I love living here. The hardworking, exceptionally friendly staff go the extra mile, the food is great, and crafts, shopping, and a lively social atmosphere amid beautiful scenery make this my favorite place to live - I'm very satisfied.
Current/former 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
5.00·(3)
Overall rating
5
4
3
2
1
Care
5.0
Staff
5.0
Meals
5.0
Amenities
5.0
Value
5.0
Reviews written on Mirador
We have no reviews to show about Woodlands Assisted Living 1.
Help other families by writing a review about your experience with this community.
Location
Woodlands Assisted Living 1 is located at 23 Care St, Worthington, WV, 26591.
About Woodlands Assisted Living 1
Woodlands Assisted Living 1 sits on Care Street in Worthington, West Virginia, with room for up to 23 seniors who need assisted living or memory care. The place is built with safety in mind, using a 24-hour call system, emergency alert features, and round-the-clock supervision, especially for people living with Alzheimer's disease or memory issues, so folks don't have to worry about wandering or being alone if anything happens during the night or day. People get help with daily needs like bathing, dressing, eating-sometimes even spoon feeding if needed-and moving from bed to chair or room to room, plus help with taking medicine, which nurses give out as part of their daily routine, so families and residents can trust the medication gets taken the right way.
Each apartment comes furnished and has its own kitchenette for simple cooking, plus pull cords for emergencies, and folks can choose between studio or one-bedroom options. The cleaning and laundry-plus dry cleaning-gets done for everyone, so the rooms stay tidy, sheets are always clean, and residents don't need to fuss with washing clothes unless they want to. Cable TV, Wi-Fi, and phone access run throughout the building, so people can keep up with the news, watch shows, or talk to family. There's also a computer area for internet access, and a library and reading areas for those who enjoy books.
Meals come three times a day in the communal dining room, and snacks are always out if someone gets hungry. Meals get planned by a dietitian and can be changed for special diets, like diabetes or allergies, or for special parties, and sometimes even for birthdays, so no one gets left out. On special days, there are happy hours or meals made for celebrations, and each menu can be changed when needed for memory care residents, with dementia-friendly foods.
Woodlands Assisted Living 1 has staff dedicated to giving everyone a hand, whether it's moving in, arranging doctors' visits, or setting up transportation to appointments, stores, or fun places. There's a rehab department for occupational, physical, and speech therapy, plus massage therapy, so residents stay active or recover from injury at their own pace. Fitness is important here, with a fitness center, walking trails, and group wellness classes when people want to join in together. When someone needs more, staff make personal care plans, changing support as health or needs shift, and keep up with health checks every month. Pharmacy services, regular doctor visits, and medical help are provided as part of daily life.
People can relax in outdoor courtyards, a greenhouse, or community gardens, or spend time indoors where there are movie nights, billiards, games, social events, a cafe, group arts and crafts, and plenty of scheduled or resident-run activities, so even shy or quiet folks can find their own group or just watch if they prefer. Folks get their hair cut or nails done in the salon and barbershop without leaving the building. Moving between places is easy, with wide halls, handrails, and good lighting.
Pets are allowed as long as everyone agrees, and parking is available for residents or visitors. Woodlands Assisted Living 1 has both private and shared living options, depending on what a person prefers, and routines are flexible so everyone can feel right at home. The focus is on keeping everyone safe and comfortable, giving a sense of community with help always nearby, and making sure no one feels alone or left out as days go by. Licensed under #507510, Woodlands Assisted Living 1 stays open to anyone needing assisted living, memory care, or a peaceful place to spend this stage of life in Marion County.
People often ask...
Woodlands Assisted Living 1 offers competitive pricing, with rates starting at a cost of $3,942 per month.
Woodlands Assisted Living 1 offers assisted living.
The full address for this community is 23 Care St, Worthington, WV 26591.
No, Woodlands Assisted Living 1 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.
Verified that deficiencies were corrected after follow-up to the annual survey.
11 May 2026Revisit
11 May 2026Revisit
Investigated a deficiency found during a follow-up to the annual survey and corrected it.
12 Feb 2026Life Safety
12 Feb 2026Life Safety
Found deficiencies in cleanliness and repair of interior and exterior areas, including damaged flooring in a restroom, verified by staff and acknowledged by management.
Type A—Physical facilities maintenance and cleanliness
11 Feb 2026Licensure
11 Feb 2026Licensure
Found deficiencies in staff training documentation and resident rights, including missing annual Alzheimer’s/dementia training for an employee and rules limiting residents' morning wake times.
—Administrative Requirements
—Resident Rights
—Administrative Requirements
11 Feb 2026Licensure
11 Feb 2026Licensure
Observed a rule that residents must be awake and in a designated area for medication passes, which violated residents' right to choose when to arise; corrective actions were noted to remove the rule from rules and the dry erase board.
—Resident Rights
20 Aug 2025Revisit
20 Aug 2025Revisit
Investigated a complaint and corrected the deficiency.
—
20 Aug 2025Revisit
20 Aug 2025Revisit
Verified that the deficiency identified in a prior complaint was corrected.
—
07 May 2025Complaint
07 May 2025Complaint
Found that the license to operate had expired and renewal paperwork had not been submitted before expiration, resulting in a deficiency.
—License renewal before expiration
07 May 2025Complaint
07 May 2025Complaint
Found that the renewal documentation was not submitted at least 90 days before the expiration date.
—Failure to submit renewal application timely
10 Dec 2024Revisit
10 Dec 2024Revisit
Verified that deficiencies were corrected.
12 Nov 2024Complaint
12 Nov 2024Complaint
Investigated a complaint and found no deficiencies.
16 Oct 2024Licensure
16 Oct 2024Licensure
Found no deficiencies. Annual survey occurred from 2024-10-14 to 2024-10-16 with a census of 23.
15 Oct 2024Life Safety
15 Oct 2024Life Safety
Found no deficiencies cited during the annual environmental review.
02 Oct 2024Licensure
02 Oct 2024Licensure
Identified missing dentist contact information in eight residents' records and found inconsistencies between assessments and service plans for four residents.
—Dentist information not included in resident medical records
—Accuracy of resident assessments and service plans
30 Sept 2024Life Safety
30 Sept 2024Life Safety
Identified deficiencies in fire safety, disaster planning, and facility maintenance due to missing evacuation documentation, incomplete emergency drills, and unsafe physical conditions.
—Fire Safety, Disaster and Emergency Preparedn
—Physical Facilities
—Fire Safety, Disaster and Emergency Preparedn
—Fire Safety, Disaster and Emergency Preparedn
18 Sept 2024Complaint
18 Sept 2024Complaint
Investigated the complaint and found no deficiencies.
30 Apr 2024Revisit
30 Apr 2024Revisit
Cleared a previously cited deficiency after follow-up.
—
21 Feb 2024Complaint
21 Feb 2024Complaint
Identified lack of privacy in bathroom use due to unlocked and unlabeled doors and missing stall doors, affecting residents.
—Right to personal privacy; bathroom doors and labeling
21 Feb 2024Complaint
21 Feb 2024Complaint
Investigated a complaint and found no deficiencies.
08 Nov 2023Licensure
08 Nov 2023Licensure
Found that a resident's annual health assessment was not completed within the required timeframe. The prior assessment was more than a year old.
—Assessment and Service Plans
08 Nov 2023Licensure
08 Nov 2023Licensure
Found deficiencies in tuberculosis testing documentation for two employees and incomplete health assessments for a resident, including tuberculosis screening. Found lack of physician notification for significant weight loss.
—Tuberculosis Skin Test Documentation Requirements
—Assessment and Service Plans
—Dietary Services
06 Nov 2023Life Safety
06 Nov 2023Life Safety
Found multiple maintenance and cleanliness deficiencies across interior and exterior areas, including peeling wallpaper and trim, damaged flooring and countertops, water damage, missing hardware, and a rusty vent.
