Celebration Villa of Teays Valley

    4000 Outlook Dr, Hurricane, WV 25526
    • Assisted Living
    • Memory Care

    Caring staff, clean home-like environment

    I placed my mom at Celebration Villa and I'm very pleased - the staff are caring, compassionate and attentive, the community is clean and homey, and the activities, dining and on-site therapy/salon make daily life easy. Memory care felt secure, rooms are comfortable with private baths, and management was responsive during the move. Great care and real peace of mind; I'd recommend it.

    Loved one of resident
    Jul 2026

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    Reviews

    4.14·(74)

    Overall rating

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

      4.0
    • Staff

      4.2
    • Meals

      3.9
    • Amenities

      3.9
    • Value

      2.9

    Pros

    • Caring, compassionate direct-care staff
    • Knowledgeable nursing leadership
    • Engaging, varied activity program
    • Multiple dining venues with restaurant-style service
    • On-site therapy and rehabilitation services
    • On-site salon and barber services
    • Private studio apartments with en-suite bathrooms
    • Renovated, upscale common areas and furnishings
    • Enclosed courtyard and memory-care safety features
    • Movie-theater and dedicated entertainment spaces
    • Scheduled shuttle service and regular outings
    • Hospice coordination and clinical continuity
    • Thorough pre-admission evaluations and multiple levels of care
    • Responsive admissions support and insurance guidance
    • Family-oriented, home-like atmosphere

    Cons

    • Inconsistent housekeeping and sanitation practices
    • Incontinence-care delays and inconsistent personal-care routines
    • Variable staffing levels and uneven staff training
    • Gaps in medication-administration controls
    • Weak family–facility communication and administrative responsiveness
    • Inconsistent meal-service continuity and delivery reliability
    • Variability in memory-care programming and progression planning
    • Patchwork facility condition with older areas awaiting renovation
    • Odor concerns in some units and common areas
    • Lack of transparent billing and fee communication
    • Gaps in clinical incident response and post-fall assessment

    Summary of reviews

    Overall impression Celebration Villa of Teays Valley elicits a strongly mixed but patternable response. Many families and residents praise the direct-care teams, activity program, dining ambience, and several recently renovated spaces; these strengths create a home-like environment that reviewers frequently characterize as welcoming and supportive. At the same time, there are consistent operational concerns—primarily around housekeeping, communication, staffing consistency, and certain aspects of clinical follow-up—that prospective families should evaluate during a tour.

    Care and staff Direct-care staff and bedside nurses are commonly described as compassionate, attentive, and capable, and the facility’s nursing leadership and clinical resources (on-site therapists, nurse oversight, hospice coordination) are frequently cited as positives. That said, multiple accounts indicate variability in caregiver performance and training, occasional medication-administration issues, and uneven responsiveness to personal-care needs (including delays in addressing incontinence needs and clothing changes). There are also specific concerns about the facility’s processes for clinical incidents and post-fall assessment; prospective families should ask about staffing ratios, incident protocols, and medication-safety checks.

    Dining and activities Dining and social programming are among the facility’s stronger areas. Many reviewers praise the restaurant-style dining rooms, attractive table service, and a varied menu; leisure amenities include multiple dining venues, a movie-theater space, a staffed activities calendar, religious services, outings, book club, and an active activities director. However, there are intermittent reports of meal-service lapses (missed or cleared plates, repeated menu items, or delivery issues) and inconsistent food quality for some residents. Confirm how meal continuity, special-diet accommodations, and room service are handled, and ask about any extra charges for meal delivery or supplies.

    Facilities and cleanliness The physical plant presents as a mix of recently updated, upscale areas and older zones awaiting renovation. Positive elements include updated bathrooms, fresh furnishings, an enclosed memory-care courtyard, and entertainment spaces. Offsetting those are sanitation and pest-control concerns in some resident rooms and common areas, intermittent odor issues, and reports of inconsistent housekeeping (for example, restocking supplies and room cleaning). On tours, inspect both renovated and older suites, check housekeeping schedules, and look for any lingering odors.

    Management, administration, and fees Administrative experiences vary. Several families report responsive admissions staff, helpful insurance guidance, and good communication from specific directors. Conversely, other families describe poor administrative responsiveness, unexpected price increases, opaque billing or extra-fee practices, and slow follow-up on queries or missing items. Those differences suggest that management stability and communication practices can be uneven; ask explicitly about billing policies, fee schedules, notification practices for price changes, and who will be your primary point of contact.

    Notable patterns and guidance for families The reviews form a clear pattern of polarization: many residents and families are very satisfied—citing improved health, consistent meals, enriching activities, and a family-like staff culture—while a subset of reviewers have experienced operational lapses that materially affected care or comfort. When evaluating Celebration Villa of Teays Valley, prospective residents and families should: tour both common areas and resident rooms (including memory-care spaces); observe cleanliness and any odors; request staffing ratios and medication-safety protocols; review housekeeping schedules and incontinence-care policies; ask about memory-care programming and progression planning; and obtain a written fee and billing disclosure. These checks will help determine whether the facility’s strengths align with a prospective resident’s needs and expectations.

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    Location

    Map showing location of Celebration Villa of Teays Valley

    Celebration Villa of Teays Valley is located at 4000 Outlook Dr, Hurricane, WV, 25526.

