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Location
Braley Care Homes II is located at 2619 Knox Ave, St. Albans, WV, 25177.
About Braley Care Homes II
Braley Care Homes II sits at 2619 Knox Ave in Saint Albans, West Virginia, licensed for up to six seniors and run by Braley Care Homes II Inc., with Christopher Dean Braley serving as President, and it's been authorized as an Assisted Living Facility by the state's Department of Health & Human Resources with license number 507358. The place offers a group living setup in a residential care home setting, mainly focused on elderly folks who need help with daily tasks, like getting dressed or taking a bath, but who can still move about and carry on much of their day on their own-with attendants ready to help and a team that's trained for memory care, so people with dementia or Alzheimer's have extra support and Alzheimer's-focused activities that keep them engaged and safe. It's got both semi-private and private fully furnished rooms, so you don't have to worry about bringing furniture, and the community tries to keep things warm, welcoming, and professional, creating a home-like environment where safety comes high on the list, with secured buildings to help prevent wandering for folks who may get confused or forgetful, and there's a real effort to provide care and attention that fits each resident, with outings to the doctor, church, the mall, or for a walk around town always possible when needed. There are entertainment spaces, wellness programs, a hair salon, pools, and hot saunas set up on site, and prepared bedrooms and private dining rooms are available so folks can have quiet time or share meals together. There's a focus on serving people like family, making sure support, monitoring, and medical help like incontinence care are there whenever needed, and residents can expect their day-to-day needs to be met with a blend of kindness and respect. This place has several locations, including 2615 Knox Ave and 1141 Strawberry Rd in Saint Albans, and while it's not accredited by the BBB, it carries an A+ rating. Whether seniors want privacy or enjoy sharing space, Braley Care Homes II tries to create a comfortable and protected community where each person's well-being is at the center.
People often ask...
Braley Care Homes II offers board and care.
The full address for this community is 2619 Knox Ave, St. Albans, WV 25177.
No, Braley Care Homes II 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 deficiencies were corrected during the follow-up.
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10 Apr 2012Revisit
10 Apr 2012Revisit
Identified deficiencies and later corrected on follow-up.
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08 Feb 2012Licensure
08 Feb 2012Licensure
Identified deficiencies in personnel records and admission contracts, including licensure verification, TB screenings, and contract signatures for resident admissions.
64CSR14-5.6.a.Personnel Records
64CSR14-5.7.c.Admission and Discharge
08 Feb 2012Licensure
08 Feb 2012Licensure
Identified deficiencies in personnel records, admissions contracts, medication administration, and infection control practices. The findings showed incomplete licensure verification, unsigned TB screenings, incomplete contracts, missing physician orders, and improper handling of personal items.
64CSR14-5.6.a.Personnel Records
64CSR14-5.7.c.Admission and Discharge
64CSR14-7.4.b.Health Care Standards
64CSR14-7.4.m.Health Care Standards
08 Feb 2012Life Safety
08 Feb 2012Life Safety
Found no deficiencies. Provided technical assistance only.
08 Feb 2012Life Safety
08 Feb 2012Life Safety
Found no deficiencies. The survey showed compliance with applicable requirements.
30 Mar 2011Life Safety
30 Mar 2011Life Safety
Investigated deficiencies identified during a licensure survey; deficiencies were corrected during follow-up.
—
30 Mar 2011Revisit
30 Mar 2011Revisit
Concluded that the deficiency cited was corrected.
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30 Mar 2011Life Safety
30 Mar 2011Life Safety
Observed deficiencies corrected following follow-up.
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29 Mar 2011Revisit
29 Mar 2011Revisit
Identified deficiencies and noted corrections after a follow-up visit.
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—
02 Feb 2011Life Safety
02 Feb 2011Life Safety
Identified multiple deficiencies related to safety and basic facility features, including electrical hazards, call system inadequacies, window coverings, and missing resident furniture.
64CSR14-11.1.b.Physical Facilities
64CSR14-11.1.i.Physical Facilities
64CSR14-11.2.j.Physical Facilities
64CSR14-11.2.k.1-4Physical Facilities
01 Feb 2011Life Safety
01 Feb 2011Life Safety
Observed deficiencies in maintaining a safe and sanitary environment. Electrical hazards existed, call systems were incomplete, and basic bedroom furniture was missing.
64CSR14-11.1.b.Physical Facilities - maintenance to maintain a safe, sanitary environment
64CSR14-11.1.i.Physical Facilities - Call system accessible to staff and residents
Identified numerous deficiencies in policies, procedures, and resident care, including inadequate staff training, incomplete health assessments, improper admission/discharge documentation, and dietary service concerns.
