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.
Schedule a Tour
Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Coordination with health care providers
Medication management
Mental wellness program
Healthcare staffing
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
5
4
3
2
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
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 number
2100
Status
Active
Facility type
Assisted Living Residence
Capacity
48 residents
Licensee
PERSONAL CARE AT EVERGREEN, INC. DBA ASSITED LIVING AT EVERGREEN, INC.
Found no deficiencies after the annual environmental review.
15 Dec 2025Revisit
15 Dec 2025Revisit
Investigated a complaint and corrected the deficiency.
—
17 Sept 2025Complaint
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
24 Mar 2025Revisit
Investigated the follow-up to the annual survey and noted that citations were corrected.
13 Feb 2025Licensure
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
11 Feb 2025Life Safety
Concluded no deficiencies were identified in the annual environmental review.
16 Apr 2024Licensure
16 Apr 2024Licensure
Found no deficiencies during the annual survey.
08 Apr 2024Life Safety
08 Apr 2024Life Safety
Investigated; documented initial comments.
23 Aug 2023Complaint
23 Aug 2023Complaint
Investigated the complaint and found no deficiencies.
18 Jul 2023Revisit
18 Jul 2023Revisit
Cleared deficiencies identified during a prior review.
—
07 Jun 2023Licensure
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
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
11 Jan 2023Complaint
Investigated the complaint; found no deficiencies.
24 Aug 2022Life Safety
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
24 Aug 2022Revisit
Investigated the follow-up to the annual assessment and found no deficiencies.
20 Jul 2022Life Safety
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
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.
—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
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
02 Nov 2021Revisit
Cleared all tags after follow-up to the annual survey and found no new citations.
15 Jul 2021Inspection
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
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 A—Maintenance and housekeeping to maintain a safe environment
Type B—Maintenance and housekeeping to maintain a safe environment
c—Maintenance and housekeeping to maintain a safe environment
d—Maintenance and housekeeping to maintain a safe environment
e—Maintenance and housekeeping to maintain a safe environment
f—Maintenance and housekeeping to maintain a safe environment
g—Maintenance and housekeeping to maintain a safe environment
h—Maintenance and housekeeping to maintain a safe environment
i—Maintenance and housekeeping to maintain a safe environment
j—Maintenance and housekeeping to maintain a safe environment
k—Maintenance and housekeeping to maintain a safe environment
l—Maintenance and housekeeping to maintain a safe environment
04 May 2021Revisit
04 May 2021Revisit
Investigated a revisit and found no deficiencies.
29 Mar 2021Revisit
29 Mar 2021Revisit
Cleared an infection control deficiency on follow-up visit.
—Infection control
02 Mar 2021Complaint
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
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
06 Oct 2020Complaint
Investigated a complaint and found that the provider failed to assist with discharge placement and document placement efforts for a resident.
W.Va. Code 16-5D-1 et seq.Food handler cards on file
21 Sept 2020Life Safety
21 Sept 2020Life Safety
Found no deficiencies during the annual environmental survey.
25 Aug 2020Life Safety
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
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 - Fire Safety, Disaster and Emergency PreparednessDisaster and Emergency Preparedness
03 Aug 2020Complaint
03 Aug 2020Complaint
Investigated a complaint and found it unsubstantiated.
02 Feb 2020Revisit
02 Feb 2020Revisit
Found no deficiencies. Follow-up to a complaint cleared census and reported no new citations.
19 Jan 2020Revisit
19 Jan 2020Revisit
Corrected deficiency found during the follow-up revisit.
—
04 Dec 2019Complaint
04 Dec 2019Complaint
Found no deficiencies. Census was 35.
03 Dec 2019Revisit
03 Dec 2019Revisit
Found no deficiencies. No repeat deficiencies cited.
11 Sept 2019Inspection
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
26 Aug 2019Life Safety
Found no deficiencies during the survey.
21 Aug 2019Complaint
21 Aug 2019Complaint
Found no deficiencies.
05 Jun 2019Complaint
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
18 Dec 2018Complaint
Investigated a complaint and found no deficiencies.
20 Aug 2018Life Safety
20 Aug 2018Life Safety
Found no deficiencies.
01 Aug 2018Licensure
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
21 Mar 2018Complaint
Found no deficiencies. The complaint investigation occurred March 19-21, 2018.
07 Nov 2017Revisit
07 Nov 2017Revisit
Identified deficiencies related to care standards during a complaint investigation.
—
—
07 Nov 2017Revisit
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
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
25 Sept 2017Life Safety
Identified deficiencies cited during the annual licensure survey.
—
31 Aug 2017Licensure
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
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
30 Nov 2016Complaint
Investigated the complaint; found no deficiencies.
29 Sept 2016Revisit
29 Sept 2016Revisit
Found no deficiencies.
08 Aug 2016Life Safety
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
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
02 Nov 2015Life Safety
Observed census increased from 35 to 39 on follow-up. Environmental survey was conducted during the visit.
01 Sept 2015Revisit
01 Sept 2015Revisit
Concluded no deficiencies were identified.
27 Aug 2015Life Safety
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
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
15 Jul 2015Revisit
Investigated a complaint and follow-up.