    About Celebration Villa of Teays Valley

    Celebration Villa Of Teays Valley offers assisted living, memory care, independent living, and nursing home services for adults 55 and older in a quiet neighborhood setting, with paths for walking under trees and a landscaped courtyard with benches where people can sit and watch the day go by, as well as a covered patio with ceiling fans, tables, and chairs where residents can visit or just enjoy some fresh air. There's a special Memory Care Neighborhood, including a suite with calming yellow and gray colors, a bedroom, a sitting area, and personal touches, all designed to help people living with Alzheimer's and dementia feel calm and safe, with the "Along the Journey" program focusing on emotional well-being, comfort, and respect while also providing a secured outdoor area so folks can safely spend time outside and enjoy raised garden beds and flower beds. The staff is friendly and works hard to treat each resident with respect, focusing on supporting independence and wellness, offering help with everyday needs like bathing, dressing, and managing medicine, while skilled nursing and therapy services, like visits from physical and occupational therapists, are available for those who need them. The dining room is spacious and bright, with round tables for eating meals together, and the kitchen serves three nutritious meals a day, including vegetarian options, and there are plenty of chances to socialize in the common room by the fireplace, at the TV lounge with outdoor views, or in the library where you can read or step outside onto another patio. The on-site salon is set up for both men and women, with hair dryers and barber capes, so residents can keep up with personal care, and laundry and housekeeping services are available to keep things comfortable. Celebration Villa runs Life Enrichment programming, offering activities, family nights, live music, trivia, art, outings, worship services, and local trips to keep minds and bodies active. The staff creates flexible care plans that adjust as needs change, making use of both private and semi-private studios, some with jack and jill arrangements, so there's a spot for people who want more privacy and those who prefer sharing. There's respite care for short-term stays after a hospital visit or while a caregiver takes a break, and support groups are part of the community for families and residents. People can bring some pets if they want to, and there's in-house laundry, emergency help, and medication support. The building design supports safety and comfort, with accessible features and secure areas for memory care. Photo galleries are available for those who want to get a better look before visiting, and the community puts care into offering meals, activities, wellness programs, and living spaces that help seniors feel at home, with a focus on making things as easy and independent as possible for each resident, whether staying short-term or long-term.

    About Priority Life Care

    Celebration Villa of Teays Valley is managed by Priority Life Care.

    Priority Life Care stands as a prominent family-owned senior living provider that was founded in 2009 by the Petras family during a Thanksgiving dinner business presentation. The company opened its first community in Maple Heights, Ohio in 2010 and has since grown to operate 66 senior living communities spanning from New York to Texas. Headquartered in Fort Wayne, Indiana, Priority Life Care has established itself as a significant player in the senior housing industry under the leadership of Co-Founder and CEO Sevy Petras. The company received Great Place to Work certification for both 2022-2023 and 2023-2024 cycles, reflecting its commitment to workplace excellence.

    People often ask...

    Celebration Villa of Teays Valley offers assisted living and memory care.

    There are 18 photos of Celebration Villa of Teays Valley on Mirador.

    The full address for this community is 4000 Outlook Dr, Hurricane, WV 25526.

    No, Celebration Villa of Teays Valley 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 number1791
    StatusActive
    Facility typeAssisted Living Residence
    Capacity77 residents
    LicenseeEC OPCO TEAYS VALLEY, LLC TRADENAME CELEBRATION VILLA OF TEAYS VALLEY
    EffectiveOctober 5th, 2025
    ExpiresOctober 4th, 2026
    View the official license record

