Pricing ranges from
    $5,896 – 7,664/month

    Cedar Grove

    110 Nicolette Rd, Parkersburg, WV 26104
    • Assisted Living

    Caring staff and clean facility

    I moved my mom here and we're both very pleased. The staff are caring, attentive, and involved; the building is clean, meals are good, and there are plenty of activities. Admission was smooth, communication excellent, and I'd recommend this facility to families seeking quality assisted living.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

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

    Transportation

    • Community operated transportation
    • Transportation arrangement

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.31·(59)

    Overall rating

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

      3.3
    • Staff

      3.9
    • Meals

      3.6
    • Amenities

      2.4
    • Value

      2.6

    Pros

    • Compassionate and attentive caregiving staff
    • Engaged activities program with diverse outings and events
    • On-site therapy and medical services (PT and in-house physician)
    • Pleasant grounds and attractive exterior spaces
    • Supportive admission and transition processes
    • Competitive pricing and perceived value
    • Frequent social and recreational programming
    • Generally positive dining experiences for many residents
    • Clean and orderly areas in multiple units
    • Friendly and helpful administrative staff
    • Strong short-term rehabilitation outcomes
    • Responsive nursing for routine medical needs

    Cons

    • Inconsistent and inadequate staffing levels
    • Odor concerns in common areas and resident rooms
    • Incontinence-care delays and inconsistent hygiene routines
    • Variable meal quality and inconsistent kitchen operations
    • Limited clinical capacity for higher-acuity nursing needs
    • Inadequate oversight of staff conduct and break coverage
    • Communication gaps with families and incident-reporting delays
    • Billing transparency issues and post-discharge charge disputes
    • Allegations of theft and missing personal items
    • Small, dated room configurations and shared bathrooms in some units
    • High staff turnover and inconsistent continuity of care
    • Variable housekeeping and cleanliness standards across units

    Summary of reviews

    Overall impression: Reviews of Cedar Grove present a mixed but consistent pattern: many families praise the staff’s interpersonal warmth, the activity offerings, and the facility’s value for certain levels of need, while others describe operational weaknesses that affect care reliability for higher-acuity residents. Positive comments cluster around staff compassion, engaging programming, accessible therapy and medical services, and an attractive exterior environment. Negative comments tend to focus on staffing, sanitation, and management practices that create variability in day-to-day care.

    Care and staff: Numerous accounts describe caregivers and nurses as kind, attentive, and invested in residents’ well-being; several families specifically noted smooth admissions, supportive transitions, and responsive routine nursing care. At the same time, a recurrent concern is inconsistent staffing levels that can delay assistance, reduce supervision, and compromise tasks such as toileting assistance and timely repositioning. A subset of reports describes safety events (falls or transfer-related injuries) and skin/pressure-injury concerns tied to those staffing and supervision gaps. Short-term rehabilitative stays (PT/therapy) receive positive comments, suggesting the facility can deliver effective care in a higher-staffed, time-limited setting, but reviewers question its ability to manage long-term, higher-acuity nursing needs reliably.

    Dining and activities: Activity programming is a clear strength in many accounts — an active activities director, frequent outings, clubs, games, and social events are cited as contributors to residents’ quality of life. Dining impressions are more mixed: some reviewers praise food quality, portions, and enjoyable meals, while others describe inconsistent preparation, repetitive menus, cold or tough items, and perceived decline in kitchen standards. Families note that economic pressures may affect meal variety and seasoning.

    Facilities and cleanliness: The campus and outdoor areas receive favorable mentions for landscaping, porch spaces, and a pleasant location. Interior conditions are variable: some units are described as clean and well-maintained, while others are characterized as dated, small, or hospital-like with shared bathrooms. Sanitation issues and odor concerns in common areas and some rooms are recurring themes, alongside inconsistent housekeeping practices. These environmental concerns appear linked in several accounts to staffing and supervisory shortfalls.

    Management, communication, and billing: Experiences with administration range from highly supportive and communicative to unresponsive and opaque. Positive notes include helpful directors and staff who facilitate admissions and transitions. Conversely, reviewers report communication gaps about medical appointments, hospital transfers, and incidents, as well as disputes over billing and move-out charges. There are also serious operational concerns raised about staff oversight (including break coverage) and allegations of missing personal items; these items suggest weaknesses in security and administrative follow-through.

    Notable patterns and guidance for families: The pattern across reviews suggests Cedar Grove can be an appropriate, cost-effective option for residents needing assisted living or short-term rehabilitation when staffing levels are sufficient and when the resident’s needs are moderate. However, families of residents with higher nursing acuity or significant incontinence and mobility needs should exercise caution: verify current staffing ratios, clinical capabilities, supervision and transfer protocols, housekeeping schedules, and billing policies before admission. Prospective residents and their families may benefit from an in-person tour focused on room layouts, shared-bathroom arrangements, observed cleanliness, mealtime sampling, a review of therapy availability, and direct discussion with management about staffing contingency plans and communication practices.

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    Location

    Map showing location of Cedar Grove

    Cedar Grove is located at 110 Nicolette Rd, Parkersburg, WV, 26104.