Type AE 452Keep interior and exterior clean and in good repair
Type BE 452Keep interior and exterior clean and in good repair
cE 452Keep interior and exterior clean and in good repair
dE 452Keep interior and exterior clean and in good repair
eE 452Keep interior and exterior clean and in good repair
fE 452Keep interior and exterior clean and in good repair
gE 452Keep interior and exterior clean and in good repair
06 Nov 2023Life Safety
06 Nov 2023Life Safety
Identified multiple interior and exterior maintenance issues, including peeling paint, damaged trim, cracks, and mold-like substances. Corrective work was scheduled for 01/31/24.
Type A—Maintenance and repair of interior and exterior of the residence
Type B—Maintenance and repair of interior and exterior of the residence
c—Maintenance and repair of interior and exterior of the residence
d—Maintenance and repair of interior and exterior of the residence
e—Maintenance and repair of interior and exterior of the residence
f—Maintenance and repair of interior and exterior of the residence
g—Maintenance and repair of interior and exterior of the residence
h—Maintenance and repair of interior and exterior of the residence
06 Sept 2023Revisit
06 Sept 2023Revisit
Investigated follow-up actions and found a deficiency was only partially corrected. No additional deficiencies were cited.
—
06 Sept 2023Revisit
06 Sept 2023Revisit
Found deficiencies cited; a follow-up noted partial correction for 0450 and 0452.
—
—
—
—
—
—
21 Aug 2023Revisit
21 Aug 2023Revisit
Cleared the prior complaint citations after a first follow-up and confirmed a census of 21.
21 Aug 2023Complaint
21 Aug 2023Complaint
Concluded the allegation had merit. No citations were issued.
23 Jun 2023Revisit
23 Jun 2023Revisit
Identified deficiencies in interior cleanliness and maintenance. A decorative ceiling light was nonfunctional and not fully corrected.
Type A—Interior and exterior maintenance
22 Jun 2023Revisit
22 Jun 2023Revisit
Observed maintenance and repair deficiencies that compromised safety and cleanliness, including water-damaged flooring, peeling paint, unsealed ceiling cracks, and unpainted patches. Staff acknowledged the issues during interviews.
Type A—Maintenance and housekeeping; safe, sanitary environment
Type A—Interior and exterior cleanliness and repair
25 May 2023Complaint
25 May 2023Complaint
Investigated a complaint and found failures to report major incidents to the licensing agency within the required timeframe.
subsection 2.23. of this ruleMajor incident reporting
24 May 2023Complaint
24 May 2023Complaint
Investigated a complaint and found no deficiencies.
08 Mar 2023Inspection
08 Mar 2023Inspection
Identified multiple deficiencies related to resident furnishings, towel bars, cleanliness, and facility maintenance. Observed gaps including missing nightstands, no towel bars, dust and cobwebs, and several repairs needed.
Type A—Nightstands in bedrooms
Type A—Towel bars in bedrooms and bathrooms
—Routine maintenance and housekeeping
—Physical facilities
07 Mar 2023Inspection
07 Mar 2023Inspection
Identified multiple deficiencies, including missing bedroom furnishings, inadequate bathing facilities, and extensive maintenance and cleanliness issues observed during a focused environmental survey.
Type A—Bedrooms
Type A—Toilets, Hand Washing, and Bathing Facilities
Type A—Toilets, Hand Washing, and Bathing Facilities
Type A—Routine maintenance and housekeeping
Type A—Bedrooms
Type A—Physical Facilities
17 Jan 2023Revisit
17 Jan 2023Revisit
Concluded that the deficiency was cleared on revisit.
—
17 Jan 2023Revisit
17 Jan 2023Revisit
Cleared all deficiencies from the prior annual survey revisit.
21 Dec 2022Complaint
21 Dec 2022Complaint
Found no deficiencies.
06 Dec 2022Life Safety
06 Dec 2022Life Safety
Found several maintenance deficiencies that could affect safety and cleanliness, including damaged flooring, a loose vent, and holes in the ceiling.
Type AE 450Maintenance and housekeeping to maintain a safe, sanitary, and accident-free living environment
Type BE 450Maintenance and housekeeping to maintain a safe, sanitary, and accident-free living environment
cE 450Maintenance and housekeeping to maintain a safe, sanitary, and accident-free living environment
dE 450Maintenance and housekeeping to maintain a safe, sanitary, and accident-free living environment
eE 450Maintenance and housekeeping to maintain a safe, sanitary, and accident-free living environment
06 Dec 2022Life Safety
06 Dec 2022Life Safety
Identified safety and sanitation deficiencies, including an incomplete call system in several rooms and multiple maintenance concerns. These conditions affected resident safety and the living environment.
E457Call system accessibility to residents
E450Safe, sanitary, and accident-free living environment
29 Nov 2022Licensure
29 Nov 2022Licensure
Found deficiencies in transfer documentation and service plans, including misalignment of hearing needs in two residents' plans.
—Transfer documentation
Type A—Assessment and Service Plans
Type B—Assessment and Service Plans
23 Nov 2022Licensure
23 Nov 2022Licensure
Identified deficiencies in nursing documentation where time in/time out and building visited were not recorded for several RN visits during October and November 2022.
E 405Documentation of RN visits and times
21 Aug 2022Revisit
21 Aug 2022Revisit
Cleared all tags; no new citations.
02 Aug 2022Revisit
02 Aug 2022Revisit
Investigated the complaint; found a deficiency was addressed and cleared, and no new deficiencies were cited.
—
08 Jun 2022Revisit
08 Jun 2022Revisit
Found multiple maintenance-related deficiencies that created an unsafe environment; several issues were addressed, while others remained outstanding at follow-up.
0450Maintenance and housekeeping deficiencies affecting safety
0452Other deficiency
06 Mar 2022Life Safety
06 Mar 2022Life Safety
Found deficiencies identified during the initial survey; all were corrected by the follow-up visit.
—
—
04 Mar 2022Complaint
04 Mar 2022Complaint
Found multiple deficiencies related to failure to promptly report, investigate, and document major incidents and abuse, and to update nursing plans and assessments after changes in resident condition.
—Major Incident/Notification Requirements
—Abuse/Exploitation Reporting Timeframe
W. Va. Code §9-6-9Immediate Reporting of Abuse/Neglect to APS/OHFLAC
—RN Update of Service Plan for Changes in Condition
—Nursing Assessment Within 24 Hours and After Changes
—Immediate and Thorough Documentation/Investigation of Allegations
—Complaint Investigation
02 Feb 2022Revisit
02 Feb 2022Revisit
Verified that two deficiencies identified in the prior annual survey were corrected during the follow-up visit.
—
18 Jan 2022Complaint
18 Jan 2022Complaint
Identified extensive maintenance and repair deficiencies across multiple areas, including water damage, damaged flooring, missing caulking, peeling surfaces, mold/mildew staining, and worn fixtures, compromising safety and sanitation.
—Physical Facilities - maintenance and housekeeping
—Interior and exterior maintenance - keep interior clean and in good repair
04 Nov 2021Complaint
04 Nov 2021Complaint
Investigated and found that residents were not allowed to choose how their hair was cut or styled, and their rights to exercise personal freedoms were not upheld.
—Treatment.
—Resident Rights.
04 Nov 2021Licensure
04 Nov 2021Licensure
Found deficiencies in updating elopement risk in care plans, providing information and referral services for activities, and completing health assessments; visitation was restricted due to COVID-19.
—Elopement risk not reflected in resident care plan
—Activities information/referral and opportunities
—Access, Visitation, and Communication
—Health assessments (admission and annual) incomplete
02 Nov 2021Licensure
02 Nov 2021Licensure
Identified multiple deficiencies including incomplete health assessments, lack of activity information/referral, restricted visitation during COVID, and failure to notify about visual monitoring devices.
Type A—Assessments and Service Plans
Type B—Assessments and Service Plans
c—Assessments and Service Plans
d—Assessments and Service Plans
e—Assessments and Service Plans
Type A—Activities
Type A—Access, Visitation, and Communication
Type A—Treatment
01 Nov 2021Life Safety
01 Nov 2021Life Safety
Found no deficiencies.
