Pricing ranges from
    $5,726 – 6,871/month

    Assisted Living at Evergreen

    3705 Collins Ferry Rd, Morgantown, WV 26501
    • Assisted Living

    Kind staff, comfortable and caring

    I'm very satisfied with Evergreen - the staff are kind, attentive and professional, the community is clean, quiet and caring, communication with families is excellent, and my grandmother feels comfortable and carefree. They provide great clinical supports (in-house PT and labs), special touches like family meals and a Christmas banquet, and I would recommend them to others.

    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
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.08·(12)

    Overall rating

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

      4.1
    • Staff

      4.3
    • Meals

      4.1
    • Amenities

      4.0
    • Value

      4.1

    Pros

    • favorable staff-to-resident ratio
    • on-site physical therapy and laboratory services
    • convenient location close to families
    • responsive family–community communication
    • kind, reassuring and respectful staff
    • clean facility in many areas
    • attentive, professional clinical staff
    • family-inclusive events and holiday programming
    • comfortable, homelike atmosphere and amenities
    • smaller, quieter dining area
    • fully staffed shifts
    • supportive admissions and transition guidance

    Cons

    • variable care consistency across residents
    • limited interpersonal engagement during personal care and mealtimes
    • inconsistent staff identification and visibility
    • cleanliness and sanitation issues in older building areas
    • aging facility and dated interiors
    • limited or low-intensity activity programming
    • visitor-access conveniences lacking (no keypad/streamlined entry)
    • perceived gaps in management accountability and responsiveness
    • resident-mix contributing to a quieter, less-stimulating communal atmosphere

    Summary of reviews

    Overall impression: Evergreen shows a mix of strengths and operational inconsistencies. Many families describe caring, professional staff, clinical convenience and a location that facilitates family visits. At the same time, several reviewers raised concerns about variability in daily care, parts of the facility’s physical condition, and the level of social engagement available to residents.

    Care quality and clinical services: Clinical offerings are a clear asset for some families — the community provides on-site physical therapy and basic laboratory services, flexible medication/prescription arrangements, and generally attentive nursing and caregiving in many units. Several accounts highlight positive end-of-life support and staff who ensure residents receive needed care and attend activities. Conversely, other accounts describe uneven care consistency: some residents receive warm, conversational assistance while others experience limited interaction during personal care and mealtimes. This suggests variability in how consistently interpersonal engagement and individualized attention are delivered.

    Staff and communication: Staff are frequently described as kind, respectful, and reassuring; communication between the community and families is often praised, and admissions/transition guidance is reported to be supportive. Staffing levels are commonly characterized as adequate or fully staffed, and many families note professional clinical behavior. However, there are operational gaps that affect perception: inconsistent staff identification (name tags or visibility) and concerns about staff engagement and morale in parts of the team were raised. A subset of comments also point to perceived shortfalls in leadership responsiveness and accountability when problems are identified.

    Dining and daily care: The dining environment is generally perceived as smaller and quieter than in some competitors, which appeals to families seeking a less chaotic setting. Families also note comfort-oriented touches — quality linens and water amenities — and holiday or family-inclusive events contribute positively to quality of life. At the same time, limited activity levels and programming geared toward less-active residents are recurring issues; residents who desire more active or varied programming may find the offerings insufficient.

    Activities and social life: There is a functioning peer community for many residents, and staff efforts to engage residents in activities are mentioned positively. Yet the overall activity mix appears targeted toward residents with lower activity needs, producing a quieter communal atmosphere. For families seeking robust, high-energy programming, Evergreen may not meet expectations without further activity development.

    Facilities and cleanliness: Reviews describe a contrast between well-maintained common areas and older sections of the building that appear dated. Cleanliness is praised in many areas, but sanitation and upkeep concerns are noted in older parts of the facility. The facility’s age and interior condition are recurring themes; cosmetic updates and targeted cleaning/maintenance in specific areas could affect overall impressions.

    Management and notable patterns: Positive family communication and supportive admissions are balanced by remarks suggesting inconsistent leadership follow-through in some situations. Visitor convenience is another operational point — families expressed a desire for more streamlined entry options for regular visitors. Taken together, the patterns indicate that Evergreen has core strengths in clinical accessibility, staff compassion, and family engagement, but also has operational areas where standardization (staff identification, interpersonal engagement during care, activity programming, and selective facility upkeep) could improve the resident and family experience.

    Recommendation framing: Prospective residents and families who prioritize close family access, on-site clinical services, a quieter dining environment, and compassionate staff are likely to find Evergreen suitable. Those seeking vigorous activity programming, consistently modern interiors throughout the building, or uniformly high levels of interpersonal engagement during all care moments should probe these areas during a tour — ask to see activity schedules, unit-level staffing patterns, recent maintenance reports, and observe mealtime and personal-care interactions where possible.

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    Location

    Map showing location of Assisted Living at Evergreen

    Assisted Living at Evergreen is located at 3705 Collins Ferry Rd, Morgantown, WV, 26501.

    About Assisted Living at Evergreen

    Assisted Living At Evergreen sits at 3705 Collins Ferry Road in Morgantown, West Virginia, and offers care for up to 62 residents in a large, home-like setting that feels comfortable, with private and semi-private suites, each with their own bathroom, so folks get privacy when they need it, but still have all the company and help that can make life easier, and the place is fully staffed day and night, with caregivers and nurses trained to help with all sorts of daily needs, whether that's bathing, getting dressed, support with walking, or help with medicine. The staff arranges individual care plans so each person gets support that's suited to their health, whether there's a need for blood pressure checks or diabetes care. Evergreen has a good-sized list of amenities, with game rooms, a book room, arts and crafts, a fitness area, and walking paths outside, plus the place includes things like a jacuzzi, sauna, and sometimes a mobile hairdresser, so residents can feel cared for and comfortable.