    About Cedar Grove

    Cedar Grove is a senior living community in Parkersburg, West Virginia, close to Vienna, WV, and Marietta, OH, and not too far from the West Virginia University Parkersburg campus, sitting in a friendly country setting where folks 65 and older can enjoy some peace while getting just the right amount of help to stay independent. This place's been around for more than thirty years, offering assisted living services, memory care, skilled nursing, rehabilitation, and even hospice care, with care plans that fit each resident's needs, from a little help every day to more ongoing nursing support, and you'll find both private and semi-private rooms plus apartments with bathrooms, living spaces, and individually controlled air temperature, so you can pick what feels like home. Some units come with kitchenettes if you like to cook a snack for yourself, and everybody gets access to nutritious meals with decent ingredients, an elegant dining room, and comfortable lounge and outdoor areas for visiting family or just sitting outside with neighbors or your pet, since the place is pet-friendly.

    The Cedar Grove staff help with medication, health care needs, and daily activities, with certified folks on hand and a personal care home ready to handle both simple and more complex requirements including nursing services, physical therapy, and support if your needs change. Housekeeping and transportation are taken care of, so errands and doctor's visits are easier, and there's a variety of activities-fitness, recreation, enrichment programs, scheduled events, and outings-so if you want to stay active, you've got choices. The management team, Gardant Management Solutions out of Kankakee, Illinois, keeps things running in a way that emphasizes dignity, compassion, independence, and having fun, and you'll find a lot of opportunities to make friends, get involved in community events, or join programs designed to support well-being and social connection. Cedar Grove lets people live affordably while keeping their quality of life front and center, and for families who need a break, respite hours are available, with minimums and costs shared if you ask.

    The community is all on one floor to make getting around easier, and the layouts've got floor plans and features in place that make the spaces practical and comfortable. People say the staff are courteous and caring, and over the years, Cedar Grove has been recognized with awards like "A Great Place to Work" in 2024, Best in Assisted Living for 2022-23, and the AHCA/NCAL Bronze Quality Award in 2020, mostly based on the good experiences that residents and family members have described, stuff like decent meals, help when they need it, and a supportive atmosphere where everyone's treated with care and respect. Cedar Grove really tries to offer different kinds of care so residents can stay as independent as possible while making new friends, staying active, and feeling safe and at home, all in a setting where daily life moves at a pleasant pace and there's always somebody around to help if something comes up.

    About Gardant Management Solutions

    Cedar Grove is managed by Gardant Management Solutions.

    Founded in 1999 by Rod Burkett and Blair Minton, Gardant Management Solutions has evolved into one of the nation's leading senior living management companies, operating from its headquarters in Bourbonnais, Illinois. Originally established as Blair Minton and Associates (BMA), the company rebranded to Gardant in 2012, with the name meaning "forward facing" to reflect their progressive approach to senior care. Over its 25-year history, Gardant has grown to become the fifth-largest assisted living provider in the United States and the largest provider of affordable assisted living nationwide. Currently managing approximately 80 communities across five states - Illinois, Indiana, Ohio, Maryland, and West Virginia - serving over 8,635 apartments for seniors and adults with physical disabilities.

    People often ask...

    Cedar Grove offers competitive pricing, with rates starting at a cost of $5,896 per month.

    Cedar Grove offers assisted living.

    There are 16 photos of Cedar Grove on Mirador.

    The full address for this community is 110 Nicolette Rd, Parkersburg, WV 26104.

    No, Cedar Grove 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 number1748
    StatusActive
    Facility typeAssisted Living Residence
    Capacity85 residents
    LicenseeGREENWICH INVESTORS CEDAR GROVE OPERATOR , LLC TRADENAME CEDAR GROVE ASSISTED LI
    EffectiveAugust 13th, 2024
    ExpiresAugust 12th, 2025
    View the official license record