01 Nov 2021Life Safety
01 Nov 2021Life Safety
Found no deficiencies.
20 May 2021Revisit
20 May 2021Revisit
Found no deficiencies.
20 May 2021Revisit
20 May 2021Revisit
Found no deficiencies after the follow-up infection control visit.
09 May 2021Revisit
09 May 2021Revisit
Cleared all four prior citations and found no new deficiencies.
09 May 2021Revisit
09 May 2021Revisit
Cleared all four prior citations after a follow-up review; no new deficiencies identified.
16 Feb 2021Life Safety
16 Feb 2021Life Safety
Found no deficiencies during the annual environmental review.
16 Feb 2021Life Safety
16 Feb 2021Life Safety
Found no deficiencies. Census was 23 during an annual environmental review on February 16, 2021.
27 Jan 2021Inspection
27 Jan 2021Inspection
Found deficiencies in infection control due to failure to screen staff for COVID-19 before shifts and to document screening questions for residents, affecting all 23 residents.
Type A—Infection control and COVID-19 screening
27 Jan 2021Inspection
27 Jan 2021Inspection
Determined failures to perform and document COVID-19 screening questions before staff shifts and during daily temperature checks, potentially affecting all residents.
—Infection control and COVID-19 screening protocol
24 Jan 2021Revisit
24 Jan 2021Revisit
Concluded that deficiencies were corrected after a follow-up to a complaint.
—
02 Dec 2020Inspection
02 Dec 2020Inspection
Identified deficiencies in RN visit documentation: the nurse did not consistently sign in/out, and entries were initialed without complete signatures and required details.
—Documentation of RN visits
02 Dec 2020Inspection
02 Dec 2020Inspection
Found that the registered nurse failed to sign in and out for each visit, with many entries only initialed and lacking complete signatures.
—RN time in/out and signature requirements for visits
30 Nov 2020Revisit
30 Nov 2020Revisit
Found deficiencies; corrected.
—Deficiency E 001
12 May 2020Complaint
12 May 2020Complaint
Investigated a complaint and found deficiencies in maintaining up-to-date health status documentation and in assisting with placement for a resident who required catheter care after an emergency department visit.
E 374Health Care Standards
E 363Health Care Standards
04 Feb 2020Life Safety
04 Feb 2020Life Safety
Found no deficiencies. The interior was maintained as a safe environment based on tour and staff interview.
04 Feb 2020Life Safety
04 Feb 2020Life Safety
Found no deficiencies.
27 Jan 2020Revisit
27 Jan 2020Revisit
Cleared after follow-up with no new citations. The census count was 23.
27 Jan 2020Revisit
27 Jan 2020Revisit
Cleared a prior citation and found no new deficiencies after a follow-up visit.
23 Oct 2019Revisit
23 Oct 2019Revisit
Corrected a citation after an on-site visit.
19 Jul 2019Complaint
19 Jul 2019Complaint
Investigated a resident injury and abuse allegations; found staff failed to obtain a licensed health care professional's assessment after an injury, and nursing/incident documentation was missing.
64CSR14-7.5.b.Health Care Standards
16 Jul 2019Revisit
16 Jul 2019Revisit
Investigated a complaint; deficiencies were corrected after follow-up.
—
—
11 Jun 2019Complaint
11 Jun 2019Complaint
Identified that a major incident was not reported to the licensing office promptly, delaying notification to OHFLAC by 15 days.
64 CSR 14-5.2.fMajor incident reporting to OHFLAC
07 Mar 2019Complaint
07 Mar 2019Complaint
Investigated the complaint and found no deficiencies.
12 Feb 2019Licensure
12 Feb 2019Licensure
Found no deficiencies. Census was 22.
12 Feb 2019Licensure
12 Feb 2019Licensure
Found no deficiencies.
04 Feb 2019Life Safety
04 Feb 2019Life Safety
Found no deficiencies cited during the environmental survey. Census was 21.
04 Feb 2019Life Safety
04 Feb 2019Life Safety
Found no deficiencies cited during the annual environmental review.
09 Apr 2018Life Safety
09 Apr 2018Life Safety
Investigated and cited a deficiency; follow-up showed all deficiencies corrected.
—
09 Apr 2018Life Safety
09 Apr 2018Life Safety
Identified deficiencies during the review. The census counted 22 and the enter/exit date was 02/12/18.
254 E 003254 E 003
28 Mar 2018Revisit
28 Mar 2018Revisit
Corrected deficiency E 005 after follow-up.
—
22 Feb 2018Complaint
22 Feb 2018Complaint
Investigated a complaint; no deficiencies were documented in the available information.
14 Feb 2018Licensure
14 Feb 2018Licensure
Identified privacy deficiencies for residents during telephone use due to limited access to private phones and privacy barriers.
64CSR14-6.3.f.Privacy during telephone use
14 Feb 2018Licensure
14 Feb 2018Licensure
Found no deficiencies.
12 Feb 2018Life Safety
12 Feb 2018Life Safety
Identified multiple deficiencies in maintenance and safety, including missing ceiling tile, exposed wiring, and damaged flooring.
64CSR14-11.1.d.Physical Facilities
12 Feb 2018Life Safety
12 Feb 2018Life Safety
Identified deficiencies in keeping interiors and exteriors clean and in repair, including missing light covers in several areas, a dirty exhaust grill, and an unsecured porch receptacle box.
64CSR14-11.1.d.Physical Facilities
64CSR14-11.1.d.Physical Facilities
64CSR14-11.1.d.Physical Facilities
64CSR14-11.1.d.Physical Facilities
64CSR14-11.1.d.Physical Facilities
64CSR14-11.1.d.Physical Facilities
08 Jun 2017Complaint
08 Jun 2017Complaint
Investigated the complaint and found no deficiencies.
01 Feb 2017Licensure
01 Feb 2017Licensure
Found no deficiencies during the annual licensure survey.
01 Feb 2017Life Safety
01 Feb 2017Life Safety
Found no deficiencies.
01 Feb 2017Licensure
01 Feb 2017Licensure
Found no deficiencies.
31 Jan 2017Life Safety
31 Jan 2017Life Safety
Found no deficiencies.
22 Jun 2016Complaint
22 Jun 2016Complaint
Investigated a complaint and found no deficiencies.
19 Apr 2016Life Safety
19 Apr 2016Life Safety
Investigated a deficiency and confirmed it was corrected on follow-up.
—
19 Apr 2016Life Safety
19 Apr 2016Life Safety
Observed that tag 254 was corrected during follow-up.
18 Feb 2016Life Safety
18 Feb 2016Life Safety
Identified multiple defects in interior and exterior repairs, including a damaged railing, missing bathroom component, compromised exit door cover, and a nonworking light.
64CSR14-11.1.d.Physical Facilities
18 Feb 2016Life Safety
18 Feb 2016Life Safety
Observed multiple interior and exterior maintenance deficiencies, including damaged fixtures, torn safety elements, peeling paint, and an exposed railing.
Type A64CSR14-11.1.d.Physical Facilities
Type B64CSR14-11.1.d.Physical Facilities
18 Feb 2016Licensure
18 Feb 2016Licensure
Investigated licensing compliance and found no deficiencies.
18 Feb 2016Licensure
18 Feb 2016Licensure
Found no deficiencies.
22 Oct 2015Complaint
22 Oct 2015Complaint
Investigated the complaint; no deficiencies were cited.
01 Sept 2015Revisit
01 Sept 2015Revisit
Found no deficiencies.
23 Jul 2015Complaint
23 Jul 2015Complaint
Cited deficiencies for failing to promptly address complaints and to respond in writing, and for lacking documentation of investigations into resident behavior concerns.
64CSR14-6.2.n.Resident Rights
10 Jun 2015Complaint
10 Jun 2015Complaint
Found deficiencies in protecting a resident's right to private communication and to receive visitors, due to lack of capacity documentation and POA-imposed restrictions.