    Meals come three times a day, home-cooked in the kitchen, and can be changed for special diets-there's a group dining room where folks eat together, but if somebody wants to eat by themselves, that can be arranged too. The spaces are friendly and welcoming, folks can relax in family rooms, an activity center, out on the porch, or the gazebo, and there's a garden that residents can use. Evergreen offers regular activities, like movie nights, community events, crafts, music, games, animal therapy, fitness programs, and outings, and they keep a full calendar so everyone can join if they like. Scheduled transportation helps residents get to medical appointments, shopping trips, or faith-based events, and visiting family can share a meal in the dining area.

    There are accessibility features for those using wheelchairs or needing help moving about, and there's a 24-hour urgent call system so residents can get quick help if needed. All housekeeping, laundry, and linens are taken care of, and the suites come furnished, but if a resident brings their own things, the staff can work with that too. Everything's included in a single daily rate, so families know what to expect. The facility is licensed by the state and is inspected by West Virginia's Department of Social Services to make sure care standards are met. Evergreen offers respite stay for short-term needs, hospice and memory care services for those with Alzheimer's or other memory conditions, and regular assisted living for folks who want to keep as much independence as possible but need some steady help.

    There are Evergreen communities not just in Morgantown but also in Washington and Waynesburg, Pennsylvania, each with staff that aim to be friendly and provide a family atmosphere, and they all have similar services focused on companionship, security, and tailored care. Residents can expect activities seven days a week, with support always available. The staff get good marks for being attentive and trying to make things comfortable, and the general feeling is the place focuses on dignity and helping everyone have a safe, worry-free home, with some residents saying the atmosphere is comfortable and friendly and the main rating is a community score of 4.8. Evergreen lets friends and relatives visit easily, and the place tries to let residents keep as much independence as they can, while keeping care options flexible for those with changing needs.

    People often ask...

    Assisted Living at Evergreen offers competitive pricing, with rates starting at a cost of $5,726 per month.

    Assisted Living at Evergreen offers assisted living.

    There are 25 photos of Assisted Living at Evergreen on Mirador.

    The full address for this community is 3705 Collins Ferry Rd, Morgantown, WV 26501.

    No, Assisted Living at Evergreen 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 number2100
    StatusActive
    Facility typeAssisted Living Residence
    Capacity48 residents
    LicenseePERSONAL CARE AT EVERGREEN, INC. DBA ASSITED LIVING AT EVERGREEN, INC.
    EffectiveNovember 28th, 2025
    ExpiresNovember 27th, 2026
    View the official license record