    Inspection Reports

    133

    Reports

    16

    Type A Citations

    2

    Type B Citations

    57

    Complaints

    25

    Years

    08 Jan 2026Complaint
    Found no deficiencies after investigating the complaint.
    08 Jan 2026Complaint
    Investigated a complaint and found no deficiencies cited. The investigation occurred January 7-8, 2026.
    30 Jul 2025Revisit
    Verified credible evidence was accepted in lieu of an onsite revisit and all outstanding citations were corrected.
    19 Jun 2025Licensure
    Identified deficiencies in quarterly assessments not consistently revised with the interdisciplinary team, lack of documented activity calendars, and improper storage of cleaning chemicals.
    • Assessments and care plans quarterly revisions
    • Activities
    • Laundry
    17 Jun 2025Life Safety
    Found substantial compliance; no deficiencies were cited.
    04 Jun 2025Revisit
    Investigated the follow-up to the complaint and confirmed the deficiency was corrected.
    26 Mar 2025Complaint
    Investigated a complaint and found that admission contracts did not fully disclose all costs or what changes in care would affect charges.
    • Admission contract lacked full disclosure of costs and changes in level of care
    08 May 2024Life Safety
    Found no deficiencies. The residence was in substantial compliance with state requirements.
    08 May 2024Licensure
    Found no deficiencies. An annual survey was conducted May 6-8, 2024.
    13 Jul 2023Licensure
    Found no deficiencies.
    12 Jul 2023Complaint
    Investigated the complaint; found no evidence to support the allegation.
    12 Jul 2023Life Safety
    Found no deficiencies cited during the annual review.
    09 Nov 2022Revisit
    Concluded follow-up to annual survey; all deficiencies were corrected.
    20 Sept 2022Complaint
    Found deficiencies in medication management, including orders not accurately reflected in MARs and changes not properly documented, which affected multiple residents. Staffing issues contributed to medications not being administered when needed and poor documentation.
    • E 382Medications and Treatments
    • E 258Staffing Requirements
    • E 331Treatment
    • E 386Medications and Treatments
    17 Aug 2022Complaint
    Identified deficiencies in post-incident documentation and evening staffing that could affect residents’ safety.
    • Accident, Illness, and Major Incident ProceduresMonitor and document resident condition after accident or onset of illness
    • Staffing RequirementsEvening staffing levels for residents with two or more special care needs
    17 Aug 2022Complaint
    Found no deficiencies; the complaint allegation was unsubstantiated.
    30 Jun 2022Licensure
    Found multiple deficiencies related to resident record-keeping, discharge documentation, medication administration, access to policies, staff training, contract disclosures, safety, and CPR provisions.
    • E 300Registry of residents; discharge/death dates
    • E 417Release of resident belongings to estate administrator/executor
    • E 382Need for physician orders to alter medications (crushing) and record-keeping
    • E 296Access to policies and procedures in admission contract
    • E 269Employee orientation and training on specialty care topics
    • E 288Disclosure of liability insurance in admission contract
    • E 450Maintenance of a safe, sanitary interior; storage of hazardous chemicals
    • E 282CPR provision in health and nursing care services contract
    27 Jun 2022Life Safety
    Found deficiencies in infection control related to laundry handling, in evacuation documentation for new admissions, and in building upkeep.
    • Infection control—laundry handling
    • Emergency evacuation—new resident orientation and documentation
    • Physical Facilities—interior/exterior safe, sanitary living environment
    • Physical Facilities—clean interior/exterior and air ventilation
    15 Feb 2022Revisit
    Found no deficiencies.
    11 Feb 2022Complaint
    Found no deficiencies.
    17 Jan 2022Revisit
    Found no deficiencies.
    28 Sept 2021Revisit
    Verified that previously noted deficiencies were corrected; no current deficiencies cited.
    07 Jul 2021Life Safety
    Found no deficiencies.
    14 Apr 2021Inspection
    Identified widespread deficiencies in training, assessments, care planning, record-keeping, and infection control across staff, with several WV CARES, POST, and resident-record requirements not met.
    • 64CSR85-4.1.cEmployee Orientation and Training
    • 64CSR85-4.1.cEmployee Orientation and Training
    • 64CSR85-4.1.c.11Abuse prevention
    • WV Code 16-49-1 et seq.; WVCARES (69-10-1 et seq.)WV Care for Access (Background Checks) / Personnel Records
    • WV Code 16-49-1 et seq.; WVCARES (69-10-1 et seq.)General Administrative Requirements
    • Accident, Illness, and Major Incident Procedure
    • 64-14.6.2.2.aResident Records - Demographics
    • 64-14.6.2.2.bResident Records - Demographics / Contact Information
    • 64CSR85-6.3Assessment & Service Plans
    • 64CSR85-8.1Physical Facilities
    • 64CSR85-7.xDietary Services
    • General Personnel Records RequirementsPersonnel Records
    • General Administrative Requirements (Death Documentation)Resident Death
    • WV POST/Advance Directives DocumentationPOST / Advanced Directives
    • Infection Control / General StandardsInfection Control
    • Resident Orientation and Training
    25 Jan 2021Inspection
    Found no deficiencies.
    31 Dec 2019Complaint
    Investigated missing transfer documentation for a resident and found essential information was not accompanied during transfers. Transfer/discharge forms were unavailable for review for two transfers.