64CSR14-6.3.b.Resident Rights
64CSR14-6.3.g.Resident Rights - Visiting
19 May 2015Life Safety
19 May 2015Life Safety
Concluded corrections were completed for follow-up items 247, 252, 254, and 272.
19 May 2015Life Safety
19 May 2015Life Safety
Verified corrections were made for deficiencies identified in follow-up actions, with multiple tags addressed.
06 Apr 2015Revisit
06 Apr 2015Revisit
Verified that all deficiencies were corrected after follow-up.
—
06 Apr 2015Revisit
06 Apr 2015Revisit
Verified that all deficiencies were corrected at follow-up.
10 Mar 2015Life Safety
10 Mar 2015Life Safety
Identified deficiencies in annual review of disaster preparedness policies, exterior safety maintenance, interior repairs, and bedroom furnishings.
Found deficiencies in emergency preparedness documentation, interior maintenance, and bedroom furnishings. These findings show noncompliance with multiple standards.
64CSR14-10.2.e.Disaster & Emergency Preparedness
64CSR14-11.1.d.Physical Facilities
64CSR14-11.2.k.1-4Physical Facilities 11.2.k.1-4
05 Feb 2015Complaint
05 Feb 2015Complaint
Found deficiencies in updating residents' service plans to reflect current needs and in releasing belongings and funds to the correct estate parties after death.
64CSR14-7.3.d.Assessment and service plans reflect current needs and updated annually
64CSR14-7.7.c.Release of belongings and funds to the estate administrator or executor upon death
04 Feb 2015Licensure
04 Feb 2015Licensure
Identified deficiencies in assessments and service plans, weekly RN oversight, and the handling of a resident's belongings after death.
64CSR14-7.3.d.Health Care Standards - Assessment and Service Plans
64CSR14-7.6.h.Health Care Standards - RN weekly visits and progress notes
64CSR14-7.7.c.Health Care Standards - Release of belongings upon death
12 Mar 2014Life Safety
12 Mar 2014Life Safety
Investigated a complaint and found it not substantiated.
05 Mar 2014Complaint
05 Mar 2014Complaint
Found no deficiencies.
04 Mar 2014Life Safety
04 Mar 2014Life Safety
Found no deficiencies during the annual licensure survey and follow-up.
20 Feb 2014Licensure
20 Feb 2014Licensure
Investigated the licensure survey conducted February 17-20, 2013, with a census of 21.
20 Feb 2014Licensure
20 Feb 2014Licensure
Found no deficiencies.
07 Jan 2014Life Safety
07 Jan 2014Life Safety
Found no deficiencies.
06 Jan 2014Life Safety
06 Jan 2014Life Safety
Identified a deficient call system not audible to staff in all bedrooms. No functioning audible call system could be accessed from each bed.
64CSR14-11.1.i.Call system audible and accessible to staff
09 Sept 2013Revisit
09 Sept 2013Revisit
Investigated a complaint and conducted follow-up.
06 Aug 2013Complaint
06 Aug 2013Complaint
Found that staff failed to notify a licensed health care professional about a resident's change in condition, delaying assessment and treatment.
64CSR14-7.5.b.Notify licensed health care professional for illness/accident
28 May 2013Revisit
28 May 2013Revisit
Deficiencies corrected under E 006 after a complaint investigation. A follow-up on May 28, 2013 confirmed census remained at 22.
—
28 May 2013Revisit
28 May 2013Revisit
Investigated the complaint and identified a deficiency that was corrected during follow-up.
—
24 Apr 2013Complaint
24 Apr 2013Complaint
Investigated found deficiencies in abuse reporting, documentation and investigation of allegations, grievance handling, resident rights, dietary administration, and safety/maintenance.
64CSR14-6.2.c.Immediate reporting of abuse to APS
64CSR14-6.2.d.Documentation and investigation of abuse/neglect allegations
64CSR14-6.2.f.Notify licensing agency within 72 hours
64CSR14-6.2.m.Right to voice grievances without reprisal
64CSR14-6.2.n.Prompt written response to complaints
64CSR14-6.3.f.Access to a telephone and privacy during use
64CSR14-9.1.c.Therapeutic/modified diets vs. physician orders
64CSR14-11.1.d.Facility cleanliness and repair
23 Apr 2013Revisit
23 Apr 2013Revisit
Found staffing shortages and supervision lapses left residents unsupervised and performing non-care tasks, and identified infection control deficiencies with staff attire and training gaps.
64CSR14-7.4.m.Health Care Standards - Infection Control
23 Apr 2013Revisit
23 Apr 2013Revisit
Identified deficiencies in recordkeeping and resident assessments; the roster conflicted with assessment data, showing most residents had multiple care needs that were not accurately recorded.
14-5.2.c.Maintain accurate records and reports as required
11 Feb 2013Licensure
11 Feb 2013Licensure
Investigated multiple deficiencies identifying resident safety, care, staffing, medication administration, dietary safety, and facility maintenance concerns, including unsafe kitchen practices and inadequate recordkeeping.
64CSR14-5.2.b.Resident safety and well-being; use of restraints limited
64CSR14-5.2.c.Maintenance of accurate records and reports
64CSR14-5.4.b.Adequate direct care staffing per resident needs
64CSR14-5.4.g.Staffing records reflect actual on-duty personnel
64CSR14-6.2.b.No abuse, neglect, or restraints; restraint policy
64CSR14-7.4.a.Medications and treatments administered as required by law
64CSR14-11.1.b.Maintenance and housekeeping for safe environment
11 Feb 2013Licensure
11 Feb 2013Licensure
Investigators identified multiple deficiencies in resident care, safety, records, staffing, medication administration, and dietary practices, including unsafe food preparation and inadequate staffing levels.
Type A64CSR14-5.2.bProtection of residents' physical and mental well-being
Type A64CSR14-5.2.cRecordkeeping and reporting
Type A64CSR14-5.4.bStaffing requirements
Type A64CSR14-5.4.gStaffing records
Type A—Annual Licensure Survey
Type A64CSR14-7.4.aHealth Care Standards
Type A64CSR14-9.1.iDietary Services
Type A64CSR14-11.1.bPhysical Facilities
22 Jan 2013Life Safety
22 Jan 2013Life Safety
Found no deficiencies.
22 Jan 2013Life Safety
22 Jan 2013Life Safety
Found no deficiencies.
01 Aug 2012Complaint
01 Aug 2012Complaint
Concluded that the allegation was unsubstantiated and found no deficiencies.
13 Feb 2012Life Safety
13 Feb 2012Life Safety
Found no deficiencies cited during the survey.
13 Feb 2012Life Safety
13 Feb 2012Life Safety
Found no deficiencies cited and no technical assistance given after the annual licensure survey.
08 Feb 2012Licensure
08 Feb 2012Licensure
Found no deficiencies during the annual licensure survey; technical assistance was provided.
08 Feb 2012Licensure
08 Feb 2012Licensure
Found no deficiencies.
11 Oct 2011Complaint
11 Oct 2011Complaint
Investigated a complaint and found no deficiencies. Technical assistance was provided.
11 Oct 2011Complaint
11 Oct 2011Complaint
Investigated a complaint and found no deficiencies; technical assistance was provided.
20 Sept 2011Complaint
20 Sept 2011Complaint
Found no deficiencies after investigating the complaint.
06 Sept 2011Revisit
06 Sept 2011Revisit
Investigated a complaint and found a deficiency identified as E 006, which was corrected during follow-up.
—
28 Jul 2011Complaint
28 Jul 2011Complaint
Investigated a complaint; the allegation was unsubstantiated; no deficiencies cited.
12 Jul 2011Complaint
12 Jul 2011Complaint
Found deficiencies in interior maintenance including damaged dresser drawers, broken/missing window blinds, and wall damage, which created an unsafe environment.
64CSR14-11.1.b.Physical Facilities
05 Apr 2011Revisit
05 Apr 2011Revisit
Identified deficiencies during the investigation and confirmed they were corrected during follow-up.