    Inspection Reports

    141

    Reports

    26

    Type A Citations

    5

    Type B Citations

    51

    Complaints

    25

    Years

    19 May 2026Life Safety
    Found no deficiencies after the annual environmental review.
    15 Dec 2025Revisit
    Investigated a complaint and corrected the deficiency.
    17 Sept 2025Complaint
    Found that an initial health assessment was not completed within five working days after admission for one resident.
    • E-231 Health Care StandardsHealth assessment timeliness
    24 Mar 2025Revisit
    Investigated the follow-up to the annual survey and noted that citations were corrected.
    13 Feb 2025Licensure
    Identified two deficiencies: major incidents were not reported to OHFLAC within 24 hours, and tuberculosis screening was not documented in an annual health assessment.
    • Major incidents reported to OHFLAC within 24 hours
    • Tuberculosis screening documentation in annual health assessment
    11 Feb 2025Life Safety
    Concluded no deficiencies were identified in the annual environmental review.
    16 Apr 2024Licensure
    Found no deficiencies during the annual survey.
    08 Apr 2024Life Safety
    Investigated; documented initial comments.
    23 Aug 2023Complaint
    Investigated the complaint and found no deficiencies.
    18 Jul 2023Revisit
    Cleared deficiencies identified during a prior review.
    07 Jun 2023Licensure
    Found multiple deficiencies in TB screening records, medication administration documentation, nursing care documentation, and staff training, potentially affecting numerous residents.
    • TB screening and health record documentation
    • W. Va. Code §§16-5O-1, et seq.; W. Va. Code R. §§64-60-1, et seq.Medications and Treatments
    • Employee Orientation and Training
    • Employee Orientation and Training
    • Alzheimer's and Dementia Training
    • Limited and Intermittent Nursing Care
    • Weekly RN progress notes
    06 Jun 2023Life Safety
    Found an electric washer plugged into an extension cord, creating a safety hazard due to improper electrical connection and unsafe maintenance practices.
    • Type APhysical Facilities (Code 450)Maintenance and housekeeping to provide a safe, sanitary, and accident-free living environment
    11 Jan 2023Complaint
    Investigated the complaint; found no deficiencies.
    24 Aug 2022Life Safety
    Investigated correction of tag 0450; the correction was not completed at the first follow-up but completed by the second follow-up.
    24 Aug 2022Revisit
    Investigated the follow-up to the annual assessment and found no deficiencies.
    20 Jul 2022Life Safety
    Observed unsafe environmental conditions, including a ceiling propped with a wooden 2x4, a leaking ceiling over a food area, and soiled laundry, with oxygen bottles stored improperly.
    • Environmental maintenance and housekeeping
    • Oxygen storage and laundry conditions
    23 Jun 2022Licensure
    Found multiple deficiencies, including mismatches between assessments and service plans, and admission of a resident requiring more care than provided. Also noted failures to complete timely health assessments, conduct proper background checks, notify about monitoring cameras, and report weight changes to physicians.
    • Assessment and Service Plans
    • General Administrative Requirements - WV CARES background checks
    • Health Care Standards - admission of residents requiring higher nursing care
    • Annual and admission health assessments
    • Treatment - notice regarding monitoring devices
    • Dietary Services - weight change notifications
    22 Jun 2022Life Safety
    Identified unsafe conditions including oxygen bottles not stored on a rack, a ceiling leak over the food prep area, and improper transport of soiled laundry.
    • Maintenance and housekeeping to maintain a safe environment
    02 Nov 2021Revisit
    Cleared all tags after follow-up to the annual survey and found no new citations.
    15 Jul 2021Inspection
    Identified incomplete POST forms for two residents and PRN medication orders not clearly written for unlicensed staff. These issues created potential risk in advance directives documentation and medication administration.
    • POST forms not completed (incomplete West Virginia POST forms)
    • W. Va. Code §§16-5O-1, et seq.; W. Va. Code R. §§64-60-1, et seq.; DHHR rule 'Medication Administration and Performance of Health Maintenance Tasks by Approved Medication Assistive Personnel'Medications: PRN orders not clearly written; AMAPs could not independently judge indications
    13 Jul 2021Life Safety
    Observed multiple maintenance and housekeeping deficiencies affecting safety and sanitation, including cobwebs, dusty vents, stained ceiling tiles, and a grease-like residue.
    • Type AMaintenance and housekeeping to maintain a safe environment
    • Type BMaintenance and housekeeping to maintain a safe environment
    • cMaintenance and housekeeping to maintain a safe environment
    • dMaintenance and housekeeping to maintain a safe environment
    • eMaintenance and housekeeping to maintain a safe environment
    • fMaintenance and housekeeping to maintain a safe environment
    • gMaintenance and housekeeping to maintain a safe environment
    • hMaintenance and housekeeping to maintain a safe environment
    • iMaintenance and housekeeping to maintain a safe environment
    • jMaintenance and housekeeping to maintain a safe environment
    • kMaintenance and housekeeping to maintain a safe environment
    • lMaintenance and housekeeping to maintain a safe environment
    04 May 2021Revisit
    Investigated a revisit and found no deficiencies.
    29 Mar 2021Revisit
    Cleared an infection control deficiency on follow-up visit.
    • Infection control
    02 Mar 2021Complaint
    Investigated deficiencies showed the functional needs assessment and service plans were not updated to reflect current needs after falls, and cloth furniture not moisture-proof posed infection-control risks.
    • Functional needs assessment and service plans
    • Infection control
    19 Jan 2021Inspection
    Found no recorded in-service training on Covid-19 infection control for staff.
    • In-service training on infection control addressing Covid-19
    06 Oct 2020Complaint