    Inspection Reports

    146

    Reports

    16

    Type A Citations

    15

    Type B Citations

    67

    Complaints

    24

    Years

    13 Jan 2026Complaint
    Found deficiencies related to admission contract disclosures and nursing service planning, including incomplete contract information and missing or unfinished service plans for wound care.
    • 4.7.4.f.Admission contract: disclosure of policies and procedures
    • 4.7.2.b.Health and nursing care services; CPR
    • 4.7.2.c.Changes in care needs and cost increases
    • Health Care StandardsRN service plan development within seven days and updates
    • Health Care StandardsWound care not reflected; RN signature missing
    • Health Care StandardsInitial service plans development within seven days
    13 Jan 2026Complaint
    Investigated the complaint and found no deficiencies.
    13 Jan 2026Complaint
    Investigated the complaint about the allegation and found it unsubstantiated. No deficiencies were cited.
    05 Jan 2026Life Safety
    Found no deficiencies cited.
    22 Oct 2025Revisit
    Investigated the complaint and found a deficiency that was corrected.
    08 Oct 2025Complaint
    Investigated the complaint and found no deficiencies.
    19 Aug 2025Complaint
    Found that there were not enough qualified staff on duty to supervise residents, which allowed a resident to elope.
    • Supervision requirements; wander management/door alarms
    12 Nov 2024Revisit
    Concluded that the deficiencies were corrected after a complaint follow-up.
    • E 001
    31 Oct 2024Life Safety
    Identified deficiencies during the initial survey; all deficiencies were corrected by the follow-up visit, though one item required a waiver decision.
    30 Oct 2024Complaint
    Investigated the complaint and found no deficiencies.
    25 Sept 2024Life Safety
    Identified multiple deficiencies including improper laundry storage and undersized bedrooms. Missing evacuation education documentation and dusty/unsafe maintenance conditions were also observed.
    • Laundry storage and sanitizing
    • Bedroom space requirements
    • Fire safety – evacuation instructions
    • Physical facilities – safe, sanitary environment
    25 Sept 2024Complaint
    Identified deficiencies in medication self-administration documentation and storage: a resident self-administered meds without a documented capability assessment and meds were left unsecured at the bedside.
    • Medications and Treatments - self-administration capability assessment
    • Medications and Treatments - locked storage of medications
    25 Sept 2024Licensure
    Found no deficiencies. Annual survey started 09/23/24 and ended 09/25/24 with a census of 62.
    13 Mar 2024Complaint
    Investigated a complaint and concluded that the allegation was substantiated, with no deficiencies cited.
    06 Dec 2023Licensure
    Identified deficiencies in death and transfer documentation: the name of the person to whom bodies were released was not recorded for two residents, and required transfer information was missing for three residents.
    • Death documentation: name of person to whom body released
    • Transfer/discharge documentation: documentation accompanies transfers and includes required items
    04 Dec 2023Life Safety
    Found no deficiencies.
    19 Oct 2023Revisit
    Cleared prior deficiencies identified in the complaint; no new deficiencies were cited.
    29 Aug 2023Complaint
    Investigated the complaint and concluded no deficiencies were identified.
    29 Aug 2023Complaint
    Investigated the complaint and found no violations.
    29 Aug 2023Complaint
    Found no deficiencies.
    02 Aug 2023Complaint
    Found failures to monitor and document a resident after an accident and to maintain accurate incident records, along with unsafe and unsecured facility conditions.
    • Type AAccident, Illness, and Major Incident Procedures
    • Type BAccident, Illness, and Major Incident Procedures
    • Type ARecordkeeping—Incident Reporting
    • Type BRecordkeeping—Incident Reporting
    • Type APhysical Facilities
    • Type BPhysical Facilities
    02 Aug 2023Complaint
    Investigated and determined one allegation substantiated; no deficiencies identified.
    18 Jan 2023Revisit
    Verified that prior citations were cleared after accepting credible evidence. Found substantial compliance.
    30 Nov 2022Revisit
    Found no deficiencies.
    29 Nov 2022Life Safety
    Found no deficiencies cited during the annual environmental review.
    03 Nov 2022Licensure
    Found that transfer/discharge summaries were not consistently prepared and sent with residents, and that weekly nursing documentation for residents needing nursing care was not maintained.
    • E364Transfer/Discharge Summary Requirements
    • E409Weekly Documentation for Limited and Intermittent Nursing Care
    10 Oct 2022Revisit
    Investigated a complaint; all deficiencies were cleared.
    31 Aug 2022Complaint
    Investigated the complaint; found no deficiencies.
    30 Aug 2022Complaint
    Investigated the complaint and concluded that no deficiencies were found.
    04 Aug 2022Revisit
    Verified that all citations were cleared on revisit.
    28 Jul 2022Complaint
    Investigated the complaint and found no deficiencies.
    13 Jun 2022Complaint
