Pricing ranges from
    $3,942 – 4,730/month

    Woodlands Assisted Living 1

    23 Care St, Worthington, WV 26591
    • Assisted Living

    Exceptionally friendly staff, great community

    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.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

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

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

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

    Reviews

    5.00·(3)

    Overall rating

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

      5.0
    • Staff

      5.0
    • Meals

      5.0
    • Amenities

      5.0
    • Value

      5.0

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    Location

    Map showing location of Woodlands Assisted Living 1

    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.

    License number22118
    StatusActive
    Facility typeAssisted Living Residence
    Capacity23 residents
    LicenseeWOODLANDS ASSISTED LIVING FACILITY, INC. BLDNG 2
    EffectiveMay 4th, 2026
    ExpiresMay 3rd, 2027
    View the official license record

    Inspection Reports

    243

    Reports

    32

    Type A Citations

    7

    Type B Citations

    85

    Complaints

    22

    Years

    11 May 2026Revisit
    Verified that deficiencies were corrected after follow-up to the annual survey.
    11 May 2026Revisit
    Investigated a deficiency found during a follow-up to the annual survey and corrected it.
    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 APhysical facilities maintenance and cleanliness
    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
    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
    Investigated a complaint and corrected the deficiency.
    20 Aug 2025Revisit
    Verified that the deficiency identified in a prior complaint was corrected.
    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
    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
    Verified that deficiencies were corrected.
    12 Nov 2024Complaint
    Investigated a complaint and found no deficiencies.
    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
    Found no deficiencies cited during the annual environmental review.
    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
    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
    Investigated the complaint and found no deficiencies.
    30 Apr 2024Revisit
    Cleared a previously cited deficiency after follow-up.
    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
    Investigated a complaint and found no deficiencies.
    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
    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
    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
    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 AMaintenance and repair of interior and exterior of the residence
    • Type BMaintenance and repair of interior and exterior of the residence
    • cMaintenance and repair of interior and exterior of the residence
    • dMaintenance and repair of interior and exterior of the residence
    • eMaintenance and repair of interior and exterior of the residence
    • fMaintenance and repair of interior and exterior of the residence
    • gMaintenance and repair of interior and exterior of the residence
    • hMaintenance and repair of interior and exterior of the residence
    06 Sept 2023Revisit
    Investigated follow-up actions and found a deficiency was only partially corrected. No additional deficiencies were cited.
    06 Sept 2023Revisit
    Found deficiencies cited; a follow-up noted partial correction for 0450 and 0452.
    21 Aug 2023Revisit
    Cleared the prior complaint citations after a first follow-up and confirmed a census of 21.
    21 Aug 2023Complaint
    Concluded the allegation had merit. No citations were issued.
    23 Jun 2023Revisit
    Identified deficiencies in interior cleanliness and maintenance. A decorative ceiling light was nonfunctional and not fully corrected.
    • Type AInterior and exterior maintenance
    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 AMaintenance and housekeeping; safe, sanitary environment
    • Type AInterior and exterior cleanliness and repair
    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
    Investigated a complaint and found no deficiencies.
    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 ANightstands in bedrooms
    • Type ATowel bars in bedrooms and bathrooms
    • Routine maintenance and housekeeping
    • Physical facilities
    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 ABedrooms
    • Type AToilets, Hand Washing, and Bathing Facilities
    • Type AToilets, Hand Washing, and Bathing Facilities
    • Type ARoutine maintenance and housekeeping
    • Type ABedrooms
    • Type APhysical Facilities
    17 Jan 2023Revisit
    Concluded that the deficiency was cleared on revisit.
    17 Jan 2023Revisit
    Cleared all deficiencies from the prior annual survey revisit.
    21 Dec 2022Complaint
    Found no deficiencies.
    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
    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
    Found deficiencies in transfer documentation and service plans, including misalignment of hearing needs in two residents' plans.
    • Transfer documentation
    • Type AAssessment and Service Plans
    • Type BAssessment and Service Plans