    Investigated a complaint and found that the provider failed to assist with discharge placement and document placement efforts for a resident.
    06 Oct 2020Revisit
    Identified eight employees lacked valid food handler cards on file, potentially affecting residents' food safety.
    • W.Va. Code 16-5D-1 et seq.Food handler cards on file
    21 Sept 2020Life Safety
    Found no deficiencies during the annual environmental survey.
    25 Aug 2020Life Safety
    Identified a deficiency in laundry practices due to the use of open-top baskets that do not provide separation between soiled and clean linens.
    • Type A64-14-10.6.2. Laundry.Laundry.
    06 Aug 2020Inspection
    Found multiple deficiencies across medication management, infection control, waivers, staff training, documentation, and policy development, including missing lot numbers on meds, undocumented refusals, incomplete nursing visits, missing discharge forms, and no COVID-19 and disaster policies.
    • W. Va. Code R. 64-60-1 et seq.Medications and Treatments - Medication storage and labeling
    • W. Va. Code R. 64-60-1 et seq.Medication Administration
    • W. Va. Code R. 64-60-1 et seq.Infection control
    • OHFLAC waiversWaivers
    • WV Administrative Rule - Written policies and proceduresGeneral Administrative Requirements
    • W. Va. Code R. 64-17-1 et seq.Food Safety and Handling (Food Establishments)
    • WV Administrative Rule - Employee Orientation and TrainingEmployee Orientation and Training
    • WV Administrative Rule - Alzheimer's Disease trainingEmployee Orientation and Training
    • WV Administrative Rule - Health Care StandardsDischarge/Transfer Documentation
    • WV Administrative Rule - Limited and Intermittent Nursing CareNursing Visit Documentation
    • WV Administrative Rule - Limited and Intermittent Nursing CareNursing Visit Documentation
    • W. Va. Code R. 64-60-1 et seq.Dietary Services
    • WV Administrative Rule - Fire Safety, Disaster and Emergency PreparednessDisaster and Emergency Preparedness
    03 Aug 2020Complaint
    Investigated a complaint and found it unsubstantiated.
    02 Feb 2020Revisit
    Found no deficiencies. Follow-up to a complaint cleared census and reported no new citations.
    19 Jan 2020Revisit
    Corrected deficiency found during the follow-up revisit.
    04 Dec 2019Complaint
    Found no deficiencies. Census was 35.
    03 Dec 2019Revisit
    Found no deficiencies. No repeat deficiencies cited.
    11 Sept 2019Inspection
    Identified multiple deficiencies across resident care, including failure to notify physicians/next of kin after transfers, incomplete health assessments and transfer summaries, unsigned orders, insufficient activities, training gaps, and inadequate weight change communication.
    • Accident, Illness, and Major Incident Procedure
    • Resident Rights
    • Medications and Treatments
    • Activities
    • Employee Orientation and Training
    • Health Care Standards
    • Assessment and Service Plans
    • Limited and Intermittent Nursing Care
    • Dietary Services
    26 Aug 2019Life Safety
    Found no deficiencies during the survey.
    21 Aug 2019Complaint
    Found no deficiencies.
    05 Jun 2019Complaint
    Identified deficiencies in reporting major incidents, infection control, timely notification to physicians/next of kin, and handling of soiled laundry. The bed bug incident was not reported promptly, shared bathroom cleanliness and carpet conditions were poor, physician/kin notification was not done promptly or documented, and soiled laundry was not stored properly.
    • 64CSR14-5.2.f.Reporting Major Incidents
    • 64CSR14-7.4.m.Infection Control – Standard of Practice
    • 64CSR14-7.5.d.Notification of Physician and Family for Major Incidents
    • 64CSR14-11.6.b.Laundry Storage and Handling
    18 Dec 2018Complaint
    Investigated a complaint and found no deficiencies.
    20 Aug 2018Life Safety
    Found no deficiencies.
    01 Aug 2018Licensure
    Found no deficiencies cited during the annual licensure survey conducted in Morgantown, West Virginia, with a census of 40. The survey occurred July 30, 2018 through August 1, 2018.
    21 Mar 2018Complaint
    Found no deficiencies. The complaint investigation occurred March 19-21, 2018.
    07 Nov 2017Revisit
    Identified deficiencies related to care standards during a complaint investigation.
    07 Nov 2017Revisit
    Identified deficiencies during the annual licensure survey and verified corrections on follow-up.
    • 7.4.b
    • 7.7.c
    26 Sept 2017Complaint
    Investigated medication mismanagement and neglect reporting; found that a resident missed Coumadin doses due to a hold order and eMAR suspension, with reporting, documentation, and supervision not meeting requirements.
    • 64CSR14-5.2.b.Protection of residents' physical and mental well-being
    • 64CSR14-6.2.c.Resident Rights - reporting neglect
    • 64CSR14-6.2.d.Resident Rights - documentation/investigation of neglect
    • 64CSR14-7.4.a.Health Care Standards - medications administered by licensed personnel
    • 64CSR14-7.4.b.Health Care Standards - prescription orders kept in resident records
    25 Sept 2017Life Safety
    Identified deficiencies cited during the annual licensure survey.
    31 Aug 2017Licensure
    Identified deficiencies in medication management and in handling a resident's belongings after death, including meds in rooms without orders and release of belongings to non-estate administrators.
    • 64CSR14-7.4.bHealth Care Standards
    • 64CSR14-7.7.cHealth Care Standards
    29 Aug 2017Life Safety
    Identified a deficiency in disaster and emergency preparedness due to the absence of an alternate emergency shelter agreement.
    • 64CSR14-10.2.c.Disaster & Emergency Preparedness
    30 Nov 2016Complaint
    Investigated the complaint; found no deficiencies.
    29 Sept 2016Revisit
    Found no deficiencies.
    08 Aug 2016Life Safety
    Identified deficiencies in disaster and emergency preparedness planning and annual drills, and in interior/exterior maintenance. Observed several unsafe and poorly maintained areas during the inspection.
    • Type A64CSR14-10.2.e.Disaster & Emergency Preparedness
    • Type B64CSR14-10.2.g.Disaster & Emergency Preparedness
    • Type A64CSR14-11.1.d.Physical Facilities
    21 Jul 2016Licensure