    Found multiple deficiencies in hygiene, laundry storage, and care planning. The issues included unsanitary toilet facilities, improper storage of soiled laundry, and service plans not reflecting a resident's incapacity.
    • Toilet and bathing facilities not properly stocked
    • Laundry not stored separately from soiled laundry
    • Assessment and Service Plans reflect current needs
    • Physical facilities maintained as safe and sanitary
    03 Jun 2022Complaint
    Identified inadequate staffing across day, evening, and night shifts for residents with two or more care needs, creating risk of insufficient assistance.
    • E 259Day shift staffing requirements
    • E 261Night shift staffing requirements
    • E 260Evening shift staffing requirements
    05 Jan 2022Complaint
    Investigated the complaint and found no deficiencies.
    10 Nov 2021Complaint
    Found no deficiencies. A complaint was filed and contact occurred during the investigation.
    06 Oct 2021Complaint
    Found failures to promptly notify the resident's responsible party after a major incident and to count residents after a door alarm, leading to neglect concerns and elopement risk.
    • Accident, Illness, and Major Incident Procedure
    • Treatment
    20 Sept 2021Life Safety
    Identified deficiencies in several areas; one remained after the first survey but was corrected by the second survey.
    18 Aug 2021Revisit
    Concluded no new deficiencies were cited during the follow-up to the annual survey.
    11 Aug 2021Life Safety
    Identified ongoing maintenance and housekeeping deficiencies that affected safety and sanitation; most issues were corrected after follow-up, but one deficiency remained unresolved.
    • Maintenance and housekeeping deficiencies
    • Maintenance and housekeeping deficiencies
    • Maintenance and housekeeping deficiencies
    • Maintenance and housekeeping deficiencies
    08 Jul 2021Licensure
    Identified staffing and TB screening deficiencies. The day shift did not meet required direct care staffing for residents with two or more care needs, and several employees lacked completed pre-employment TB screenings.
    • Staffing Requirements
    • TB screening for employees
    07 Jul 2021Life Safety
    Found multiple deficiencies: call systems not accessible from beds, missing elements in the disaster and emergency plan, and numerous maintenance and housekeeping issues.
    • Type ACall system accessibility
    • Type ADisaster and Emergency Preparedness Plan
    • Type ADisaster and Emergency Preparedness Education/Documentation
    • Type APhysical Facilities
    13 Jan 2021Inspection
    Investigated infection control. The available excerpt did not list specific deficiencies.
    05 Jan 2021Revisit
    Deficiencies corrected after follow-up to a complaint investigation.
    10 Dec 2020Complaint
    Investigated the complaint and found no deficiencies.
    09 Dec 2020Complaint
    Found deficiencies in nursing documentation for RN visits, including missing sign-in/out and incomplete entries for duties, concerns, actions, and signatures.
    • Limited and Intermittent Nursing Care (RN log requirements)RN log documentation requirements
    24 Nov 2020Revisit
    Verified deficiencies were corrected.
    26 Aug 2020Inspection
    Identified deficiencies in care planning and record storage. Service plans were not developed or updated within required timeframes, old plans were missing, and resident records were not stored securely; weight changes were not consistently reported to physicians.
    • Assessment and Service Plans
    • Administrative Admission and Discharge
    • Dietary Services
    08 Jun 2020Life Safety
    Found no deficiencies after the June 8, 2020 survey.
    03 Mar 2020Revisit
    Determined that the deficiency was cleared following the complaint revisit. Census was 62.
    23 Oct 2019Complaint
    Investigated a complaint and conducted an on-site review over two days.
    29 May 2019Complaint
    Found no deficiencies. Census count was 66.
    15 May 2019Life Safety
    Found no environmental deficiencies.
    03 May 2019Complaint
    Concluded that no deficiencies were found.
    23 May 2018Life Safety
    Found that hot water tanks over 80 gallons lacked a thermostatic mixing valve, in violation of state requirements. Cited as a deficiency during the survey.
    • 64 CSR 14 (11.5.d)Physical Facilities
    08 May 2018Licensure
    Found no deficiencies.
    21 Jun 2017Complaint
    Investigated the complaint and found no deficiencies.
    20 Jun 2017Revisit
    Found no deficiencies. The May 2017 survey found no deficiencies cited.
    24 May 2017Licensure
    Found eleven residents had bedside rails not secured to the bed frames, posing a safety risk.
    • 64CSR14-5.2.b.Protection of residents' physical and mental well-being
    11 May 2017Complaint
    Investigated the complaint and found no deficiencies.
    19 Apr 2017Life Safety
    Found no deficiencies.
    08 Feb 2017Complaint
    Investigated the complaint and found no deficiencies.
    21 Sept 2016Complaint
    Concluded that no deficiencies were found.
    25 Jul 2016Revisit
    Verified that deficiencies were corrected after the follow-up survey.
    18 May 2016Licensure
    Identified deficiencies where the release of residents' personal belongings after death was not properly directed to the estate administrator or executor for four residents.
    • 64CSR14-7.7.c.Release of belongings to estate administrator or executor upon death
