
    • 64CSR14-7.4.hHEALTH CARE STANDARDS
    • 64CSR14-7.4.mHEALTH CARE STANDARDS
    • 64CSR14-7.5.cHEALTH CARE STANDARDS
    • 64CSR14-7.6.dHEALTH CARE STANDARDS
    • 64CSR14-7.6.hHEALTH CARE STANDARDS
    • 64CSR14-7.7.bHEALTH CARE STANDARDS
    • 64CSR14-7.7.cHEALTH CARE STANDARDS
    • 64CSR14-8.1ACTIVITIES
    • 64CSR14-8.2.a-cACTIVITIES
    • 64CSR14-9.1.dDIETARY SERVICES
    17 Nov 2004Complaint
    Investigated the complaint and found no deficiencies.
    17 Aug 2004Revisit
    Investigated deficiencies were corrected after follow-up visits; follow-up oversight confirmed improvements.
    02 Jun 2004Revisit
    Identified deficiencies regarding admission contracts, health assessments, TB screening, and functional needs assessments not being current or complete for residents.
    • 64CSR14-5.7.b.1-8Admission and Discharge
    • 64CSR14-7.3.aHealth Care Standards
    • 64CSR14-7.3.bHealth Care Standards
    11 Mar 2004Licensure
    Identified multiple deficiencies in staff training, records, admissions, resident rights, health assessments, and medication management.
    • 64CSR14-5.5.a.EMPLOYEE ORIENTATION AND TRAINING
    • 64CSR14-5.5.b.EMPLOYEE ORIENTATION AND TRAINING
    • 64CSR14-5.6.a.1-4PERSONNEL RECORDS
    • 64CSR14-5.6.a.1-4PERSONNEL RECORDS
    • 64CSR14-5.7.b.ADMISSION AND DISCHARGE
    • 64CSR14-5.7.g.ADMISSION AND DISCHARGE
    • 64CSR14-6.2.n.RESIDENT RIGHTS
    • 64CSR14-7.3.a.HEALTH CARE STANDARDS
    • 64CSR14-7.3.b.HEALTH CARE STANDARDS
    • 64CSR14-7.3.d.HEALTH CARE STANDARDS
    • 64CSR14-7.4.a.HEALTH CARE STANDARDS
    • 64CSR14-7.4.b.HEALTH CARE STANDARDS
    • 64CSR14-7.4.c.HEALTH CARE STANDARDS
    • 64CSR14-7.4.g.HEALTH CARE STANDARDS
    • 64CSR14-7.6.h.HEALTH CARE STANDARDS
    25 Feb 2004Life Safety
    Found no deficiencies in an environmental survey.
    20 Nov 2003Complaint
    Identified staffing and health care deficiencies, including inadequate direct care staffing, missing resident service plans, and improper medication management and assessment practices.
    • 64CSR14-5.4.b.STAFFING REQUIREMENTS
    • 64CSR14-7.3.c.HEALTH CARE STANDARDS
    • 64CSR14-7.4.c.HEALTH CARE STANDARDS
    • 64CSR14-7.4.g.HEALTH CARE STANDARDS
    • 64CSR14-7.5.b.HEALTH CARE STANDARDS
    02 Jun 2003Revisit
    Corrected deficiencies.
    15 May 2003Revisit
    Provided technical assistance and found no deficiencies.
    12 Mar 2003Inspection
    Multiple deficiencies found: service plans not regularly updated, nursing documentation incomplete, and improper medication supervision and incident reporting.
    • 64CSR14-7.2.2SERVICE PLAN
    • 64CSR14-7.3.13.c.RESIDENT HEALTH
    • 64CSR14-7.3.13.e.RESIDENT HEALTH
    • 64CSR14-7.3.13.f.RESIDENT HEALTH
    • 64CSR14-7.5.4ACCIDENTS ILLNESSES & INCIDENTS
    • 64CSR14-12.2.2NURSING SERVICES
    • 64CSR14-12.2.5.d.NURSING SERVICES
    11 Mar 2003Revisit
    Identified deficiencies in staffing levels for day and evening shifts and in maintaining current nursing care plans for residents.
    • 64CSR14-5.4.b.STAFFING REQUIREMENTS
    • 64CSR14-7.6.g.HEALTH CARE STANDARDS
    03 Feb 2003Revisit
    Investigated a complaint found ongoing staffing shortages and health care deficiencies, including failure to involve licensed professionals, inadequate monitoring after incidents, and incomplete nursing service plans.
    • 64CSR14-5.4.b.STAFFING REQUIREMENTS
    • 64CSR14-7.5.b.HEALTH CARE STANDARDS
    • 64CSR14-7.5.c.HEALTH CARE STANDARDS
    • 64CSR14-7.6.g.HEALTH CARE STANDARDS
    09 Jul 2002Revisit
    Found failures to document emergency procedures training within 24 hours for new hires and incomplete orientation sign-offs, indicating training records were not properly completed.
    • 64CSR14-5.4.2Staff Training and Orientation
    03 Apr 2002Licensure
    Identified deficiencies in emergency procedures training documentation for new staff and missing documentation on the disposition of residents' personal effects.
    • 64CSR14-5.4.2Staff Training and Orientation
    • 64CSR14-7.7.3.i.Resident Records
    17 Apr 2001Life Safety
    Found grab bars missing in toilets, tubs, and showers and insufficient accessible bathing facilities for residents.
    • 64CSR14-11.5.7Grab bars in toilets, tubs, and showers
    • 64CSR14-11.5.9Toilet facilities accessible
    15 Mar 2001Licensure
    Found no deficiencies. Technical assistance addressed several ongoing staffing and resident-care requirements, including CPR training, TB screening, administrator coverage, nursing service oversight, annual physicals, clothing inventories, and a 72-hour emergency menu.

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