18 Jun 2015Complaint
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
01 Apr 2015Complaint
Investigated the complaint and found no deficiencies.
22 Oct 2014Life Safety
22 Oct 2014Life Safety
Found no deficiencies. Census was 37 residents of 48 capacity.
13 Oct 2014Revisit
13 Oct 2014Revisit
Investigated the licensing activity and found no deficiencies.
14 Aug 2014Licensure
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
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
13 Nov 2013Revisit
Found a deficiency corrected with only technical assistance.
—
05 Sept 2013Licensure
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
23 Jul 2013Life Safety
Found no deficiencies cited during the annual licensure survey.
20 May 2013Revisit
20 May 2013Revisit
Investigated a complaint and found deficiencies were partially substantiated; two deficiencies were cited.
—
—
08 Apr 2013Revisit
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
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
19 Nov 2012Revisit
Corrected one deficiency during a follow-up visit.
—
30 Oct 2012Life Safety
30 Oct 2012Life Safety
Corrected a deficiency cited during a follow-up survey.
—
25 Sept 2012Life Safety
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
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
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
04 Apr 2012Complaint
Investigated the complaint and determined that it was unsubstantiated. Found no deficiencies.
27 Mar 2012Complaint
27 Mar 2012Complaint
Investigated a complaint; three allegations were unsubstantiated and two allegations were substantiated with no deficiencies.
30 Nov 2011Revisit
30 Nov 2011Revisit
Investigated a deficiency identified during the initial survey and followed up to verify correction.
—
15 Nov 2011Life Safety
15 Nov 2011Life Safety
Verified that deficiencies from the initial survey were corrected on follow-up.
—Deficiencies corrected
28 Sept 2011Licensure
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
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
18 May 2011Revisit
Investigated a complaint; cited two deficiencies, with one corrected at follow-up.
—
—
13 Apr 2011Complaint
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
09 Mar 2011Revisit
Investigated a complaint and corrected a deficiency during follow-up.
24 Jan 2011Complaint
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
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
27 Oct 2010Revisit
Deficiencies were corrected during the follow-up visit. Technical assistance was provided.
—
—
27 Oct 2010Complaint
27 Oct 2010Complaint
Found no deficiencies.
09 Sept 2010Licensure
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
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
05 May 2010Revisit
Investigated a complaint; an unrelated deficiency was identified and later corrected.
—Unrelated deficiency
09 Mar 2010Complaint
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
24 Feb 2010Life Safety
Identified deficiencies related to two regulatory items during the licensure activity.
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—
24 Jan 2010Life Safety
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
03 Nov 2009Revisit
Cited a deficiency and corrected it.
—
23 Sept 2009Licensure
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
18 Aug 2009Life Safety
Identified 38 deficiencies and noted that no technical assistance was provided during the environment survey.
21 Oct 2008Revisit
21 Oct 2008Revisit
Investigated a complaint and followed up on related issues during the September 2008 survey and October follow-up.
18 Sept 2008Complaint
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.g.Physical Facilities - Temperature in resident areas
64CSR14-11.5.b.Physical Facilities - Hot water temperatures
06 Aug 2008Life Safety
06 Aug 2008Life Safety
Found no deficiencies during the annual licensure survey.
19 Mar 2008Complaint
19 Mar 2008Complaint
Found no deficiencies.
27 Nov 2007Inspection
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
30 Oct 2007Life Safety
Found no deficiencies during the CHOW survey.
02 Jul 2007Revisit
02 Jul 2007Revisit
Found deficiencies cited during the licensure survey and noted as corrected.
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—
29 May 2007Life Safety
29 May 2007Life Safety
Identified deficiencies; a follow-up confirmed the correction of one deficiency.
—
—
09 May 2007Revisit
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
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
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
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
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
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
05 Mar 2007Revisit
Concluded that all deficiencies were corrected and two new technical assistances were provided.
15 Feb 2007Complaint
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
05 Oct 2006Revisit
Investigated the complaint and found no deficiencies.
31 Aug 2006Complaint
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
24 Jul 2006Revisit
Investigated a complaint and follow-up activities, with deficiency classifications documented.
12 Jun 2006Life Safety
12 Jun 2006Life Safety
Found no deficiencies.
05 Jun 2006Revisit
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
05 Jun 2006Complaint
Investigated the complaint; deficiencies were moved to the annual survey and the complaint was closed.
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03 May 2006Life Safety
03 May 2006Life Safety
Identified multiple deficiencies in dietary sanitation, emergency planning, maintenance, hand hygiene supplies, and hot water temperature control.
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
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
06 Oct 2005Revisit
Found no deficiencies. Follow-up activities were conducted for the survey and complaint processes.
24 Aug 2005Revisit
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
24 Aug 2005Life Safety
Found no deficiencies.
10 Aug 2005Licensure
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
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
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
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
04 Jan 2005Complaint
Found no deficiencies after investigating a complaint.
03 Aug 2004Revisit
03 Aug 2004Revisit
Corrected deficiencies were noted.
10 Jun 2004Licensure
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
64CSR14-9.1.cDietary services – therapeutic and modified diets
03 Jun 2004Life Safety
03 Jun 2004Life Safety
Found no deficiencies.
15 Dec 2003Complaint
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
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
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
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
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
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
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
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
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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