04 Apr 2011Revisit
04 Apr 2011Revisit
Investigated a complaint and noted a deficiency that was corrected.
—
15 Mar 2011Revisit
15 Mar 2011Revisit
Verified that deficiencies were corrected after the follow-up visit. Census remained 22.
08 Mar 2011Complaint
08 Mar 2011Complaint
Investigated complaints found deficiencies in promptly addressing complaints and in providing access to telephones for residents.
64CSR14-6.2.n.Resident Rights - Prompt action on complaints and written response within four days
64CSR14-6.3.f.Resident Rights - Access to a telephone and privacy during use
09 Feb 2011Complaint
09 Feb 2011Complaint
Found multiple deficiencies including lack of required administrator training, incomplete TB screenings, failure to provide 72-hour room-change notices, incomplete nursing assessments, and inadequate glucose-monitoring training for staff.
64CSR14-5.3.c.64CSR14-5.3.c. Administrator training
64CSR14-5.3.c.64CSR14-5.3.c. Administrator training
64CSR14-5.3.c.64CSR14-5.3.c. Administrator training
64CSR14-5.6.a.64CSR14-5.6.a. Personnel Records
64CSR14-6.1.e.64CSR14-6.1.e. Resident Rights
64CSR14-7.6.f.64CSR14-7.6.f. Health Care Standards
64CSR14-7.6.i.64CSR14-7.6.i. Health Care Standards
09 Feb 2011Licensure
09 Feb 2011Licensure
Found deficiencies in required annual administrator training, TB screenings in personnel records, and glucose monitoring training. Each area lacked proper documentation or proper execution.
64CSR14-5.3.c.Administrator training
64CSR14-5.6.a.TB screenings in personnel records
64CSR14-7.6.i.Glucose monitoring training
08 Feb 2011Life Safety
08 Feb 2011Life Safety
Found no deficiencies.
07 Feb 2011Life Safety
07 Feb 2011Life Safety
Found no deficiencies during the survey.
08 Apr 2010Revisit
08 Apr 2010Revisit
Deficiencies were corrected.
—
08 Apr 2010Revisit
08 Apr 2010Revisit
Verified deficiencies were corrected after follow-up following a February 2010 survey.
—
29 Mar 2010Life Safety
29 Mar 2010Life Safety
Identified deficiencies during the annual licensure survey.
—
—
11 Feb 2010Licensure
11 Feb 2010Licensure
Found deficiencies in updating service plans to reflect current resident needs, completing MAR resident identification, documenting RN visits with times, and maintaining weekly assessments of IM medications.
64CSR14-7.3.d.Assessment and service plans reflect current resident needs
64CSR14-7.4.a.Medication administration records require resident identification
64CSR14-7.6.d.RN visits documented with time in/out and duties
64CSR14-7.6.h.Weekly RN assessment and documentation of IM medication effects
11 Feb 2010Licensure
11 Feb 2010Licensure
Found deficiencies in care planning and nursing oversight, including service plans not reflecting current needs, and incomplete weekly RN assessments and visit documentation.
64CSR14-7.3.d.Health Care Standards
64CSR14-7.6.d.Health Care Standards
64CSR14-7.6.h.Health Care Standards
02 Feb 2010Life Safety
02 Feb 2010Life Safety
Identified deficiencies during the annual licensure survey.
—
01 Feb 2010Life Safety
01 Feb 2010Life Safety
Found temperatures in resident-use areas below the required 72°F, with the top floor averaging about 69°F and one resident's room around 66°F.
64CSR14-11.1.g.Physical Facilities
02 Mar 2009Revisit
02 Mar 2009Revisit
Corrected deficiencies identified during the initial survey were addressed by a follow-up visit.
—
02 Mar 2009Revisit
02 Mar 2009Revisit
Investigated a complaint and followed up; deficiencies identified were corrected.
—
25 Feb 2009Life Safety
25 Feb 2009Life Safety
Identified deficiencies were corrected during the follow-up after the annual licensure survey.
—Environment
04 Feb 2009Life Safety
04 Feb 2009Life Safety
Found no deficiencies. Technical assistance was provided.
21 Jan 2009Life Safety
21 Jan 2009Life Safety
Identified multiple deficiencies in maintenance, safety, and sanitation, including odors, damaged fixtures, improper laundry storage, and low room temperatures.
64CSR14-11.1.b.Physical Facilities
64CSR14-11.1.b.Physical Facilities
64CSR14-11.1.b.Physical Facilities
64CSR14-11.1.b.Physical Facilities
64CSR14-11.1.b.Physical Facilities
64CSR14-11.1.b.Physical Facilities
64CSR14-11.1.b.Physical Facilities
64CSR14-11.1.b.Physical Facilities
64CSR14-11.1.b.Physical Facilities
64CSR14-11.1.b.Physical Facilities
64CSR14-11.1.b.Physical Facilities
64CSR14-11.1.b.Physical Facilities
64CSR14-11.1.b.Physical Facilities
64CSR14-11.6.b.Physical Facilities
64CSR14-11.1.g.Physical Facilities
14 Jan 2009Complaint
14 Jan 2009Complaint
Identified failures to accompany residents with transfers or discharges, update care plans and admission assessments, ensure signed physician orders, and document post-incident follow-ups.
64CSR14-7.1.g.Before transfer or discharge, summary accompanies resident
64CSR14-7.3.d.Assessment and service plans reflect current needs
64CSR14-7.4.b.Signed physician orders in resident records
Investigated deficiencies found in resident care planning and clinical management, including outdated service plans, missing or incorrect medication orders, inadequate post-incident monitoring, lacking nursing assessments after condition changes, and improper dietary/fluid management.
64CSR14-7.3.d.Health Care Standards
64CSR14-7.4.b.Health Care Standards
64CSR14-7.5.c.Health Care Standards
64CSR14-7.6.f.Health Care Standards
64CSR14-9.1.c.Dietary Services
64CSR14-9.1.d.Dietary Services
18 Aug 2008Revisit
18 Aug 2008Revisit
Identified deficiencies were corrected following follow-up visits.
18 Aug 2008Complaint
18 Aug 2008Complaint
Investigated a complaint and found no deficiencies.
29 May 2008Revisit
29 May 2008Revisit
Deficiencies were corrected after follow-up checks.
—
05 May 2008Revisit
05 May 2008Revisit
Determined that licensure renewal was not completed on time and the license expired, leaving operations without a valid license.
64CSR14-5.2.a.Renewal of licensure; timely submission of renewal application
05 May 2008Revisit
05 May 2008Revisit
Investigated a complaint and identified deficiencies; follow-up showed corrections.
—
—
05 May 2008Revisit
05 May 2008Revisit
Found renewal not completed on time and the license expired. Also found multiple medication administration deficiencies, including MAR review, PRN parameters, and AMAP documentation problems.
64CSR14-5.2.aLicensure renewal compliance
64CSR14-7.4.aMedication administration by unlicensed personnel
64CSR14-7.4.bPrescriptions and orders maintained; meds administered per orders
02 Apr 2008Complaint
02 Apr 2008Complaint
Cited deficiencies related to missing policies for mental health crises, failure to protect residents' mental well-being, lack of staff training on behavioral health, and service plans not reflecting resident behaviors.
64CSR14-5.1.a.General Administrative Requirements
64CSR14-5.2.b.The Licensee The licensee shall protect the physical and mental well-being of residents.
—Complaint Investigation
64CSR14-5.5.a.Employee Orientation and Training
64CSR14-7.3.d.Health Care Standards
02 Apr 2008Revisit
02 Apr 2008Revisit
Identified deficiencies in medication administration practices, including incomplete MAR reviews, missing RN signatures/dates, PRN parameters, and AMAP credential documentation, as well as failure to follow physician orders for medications.
Type AW.Va. Code § 16-5O-1 et seq.; 64CSR60 (Medication Administration by Unlicensed Personnel)Medication Administration by Unlicensed Personnel
Type BW.Va. Code § 16-5O-1 et seq.; 64CSR60 (Medication Administration by Unlicensed Personnel)Medication Orders and Administration
02 Apr 2008Revisit
02 Apr 2008Revisit
Identified deficiencies related to medication administration oversight and unsafe storage of cleaning products. Also noted missing credentials and documentation for AMAP staff and PRN medication parameters.
