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
5
4
3
2
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
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.
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 number
1791
Status
Active
Facility type
Assisted Living Residence
Capacity
77 residents
Licensee
EC OPCO TEAYS VALLEY, LLC TRADENAME CELEBRATION VILLA OF TEAYS VALLEY
Found no deficiencies after investigating the complaint.
08 Jan 2026Complaint
08 Jan 2026Complaint
Investigated a complaint and found no deficiencies cited. The investigation occurred January 7-8, 2026.
30 Jul 2025Revisit
30 Jul 2025Revisit
Verified credible evidence was accepted in lieu of an onsite revisit and all outstanding citations were corrected.
19 Jun 2025Licensure
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
17 Jun 2025Life Safety
Found substantial compliance; no deficiencies were cited.
04 Jun 2025Revisit
04 Jun 2025Revisit
Investigated the follow-up to the complaint and confirmed the deficiency was corrected.
—
26 Mar 2025Complaint
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
08 May 2024Life Safety
Found no deficiencies. The residence was in substantial compliance with state requirements.
08 May 2024Licensure
08 May 2024Licensure
Found no deficiencies. An annual survey was conducted May 6-8, 2024.
13 Jul 2023Licensure
13 Jul 2023Licensure
Found no deficiencies.
12 Jul 2023Complaint
12 Jul 2023Complaint
Investigated the complaint; found no evidence to support the allegation.
12 Jul 2023Life Safety
12 Jul 2023Life Safety
Found no deficiencies cited during the annual review.
09 Nov 2022Revisit
09 Nov 2022Revisit
Concluded follow-up to annual survey; all deficiencies were corrected.
20 Sept 2022Complaint
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
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
17 Aug 2022Complaint
Found no deficiencies; the complaint allegation was unsubstantiated.
30 Jun 2022Licensure
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
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
15 Feb 2022Revisit
Found no deficiencies.
11 Feb 2022Complaint
11 Feb 2022Complaint
Found no deficiencies.
17 Jan 2022Revisit
17 Jan 2022Revisit
Found no deficiencies.
28 Sept 2021Revisit
28 Sept 2021Revisit
Verified that previously noted deficiencies were corrected; no current deficiencies cited.
07 Jul 2021Life Safety
07 Jul 2021Life Safety
Found no deficiencies.
14 Apr 2021Inspection
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
Infection Control / General StandardsInfection Control
—Resident Orientation and Training
25 Jan 2021Inspection
25 Jan 2021Inspection
Found no deficiencies.
31 Dec 2019Complaint
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
19 Nov 2019Revisit
Verified that all deficiencies were corrected as of 11/19/19.
31 Oct 2019Life Safety
31 Oct 2019Life Safety
Identified environmental CHOW deficiencies and later confirmed they were corrected.
—
—
—
03 Sept 2019Life Safety
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 A—Laundry storage and handling
Type B—Laundry storage and handling
Type A—Physical Facilities
Type B—Physical Facilities
Type A—Fire Safety, Disaster and Emergency Preparedness
15 Aug 2019Inspection
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
22 Jul 2019Revisit
Confirmed deficiencies were corrected following a complaint follow-up.
—
19 Jun 2019Complaint
19 Jun 2019Complaint
Investigated the complaint and found no deficiencies cited.
02 May 2019Complaint
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
28 Feb 2019Complaint
Investigated the complaint and found no deficiencies.
28 Feb 2019Complaint
28 Feb 2019Complaint
Investigated a complaint and found no deficiencies.
04 Feb 2019Revisit
04 Feb 2019Revisit
Concluded that the deficiency was corrected following a desk review.
13 Nov 2018Life Safety
13 Nov 2018Life Safety
Found no deficiencies cited during the annual licensure and environmental surveys.
01 Nov 2018Licensure
01 Nov 2018Licensure
Found no deficiencies. The licensure survey occurred October 29 to November 1, 2018, with a census of 70.
13 Mar 2018Complaint
13 Mar 2018Complaint
Found no deficiencies.
30 Nov 2017Licensure
30 Nov 2017Licensure
Found no deficiencies cited during the surveys.
27 Nov 2017Life Safety
27 Nov 2017Life Safety
Found no deficiencies cited during the environmental surveys conducted on November 27, 2017.
15 Dec 2016Licensure
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
21 Nov 2016Life Safety
Found no deficiencies.
10 Feb 2016Revisit
10 Feb 2016Revisit
Found deficiencies during the annual licensure survey; a follow-up was conducted in February 2017.
—
—
01 Dec 2015Life Safety
01 Dec 2015Life Safety
Found no deficiencies cited during the annual survey.
11 Nov 2015Licensure
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
12 Jan 2015Revisit
Investigated and found no deficiencies.
07 Jan 2015Life Safety
07 Jan 2015Life Safety
Found no deficiencies cited during the environmental survey conducted on 01/07/2015.
23 Oct 2014Licensure
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
16 Jun 2014Complaint
Investigated the complaint; found no deficiencies.