    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
    Cleared all tags; no new citations.
    02 Aug 2022Revisit
    Investigated the complaint; found a deficiency was addressed and cleared, and no new deficiencies were cited.
    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
    Found deficiencies identified during the initial survey; all were corrected by the follow-up visit.
    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
    Verified that two deficiencies identified in the prior annual survey were corrected during the follow-up visit.
    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
    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
    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
    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 AAssessments and Service Plans
    • Type BAssessments and Service Plans
    • cAssessments and Service Plans
    • dAssessments and Service Plans
    • eAssessments and Service Plans
    • Type AActivities
    • Type AAccess, Visitation, and Communication
    • Type ATreatment
    01 Nov 2021Life Safety
    Found no deficiencies.
    01 Nov 2021Life Safety
    Found no deficiencies.
    20 May 2021Revisit
    Found no deficiencies.
    20 May 2021Revisit
    Found no deficiencies after the follow-up infection control visit.
    09 May 2021Revisit
    Cleared all four prior citations and found no new deficiencies.
    09 May 2021Revisit
    Cleared all four prior citations after a follow-up review; no new deficiencies identified.
    16 Feb 2021Life Safety
    Found no deficiencies during the annual environmental review.
    16 Feb 2021Life Safety
    Found no deficiencies. Census was 23 during an annual environmental review on February 16, 2021.
    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 AInfection control and COVID-19 screening
    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
    Concluded that deficiencies were corrected after a follow-up to a complaint.
    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
    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
    Found deficiencies; corrected.
    • Deficiency E 001
    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
    Found no deficiencies. The interior was maintained as a safe environment based on tour and staff interview.
    04 Feb 2020Life Safety
    Found no deficiencies.
    27 Jan 2020Revisit
    Cleared after follow-up with no new citations. The census count was 23.
    27 Jan 2020Revisit
    Cleared a prior citation and found no new deficiencies after a follow-up visit.
    23 Oct 2019Revisit
    Corrected a citation after an on-site visit.
    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
    Investigated a complaint; deficiencies were corrected after follow-up.
    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
    Investigated the complaint and found no deficiencies.
    12 Feb 2019Licensure
    Found no deficiencies. Census was 22.
    12 Feb 2019Licensure
    Found no deficiencies.
    04 Feb 2019Life Safety
    Found no deficiencies cited during the environmental survey. Census was 21.
    04 Feb 2019Life Safety
    Found no deficiencies cited during the annual environmental review.
    09 Apr 2018Life Safety
    Investigated and cited a deficiency; follow-up showed all deficiencies corrected.
    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
    Corrected deficiency E 005 after follow-up.
    22 Feb 2018Complaint
    Investigated a complaint; no deficiencies were documented in the available information.
    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
    Found no deficiencies.
    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
    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
    Investigated the complaint and found no deficiencies.
    01 Feb 2017Licensure
    Found no deficiencies during the annual licensure survey.
    01 Feb 2017Life Safety
    Found no deficiencies.
    01 Feb 2017Licensure
    Found no deficiencies.
    31 Jan 2017Life Safety
    Found no deficiencies.
    22 Jun 2016Complaint
    Investigated a complaint and found no deficiencies.
    19 Apr 2016Life Safety
    Investigated a deficiency and confirmed it was corrected on follow-up.
    19 Apr 2016Life Safety
    Observed that tag 254 was corrected during follow-up.
    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
    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
    Investigated licensing compliance and found no deficiencies.
    18 Feb 2016Licensure
    Found no deficiencies.
    22 Oct 2015Complaint
    Investigated the complaint; no deficiencies were cited.
    01 Sept 2015Revisit
    Found no deficiencies.
    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
    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
    Concluded corrections were completed for follow-up items 247, 252, 254, and 272.
    19 May 2015Life Safety
    Verified corrections were made for deficiencies identified in follow-up actions, with multiple tags addressed.
    06 Apr 2015Revisit
    Verified that all deficiencies were corrected after follow-up.
    06 Apr 2015Revisit
    Verified that all deficiencies were corrected at follow-up.
    10 Mar 2015Life Safety
    Identified deficiencies in annual review of disaster preparedness policies, exterior safety maintenance, interior repairs, and bedroom furnishings.
    • 64CSR14-10.2.e.Disaster & Emergency Preparedness