64CSR14-7.4.a.Health Care Standards
64CSR14-11.6.c.Physical Facilities
06 Feb 2008Life Safety
06 Feb 2008Life Safety
Found no deficiencies. The survey occurred on February 6, 2008.
05 Feb 2008Life Safety
05 Feb 2008Life Safety
Found no deficiencies. Provided technical assistance.
30 Jan 2008Licensure
30 Jan 2008Licensure
Found extensive deficiencies across training, resident records, care planning, transfer communications, medication management, post-illness monitoring, and facility safety.
64CSR14-5.5.a.Employee Orientation and Training
64CSR14-5.5.b.Employee Orientation and Training
64CSR14-5.7.h.Admission and Discharge
64CSR14-6.2.b.Resident Rights
64CSR14-7.1.g.Health Care Standards
64CSR14-7.2.c.Health Care Standards
64CSR14-7.3.d.Health Care Standards
64CSR14-7.4.a.Health Care Standards
64CSR14-7.4.b.Health Care Standards
64CSR14-7.5.c.Health Care Standards
64CSR14-7.6.f.Health Care Standards
64CSR14-11.6.c.Physical Facilities
30 Jan 2008Licensure
30 Jan 2008Licensure
Identified multiple deficiencies across care documentation, service planning, medication administration, and facility systems.
64CSR14-5.5.aEmployee Orientation and Training
64CSR14-7.2.cHealth Care Standards
64CSR14-7.3.cHealth Care Standards
64CSR14-7.3.dHealth Care Standards
64CSR14-7.4.aMedication Administration by Unlicensed Personnel
64CSR14-7.5.cHealth Care Standards
64CSR14-7.5.dHealth Care Standards
64CSR14-7.6.hHealth Care Standards
64CSR14-9.1.cDietary Services
64CSR14-11.1.iPhysical Facilities
64CSR14-11.3.bPhysical Facilities
17 Dec 2007Complaint
17 Dec 2007Complaint
Investigated the complaint and found no deficiencies.
20 Nov 2007Complaint
20 Nov 2007Complaint
Investigated the complaint and found no deficiencies.
20 Nov 2007Complaint
20 Nov 2007Complaint
Investigated the complaint and found no deficiencies.
04 Oct 2007Complaint
04 Oct 2007Complaint
Found no deficiencies.
04 Oct 2007Complaint
04 Oct 2007Complaint
Investigated the complaint and found no deficiencies.
23 Jul 2007Revisit
23 Jul 2007Revisit
Investigated a complaint; deficiencies were identified and corrected on follow-up.
—Deficiency E 006
23 Jul 2007Revisit
23 Jul 2007Revisit
Investigated a complaint; deficiencies were identified and corrected.
—
—
23 Jul 2007Life Safety
23 Jul 2007Life Safety
Verified deficiencies were corrected during follow-up visits.
20 Jun 2007Complaint
20 Jun 2007Complaint
Investigated the complaint and found no deficiencies.
19 Jun 2007Revisit
19 Jun 2007Revisit
Corrected deficiencies identified during the initial survey after follow-up.
—
—
12 Jun 2007Complaint
12 Jun 2007Complaint
Found serious deficiencies in handling residents' funds, meal and beverage practices, resident rights protections, and pest control. Identified multiple violations and required corrective actions.
64CSR14-5.7.f.Admission and Discharge
64CSR14-5.8.b.Management of Resident Funds
64CSR14-5.8.e.Management of Resident Funds
64CSR14-6.2.b.Resident Rights
64CSR14-9.1.b.Dietary Services
64CSR14-11.1.e.Physical Facilities
11 Jun 2007Complaint
11 Jun 2007Complaint
Identified multiple deficiencies in resident funds management, dietary services, resident rights, and pest control, including mismanagement and co-mingling of funds, inadequate meal provisions, and pest issues.
64CSR14-5.7.f.Admission and Discharge
64CSR14-5.8.b.Management of Resident Funds
64CSR14-5.8.e.Management of Resident Funds – accounting records
64CSR14-6.2.b.Resident Rights
64CSR14-9.1.b.Dietary Services
64CSR14-11.1.e.Physical Facilities
11 Jun 2007Life Safety
11 Jun 2007Life Safety
Identified deficiencies in maintaining a safe, sanitary, and accident-free environment, including pest problems and several maintenance issues.
64CSR14-11.1.b.Physical Facilities
11 Jun 2007Life Safety
11 Jun 2007Life Safety
Found no deficiencies.
21 May 2007Revisit
21 May 2007Revisit
Identified deficiencies in medication administration where three residents were not treated per physician orders, including labeling problems and unreported refusals.
Type A64CSR14-7.4.b.Medication administration per physician orders
21 May 2007Revisit
21 May 2007Revisit
Found no deficiencies cited.
25 Apr 2007Life Safety
25 Apr 2007Life Safety
Identified multiple safety and maintenance deficiencies, including pest presence, plumbing leaks, loose base coving, damaged closet doors, and missing outlet covers.
64CSR14-11.1.b.Physical Facilities
24 Apr 2007Life Safety
24 Apr 2007Life Safety
Observed multiple safety and maintenance deficiencies related to environmental conditions, including an alarm system problem, missing shower nozzle, unfinished wall, loose windows, doors not sealing, pitted microwave, and dirty floor areas.
64CSR14-11.1.b.Physical Facilities
19 Apr 2007Revisit
19 Apr 2007Revisit
Identified deficiencies in TB screening for employees and multiple medication management problems, including PRN parameters, medication destruction, and adherence to physician orders.
64CSR14-5.6.aPersonnel Records
64CSR14-7.4.aHealth Care Standards
64CSR14-7.4.aHealth Care Standards
64CSR14-7.4.bHealth Care Standards
19 Apr 2007Revisit
19 Apr 2007Revisit
Found deficiencies in staff TB screening, resident care plans lacking current behavioral interventions, and incomplete PRN medication administration documentation.
64CSR14-5.6.a.Personnel Records
64CSR14-7.3.d.Health Care Standards
64CSR14-7.4.a.Health Care Standards
14 Mar 2007Life Safety
14 Mar 2007Life Safety
Identified several safety and sanitation deficiencies, including pest presence, plumbing issues, damaged fixtures, and low hot water temperatures.
64CSR14-11.1.b.Physical Facilities - 11.1.b
64CSR14-11.3.a.Physical Facilities - 11.3.a
64CSR14-11.5.b.Physical Facilities - 11.5.b
13 Mar 2007Life Safety
13 Mar 2007Life Safety
Found deficiencies in maintaining a safe and sanitary environment, including issues with the fire alarm system, fixtures, and building components.
64CSR14-11.1.b.Physical Facilities
08 Feb 2007Life Safety
08 Feb 2007Life Safety
Found multiple deficiencies affecting safety, sanitation, and utilities, including pest presence, drainage problems, inadequate bathing facilities, and sewer-related odors.
64CSR14-11.1.b.Physical Facilities
64CSR14-11.3.a.Physical Facilities
64CSR14-11.5.b.Physical Facilities
64CSR14-11.5.e.Physical Facilities
08 Feb 2007Licensure
08 Feb 2007Licensure
Identified deficiencies in administrator training, staff orientation, TB screening, resident care plans, and medication management.
64CSR14-5.3.c.Administrator Training and Recordkeeping
64CSR14-5.5.a.Employee Orientation and Training - New Employee Training
64CSR14-5.5.b.Employee Orientation and Training - In-service Training
64CSR14-5.6.a.Personnel Records - TB Screening
64CSR14-7.3.d.Health Care Standards - Service Plans Reflect Current Needs
64CSR14-7.4.a.Health Care Standards - Medication Administration by Licensed Personnel
64CSR14-7.4.b.Health Care Standards - Documentation of Prescriptions and Orders
64CSR14-7.4.c.Health Care Standards - Self-Administration Eligibility
08 Feb 2007Life Safety
08 Feb 2007Life Safety
Observed multiple deficiencies in the facility's physical environment, including fire alarm issues, incomplete fixtures, unfinished surfaces, loose windows, poorly sealing outer doors, inadequate heating, and insufficient hot water temperatures.