    • 64CSR14-7.7.c.Release of belongings to estate administrator or executor upon death
    • 64CSR14-7.7.c.Release of belongings to estate administrator or executor upon death
    • 64CSR14-7.7.c.Release of belongings to estate administrator or executor upon death
    12 Apr 2016Life Safety
    Found no deficiencies and determined compliance with environmental standards.
    01 Sept 2015Complaint
    Investigated the complaint and found no deficiencies.
    12 Aug 2015Revisit
    Found no deficiencies.
    29 Jul 2015Life Safety
    Found no deficiencies regarding fire safety; no requirements were issued after the Fire Marshal's visit.
    02 Jul 2015Complaint
    Investigated the complaint; findings not provided in the available material.
    11 Jun 2015Life Safety
    Observed multiple safety and maintenance deficiencies, including electrical hazards, improper oxygen storage, cleanliness issues, and hot water temperatures outside the allowed range.
    • Type B64CSR14-11.1.b.Physical Facilities
    • d64CSR14-11.1.d.Physical Facilities
    • Type B64CSR14-11.5.b.Physical Facilities - Hot Water Temperature
    04 Jun 2015Licensure
    Investigated found multiple deficiencies including failure to maintain accurate medication and health records, inadequate staffing with proper training, mismanagement of resident funds, unaddressed complaints, infection control gaps, and dietary/weight monitoring issues.
    • 64CSR14-5.2.c.The licensee shall maintain accurate records and reports required by this rule.
    • 64CSR14-5.4.c.One employee on duty with current first aid/CPR at all times.
    • 64CSR14-5.4.f.Sufficient staff to meet laundry, housekeeping, and maintenance needs.
    • 64CSR14-5.8.a.Management of resident funds at the written request of the resident.
    • 64CSR14-6.2.n.Resident has right to prompt action on complaints and written written response within four days.
    • 64CSR14-7.4.b.Health Care Standards - Prescription orders kept in resident records.
    • 64CSR14-7.4.m.Health Care Standards - Infection control training documentation.
    • 64CSR14-7.6.h.Health Care Standards - RN weekly visits and progress notes.
    • 64CSR14-9.1.c.Dietary Services - Therapeutic or modified diets documented by physician order.
    • 64CSR14-9.1.d.Dietary Services - Fluid restrictions and weights monitoring.
    • 64CSR14-7.5.c.Health Care Standards - Infection control in practice.
    27 May 2015Complaint
    Investigated a complaint and found no deficiencies.
    15 May 2015Life Safety
    Identified multiple electrical safety deficiencies in the older wing, including loose wiring components, open grounds, and reversed polarity.
    • Type B64CSR14-11.1.b.Physical Facilities
    30 Apr 2015Revisit
    Investigated a complaint; no deficiencies cited.
    13 Apr 2015Complaint
    Investigated the complaint; found no deficiencies.
    23 Mar 2015Complaint
    Found that the call bell system was not audible to staff, resulting in unacknowledged resident calls.
    • 64CSR14-11.1.i.Call system audible to staff
    19 Mar 2015Life Safety
    Identified multiple electrical system deficiencies in the older wing that created safety hazards, including wiring faults and improper installations. These issues require corrective actions.
    • 64CSR14-11.1.b.Physical Facilities
    29 Sept 2014Revisit
    Completed an annual licensure survey in August 2014 with a follow-up in September 2014; census counts were updated between visits.
    27 Aug 2014Life Safety
    Found no deficiencies. Census was 58.
    25 Aug 2014Revisit
    Investigated a complaint and found no deficiencies.
    07 Aug 2014Licensure
    Identified missing medical diagnoses and allergies in a resident’s admission record, incomplete health assessments and TB screenings for some residents, and insufficient staff training on when to involve the RN.
    • 64CSR14-7.2.b.Health Care Standards – Admission records and required content
    • 64CSR14-7.3.a.Health Care Standards – Health assessments and TB screening
    • 64CSR14-7.6.i.Health Care Standards – Staff training and RN contact
    24 Jun 2014Complaint
    Identified deficiencies in resident safety, recordkeeping, complaint handling, pest control, linen supply, and shower scheduling that could affect resident well-being.
    • 64CSR14-5.2.b.Protect physical and mental well-being of residents
    • Maintain accurate records and reports required by this rule
    • Complaint Investigation
    • 64CSR14-6.2.n.Resident Rights – prompt action to resolve complaints; respond in writing within four days
    • 64CSR14-11.1.e.Physical Facilities – Insects, vermin, and vermin control
    • 64CSR14-11.2.h.Physical Facilities – Linen supply
    05 May 2014Complaint
    Investigated the complaint and found no deficiencies.
    18 Dec 2013Complaint
    Investigated multiple resident falls and injuries occurred during staff-assisted ambulation and transfers, with inadequate training, staffing, and lift policy to ensure resident safety.
    • 64CSR14-5.2.b.The licensee shall protect the physical and mental well-being of residents.
    23 Sept 2013Life Safety
    Found no deficiencies.
    21 Aug 2013Licensure
    Found no deficiencies.
    23 Jul 2013Life Safety
    Hot water temperatures in several resident areas exceeded safe limits, posing scald risks; a large hot water tank lacked a mixing valve and ranges were outside required limits.