    • 64CSR14-11.1.b.Physical Facilities - exterior maintenance
    • 64CSR14-11.1.d.Physical Facilities - general interior and exterior condition
    • 64CSR14-11.2.k.1-4Physical Facilities - bedroom furnishings
    10 Mar 2015Life Safety
    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
    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
    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
    Investigated a complaint and found it not substantiated.
    05 Mar 2014Complaint
    Found no deficiencies.
    04 Mar 2014Life Safety
    Found no deficiencies during the annual licensure survey and follow-up.
    20 Feb 2014Licensure
    Investigated the licensure survey conducted February 17-20, 2013, with a census of 21.
    20 Feb 2014Licensure
    Found no deficiencies.
    07 Jan 2014Life Safety
    Found no deficiencies.
    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
    Investigated a complaint and conducted follow-up.
    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
    Deficiencies corrected under E 006 after a complaint investigation. A follow-up on May 28, 2013 confirmed census remained at 22.
    28 May 2013Revisit
    Investigated the complaint and identified a deficiency that was corrected during follow-up.
    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
    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.
    • 64CSR14-5.4.a.Staffing Requirements
    • 64CSR14-5.4.f.Staffing Requirements - Laundry/Support Services
    • 64CSR14-5.4Staffing Requirements - Follow-Up
    • 64CSR14-7.4.m.Health Care Standards - Infection Control
    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
    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
    • 64CSR14-9.1.i.Dietary services; food establishment standards
    • 64CSR14-11.1.b.Maintenance and housekeeping for safe environment
    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 AAnnual 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
    Found no deficiencies.
    22 Jan 2013Life Safety
    Found no deficiencies.
    01 Aug 2012Complaint
    Concluded that the allegation was unsubstantiated and found no deficiencies.
    13 Feb 2012Life Safety
    Found no deficiencies cited during the survey.
    13 Feb 2012Life Safety
    Found no deficiencies cited and no technical assistance given after the annual licensure survey.
    08 Feb 2012Licensure
    Found no deficiencies during the annual licensure survey; technical assistance was provided.
    08 Feb 2012Licensure
    Found no deficiencies.
    11 Oct 2011Complaint
    Investigated a complaint and found no deficiencies. Technical assistance was provided.
    11 Oct 2011Complaint
    Investigated a complaint and found no deficiencies; technical assistance was provided.
    20 Sept 2011Complaint
    Found no deficiencies after investigating the complaint.
    06 Sept 2011Revisit
    Investigated a complaint and found a deficiency identified as E 006, which was corrected during follow-up.
    28 Jul 2011Complaint
    Investigated a complaint; the allegation was unsubstantiated; no deficiencies cited.
    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
    Identified deficiencies during the investigation and confirmed they were corrected during follow-up.
    04 Apr 2011Revisit
    Investigated a complaint and noted a deficiency that was corrected.
    15 Mar 2011Revisit
    Verified that deficiencies were corrected after the follow-up visit. Census remained 22.
    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
    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
    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
    Found no deficiencies.
    07 Feb 2011Life Safety
    Found no deficiencies during the survey.
    08 Apr 2010Revisit
    Deficiencies were corrected.
    08 Apr 2010Revisit
    Verified deficiencies were corrected after follow-up following a February 2010 survey.
    29 Mar 2010Life Safety
    Identified deficiencies during the annual licensure survey.
    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
    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
    Identified deficiencies during the annual licensure survey.
    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
    Corrected deficiencies identified during the initial survey were addressed by a follow-up visit.
    02 Mar 2009Revisit
    Investigated a complaint and followed up; deficiencies identified were corrected.
    25 Feb 2009Life Safety
    Identified deficiencies were corrected during the follow-up after the annual licensure survey.
    • Environment
    04 Feb 2009Life Safety
    Found no deficiencies. Technical assistance was provided.
    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
    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
    • 64CSR14-7.5.c.Post-incident monitoring documentation
    14 Jan 2009Licensure
    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
    Identified deficiencies were corrected following follow-up visits.
    18 Aug 2008Complaint
    Investigated a complaint and found no deficiencies.
    29 May 2008Revisit
    Deficiencies were corrected after follow-up checks.
    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
    Investigated a complaint and identified deficiencies; follow-up showed corrections.
    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
    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