    • Transfer/discharge documentation missing
    19 Nov 2019Revisit
    Verified that all deficiencies were corrected as of 11/19/19.
    31 Oct 2019Life Safety
    Identified environmental CHOW deficiencies and later confirmed they were corrected.
    03 Sept 2019Life Safety
    Identified multiple deficiencies in laundry storage, building maintenance, fire safety preparedness, and emergency planning. Specifically, soiled laundry was stored with clean linens and transported in an uncovered basket; exterior covers were missing for PTAC units and fencing was damaged; no emergency shelter agreement was documented.
    • Type ALaundry storage and handling
    • Type BLaundry storage and handling
    • Type APhysical Facilities
    • Type BPhysical Facilities
    • Type AFire Safety, Disaster and Emergency Preparedness
    15 Aug 2019Inspection
    Found multiple deficiencies including failure to complete timely assessments and care plans for a resident, missing and unsecured records, and several rights and transfer documentation issues.
    • 64CSR85-6.1Assessments & Plans of Care
    • 64CSR85-6.2Assessments & Plans of Care
    • 64CSR85-6.3.a.-f.Assessments & Plans of Care
    • Resident Death - Release of belongings
    • Physical Facilities - Call system
    • Treatment - Right to pharmacist and advanced directives
    • Resident Rights - Notice of Privacy Practices (fee for copies)
    • Health Care Standards - transfer/discharge documentation and records
    22 Jul 2019Revisit
    Confirmed deficiencies were corrected following a complaint follow-up.
    19 Jun 2019Complaint
    Investigated the complaint and found no deficiencies cited.
    02 May 2019Complaint
    Found deficiencies related to abuse/neglect reporting, staffing, and mandatory notifications to authorities. Policies and practices did not meet applicable regulations.
    • 64CSR14-5.1.AGeneral Administrative Requirements – Abuse reporting policy alignment and documentation
    • 64CSR14-5.4.bStaffing Requirements - Memory care direct care staffing
    • 64CSR14-6.2.cReporting neglect to APS per WV Code 9-6-9 and 48-hour form
    • 64CSR14-6.2.dImmediate and thorough documentation and investigation of allegations; measures to prevent further abuse
    • 64CSR14-6.2.fNotify licensing agency within 72 hours and forward investigation documentation
    • Complaint Investigation Documentation
    28 Feb 2019Complaint
    Investigated the complaint and found no deficiencies.
    28 Feb 2019Complaint
    Investigated a complaint and found no deficiencies.
    04 Feb 2019Revisit
    Concluded that the deficiency was corrected following a desk review.
    13 Nov 2018Life Safety
    Found no deficiencies cited during the annual licensure and environmental surveys.
    01 Nov 2018Licensure
    Found no deficiencies. The licensure survey occurred October 29 to November 1, 2018, with a census of 70.
    13 Mar 2018Complaint
    Found no deficiencies.
    30 Nov 2017Licensure
    Found no deficiencies cited during the surveys.
    27 Nov 2017Life Safety
    Found no deficiencies cited during the environmental surveys conducted on November 27, 2017.
    15 Dec 2016Licensure
    Identified multiple deficiencies in dementia care, including inadequate staff training, incomplete assessments and care plans, improper incident reporting, health assessments and TB screenings, dietary management, and major incident reporting.
    • 64CSR85-4.1.c.Human Resources-Orientation & Training 4.1.c.
    • 64CSR85-4.1.d.Human Resources-Orientation & Training 4.1.d.
    • 64CSR85-6.1.Assessments & Plans of Care 6.1
    • 64CSR85-6.2.Assessments & Plans of Care 6.2
    • 64CSR85-6.3.a.-f.Assessments & Plans of Care 6.3
    • 64CSR85-6.6.Assessments & Plans of Care 6.6
    • 64CSR85-7.1.a.-h.Behavioral Management 7.1
    • 64CSR85-7.3.a.-e.Behavioral Management 7.3
    • 64CSR14-5.2.f.Health Care Standards- Major incidents reporting
    • 64CSR14-7.4.b.Health Care Standards- Medication Orders
    • 64CSR14-7.5.c.Health Care Standards- Post-incident monitoring
    • 64CSR14-9.1.c.Dietary Services- Therapeutic diets
    21 Nov 2016Life Safety
    Found no deficiencies.
    10 Feb 2016Revisit
    Found deficiencies during the annual licensure survey; a follow-up was conducted in February 2017.
    01 Dec 2015Life Safety
    Found no deficiencies cited during the annual survey.
    11 Nov 2015Licensure
    Identified deficiencies in staff in-service training records, Alzheimer’s/dementia training, resident funds management, and post-death handling of belongings and funds.
    • 64CSR14-5.5.b.Employee Orientation and Training
    • 64CSR14-5.5.c.Alzheimer's disease and related dementias training
    • 64CSR14-5.8.a.Management of Resident Funds
    • 64CSR14-7.7.c.Health Care Standards - Death belongings release
    12 Jan 2015Revisit
    Investigated and found no deficiencies.
    07 Jan 2015Life Safety
    Found no deficiencies cited during the environmental survey conducted on 01/07/2015.
    23 Oct 2014Licensure
    Found multiple deficiencies in resident records and care practices, including missing transfer locations, outdated or incomplete care plans, medication administration errors, training gaps, and dietary documentation issues.
    • 64CSR14-5.7.h.Admission and Discharge
    • 64CSR14-7.3.d.Health Care Standards
    • 64CSR14-7.4.b.Health Care Standards
    • 64CSR14-7.4.c.Health Care Standards
    • 64CSR14-7.6.i.Health Care Standards
    • 64CSR14-7.7.c.Health Care Standards
    • 64CSR14-9.1.c.Dietary Services
    16 Jun 2014Complaint
    Investigated the complaint; found no deficiencies.
    23 Dec 2013Revisit
    Found no deficiencies.