    Identified deficiencies in records and nursing documentation, including backdated entries by staff, missing or unsigned health assessments, overdue TB screenings, and missing weekly nursing notes for several residents.
    • 64CSR14-5.2.cMaintaining accurate records and reports
    • 64CSR14-7.3.aHealth care standards – health assessments and TB screening
    • 64CSR14-7.6.hHealth care standards – RN weekly progress notes
    02 Nov 2015Life Safety
    Observed census increased from 35 to 39 on follow-up. Environmental survey was conducted during the visit.
    01 Sept 2015Revisit
    Concluded no deficiencies were identified.
    27 Aug 2015Life Safety
    Investigated interior maintenance deficiencies and identified hazards including stained carpet, exposed shower corners, a missing outlet cover, and missing flooring pieces creating trip hazards.
    • 64CSR14-11.1.d.Physical Facilities - keep interior/exterior clean and in good repair
    15 Jul 2015Licensure
    Identified multiple deficiencies related to administrator training, on-duty first aid/CPR coverage, and AMAP medication administration practices.
    • 64CSR14-5.3.c.Administrator Training
    • 64CSR14-5.4.c.Staffing – First Aid/CPR on duty
    • 64CSR14-7.4.a.Health Care Standards – AMAPs and medication administration
    • Annual Licensure Survey
    15 Jul 2015Revisit
    Investigated a complaint and follow-up.
    18 Jun 2015Complaint
    Found deficiencies in reporting major incidents to the licensing agency and in providing required dementia training to tenured staff.
    • 64CSR14-5.2.f.Reporting major incidents to OHFLAC
    • Complaint Investigation
    • 64CSR14-5.5.c.Employee orientation and Alzheimer's training
    01 Apr 2015Complaint
    Investigated the complaint and found no deficiencies.
    22 Oct 2014Life Safety
    Found no deficiencies. Census was 37 residents of 48 capacity.
    13 Oct 2014Revisit
    Investigated the licensing activity and found no deficiencies.
    14 Aug 2014Licensure
    Identified several deficiencies, including failing to verify nurse aide abuse registry checks before hiring, incomplete personnel records, missing resident admission/discharge registers, improper medication administration oversight, and improper handling of residents' belongings after death.
    • 64CSR14-5.1.g.General Administrative Requirements
    • 64CSR14-5.6.a.Personnel Records
    • 64CSR14-5.7.h.Admission and Discharge
    • 64CSR14-7.4.a.Health Care Standards
    • 64CSR14-7.7.c.Upon a resident's death, belongings release
    07 Aug 2014Life Safety
    Found failures to update and document the disaster and emergency plan, to rehearse it with staff, and observed several interior maintenance issues including stained and torn carpet and missing tile.
    • Type A64CSR14-10.2.e.Disaster & Emergency Preparedness
    • Type A64CSR14-10.2.g.Disaster & Emergency Preparedness
    • Type A64CSR14-11.1.d.Physical Facilities
    13 Nov 2013Revisit
    Found a deficiency corrected with only technical assistance.
    05 Sept 2013Licensure
    Found multiple deficiencies in resident safety, staffing, record-keeping, medication administration practices, and weight monitoring.
    • 64CSR14-5.2.b.Protection of residents' well-being
    • 64CSR14-5.4.b.Staffing Requirements
    • 64CSR14-7.2.b.Health Care Standards - Admission records
    • 64CSR14-7.4.a.Health Care Standards - Licensed professionals and medication administration
    • 64CSR14-9.1.d.Dietary Services - Weighing and monitoring
    23 Jul 2013Life Safety
    Found no deficiencies cited during the annual licensure survey.
    20 May 2013Revisit
    Investigated a complaint and found deficiencies were partially substantiated; two deficiencies were cited.
    08 Apr 2013Revisit
    Investigated a complaint and found deficiencies in handling resident complaints, ensuring daily activities, and maintaining the facility.
    • 64CSR14-6.2.n.Resident Rights
    • 64CSR14-8.2.a.-c.Activities
    • 64CSR14-11.1.d.Physical Facilities
    18 Feb 2013Complaint
    Identified inadequate direct care staffing for residents with two or more care needs, with day, evening, and night shifts frequently below required minimums.
    • 64CSR14-5.4.b.Staffing requirements
    19 Nov 2012Revisit
    Corrected one deficiency during a follow-up visit.
    30 Oct 2012Life Safety
    Corrected a deficiency cited during a follow-up survey.
    25 Sept 2012Life Safety
    Observed that locked resident bathroom doors could not be readily opened in an emergency.
    • 64CSR14-11.1.b.Locked bathroom doors readily opened in emergencies
    07 Sept 2012Licensure
    Identified multiple deficiencies across training, resident rights, medication management, incident monitoring, nursing oversight, and weight/dietary monitoring.
    • 64CSR14-5.5.b.Employee Orientation and Training
    • 64CSR14-6.2.n.Resident Rights
    • 64CSR14-7.4.a.Health Care Standards
    • 64CSR14-7.4.f.Health Care Standards
    • 64CSR14-7.5.c.Health Care Standards
    • 64CSR14-7.6.h.Health Care Standards
    • 64CSR14-9.1.d.Dietary Services
    24 Jul 2012Life Safety
    Identified that locked resident bathroom doors could not be readily opened in an emergency for all observed bathrooms.
    • Type A64CSR14-11.1.b.Physical Facilities
    • Type B64CSR14-11.1.b.Physical Facilities
    04 Apr 2012Complaint
    Investigated the complaint and determined that it was unsubstantiated. Found no deficiencies.
    27 Mar 2012Complaint
    Investigated a complaint; three allegations were unsubstantiated and two allegations were substantiated with no deficiencies.
    30 Nov 2011Revisit
    Investigated a deficiency identified during the initial survey and followed up to verify correction.
    15 Nov 2011Life Safety
    Verified that deficiencies from the initial survey were corrected on follow-up.
    • Deficiencies corrected
    28 Sept 2011Licensure
    Identified multiple regulatory deficiencies across hiring practices, training, resident care planning, medication management, abuse reporting, dietary monitoring, and storage of hazardous materials.
    • 64CSR14-5.1.g.General Administrative Requirements
    • 64CSR14-5.5.a.Employee Orientation and Training
    • 64CSR14-6.2.c.Resident Rights
    • 64CSR14-7.3.c.Health Care Standards - Service Plans
    • 64CSR14-7.4.a.Health Care Standards - AMAP Qualifications