    • Type B64CSR14-5.2.b.Maintain safe hot water temperatures to protect residents
    • Type B64CSR14-11.5.b.Maintain hot water temperatures at 105-115°F at all hot water sources
    • c64CSR14-11.5.c.Hot water temperatures exceeding 120°F considered an immediate threat
    • d64CSR14-11.5.d.Use thermostatic mixing valve on hot water tanks over 80 gallons
    30 Jan 2013Revisit
    Investigated the complaint and found no deficiencies.
    30 Oct 2012Life Safety
    Identified a deficiency and corrected it during follow-up.
    13 Sept 2012Life Safety
    Cited safety and sanitary deficiencies, including unsafe hot water piping, mold, rusting, and blocked access in mechanical spaces and doors.
    • Type B64CSR14-11.1.b.Physical Facilities - maintenance and housekeeping to maintain a safe, sanitary, and accident free living environment
    • d64CSR14-11.1.d.Physical Facilities - keep interior and exterior clean and in good repair
    26 Jul 2012Revisit
    Investigated deficiencies were corrected on follow-up.
    31 May 2012Licensure
    Found deficiencies in timely medication administration, inadequate post-accident monitoring and documentation, and failure to follow RN recommendations including head-injury checks.
    • 64CSR14-5.2.a.Medication Administration Timeliness
    • 64CSR14-7.5.c.Health Care Standards - Post-Accident Monitoring
    • 64CSR14-7.6.c.Health Care Standards - Implement RN Recommendations
    15 Nov 2011Revisit
    Corrected deficiencies were noted during follow-up.
    03 Nov 2011Revisit
    Investigated the complaint and corrected a deficiency during follow-up.
    28 Oct 2011Complaint
    Investigated and found a deficiency for failing to report a major incident; a resident eloped and staff did not notify the licensing agency.
    • 64CSR14-5.2.f.Reporting major incidents to the licensing agency
    03 Oct 2011Revisit
    Investigated medication availability deficiencies where prescribed medications were not available for administration for multiple residents; a repeat deficiency occurred on follow-up.
    • 64CSR14-7.4.bHealth Care Standards
    28 Sept 2011Revisit
    Identified deficiencies showed the RN did not consistently review or co-sign weekly nursing notes for residents with nursing care needs, with multiple missing or overdue entries related to wound care and insulin injections.
    • 64CSR14-7.6.h.A registered nurse shall see residents weekly and document progress notes reflecting status and changes
    31 Aug 2011Complaint
    Found deficiencies showing staff misused medications, medications were not available for administration to several residents, and staff worked while ill.
    • 64CSR14-6.2.b.Resident Rights
    • 64CSR14-7.4.b.Health Care Standards
    • 64CSR14-7.4.m.Health Care Standards
    30 Aug 2011Revisit
    Found that weekly RN oversight failed, with delayed and missing documentation for residents with nursing care needs, including missing cosigns on LPN assessments and untimely weekly notes for several residents.
    • 64CSR14-7.6.h.Health Care Standards
    27 Jul 2011Licensure
    Found deficiencies in nursing assessments after admission and during changes in condition, weekly nursing notes, and dietary management.
    • 64CSR14-7.6.f.Nursing assessments within 24 hours and updates for changes
    • 64CSR14-7.6.h.RN weekly progress notes
    • 64CSR14-9.1.c.Dietary services – therapeutic or modified diets and calories
    26 Jul 2011Life Safety
    Found no deficiencies cited. Technical assistance was provided.
    10 Nov 2010Revisit
    Identified and cited a deficiency; it was corrected.
    14 Sept 2010Revisit
    Found major incidents were not reported to the licensing office timely; abuse cases were not reported to protective services or OHFLAC, and service plans plus weekly nursing documentation were not updated as required.
    • 64CSR14-5.2.f.Major incidents reporting
    • 64CSR14-6.2.c.Resident Rights - Abuse reporting to APS/OHFLAC
    • 64CSR14-6.2.f.Resident Rights - Notify licensing agency and forward investigation docs
    • 64CSR14-7.6.g.Health Care Standards - Service plans updated timely
    • 64CSR14-7.6.h.Health Care Standards - Weekly RN assessments
    14 Sept 2010Life Safety
    Found deficiencies.
    12 Jul 2010Licensure
    Identified multiple deficiencies including failure to report major incidents and abuse promptly, inadequate abuse investigations and APS involvement, poor handling of resident complaints, and gaps in wound care planning, monitoring, and RN oversight.
    • 64CSR14-5.2.f.Reporting major incidents
    • 64CSR14-6.2.c.Resident Rights: Immediate reporting of neglect, abuse or emergency situations
    • 64CSR14-6.2.f.Resident Rights: Notify licensing agency within 72 hours of abuse allegation; forward investigation documentation
    • 64CSR14-6.2.n.Resident Rights: Respond to complaints in writing within four days
    • 64CSR14-7.4.b.Health Care Standards: Prescription orders and documentation
    • 64CSR14-7.5.c.Health Care Standards: Monitor after accident
    • 64CSR14-7.6.g.Health Care Standards: RN to develop service plan within seven days
    • 64CSR14-7.6.h.Health Care Standards: RN weekly visits and progress notes
    08 Dec 2009Revisit
    Corrected a deficiency identified during the annual review and subsequent follow-up. The deficiency was addressed after follow-up activities.
    04 Nov 2009Revisit