    30 Oct 2013Life Safety
    Found no deficiencies.
    09 Oct 2013Complaint
    Found no deficiencies after investigating the complaint.
    02 Oct 2013Licensure
    Found deficiencies in staff training, wound care documentation, medication administration, weekly nursing oversight, and resident weighing.
    • 64CSR14-5.5.b.Employee Orientation and Training
    • 64CSR14-7.3.d.Health Care Standards – Assessment and Service Plans
    • 64CSR14-7.4.b.Health Care Standards – Medication and Treatments
    • 64CSR14-7.6.h.Health Care Standards – Weekly RN Visits
    • 64CSR14-9.1.d.Dietary Services – Weighing Requirements
    11 Sept 2013Complaint
    Investigated the complaint and found no deficiencies.
    15 Jul 2013Complaint
    Investigated a complaint and found no deficiencies.
    25 Apr 2013Complaint
    Investigated the complaint and concluded that there were no deficiencies.
    14 Nov 2012Licensure
    Identified deficiencies in obtaining physician orders for self-administered medications and for discontinuations, and in assessing residents' ability to self-administer medications.
    • 64CSR14-7.4.b.Physician orders for medication self-administration
    • 64CSR14-7.4.c.Determination of self-administration capability
    29 Oct 2012Life Safety
    Identified deficiencies in cleanliness and safety, including dusty ventilation and sprinkler components and a damaged counter, plus unlit light bulbs and missing vaccination records for animals.
    • 64CSR14-11.1.d.Physical Facilities
    • 64CSR14-11.7.d.Physical Facilities
    26 Mar 2012Life Safety
    Found deficiencies during a licensure-related activity and conducted follow-up to monitor census changes.
    06 Mar 2012Complaint
    Investigated a complaint and found the allegation unsubstantiated; provided technical assistance.
    06 Feb 2012Life Safety
    Observed fire safety and physical facility deficiencies, including doors left open, obstructed pull station, missing construction documentation, and improper storage of laundry and supplies.
    • 64CSR14-10.1.a.Fire Safety
    • 64CSR14-11.1.a.Physical Facilities
    • 64CSR14-11.1.b.Physical Facilities
    • 64CSR14-11.1.c.Physical Facilities
    • 64CSR14-11.6.b.Physical Facilities
    04 Jan 2012Life Safety
    Found deficiencies in keeping the interior and exterior clean and in good repair, including dusty vent/exhaust/sprinkler components, a damaged kitchen counter, unlit bulbs in several areas, and improper bread storage.
    • 64CSR14-11.1.d.Physical Facilities - keep interior and exterior clean and in good repair
    • 64CSR14-11.1.d.Physical Facilities - keep interior and exterior clean and in good repair
    • 64CSR14-11.1.d.Physical Facilities - keep interior and exterior clean and in good repair
    • 64CSR14-11.1.d.Physical Facilities - keep interior and exterior clean and in good repair
    03 Jan 2012Revisit
    Found deficiencies cited and corrected after follow-up.
    09 Dec 2011Complaint
    Found direct care staffing did not meet required minimums based on residents' care needs. Under-staffing was observed on most days and residents reported inadequate care.
    • 64CSR14-5.4.b.Staffing Requirements
    • 64CSR14-5.4.b.Staffing Requirements
    07 Dec 2011Life Safety
    Determined that the cited deficiency was deleted and the sprinkler system is in compliance.
    01 Dec 2011Licensure
    Found deficient medication management practices, including missing prescriptions before changing orders for forty residents and incomplete MAR documentation.
    • 64CSR14-7.4.b.Medication orders and prescriptions
    • 64CSR14-7.4.f.Medication administration records (MARs) documentation
    17 Aug 2011Complaint
    Investigated a complaint and found no deficiencies.
    07 Feb 2011Revisit
    Deficiencies corrected during the follow-up.
    25 Jan 2011Revisit
    Investigated a complaint and identified deficiencies that were corrected.
    18 Nov 2010Life Safety
    Found multiple maintenance and housekeeping deficiencies that created unsafe conditions, including fire hazards from combustible materials and unlocked cleaning agents, plus mold, debris, and other sanitary concerns in the kitchen and laundry areas.
    • 64CSR14-11.1.b.Physical Facilities
    • 64CSR14-11.1.b.Physical Facilities
    • 64CSR14-11.1.b.Physical Facilities
    • 64CSR14-11.1.b.Physical Facilities
    • 64CSR14-11.1.b.Physical Facilities
    • 64CSR14-11.1.b.Physical Facilities
    • 64CSR14-11.1.b.Physical Facilities
    • 64CSR14-11.1.b.Physical Facilities
    • 64CSR14-11.1.b.Physical Facilities
    11 Nov 2010Licensure
    Identified deficiencies in resident funds management and diabetes-related medication administration.
    • 64CSR14-5.8.d.Management of Resident Funds
    • 64CSR14-7.4.b.Health Care Standards
    26 Oct 2010Complaint
    Investigated a complaint and found no evidence to substantiate the allegation.
    01 Mar 2010Complaint
    Investigated a complaint and found no deficiencies.
    26 Jan 2010Life Safety
    Corrected deficiencies were confirmed during follow-up.
    • E 005 deficiency
    04 Jan 2010Revisit
    Verified deficiencies corrected after a follow-up visit.
    03 Dec 2009Licensure
    Identified multiple deficiencies across administrative, personnel, admission, resident funds, resident rights, care planning, post-incident monitoring, and dietary areas, indicating failures to meet required regulations.
    • 64CSR14-5.1.gGeneral Administrative Requirements
    • 64CSR14-5.6.aPersonnel Records
    • 64CSR14-5.7.b.1-8Admission and Discharge
    • 64CSR14-5.8.aManagement of Resident Funds
    • 64CSR14-6.2.nResident Rights
    • 64CSR14-7.3.dHealth Care Standards
    • 64CSR14-7.5.cHealth Care Standards