    • 64CSR14-7.4.b.Health Care Standards - Medication Orders
    • 64CSR14-7.6.h.Health Care Standards - Weekly Nursing Documentation
    • 64CSR14-9.1.d.Dietary Services - Weighing and Weight Monitoring
    • 64CSR14-11.6.c.Physical Facilities - Locked Storage
    • 64CSR14-5.7.b.Admission and Discharge
    07 Sept 2011Life Safety
    Found multiple deficiencies in disaster preparedness and facility safety, including missing emergency shelter agreement and transportation policy, no disaster rehearsal, and unsafe storage of hazardous materials.
    • 64CSR14-10.2.c.Disaster & Emergency Preparedness
    • 64CSR14-10.2.c.Disaster & Emergency Preparedness
    • 64CSR14-10.2.g.Disaster & Emergency Preparedness
    • 64CSR14-11.1.b.Physical Facilities
    • 64CSR14-11.6.b.Physical Facilities
    • 64CSR14-11.6.c.Physical Facilities
    18 May 2011Revisit
    Investigated a complaint; cited two deficiencies, with one corrected at follow-up.
    13 Apr 2011Complaint
    Identified deficiencies in medication storage security and in the resident call system, potentially affecting resident safety.
    • 64CSR14-7.4.g.Health Care Standards - Medications stored in locked storage
    • 64CSR14-11.1.i.Physical Facilities - Call system accessible and functional for residents
    09 Mar 2011Revisit
    Investigated a complaint and corrected a deficiency during follow-up.
    24 Jan 2011Complaint
    Found deficiencies in employee training on abuse reporting and the ombudsman's role, with staff unclear on procedures and reporting an alleged abuse incident only to the administrator.
    • 64CSR14-5.5.b.Employee Orientation and Training
    02 Nov 2010Life Safety
    Identified ongoing maintenance and laundry practice deficiencies, including basement groundwater leakage, damaged carpeting, and improper storage of soiled laundry, not corrected from prior findings.
    • 64CSR14-11.1.d.Physical Facilities
    • 64CSR14-11.6.b.Physical Facilities
    27 Oct 2010Revisit
    Deficiencies were corrected during the follow-up visit. Technical assistance was provided.
    27 Oct 2010Complaint
    Found no deficiencies.
    09 Sept 2010Licensure
    Found multiple deficiencies in resident safety, record-keeping, funds management, medication administration, and hazardous materials storage.
    • 64CSR14-5.2.bThe Licensee shall protect the physical and mental well-being of residents.
    • 64CSR14-5.2.cThe Licensee shall maintain accurate records and reports required by this rule.
    • 64CSR14-5.7.b.1-8Admission and Discharge
    • 64CSR14-5.8.eManagement of Resident Funds
    • 64CSR14-5.8.fManagement of Resident Funds
    • 64CSR14-7.4.aHealth Care Standards
    • 64CSR14-7.4.bHealth Care Standards
    • 64CSR14-11.6.cPhysical Facilities
    07 Sept 2010Life Safety
    Found deficiencies in cleanliness and maintenance, including water leakage, damaged carpeting, lint buildup behind equipment, and improper storage of soiled laundry.
    • 64CSR14-11.1.d.Physical Facilities
    • 64CSR14-11.6.b.Physical Facilities
    05 May 2010Revisit
    Investigated a complaint; an unrelated deficiency was identified and later corrected.
    • Unrelated deficiency
    09 Mar 2010Complaint
    Found improper infection control practices while handling medications during a narcotics count, including counting pills with bare hands.
    • 64CSR14-7.4.m.Health Care Standards
    24 Feb 2010Life Safety
    Identified deficiencies related to two regulatory items during the licensure activity.
    24 Jan 2010Life Safety
    Identified improper storage of soiled laundry, using perforated baskets without lids or liners, with liners not yet provided and repeated from an earlier observation.
    • 64CSR14-11.6.b.Physical Facilities
    03 Nov 2009Revisit
    Cited a deficiency and corrected it.
    23 Sept 2009Licensure
    Found deficiencies in medication administration, including incorrect application of an ophthalmic ointment and an unlocked medication cart during administration. MAR entries were not consistently initialed, and staff were not aware of the improper application.
    • 64CSR14-7.4.b.Health Care Standards
    18 Aug 2009Life Safety
    Identified 38 deficiencies and noted that no technical assistance was provided during the environment survey.
    21 Oct 2008Revisit
    Investigated a complaint and followed up on related issues during the September 2008 survey and October follow-up.
    18 Sept 2008Complaint
    Found deficiencies in staff training, health care documentation, and facility conditions including temperature and cleanliness.
    • 64CSR14-5.5.a.Employee Orientation and Training - Specialty care
    • 64CSR14-5.5.b.Employee Orientation and Training - Annual in-service
    • 64CSR14-5.5.c.Employee Orientation and Training - Alzheimer’s training
    • 64CSR14-7.1.g.Health Care Standards - Transfer summaries
    • 64CSR14-7.2.c.Health Care Standards - Health status documentation
    • 64CSR14-7.6.h.Health Care Standards - Weekly RN documentation
    • 64CSR14-11.1.d.Physical Facilities - Carpet cleanliness
    • 64CSR14-11.1.g.Physical Facilities - Temperature in resident areas
    • 64CSR14-11.5.b.Physical Facilities - Hot water temperatures
    06 Aug 2008Life Safety
    Found no deficiencies during the annual licensure survey.
    19 Mar 2008Complaint
    Found no deficiencies.
    27 Nov 2007Inspection
    Identified deficiencies in staff training, resident care planning, and PRN medication documentation after a CHOW survey. Inadequate training and outdated care plans were found, and PRN medication entries lacked specific parameters.
    • Type A64CSR14-5.5.aEmployee Orientation and Training
    • Type B64CSR14-5.5.bEmployee Orientation and Training
    • d64CSR14-7.3.dHealth Care Standards
    • Type A64CSR14-7.4.aHealth Care Standards
    30 Oct 2007Life Safety
    Found no deficiencies during the CHOW survey.
    02 Jul 2007Revisit
    Found deficiencies cited during the licensure survey and noted as corrected.
    29 May 2007Life Safety
    Identified deficiencies; a follow-up confirmed the correction of one deficiency.
    09 May 2007Revisit
    Found deficiencies in criminal background checks for staff and in medication administration record practices, including missing guidelines and outdated signatures.
    • 64CSR14-5.1.g.Criminal background checks / central abuse registry