    Identified deficiencies in personnel records and in transferring and discharging residents, including incomplete TB screenings and missing transfer/discharge summaries.
    • 64CSR14-5.6.aPersonnel Records
    • 64CSR14-7.1.gTransfers/Discharges Summary
    • 64CSR14-7.1.gTransfers/Discharges Summary
    03 Nov 2009Complaint
    Found no deficiencies cited; census counted 75 residents during the period.
    15 Sept 2009Complaint
    Found no deficiencies. Technical assistance provided.
    03 Sept 2009Licensure
    Identified deficiencies across several areas including background checks, TB screenings, resident transfers, care plans, medication administration, infection control, and diet management. These findings showed noncompliance with state regulations.
    • 64CSR14-5.1.g.General Administrative Requirements Prior to Hiring
    • 64CSR14-7.1.g.Health Care Standards - Transfer/Discharge Summary
    • 64CSR14-7.3.d.Health Care Standards - Service Plans Reflect Current Needs
    • 64CSR14-7.4.a.Health Care Standards - Medication Administration by Unlicensed Personnel
    • 64CSR14-7.4.m.Health Care Standards - Infection Control During Medication Pass
    • 64CSR14-9.1.c.Dietary Services - Diets Prepared as Ordered
    • 64CSR14-5.6.a.Personnel Records - TB Screening
    19 Aug 2009Life Safety
    Found 78 deficiencies during the annual licensure survey.
    10 Apr 2009Complaint
    Investigated a complaint; the allegation was unsubstantiated and no deficiencies were found.
    18 Feb 2009Complaint
    Investigated the complaint and found no deficiencies.
    29 Sept 2008Revisit
    Investigated a follow-up licensure activity and census update.
    07 Aug 2008Licensure
    Identified multiple deficiencies in staff training and medication management, including improper storage and oversight of resident self-administration.
    • Type A64CSR14-5.5.a.Employee Orientation and Training
    • Type A64CSR14-5.5.a.Employee Orientation and Training
    • Type B64CSR14-5.5.b.Employee Orientation and Training
    • Type A64CSR14-7.4.a.Health Care Standards
    • Type B64CSR14-7.4.b.Health Care Standards
    • Type B64CSR14-7.4.b.Health Care Standards
    • c64CSR14-7.4.c.Health Care Standards
    • g64CSR14-7.4.g.Health Care Standards
    • h64CSR14-7.4.h.Health Care Standards
    • j64CSR14-7.4.j.Health Care Standards
    07 Aug 2008Life Safety
    Found no deficiencies during the annual licensure survey.
    15 Jul 2008Complaint
    Investigated a complaint and found no deficiencies.
    30 Apr 2008Complaint
    Investigated the complaint; found no deficiencies.
    09 Aug 2007Licensure
    Found no deficiencies. Provided technical assistance.
    02 Aug 2007Life Safety
    Found no deficiencies.
    14 Nov 2006Revisit
    Cited one deficiency and later corrected.
    13 Nov 2006Revisit
    Investigated the complaint and found a repeat deficiency: the administrator failed to respond in writing within four days to a resident's legal representative; follow-up visits showed no timely written response.
    • 64CSR14-6.2.n.Resident rights – timely response to complaints
    04 Oct 2006Revisit
    Investigated a complaint about delayed responses to a resident's legal representative; found repeated failures to respond within four days, breaching resident rights.
    • 64 CSR 14-6.2.n.RESIDENT RIGHTS
    04 Oct 2006Revisit
    Found deficiencies related to medication administration by unlicensed personnel, inadequate AMAP quarterly reviews and CPR certification, and improper weight monitoring and reporting.
    • Type A64CSR14-7.4.a.Health Care Standards - Medication Administration by Unlicensed Personnel
    • Type B64CSR14-7.4.b.Health Care Standards - Medication Administration - Availability of Prescribed Medications
    • d64CSR14-9.1.d.Dietary Services - Weight Monitoring and Reporting
    17 Aug 2006Revisit
    Found that the administrator failed to respond in a timely manner to a complaint filed by a resident's legal representative.
    • 64CSR14-6.2.n.Resident Rights
    15 Aug 2006Licensure
    Found multiple deficiencies in personnel records, TB screening, AMAP oversight and CPR, medication administration and documentation, resident weight monitoring, and facility cleanliness.
    • 64CSR14-5.6.a.Confidential personnel records; TB screening
    • Type A64CSR14-7.4.a.AMAP oversight and CPR certification
    • Type B64CSR14-7.4.b.Medication administration; availability and orders
    • 64CSR14-7.4.f. MAR documentation for administered medications
    • 64CSR14-9.1.d.Dietary weight monitoring and reporting
    • 64CSR14-11.1.d.Physical Facilities cleanliness and repair
    07 Aug 2006Life Safety
    Found no deficiencies.
    03 Jul 2006Complaint
    Investigated found the administrator failed to respond in writing to a resident's legal representative within four days regarding a refund request. The deficiency related to timely handling of complaints.
    • 64CSR14-6.2.n.Resident rights - timely response to complaints
    29 Dec 2005Revisit
    Identified deficiencies in documenting weekly nursing progress notes for residents with limited or intermittent care needs. Follow-ups confirmed these deficiencies persisted.
    • 64CSR14-7.6.h.Nurse weekly progress notes for residents with limited/intermittent care needs
    14 Nov 2005Revisit
    Identified deficiencies in how resident care and medications were managed, including unlicensed staff administering meds without proper licensed nurse oversight and missing weekly RN progress notes for some residents.