    • 64CSR14-9.1.dDietary Services
    10 Nov 2009Life Safety
    Found no deficiencies.
    28 Oct 2009Revisit
    Investigated a complaint and identified deficiencies; those deficiencies were corrected.
    28 Oct 2009Revisit
    Investigated complaints with follow-up; deficiencies were addressed.
    27 Oct 2009Complaint
    Investigated the complaint and found no deficiencies. Technical assistance was provided.
    16 Sept 2009Revisit
    Found multiple deficiencies in supervising new nursing staff, maintaining training and personnel records, and ensuring proper medication administration and infection control, risking resident well-being.
    • 64CSR14-5.2.b.Protection of residents' physical and mental well-being
    • 64CSR14-5.5.a.Employee Orientation and Training
    • 64CSR14-5.6.a.Personnel Records
    • 64CSR14-7.4.f.Health Care Standards
    • 64CSR14-7.4.m.Health Care Standards – Infection Control during Medication Pass
    05 Aug 2009Revisit
    Found ongoing problems with housekeeping staffing and how complaints were handled, including unclean areas and inadequate investigation responses.
    • 64CSR14-5.4.f.Staffing Requirements
    • 64CSR14-6.2.n.Resident Rights
    30 Jun 2009Complaint
    Identified multiple deficiencies including insufficient housekeeping staff, unresolved complaints, incomplete care planning, elopement risk management gaps, inadequate post-incident monitoring, and unsafe storage of cleaning supplies.
    • 64CSR14-5.4.f.Staffing Requirements
    • 64CSR14-6.2.n.Resident Rights
    • 64CSR14-7.3.c.Health Care Standards
    • 64CSR14-7.3.d.Health Care Standards
    • 64CSR14-7.5.c.Health Care Standards
    • 64CSR14-7.5.d.Health Care Standards
    • 64CSR14-11.6.c.Physical Facilities
    29 Jun 2009Complaint
    Investigated a complaint and found deficiencies in updating the resident's functional needs assessment and care plan after an elopement, inadequate monitoring after a significant change, and failure to promptly notify the physician and responsible party.
    • 64CSR14-7.3.d.Assessment and service plans reflect residents' needs
    • 64CSR14-7.5.c.Monitoring after significant change in resident's condition
    • 64CSR14-7.5.d.Notification of physician and responsible party after major incident
    25 Jun 2009Revisit
    Found deficiencies in medication administration timing and supervision, with inadequate nursing oversight and training.
    • 64CSR14-5.4.h.Staffing Requirements
    14 May 2009Complaint
    Found multiple deficiencies in staffing, scheduling records, medication administration supervision, employee orientation, and narcotics control.
    • 64CSR14-5.4.b.Staffing Requirements
    • 64CSR14-5.4.g.Staffing Requirements
    • 64CSR14-5.4.h.Staffing Requirements
    • 64CSR14-5.5.a.Employee Orientation and Training
    • 64CSR14-7.4.j.Health Care Standards
    05 Mar 2009Complaint
    Investigated a complaint. Findings were unsubstantiated with no deficiencies identified, and technical assistance was provided.
    02 Feb 2009Revisit
    Confirmed deficiencies were corrected after follow-up; technical assistance was provided.
    17 Dec 2008Life Safety
    Found deficiencies in maintaining a safe environment, including lack of oxygen-use signage, unsecured oxygen cylinders, and use of electrical extension cords in resident rooms.
    • 64CSR14-11.1.b.Physical Facilities
    10 Dec 2008Licensure
    Identified multiple deficiencies including failure to follow diabetic monitoring and physician notification policies, incomplete licensure verification, inadequate medication management, improper disposal of medications, and failure to follow therapeutic diets and fluid restrictions.
    • 64CSR14-5.2.aDiabetic monitoring and physician notification
    • 64CSR14-5.6.aPersonnel Records - licensure verification
    • 64CSR14-7.4.bHealth Care Standards - Medications; orders and administration
    • 64CSR14-7.4.kMedication disposal and destruction
    • 64CSR14-9.1.cDietary Services - Therapeutic diets and fluid restrictions
    04 Mar 2008Revisit
    Investigated deficiencies found during the December 2008 licensure survey; one deficiency was corrected on follow-up.
    04 Feb 2008Life Safety
    Identified deficiencies were corrected during follow-up.
    22 Jan 2008Revisit
    Investigated deficiency found failure to provide diabetes care per current standards for several residents, with elevated blood sugars not consistently reported to physicians.
    • 64CSR14-7.4.mHealth Care Standards
    06 Dec 2007Revisit
    Investigated and found deficiencies; corrected by October 2007.
    06 Dec 2007Licensure
    Inspections identified multiple deficiencies across policies, staff training, health records, medication practices, infection control, post-incident monitoring, and dietary management.
    • 64CSR14-5.1.a.General Administrative Requirements
    • 64CSR14-5.1.g.Pre-employment Background Checks
    • 64CSR14-5.5.a.Employee Orientation and Training
    • 64CSR14-5.5.b.In-Service Training
    • 64CSR14-7.2.c.Health Care Standards – Health Records
    • 64CSR14-7.3.d.Health Care Standards – Assessments and Service Plans
    • 64CSR14-7.4.d.Health Care Standards – Medications
    • 64CSR14-7.4.m.Health Care Standards – Infection Control
    • 64CSR14-7.5.c.Health Care Standards – Monitoring After Accident or Illness
    • 64CSR14-7.6.f.Health Care Standards – Nursing Assessments
    • 64CSR14-7.6.g.Health Care Standards – Service Plans
    • 64CSR14-9.1.c.Dietary Services – Therapeutic Diets
    14 Nov 2007Life Safety
    Found no deficiencies during the annual licensure survey.
    04 Oct 2007Revisit