    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
    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
    Found no deficiencies. The survey occurred on February 6, 2008.
    05 Feb 2008Life Safety
    Found no deficiencies. Provided technical assistance.
    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
    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
    Investigated the complaint and found no deficiencies.
    20 Nov 2007Complaint
    Investigated the complaint and found no deficiencies.
    20 Nov 2007Complaint
    Investigated the complaint and found no deficiencies.
    04 Oct 2007Complaint
    Found no deficiencies.
    04 Oct 2007Complaint
    Investigated the complaint and found no deficiencies.
    23 Jul 2007Revisit
    Investigated a complaint; deficiencies were identified and corrected on follow-up.
    • Deficiency E 006
    23 Jul 2007Revisit
    Investigated a complaint; deficiencies were identified and corrected.
    23 Jul 2007Life Safety
    Verified deficiencies were corrected during follow-up visits.
    20 Jun 2007Complaint
    Investigated the complaint and found no deficiencies.
    19 Jun 2007Revisit
    Corrected deficiencies identified during the initial survey after follow-up.
    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
    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
    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
    Found no deficiencies.
    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
    Found no deficiencies cited.
    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
    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
    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
    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
    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
    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
    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
    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
    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
    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
    Investigated the complaint and conducted a follow-up; found no deficiencies.
    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
    Investigated a complaint and found no deficiencies.
    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
    Found no deficiencies.
    06 Apr 2006Revisit
    Corrected deficiencies identified during the complaint investigation and follow-up.
    06 Apr 2006Revisit
    Found no deficiencies. Follow-up actions were documented after the initial survey, including later visits.
    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
    Identified a deficiency during the initial survey and confirmed it was corrected during the follow-up.
    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
    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
    Verified that deficiencies identified earlier were corrected during the follow-up.
    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
    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
    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
    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
    Identified multiple deficiencies across administration, staffing, health records, admissions, medications, and dietary services.
    • 64CSR14-5.1.g.Administrative Requirements
    • 64CSR14-5.2.f.Major Incident Reporting
    • 64CSR14-5.4.a.Staffing Requirements
    • 64CSR14-5.4.c.CPR/First Aid Coverage
    • 64CSR14-5.5.a.Employee Orientation and Training
    • 64CSR14-5.7.b.Admission Contracts—Required Content
    • 64CSR14-5.7.c.Admission Contracts—Copy to Parties
    • 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
    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
    Investigated the complaint and conducted follow-ups; no deficiencies cited.
    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
    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
    Investigated a complaint; a repeat deficiency was identified and corrected after follow-up.
    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
    Investigated the complaint and found no deficiencies.
    22 Feb 2005Complaint
    Investigated the complaint and found no deficiencies.
    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
    Investigated the complaint and found no deficiencies.
    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
    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
    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
    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
    Deficiencies were corrected.
    22 Aug 2004Life Safety
    Found deficiencies corrected.
    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
    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
    Found no deficiencies. The record referenced follow-up actions related to prior CHOW activities.
    25 Apr 2004Revisit
    Found no deficiencies identified during the latest follow-up review.
    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
    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
    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
    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
    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
    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

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