64CSR14-11.1.b.Physical Facilities
64CSR14-11.1.g.Heating Temperature
64CSR14-11.5.b.Hot Water Temperature
08 Feb 2007Licensure
08 Feb 2007Licensure
Identified multiple deficiencies in administrator training, staff orientation, personnel records, resident care planning, and medication management.
64CSR14-5.3.c.Administrator training requirement
64CSR14-5.5.a.New employee orientation and training
64CSR14-5.5.b.In-service employee training
64CSR14-5.6.a.TB screening in personnel records
64CSR14-7.3.d.Health Care Standards - Service plans update
64CSR14-7.4.a.Health Care Standards - Medication administration by licensed professionals
64CSR14-7.4.c.Health Care Standards - Self-administration of medications
30 Aug 2006Revisit
30 Aug 2006Revisit
Investigated the complaint and conducted a follow-up; found no deficiencies.
27 Jul 2006Complaint
27 Jul 2006Complaint
Identified deficiencies in resident privacy during personal care and in infection-control practices during incontinence care.
64CSR-6.2.jResident Rights
64CSR14-7.4.mHealth Care Standards
21 Jun 2006Revisit
21 Jun 2006Revisit
Investigated a complaint and found no deficiencies.
09 May 2006Complaint
09 May 2006Complaint
Investigated a complaint and found multiple deficiencies in staffing, resident rights, health records, care planning, medication administration, incident follow-up, and facility maintenance.
64CSR14-5.4.aStaffing Requirements
64CSR14-6.2.hResident Rights
64CSR14-7.2.cHealth Care Standards - Health Status Documentation
64CSR14-7.3.dHealth Care Standards - Assessment and Service Plans
64CSR14-7.4.aHealth Care Standards - Licensed Professionals / Medications
64CSR14-7.5.cHealth Care Standards - Post-Illness/Injury Documentation
64CSR14-7.5.dHealth Care Standards - Notification of Physician/Next of Kin
64CSR14-7.6.hHealth Care Standards - Weekly RN Review and Progress Notes
64CSR14-11.1.ePhysical Facilities - Free of Insects
01 May 2006Life Safety
01 May 2006Life Safety
Found no deficiencies.
06 Apr 2006Revisit
06 Apr 2006Revisit
Corrected deficiencies identified during the complaint investigation and follow-up.
—
—
06 Apr 2006Revisit
06 Apr 2006Revisit
Found no deficiencies. Follow-up actions were documented after the initial survey, including later visits.
15 Mar 2006Life Safety
15 Mar 2006Life Safety
Identified multiple maintenance and housekeeping deficiencies that compromised safety and cleanliness across multiple areas, including worn furniture, unsealed openings, unsecured electrical fixtures, and missing or damaged components. A follow-up noted the deficiencies were not fully corrected.
64CSR14-11.1.b.PHYSICAL FACILITIES
09 Mar 2006Revisit
09 Mar 2006Revisit
Identified a deficiency during the initial survey and confirmed it was corrected during the follow-up.
—
09 Mar 2006Revisit
09 Mar 2006Revisit
Identified deficiencies in documenting residents' health status changes and in 24-hour post-incident monitoring; required assessments were not completed.
64CSR14-7.2.c.Health Care Standards The licensee shall keep in each resident's record current documentation regarding the resident's health status, any changes in health status, and staff responses to the changes.
64CSR14-7.5.c.HEALTH CARE STANDARDS Staff shall monitor and document the resident's condition at least once every eight (8) hours for a period of twenty-four (24) hours following the accident or the onset of the illness, more frequently if specified by the licensed health care professional or at least every four (4) hours if the resident suffers from Alzheimer's disease or a related dementia and cannot communicate his or her condition or needs.
08 Mar 2006Complaint
08 Mar 2006Complaint
Investigated a complaint and found that room temperatures were below the required 72°F in at least one room, with residents reporting it was cold.
64CSR14-11.1.g.Physical Facilities
14 Feb 2006Life Safety
14 Feb 2006Life Safety
Verified that deficiencies identified earlier were corrected during the follow-up.
—
10 Jan 2006Life Safety
10 Jan 2006Life Safety
Identified deficiencies in physical facilities, including unsafe oxygen storage, missing toilet tissue dispensers, and unlocked cleaning storage areas.
64CSR14-11.1.b.PHYSICAL FACILITIES
64CSR14-11.6.b.PHYSICAL FACILITIES
64CSR14-11.6.c.PHYSICAL FACILITIES
10 Jan 2006Life Safety
10 Jan 2006Life Safety
Observed multiple deficiencies related to maintenance, safety, and hazardous material storage, including numerous unsafe/unsanitary conditions and unsecured items.
64CSR14-11.1.b.Physical Facilities
64CSR14-11.6.b.Physical Facilities
64CSR14-11.6.c.Physical Facilities
04 Jan 2006Complaint
04 Jan 2006Complaint
Observed insufficient night shift staffing with no AMAP coverage and morning care starting as early as 4:30 a.m., potentially affecting residents' care.
64CSR14-5.4.a.STAFFING REQUIREMENTS
04 Jan 2006Licensure
04 Jan 2006Licensure
Identified multiple deficiencies in hiring practices, staffing coverage, admissions contracts, resident rights reporting, and medication administration.
64CSR14-5.1.g.ADMINISTRATIVE REQUIREMENTS
64CSR14-5.4.c.STAFFING REQUIREMENTS
64CSR14-5.5.a.EMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.7.b.1-8ADMISSION AND DISCHARGE
64CSR14-5.7.c.ADMISSION AND DISCHARGE
64CSR14-5.7.d.1-6ADMISSION AND DISCHARGE
64CSR14-6.2.c.RESIDENT RIGHTS
64CSR14-6.2.d.RESIDENT RIGHTS
64CSR14-7.4.a.HEALTH CARE STANDARDS
64CSR14-11.2.h.PHYSICAL FACILITIES
04 Jan 2006Licensure
04 Jan 2006Licensure
Identified multiple deficiencies across administration, staffing, health records, admissions, medications, and dietary services.
64CSR14-5.7.d.1-6Admission Contracts—Information at Admission
64CSR14-7.3.d.Health Care Standards—Health Records
64CSR14-7.3.d.Health Care Standards—Service Plans
64CSR14-7.4.a.Health Care Standards—Care and Medication Administration
64CSR14-7.4.b.Prescription Orders
64CSR14-9.1.c.Dietary Services
04 Jan 2006Complaint
04 Jan 2006Complaint
Identified deficiencies in reporting alleged abuse/neglect to APS and OHFLAC, in thoroughly documenting/investigating such allegations, and in maintaining an adequate supply of washcloths for resident care.
64CSR14-6.2.c.RESIDENT RIGHTS
64CSR14-6.2.d.RESIDENT RIGHTS
64CSR14-11.2.h.PHYSICAL FACILITIES
28 Nov 2005Revisit
28 Nov 2005Revisit
Investigated the complaint and conducted follow-ups; no deficiencies cited.
01 Sept 2005Revisit
01 Sept 2005Revisit
Investigated a complaint and found significant shortcomings in medication administration, including failure to follow physician orders, inaccurate MARs, and inadequate resident identification during dosing.
64CSR14-7.4.a.Health care standards; Medication Administration by Unlicensed Personnel
02 Aug 2005Complaint
02 Aug 2005Complaint
Identified a deficiency in ensuring medications are administered as ordered. The finding involved a delayed administration of a prescribed Zantac after a resident returned from an absence.
64CSR14-7.4.aHealth Care Standards
24 Mar 2005Revisit
24 Mar 2005Revisit
Investigated a complaint; a repeat deficiency was identified and corrected after follow-up.