    Investigated ongoing staffing and training deficiencies, finding persistent understaffing and supervision gaps, especially in memory care, along with inadequate employee training on abuse prevention and reporting.
    • 64CSR14-5.4.a.Staffing Requirements
    • 64CSR14-5.4.a.Complaint Investigation
    • 64CSR14-5.4.a.Complaint Follow-Up
    • 64CSR14-5.5.a.Employee Orientation and Training
    • 64CSR14-5.5.b.Employee Orientation and Training
    27 Jul 2007Complaint
    Found insufficient direct-care staffing across shifts and unsafe, unsanitary conditions due to rodent infestation and unlocked hazardous materials.
    • Type A64CSR14-5.4.a.Staffing Requirements
    • Type A64CSR14-11.1.b.Physical Facilities
    • Type A64CSR14-11.6.c.Physical Facilities
    06 Feb 2007Revisit
    Identified deficiencies during licensure activities; follow-up confirmed deficiencies were corrected with only technical assistance.
    07 Dec 2006Life Safety
    Cited a deficiency and verified its correction.
    16 Nov 2006Complaint
    Identified deficiencies across administrative policies, resident safety, staffing, rights, and health care practices.
    • Type A64CSR14-5.1.a.General Administrative Requirements
    • Type A64CSR14-5.2.b.The Licensee shall protect the physical and mental well-being of residents
    • Type A64CSR14-5.4.b.Staffing Requirements
    • Type A64CSR14-6.2.n.Resident Rights
    • Type A64CSR14-7.3.d.Health Care Standards
    • Type A64CSR14-7.4.b.Health Care Standards
    • Type A64CSR14-7.6.g.Health Care Standards
    • Type A64CSR14-7.6.h.Health Care Standards
    • Type A64CSR14-9.1.c.Dietary Services
    15 Nov 2006Life Safety
    Identified a wandering-safety deficiency due to lack of door alarms on the corridor to the service area and an exterior exit; this exit was identified as an escape route for a confused resident.
    • 64CSR14-11.1.j.Alarm systems for wandering residents (Physical Facilities)
    19 Mar 2006Revisit
    Corrected deficiencies identified during the investigation and follow-up activities.
    21 Feb 2006Revisit
    Cited extensive medication administration deficiencies, including insulin management and physician communication, with multiple residents not receiving ordered medications.
    • 64CSR14-7.4.b.Health Care Standards
    31 Jan 2006Revisit
    Investigated found multiple deficiencies related to diabetes management and documentation, including failure to protect residents' well-being and inadequate physician notification and record-keeping.
    • 64CSR14-5.2.b.The licensee shall protect the physical and mental well-being of residents.
    • 64CSR14-7.2.c.Health Care Standards
    • 64CSR14-5.2.b.Complaint Investigations
    • 64CSR14-5.2.b.Survey Follow-Up
    • 64CSR14-7.4.b.Health Care Standards
    • 64CSR14-7.4.m.Health Care Standards
    09 Jan 2006Revisit
    Found staffing and medication administration deficiencies: inadequate direct care staffing on multiple shifts and failure to follow physician orders for medications.
    • 64CSR14-5.4.b.Staffing Requirements
    • 64CSR14-7.4.b.Health Care Standards
    12 Dec 2005Life Safety
    Corrected deficiencies following the follow-up visit.
    29 Nov 2005Licensure
    Identified widespread deficiencies across administrative requirements, health care standards, dietary services, medication management, and resident safety. Findings showed failures in pre-employment screening, health assessments, service plans, medication practices, and facility security.
    • 64CSR14-5.1.gADMINISTRATIVE REQUIREMENTS
    • 64CSR14-5.2.fTHE LICENSEE
    • 64CSR14-5.5.aEMPLOYEE ORIENTATION AND TRAINING
    • 64CSR14-5.5.bEMPLOYEE ORIENTATION AND TRAINING
    • 64CSR14-7.3.aHEALTH CARE STANDARDS
    • 64CSR14-7.3.aHEALTH CARE STANDARDS
    • 64CSR14-7.3.dHEALTH CARE STANDARDS
    • 64CSR14-7.4.cHEALTH CARE STANDARDS
    • 64CSR14-7.4.cHEALTH CARE STANDARDS
    • 64CSR14-7.4.gHEALTH CARE STANDARDS
    • 64CSR14-7.6.gHEALTH CARE STANDARDS
    • 64CSR14-9.1.cDIETARY SERVICES
    • 64CSR14-9.1.dDIETARY SERVICES
    • 64CSR14-11.1.bPHYSICAL FACILITIES
    09 Nov 2005Life Safety
    Found sanitation problems in the kitchen area, including dirty surfaces, mold/mold-like debris, and debris under storage areas. The deficiency was classified as a serious violation.
    • 64CSR14-11.1.b.PHYSICAL FACILITIES
    16 Feb 2005Revisit
    Deficiencies were cited and corrected during follow-up.
    10 Jan 2005Revisit
    Found multiple deficiencies across administrative processes, health care standards, dietary services, and safety measures. Cited failures included not performing background checks before hire, inadequate staff training, missing or outdated resident service plans, improper medication management, and unsecured hazardous materials.
    • 64CSR14-5.1.g.ADMINISTRATIVE REQUIREMENTS
    • 64CSR14-5.5.a.EMPLOYEE ORIENTATION AND TRAINING
    • 64CSR14-5.5.b.EMPLOYEE ORIENTATION AND TRAINING
    • 64CSR14-5.6.a.1-4PERSONNEL RECORDS
    • 64CSR14-7.3.d.HEALTH CARE STANDARDS
    • 64CSR14-7.4.b.HEALTH CARE STANDARDS
    • 64CSR14-7.4.c.HEALTH CARE STANDARDS
    • 64CSR14-7.4.g.HEALTH CARE STANDARDS
    • 64CSR14-7.4.h.HEALTH CARE STANDARDS
    • 64CSR14-9.1.c.DIETARY SERVICES
    • 64CSR14-11.1.b.PHYSICAL FACILITIES
    • 64CSR14-11.6.c.PHYSICAL FACILITIES
    29 Nov 2004Revisit
    Observed full-length bed rails used on residents, exceeding the allowed half-length limit; follow-up reduced rails to head-of-bed only and brought into compliance.
    • 64CSR14-6.2.b.RESIDENT RIGHTS
    07 Oct 2004Complaint
    Found no deficiencies.
    23 Sept 2004Licensure
    Identified multiple deficiencies in administrative processes, health care standards, and resident safety, including inadequate monitoring of behavioral medications, incomplete staff training, missing health assessments and service plan reviews, and improper admissions and emergency procedures.