    • 64CSR14-7.4.f.Medication Administration Records; guidelines for administration
    26 Apr 2007Revisit
    Investigated the complaint and found no deficiencies after follow-up; a prior toxic citation was corrected because no toxics were observed.
    10 Apr 2007Complaint
    Investigated an allegation of verbal abuse by a staff member toward a resident during an off-site appointment; the staff member admitted making the remarks and was terminated, and APS was notified.
    03 Apr 2007Life Safety
    Identified sanitation problems in the kitchen and multiple deficiencies in disaster and emergency preparedness, including incomplete plans, missing plan components, and no disaster drill conducted.
    • 64CSR14-9.1.i.Dietary Services
    • Type A64CSR14-10.2.a.Disaster & Emergency Preparedness
    • Type A64CSR14-10.2.b.Disaster & Emergency Preparedness
    • Type A64CSR14-10.2.c.Disaster & Emergency Preparedness
    • Type A64CSR14-10.2.d.Disaster & Emergency Preparedness
    • Type A64CSR14-10.2.e.Disaster & Emergency Preparedness
    • Type A64CSR14-10.2.g.Disaster & Emergency Preparedness
    • Type B64CSR14-11.1.b.Physical Facilities
    20 Mar 2007Licensure
    Identified multiple deficiencies involving background checks, resident transfer documentation, medication administration by unlicensed staff, evacuation information for emergencies, medication recordkeeping, and facility cleanliness.
    • 64CSR14-5.1.gGeneral Administrative Requirements
    • 64CSR14-7.1.gHealth Care Standards
    • 64CSR14-7.4.aHealth Care Standards
    • 64CSR14-7.4.bHealth Care Standards
    • 64CSR14-7.4.fHealth Care Standards
    • 64CSR14-10.2.hDisaster & Emergency Preparedness
    • 64CSR14-11.1.dPhysical Facilities
    20 Mar 2007Revisit
    Found toxic or hazardous materials not kept in locked storage, with a follow-up confirming ongoing noncompliance.
    • Type A64CSR14-11.6.c.Physical Facilities - Locked storage for toxic or hazardous materials
    • Type A64CSR14-11.6.c.Physical Facilities - Locked storage for toxic or hazardous materials
    05 Mar 2007Revisit
    Concluded that all deficiencies were corrected and two new technical assistances were provided.
    15 Feb 2007Complaint
    Identified unlocked storage of toxic and hazardous cleaning products and related hazards, with a resident seen near the area with a cat and several residents described as confused, plus an unlocked cabinet containing cleaning chemicals.
    • 64CSR14-11.6.cLocked storage of toxic or hazardous materials
    05 Oct 2006Revisit
    Investigated the complaint and found no deficiencies.
    31 Aug 2006Complaint
    Identified deficiencies in documenting actual foods served for residents and in keeping the kitchen area clean. The findings included missing detail on fruit and desserts and dirty refrigerator areas.
    • 64CSR14-9.1.g.Dietary Services
    • 64CSR14-11.1.d.Physical Facilities
    24 Jul 2006Revisit
    Investigated a complaint and follow-up activities, with deficiency classifications documented.
    12 Jun 2006Life Safety
    Found no deficiencies.
    05 Jun 2006Revisit
    Found deficiencies in staff training, transfer documentation, and the management of residents with nursing needs, including diabetes care and medication administration.
    • 64CSR14-5.3.d.THE ADMINISTRATOR
    • 64CSR14-7.1.g.HEALTH CARE STANDARDS
    • 64CSR14-7.4.a.HEALTH CARE STANDARDS
    • 64CSR14-7.4.b.HEALTH CARE STANDARDS
    • 64CSR14-7.6.f.HEALTH CARE STANDARDS
    • 64CSR14-7.6.h.HEALTH CARE STANDARDS
    • 64CSR14-7.6.i.HEALTH CARE STANDARDS
    05 Jun 2006Complaint
    Investigated the complaint; deficiencies were moved to the annual survey and the complaint was closed.
    03 May 2006Life Safety
    Identified multiple deficiencies in dietary sanitation, emergency planning, maintenance, hand hygiene supplies, and hot water temperature control.
    • 64CSR14-9.1.i; 64CSR17Dietary services; Food Establishment standards
    • 64CSR14-10.2.eDisaster & emergency preparedness plan
    • 64CSR14-11.1.bPhysical facilities; maintenance and housekeeping
    • 64CSR14-11.3.bPhysical facilities; hand hygiene and soap
    • 64CSR14-11.5.cPhysical facilities; hot water temperature control
    03 May 2006Licensure
    Identified multiple deficiencies across staff screening, training, transfer documentation, medication management, and medication storage.
    • 64CSR14-5.1.g.Administrative requirements for central abuse registry screening
    • 64CSR14-5.5.a.Employee orientation and training
    • 64CSR14-7.1.g.Health care standards for transfer/discharge summaries
    • 64CSR14-7.4.b.Health care standards for physician orders and medication documentation
    • 64CSR14-7.4.g.Health care standards for locked storage of medications
    06 Oct 2005Revisit
    Found no deficiencies. Follow-up activities were conducted for the survey and complaint processes.
    24 Aug 2005Revisit
    Investigated a complaint and cited a repeat deficiency related to regulatory standards; follow-up visits were conducted to monitor status.
    • Deficiency - standard/class assignment
    24 Aug 2005Life Safety
    Found no deficiencies.
    10 Aug 2005Licensure
    Identified deficiencies in maintaining current documentation of residents' health status and staff responses in medical records.
    • 64CSR14-7.2.c.Health Care Standards
    02 May 2005Revisit
    Found multiple deficiencies in staff training, personnel records, resident rights, service plans, dietary management, and safety, with repeated failures to correct them.
    • 64CSR14-5.5.aEMPLOYEE ORIENTATION AND TRAINING
    • 64CSR14-5.6.a.1-4PERSONNEL RECORDS
    • 64CSR14-6.2.hRESIDENT RIGHTS
    • 64CSR14-7.3.dHEALTH CARE STANDARDS
    • 64CSR14-9.1.cDIETARY SERVICES
    • 64CSR14-11.6.cPHYSICAL FACILITIES
    • 64CSR14-11.6.cPHYSICAL FACILITIES
    08 Mar 2005Revisit
    Found widespread deficiencies in nursing oversight, resident assessments, medication administration, dietary practices, and facility safety, including unqualified staff performing assessments, missing RN visits, improper medication transcription, and unsecured hazardous materials.
    • 64CSR14-5.2.c.Maintain accurate records and reports
    • 64CSR14-5.2.e.Notify the commissioner of permanent administrator or supervising RN changes
    • 64CSR14-5.3.e.The Administrator shall be present and in charge