    • 64CSR14-7.4.a.Health care standards; licensed professionals must provide care and medication administration by licensed personnel
    • 64CSR14-7.6.h.Health care standards; RN weekly progress notes
    27 Sept 2005Licensure
    Identified deficiencies in care planning, nursing oversight, and post-incident monitoring, with outdated or incomplete service plans, unlicensed staff performing nursing tasks, and inadequate weekly RN documentation.
    • 64CSR14-7.3.d.Health Care Standards - Service Plans
    • 64CSR14-7.4.a.Health Care Standards - Licensed personnel and medication administration
    • 64CSR14-7.5.c.Health Care Standards - Monitoring after accident/illness
    • 64CSR14-7.6.h.Health Care Standards - RN weekly progress notes
    27 Sept 2005Complaint
    Found no deficiencies. The complaint investigation did not identify any violations.
    29 Aug 2005Life Safety
    Found no deficiencies.
    29 Mar 2005Revisit
    Corrected a deficiency identified during the survey.
    13 Dec 2004Revisit
    Identify that there were deficiencies in staffing, care admissions, and medication administration practices, including lack of on-duty staff with current first aid/CPR, inappropriate admissions for ongoing nursing needs, and unsupervised medication administration.
    • 64CSR14-5.4.c.STAFFING REQUIREMENTS
    • 64CSR14-7.1.a.HEALTH CARE STANDARDS
    • 64CSR14-7.4.a.MEDICATION ADMINISTRATION BY UNLICENSED PERSONNEL
    29 Sept 2004Licensure
    Identified multiple deficiencies in records, contracts, staffing, training, admissions, medications, and nursing care documentation.
    • 64CSR14-5.2.f.Major incident reporting to OHFLAC
    • 64CSR14-5.4.c.Staffing with trained personnel on duty
    • 64CSR14-5.5.a.Employee orientation and training plan
    • 64CSR14-5.5.b.In-service training for all staff
    • 64CSR14-5.7.b.1-8Admission/discharge contract content
    • 64CSR14-5.7.c.Provide contract copies to parties
    • 64CSR14-7.1.a.Health care standards—admission restrictions and waivers
    • 64CSR14-7.4.a.Medications administered under RN supervision
    • 64CSR14-7.4.b.Prescriptions and MAR documentation
    • 64CSR14-7.4.c.Residential self-medication evaluation
    • 64CSR14-7.6.h.Weekly nursing assessment and documentation
    25 Aug 2004Life Safety
    Found no deficiencies.
    14 Feb 2004Revisit
    Identified deficiencies during follow-up visits and required a plan of correction to address the issues.
    01 Oct 2003Inspection
    Investigated found several deficiencies affecting resident safety and care documentation, including unsafe oxygen storage, untrained night staff, missing nursing care waivers, incomplete medication records, and unlocked cleaning supplies.
    • Type B64CSR14-5.2.b.Protection of residents' well-being
    • Type A64CSR14-5.4.c.Staffing requirements; first aid/CPR on duty
    • Type A64CSR14-7.1.a.Health Care Standards – waivers for ongoing nursing care
    • Type A64CSR14-7.4.f.Medication administration records documentation
    • Type A64CSR14-11.6.c.Physical facilities – Locked storage for hazardous materials
    07 Aug 2003Life Safety
    Found two central bathing rooms lacked wheelchair-accessible showers or tubs; corrected on 2003-08-07.
    • 64CSR14-11.5.9Wheelchair accessible bathing facilities
    • 64CSR14-11.5.9Wheelchair accessible bathing facilities
    05 Apr 2003Revisit
    Concluded that all deficiencies were corrected after follow-up activities conducted in 2003-2004.
    12 Jan 2003Revisit
    Identified deficiencies in medication administration records where medications were not initialed by staff, with a repeat deficiency and concerns about implementation of corrective actions.
    • 64CSR14-7.4.f.Health Care Standards - Documentation of medication administration
    09 Oct 2002Life Safety
    Identified ADA deficiencies due to lack of wheelchair-accessible bathing facilities in two central bathing/toilet areas; follow-up indicated the deficiencies remained.
    • 64CSR14-11.5.9Toilets, Handwashing & Bath Facilities
    • 64CSR14-11.5.9Toilets, Handwashing & Bath Facilities
    09 Oct 2002Revisit
    Identified multiple deficiencies: nursing assessments not completed, service plans not updated or individualized, improper medication administration, and unsecured storage of foods and hazardous materials.
    • 64CSR14-7.2.1.a-d.Functional needs assessment; nursing assessment missing
    • 64CSR14-7.2.2.a-g.Service plan; individualized and updated within required timeframe
    • 64CSR14-7.2.2.a-g.Service plan; additional deficiencies identified
    • 64CSR14-7.4.1Medications; administration and policy
    • 64CSR14-11.9.8Laundry and linens; storage and hazardous materials
    • 64CSR14-12.1.9Limited & intermittent nursing; quarterly pharmacy reviews
    • 64CSR14-12.2.5.c.Nursing services; written nursing assessment within 24 hours
    05 Aug 2002Complaint
    Identified deficiencies in medication administration practices and in locked storage of hazardous materials.
    • 64CSR14-7.4.1MEDICATIONS
    • 64CSR14-11.9.8LAUNDRY AND LINENS
    08 May 2002Life Safety
    Identified lack of wheelchair-accessible bathing facilities in central women's and central men's bathing/toilet rooms.
    • 64CSR14-11.5.9Toilet facilities accessible to individuals with disabilities

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