23 Dec 2013Revisit
23 Dec 2013Revisit
Found no deficiencies.
30 Oct 2013Life Safety
30 Oct 2013Life Safety
Found no deficiencies.
09 Oct 2013Complaint
09 Oct 2013Complaint
Found no deficiencies after investigating the complaint.
02 Oct 2013Licensure
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
Investigated the complaint and found no deficiencies.
15 Jul 2013Complaint
15 Jul 2013Complaint
Investigated a complaint and found no deficiencies.
25 Apr 2013Complaint
25 Apr 2013Complaint
Investigated the complaint and concluded that there were no deficiencies.
14 Nov 2012Licensure
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
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
26 Mar 2012Life Safety
Found deficiencies during a licensure-related activity and conducted follow-up to monitor census changes.
—
06 Mar 2012Complaint
06 Mar 2012Complaint
Investigated a complaint and found the allegation unsubstantiated; provided technical assistance.
06 Feb 2012Life Safety
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
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
03 Jan 2012Revisit
Found deficiencies cited and corrected after follow-up.
—
09 Dec 2011Complaint
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
07 Dec 2011Life Safety
Determined that the cited deficiency was deleted and the sprinkler system is in compliance.
—
01 Dec 2011Licensure
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
17 Aug 2011Complaint
Investigated a complaint and found no deficiencies.
07 Feb 2011Revisit
07 Feb 2011Revisit
Deficiencies corrected during the follow-up.
—
25 Jan 2011Revisit
25 Jan 2011Revisit
Investigated a complaint and identified deficiencies that were corrected.
—
18 Nov 2010Life Safety
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
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
26 Oct 2010Complaint
Investigated a complaint and found no evidence to substantiate the allegation.
01 Mar 2010Complaint
01 Mar 2010Complaint
Investigated a complaint and found no deficiencies.
26 Jan 2010Life Safety
26 Jan 2010Life Safety
Corrected deficiencies were confirmed during follow-up.
—E 005 deficiency
04 Jan 2010Revisit
04 Jan 2010Revisit
Verified deficiencies corrected after a follow-up visit.
—
—
03 Dec 2009Licensure
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
10 Nov 2009Life Safety
Found no deficiencies.
28 Oct 2009Revisit
28 Oct 2009Revisit
Investigated a complaint and identified deficiencies; those deficiencies were corrected.
—
28 Oct 2009Revisit
28 Oct 2009Revisit
Investigated complaints with follow-up; deficiencies were addressed.
27 Oct 2009Complaint
27 Oct 2009Complaint
Investigated the complaint and found no deficiencies. Technical assistance was provided.
16 Sept 2009Revisit
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
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
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
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
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
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
05 Mar 2009Complaint
Investigated a complaint. Findings were unsubstantiated with no deficiencies identified, and technical assistance was provided.
02 Feb 2009Revisit
02 Feb 2009Revisit
Confirmed deficiencies were corrected after follow-up; technical assistance was provided.
—
17 Dec 2008Life Safety
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
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
04 Mar 2008Revisit
Investigated deficiencies found during the December 2008 licensure survey; one deficiency was corrected on follow-up.
—
04 Feb 2008Life Safety
04 Feb 2008Life Safety
Identified deficiencies were corrected during follow-up.
22 Jan 2008Revisit
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
06 Dec 2007Revisit
Investigated and found deficiencies; corrected by October 2007.
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06 Dec 2007Licensure
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
Found no deficiencies during the annual licensure survey.
04 Oct 2007Revisit
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
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
06 Feb 2007Revisit
Identified deficiencies during licensure activities; follow-up confirmed deficiencies were corrected with only technical assistance.
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07 Dec 2006Life Safety
07 Dec 2006Life Safety
Cited a deficiency and verified its correction.
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16 Nov 2006Complaint
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
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
19 Mar 2006Revisit
Corrected deficiencies identified during the investigation and follow-up activities.
21 Feb 2006Revisit
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
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
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
12 Dec 2005Life Safety
Corrected deficiencies following the follow-up visit.
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29 Nov 2005Licensure
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
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
16 Feb 2005Revisit
Deficiencies were cited and corrected during follow-up.
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10 Jan 2005Revisit
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
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
07 Oct 2004Complaint
Found no deficiencies.
23 Sept 2004Licensure
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
15 Sept 2004Life Safety
Found no deficiencies.
30 Aug 2004Complaint
30 Aug 2004Complaint
Investigated the complaint and found no deficiencies.
27 Jul 2004Revisit
27 Jul 2004Revisit
Investigated a complaint and conducted a first follow-up.
23 Jun 2004Complaint
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
04 Jan 2004Revisit
Observed deficiencies corrected during follow-up.
09 Dec 2003Complaint
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
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
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
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
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.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
11 Feb 2003Revisit
Corrected deficiencies identified in a prior investigation during a follow-up.
11 Feb 2003Revisit
11 Feb 2003Revisit
Verified that the deficiencies from the prior annual review were corrected.
03 Dec 2002Inspection
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
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
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
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
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
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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