    • 64CSR14-6.2.h.Resident rights - right to choose wake/sleep times
    • 64CSR14-7.3.d.Care plans updated to reflect current needs
    • 64CSR14-7.4.a.Medication administration by licensed professionals; MAR accuracy
    • 64CSR14-7.5.d.Notify licensed health personnel and next of kin for major incidents
    • 64CSR14-7.6.d.RN visits and progress notes for residents with ongoing nursing needs
    • 64CSR14-7.6.h.Weekly RN assessment and progress notes
    • 64CSR14-9.1.c.Therapeutic diets are provided as ordered
    • 64CSR14-11.1.b.Safe storage of hazardous materials
    • 64CSR14-11.6.c.Locked storage for hazardous materials
    08 Feb 2005Complaint
    Investigated multiple deficiencies across reporting major incidents, resident rights, medication administration oversight, diet and dining services, nursing documentation, and physical facilities.
    • 64CSR14-5.2.f.Major incidents reporting
    • 64CSR14-6.2.h.Resident rights - wake time
    • 64CSR14-7.4.a.Medication administration by unlicensed personnel; AMAP evaluations
    • 64CSR14-7.5.d.Major incidents notification and documentation
    • 64CSR14-7.6.d.RN visit records
    • 64CSR14-9.1.b.Dietary services – meals and snacks; vitamin D milk
    • 64CSR14-9.1.c.Dietary therapies and calories
    • 64CSR14-9.1.f.Dietary substitutions
    • 64CSR14-11.1.b.Physical facilities – maintenance and housekeeping
    • 64CSR14-11.1.c.Preventive maintenance program
    • 64CSR14-11.1.g.Heating system maintenance
    • 64CSR14-11.1.j.Exit alarm systems
    • 64CSR14-11.5.c.Hot water temperatures
    • 64CSR14-11.6.c.Locked storage for hazardous materials
    04 Jan 2005Complaint
    Found no deficiencies after investigating a complaint.
    03 Aug 2004Revisit
    Corrected deficiencies were noted.
    10 Jun 2004Licensure
    Identified multiple deficiencies in CLIA compliance, staff training, contracts, service planning, medication management, infection control, and dietary oversight.
    • 64CSR14-5.2.aCLIA waiver requirement for blood glucose monitoring
    • 64CSR14-5.5.aEmployee orientation training for new hires
    • 64CSR14-5.5.bAnnual in-service training
    • 64CSR14-5.7.b.1-8Admission and discharge contracts
    • 64CSR14-5.7.cAdmission contract revisions and provision to copy
    • 64CSR14-7.3.dHealth care standards – assessment and service plans
    • 64CSR14-7.4.bMedication orders and prescriptions
    • 64CSR14-7.4.cMedication self-administration capability
    • 64CSR14-7.4.mInfection control standards
    • 64CSR14-9.1.cDietary services – therapeutic and modified diets
    03 Jun 2004Life Safety
    Found no deficiencies.
    15 Dec 2003Complaint
    Investigated found that a resident was restrained with full-length side rails raised, with staff citing falls as a reason and management considering modifications and awaiting orders.
    • 64CSR14-6.2.b.Resident rights - restraint use
    31 Jul 2003Revisit
    Identified deficiencies in staff first aid training, PRN medication instructions for unlicensed staff, and unsecured toxic materials storage.
    • 64CSR65-6.3.b.8.Employee Orientation and Training
    • 64CSR65-8.5.e.Medications
    • 64CSR65-11.3.e.General Living Environment
    • 64CSR65-11.3.e.General Living Environment
    17 Jun 2003Life Safety
    Found sanitation deficiencies: the area behind the laundry washer/dryer was dirty and residents shared a single bar of soap without individual containers.
    • 64CSR65-11.2.g.Sanitation
    • 64CSR65-11.2.g.Sanitation
    04 Jun 2003Inspection
    Found multiple deficiencies in personnel records, staff training, medication administration, incident handling, and resident funds management during the June 2003 review.
    • Type A64CSR65-6.5.a.5PERSONNEL RECORDS - health records including pre-employment physical and TB screening
    • Type A64CSR65-8.3.b.8EMPLOYEE ORIENTATION AND TRAINING - CPR and first aid
    • Type A64CSR65-8.5.dMEDICATIONS - MAR signatures
    • Type A64CSR65-8.5.eMEDICATIONS - PRN documentation
    • Type A64CSR65-8.6.aACCIDENT ILLNESS & INCIDENT - assessment and emergency advice
    • Type A64CSR65-8.6.bACCIDENT ILLNESS & INCIDENT - 24-hour monitoring after incidents
    • Type A64CSR65-5.9.dRESIDENT FUNDS - bonding requirements
    05 Nov 2002Complaint
    Investigated found safety and medication management deficiencies, including restraints used, unlocked medications, and unlocked toxic materials.
    • 64CSR65-7.3.b.Treatment - Restraints
    • 64CSR65-8.5.j.Medications - Central storage
    • 64CSR65-11.3.e.General Living Environment - Locked storage for toxic materials
    09 Sept 2002Revisit
    Found deficiencies in awake staffing per story during sleeping hours and in involving licensed professionals to assess and respond to resident incidents.
    • 64CSR65-6.2.c.1-3STAFFING REQUIREMENTS
    • 64CSR65-8.6.a.1-3ACCIDENT ILLNESS & INCIDENT
    17 Jul 2002Life Safety
    Found sanitation and safety deficiencies, including ungrounded outlets connected to a fish tank and extensive unsanitary conditions in the kitchen area.
    • 64CSR65-11.2.g.Sanitation - electrical safety with ground fault protection
    • 64CSR65-11.2.h.6Sanitation - maintain clean food service environment
    09 Jul 2002Inspection
    Deficiencies found across staffing, training, resident records, service planning, diet, incident management, and nursing oversight indicated widespread non-compliance with applicable regulations.
    • 64CSR65-6.5.a.5PERSONNEL RECORDS
    • 64CSR65-5.3.cADMINISTRATOR
    • 64CSR65-5.3.cADMINISTRATOR
    • 64CSR65-5.4.bADMISSION PROCEDURES
    • 64CSR65-5.8.eRESIDENT RECORDS
    • 64CSR65-6.2.c.1-3STAFFING REQUIREMENTS
    • 64CSR65-6.3.b.1-9EMPLOYEE ORIENTATION & TRAINING
    • 64CSR65-8.3.aPLANNING
    • 64CSR65-8.6.a.1-3ACCIDENT ILLNESS & INCIDENT
    • 64CSR65-8.6.dACCIDENT ILLNESS & INCIDENT
    • 64CSR65-9.1.bDIETETIC SERVICES
    • 64CSR65-9.2.bADMINISTRATIVE REQUIREMENTS
    • 64CSR65-11.3.eGENERAL LIVING ENVIRONMENT
    • 64CSR65-12.1.aLIMITED AND INTERMITTENT NURSING REQUIREMENTS
    12 Sept 2001Inspection
    Identified missing tuberculosis screenings in health assessments for several residents; administrator unaware TB screenings were required.
    • 64CSR65-8.2.a.TB screening in health assessment

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