—
22 Feb 2005Revisit
22 Feb 2005Revisit
Investigated found incomplete and inaccurate controlled substance records, including missing declining inventory sheets and inadequate oversight. This represented a repeat deficiency.
64CSR14-5.2.c.Maintain accurate records and reports
22 Feb 2005Complaint
22 Feb 2005Complaint
Investigated the complaint and found no deficiencies.
22 Feb 2005Complaint
22 Feb 2005Complaint
Investigated the complaint and found no deficiencies.
12 Jan 2005Complaint
12 Jan 2005Complaint
Investigated a complaint about medication recordkeeping and disposal; found deficiencies in controlled substance documentation and disposal practices, indicating recordkeeping and supervision issues.
64CSR14-5.2.cThe licensee shall maintain accurate records and reports required by this rule.
64CSR14-7.4.kHealth Care Standards: destruction of controlled substances in presence of pharmacist and registered nurse; recordkeeping for disposition.
12 Jan 2005Complaint
12 Jan 2005Complaint
Investigated the complaint and found no deficiencies.
02 Dec 2004Inspection
02 Dec 2004Inspection
Found multiple deficiencies in staffing training, resident contracts, funds handling, privacy, health assessments, and medication administration. These issues showed inadequate controls to protect residents.
64CSR14-5.4.c.STAFFING REQUIREMENTS
64CSR14-5.5.a.EMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.5.b.EMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.7.b.1-8ADMISSION AND DISCHARGE
64CSR14-5.7.c.ADMISSION AND DISCHARGE
64CSR14-6.2.b.MANAGEMENT OF RESIDENT FUNDS
64CSR14-6.2.b.RESIDENT RIGHTS
64CSR14-6.2.j.RESIDENT RIGHTS
64CSR14-7.3.a.HEALTH CARE STANDARDS
64CSR14-7.4.a.HEALTH CARE STANDARDS
02 Dec 2004Inspection
02 Dec 2004Inspection
Identified numerous deficiencies in recordkeeping, medication administration, resident rights, funds handling, and staff training.
64CSR14-5.2.c.The licensee shall maintain accurate records and reports required by this rule.
64CSR14-5.4.c.STAFFING REQUIREMENTS
64CSR14-5.5.a.EMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.5.b.EMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.7.b.ADMISSION AND DISCHARGE
64CSR14-5.7.c.ADMISSION AND DISCHARGE
64CSR14-5.8.a.MANAGEMENT OF RESIDENT FUNDS
64CSR14-5.8.c.MANAGEMENT OF RESIDENT FUNDS
64CSR14-6.2.b.RESIDENT RIGHTS
64CSR14-7.4.a.HEALTH CARE STANDARDS
64CSR14-7.4.b.HEALTH CARE STANDARDS
16 Nov 2004Life Safety
16 Nov 2004Life Safety
Identified privacy lapses due to uncurtained outside windows and multiple disaster preparedness and facility maintenance deficiencies.
64CSR-6.2.j.Resident Rights; Privacy and confidentiality
64CSR-10.2.a.Disaster & Emergency Preparedness Plan
64CSR14-10.2.b.Disaster & Emergency Preparedness Plan – Specific tasks for emergencies
64CSR14-10.2.d.Disaster & Emergency – Copies at staff stations
64CSR14-10.2.e.Disaster & Emergency – Annual review and sign
64CSR14-11.1.d.Physical Facilities – Interior/Exterior clean and in good repair
16 Nov 2004Life Safety
16 Nov 2004Life Safety
Found multiple safety, cleanliness, and maintenance deficiencies; hazards were identified in several resident areas.
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
64CSR14-11.1.dPHYSICAL FACILITIES
22 Aug 2004Life Safety
22 Aug 2004Life Safety
Deficiencies were corrected.
—
22 Aug 2004Life Safety
22 Aug 2004Life Safety
Found deficiencies corrected.
—
08 Jun 2004Life Safety
08 Jun 2004Life Safety
Identified extensive safety and cleanliness deficiencies, including missing handrails, damaged fixtures, and unsealed floors. Also found indoor temperatures exceeding 80F with inadequate cooling.
64CSR14-11.1.d.PHYSICAL FACILITIES
64CSR14-11.1.h.PHYSICAL FACILITIES
08 Jun 2004Life Safety
08 Jun 2004Life Safety
Found multiple safety and facility deficiencies, including uninspected extinguishers, unsecured oxygen tanks, damaged flooring and trims, privacy and accessibility concerns, and missing safety features, observed across follow-up visits.
64CSR14-11.1.d.PHYSICAL FACILITIES
25 Apr 2004Revisit
25 Apr 2004Revisit
Found no deficiencies. The record referenced follow-up actions related to prior CHOW activities.
25 Apr 2004Revisit
25 Apr 2004Revisit
Found no deficiencies identified during the latest follow-up review.
24 Mar 2004Revisit
24 Mar 2004Revisit
Found failures in annual staff training, TB pre-employment screenings, and medication administration oversight, including incomplete MAR documentation and discrepancies in training records.
64CSR14-5.5.bEmployee Orientation and Training
64CSR14-5.6.a.4TB Screening/Pre-employment Health Screenings
64CSR60; WV Code 16-50-1 et seq.Medication Administration by Unlicensed Personnel
24 Mar 2004Revisit
24 Mar 2004Revisit
Found repeated deficiencies in staff training, personnel records, and medication administration oversight, with ongoing noncompliance across multiple follow-ups.
64CSR14-5.5.b.EMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.6.a.1-4PERSONNEL RECORDS
64CSR14-7.4.a.HEALTH CARE STANDARDS
64CSR60Medication Administration by Unlicensed Personnel
02 Mar 2004Life Safety
02 Mar 2004Life Safety
Identified extensive maintenance and safety deficiencies, including damaged fixtures, peeling paint, missing safety rails, and unsanitary conditions observed during the visit.
64CSR14-11.1.d.PHYSICAL FACILITIES
02 Mar 2004Life Safety
02 Mar 2004Life Safety
Identified several safety and cleanliness deficiencies related to interior maintenance and resident care areas, including unsecured oxygen tanks, uninspected extinguishers, damaged flooring, and privacy/compliance issues.
64CSR14-11.1.d.PHYSICAL FACILITIES
09 Feb 2004Revisit
09 Feb 2004Revisit
Identified multiple deficiencies related to administrator notification, staff training, resident contracts, resident funds management, privacy during care, restraint use, and medication administration.
64CSR14-5.2.e.Notification of permanent changes in administrator and supervising RN
64CSR14-5.5.b.Employee orientation and training
64CSR14-5.7.b.Admission and discharge - contract content
64CSR14-5.7.c.Admission and discharge - provision of contract copies
64CSR14-5.8.a.Management of resident funds
64CSR14-6.2.b.Resident rights - restraints
64CSR14-6.2.j.Resident rights - privacy
64CSR14-7.4.a.Health care standards - AMAP and MAR
09 Feb 2004Revisit
09 Feb 2004Revisit
Identified multiple deficiencies related to administrator notification, staff training, personnel records, resident contracts, funds management, and medication administration.
null64CSR14-5.2.e.THE LICENSEE
null64CSR14-5.5.b.EMPLOYEE ORIENTATION AND TRAINING
null64CSR14-5.6.a.1-4PERSONNEL RECORDS
null64CSR14-5.7.b.ADMISSION AND DISCHARGE
null64CSR14-5.7.c.ADMISSION AND DISCHARGE
null64CSR14-7.4.a.MANAGEMENT OF RESIDENT FUNDS
null64CSR14-7.4.a.HEALTH CARE STANDARDS
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Woodlands Assisted Living 1. The information above has not been verified or approved by the owner or operator. For exact information, please contact Woodlands Assisted Living 1 directly. There is no cost for this service. We are compensated by the community you select.
Are you an owner or operator of this community?
Claim this listing to receive messages from prospective customers and manage your community page.