    • 64CSR85-7.3.a.-e.BEHAVIORAL MANAGEMENT
    • 64CSR14-5.1.g.ADMINISTRATIVE REQUIREMENTS
    • 64CSR14-5.5.a.EMPLOYEE ORIENTATION AND TRAINING
    • 64CSR14-5.5.b.EMPLOYEE ORIENTATION AND TRAINING
    • 64CSR14-5.6.a.PERSONNEL RECORDS
    • 64CSR14-5.7.b.ADMISSION AND DISCHARGE
    • 64CSR14-5.7.c.ADMISSION AND DISCHARGE
    • 64CSR14-5.7.d.ADMISSION AND DISCHARGE
    • 64CSR14-6.2.b.RESIDENT RIGHTS
    • 64CSR14-7.3.a.HEALTH CARE STANDARDS
    • 64CSR14-7.3.d.HEALTH CARE STANDARDS
    • 64CSR14-7.7.a.HEALTH CARE STANDARDS
    • 64CSR14-7.7.c.HEALTH CARE STANDARDS
    • 64CSR14-10.2.h.DISASTER & EMERGENCY
    15 Sept 2004Life Safety
    Found no deficiencies.
    30 Aug 2004Complaint
    Investigated the complaint and found no deficiencies.
    27 Jul 2004Revisit
    Investigated a complaint and conducted a first follow-up.
    23 Jun 2004Complaint
    Identified insufficient direct care staffing to monitor all residents, with unwitnessed aggression between residents and safety concerns noted.
    • Type A64CSR85-4.2.a.Alzheimer's/dementia unit staffing requirements
    04 Jan 2004Revisit
    Observed deficiencies corrected during follow-up.
    09 Dec 2003Complaint
    Investigated complaints handling; found the administrator failed to respond in writing to all complaints.
    • 64CSR14-6.2.n.RESIDENT RIGHTS
    09 Dec 2003Revisit
    Investigated deficiencies in staff training documentation and in monthly resident weight monitoring. Found incomplete training records, missing annual in-service documentation, and weights not consistently recorded with no physician notifications.
    • 64CSR14-5.5.a.Employee orientation and training
    • 64CSR14-5.5.b.Annual in-service training
    • 64CSR14-9.1.d.Weight monitoring
    30 Sept 2003Inspection
    Found deficiencies in dementia-care training, abuse/neglect reporting, licensing-notification, and weight monitoring.
    • 64CSR14-5.5.b.EMPLOYEE ORIENTATION AND TRAINING
    • 64CSR14-6.2.c.RESIDENT RIGHTS
    • 64CSR14-6.2.f.RESIDENT RIGHTS
    • 64CSR14-9.1.d.DIETARY SERVICES
    14 Aug 2003Complaint
    Investigated found that residents on the memory care unit did not have freedom of movement to personal spaces and were not allowed to leave their rooms; the unit was locked and census exceeded capacity.
    • 64CSR85-10.3.a.Freedom of movement in the Alzheimer's/dementia special care unit
    20 May 2003Complaint
    Investigators found multiple deficiencies in staffing, resident care, medication management, and safety, including unsupervised memory care residents and poor environmental controls.
    • 64CSR85-4.2.b.1.-2.Human Resources-Staffing Requirements
    • 64CSR85-4.2.d.Direct care staff shall not have housekeeping, laundry, food preparation or maintenance duties as their primary responsibilities
    • 64CSR85-5.4.Admission, Transfer & Discharge
    • 64CSR85-7.1.a.-h.Behavior Management
    • 64CSR14-7.1.5SERVICES
    • 64CSR14-7.4.2MEDICATIONS
    • 64CSR14-7.5.4ACCIDENTS ILLNESSES & INCIDENTS
    • 64CSR14-11.7.1RECREATION AND LEISURE AREA
    • 64CSR14-11.9.8LAUNDRY AND LINENS
    11 Feb 2003Revisit
    Corrected deficiencies identified in a prior investigation during a follow-up.
    11 Feb 2003Revisit
    Verified that the deficiencies from the prior annual review were corrected.
    03 Dec 2002Inspection
    Identified multiple deficiencies in medication administration, including no verification of ingestion, no physician authorization for self-administration, and delays in giving medications in the memory care unit.
    • 64CSR14-7.4.1Medication administration per physician orders and policies
    • 64CSR14-7.4.1Medication administration per physician orders and policies
    • 64CSR14-7.4.1Medication administration per physician orders and policies
    • 64CSR14-7.4.1Medication administration per physician orders and policies
    • 64CSR14-7.4.1Medication administration per physician orders and policies
    14 Nov 2002Life Safety
    Identified deficiencies in hot water temperature control and locked storage for laundry supplies.
    • 64CSR14-11.8.4Water supply
    • 64CSR14-11.9.8Laundry and linens
    20 Dec 2001Life Safety
    Found deficiencies in disaster planning: the review lacked a date and signature, and staff rehearsal of the plan had not occurred.
    • 64CSR14-10.2.8DISASTER PLAN
    • 64CSR14-10.3.2DISASTER TRAINING & REHEARSAL
    16 Oct 2001Complaint
    Found that unlicensed individuals administered medications and a major incident involving missing controlled drugs was not reported promptly.
    • 64CSR14-7.4.2Medication administration
    • 64CSR14-7.5.5Accidents, Illnesses & Incidents major incidents reporting
    16 Oct 2001Inspection
    Identified multiple deficiencies in training, records, and nursing documentation, including delayed staff training, missing CPR records, incomplete functional needs assessments, missing dentist preferences, inadequate incident notifications, missing clothing lists, unsafe hot water temperatures, and absent monthly nursing notes.
    • 64CSR14-5.4.2STAFF TRAINING AND ORIENTATION
    • 64CSR14-5.4.5.a-eSTAFF TRAINING AND ORIENTATION
    • 64CSR14-7.2.1FUNCTIONAL NEEDS ASSESSMENT
    • 64CSR14-7.7.3RESIDENT RECORDS
    • 64CSR14-11.8.4WATER SUPPLY
    • 64CSR14-12.2.2NURSING SERVICES
    29 Jun 2001Revisit
    Identified a deficiency where a resident's health assessment was not current as required. The record dated 10/25/1999 should have been updated by 10/2000.
    • 64CSR14-7.3.2Resident health assessment

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