Type A64CSR14-5.1.a.General Administrative Requirements
Type A64CSR14-5.5.a.Employee Orientation and Training
c64CSR14-5.5.c.Employee Orientation and Training
Type B64CSR14-5.7.b.Admission and Discharge
c64CSR14-5.7.c.Admission and Discharge
h64CSR14-5.7.h.Admission and Discharge
m64CSR14-6.1.m.Resident Rights
Type B64CSR14-6.2.b.Resident Rights
d64CSR14-6.2.d.Resident Rights
j64CSR14-6.2.j.Resident Rights
Type A64CSR14-7.3.a.Health Care Standards
Type B64CSR14-7.3.b.Health Care Standards
d64CSR14-7.3.d.Health Care Standards
Type B64CSR14-7.4.b.Health Care Standards
m64CSR14-7.4.m.Health Care Standards
Type B64CSR14-7.6.b.Health Care Standards
d64CSR14-7.6.d.Health Care Standards
f64CSR14-7.6.f.Health Care Standards
Type B64CSR14-9.1.b.Dietary Services
c64CSR14-9.1.c.Dietary Services
i64CSR14-9.1.i.Dietary Services
27 Jan 2011Licensure
27 Jan 2011Licensure
Found numerous deficiencies across policies, staffing, resident care, admission/discharge provisions, and dietary services.
Type A64CSR14-5.1.a.General Administrative Requirements
Type A64CSR14-5.1.g.General Administrative Requirements
Type A64CSR14-5.2.b.The Licensee Shall Protect the Physical and Mental Well-Being of Residents
Type A64CSR14-5.5.a.Employee Orientation and Training
Type A64CSR14-5.5.c.Alzheimer's Disease and Related Dementias Training
Type A64CSR14-5.7.b.Admission and Discharge
Type A64CSR14-5.7.c.Admission and Discharge
Type A64CSR14-5.7.h.Admission and Discharge
Type A64CSR14-6.1.m.Resident Rights
Type A64CSR14-7.1.a.Health Care Standards
Type A64CSR14-7.1.f.Health Care Standards
Type A64CSR14-7.3.d.Health Care Standards
Type A64CSR14-7.4.a.Health Care Standards
Type A64CSR14-7.4.c.Health Care Standards
Type A64CSR14-7.4.m.Health Care Standards
Type A64CSR14-7.6.d.Health Care Standards
Type A64CSR14-7.6.h.Health Care Standards
Type A64CSR14-9.1.b.Dietary Services
Type A64CSR14-9.1.c.Dietary Services
Type A64CSR14-9.1.i.Dietary Services
04 May 2010Revisit
04 May 2010Revisit
Identified deficiencies were corrected.
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16 Mar 2010Revisit
16 Mar 2010Revisit
Investigated multiple failures to protect resident well-being, maintain staffing records, provide required training, protect resident records, and properly document health assessments and complaints.
64CSR14-5.2.b.The licensee shall protect the physical and mental well being of residents.
64CSR14-5.4.g.Staffing Requirements
64CSR14-5.4Staffing Records
64CSR14-5.4.g.Staffing Requirements
64CSR14-6.2.n.Resident Rights
64CSR14-7.2.a.Health Care Standards
64CSR14-7.3.a.Health Care Standards
64CSR14-7.4.a.Health Care Standards
64CSR14-5.5.c.Employee Orientation and Training
15 Mar 2010Revisit
15 Mar 2010Revisit
Found no deficiencies. A follow-up visit occurred in March 2010.
09 Feb 2010Life Safety
09 Feb 2010Life Safety
Found no deficiencies.
03 Feb 2010Life Safety
03 Feb 2010Life Safety
Found no deficiencies.
13 Jan 2010Licensure
13 Jan 2010Licensure
Investigated concerns about resident care and identified multiple deficiencies across staffing, training, record-keeping, health assessments, rights, medications, and diet.
64CSR14-5.2.b.64CSR14-5.2.b. The Licensee shall protect the physical and mental well being of residents.
64CSR14-5.5.a.64CSR14-5.5.a. Employee Orientation and Training
64CSR14-5.5.b.64CSR14-5.5.b. Employee Orientation and Training
64CSR14-5.5.c.64CSR14-5.5.c. Employee Orientation and Training
64CSR14-5.6.a.64CSR14-5.6.a. Personnel Records
64CSR14-6.2.n.64CSR14-6.2.n. Resident Rights
64CSR14-7.2.a.64CSR14-7.2.a. Health Care Standards
64CSR14-7.3.a.64CSR14-7.3.a. Health Care Standards
64CSR14-7.3.c.64CSR14-7.3.c. Health Care Standards
64CSR14-7.4.a.64CSR14-7.4.a. Health Care Standards
64CSR14-7.4.b.64CSR14-7.4.b. Health Care Standards
64CSR14-9.1.c.64CSR14-9.1.c. Dietary Services
13 Jan 2010Licensure
13 Jan 2010Licensure
Found multiple deficiencies across staff training, health assessments, medication administration, dietary services, weight monitoring, and facility maintenance.
Type A64CSR14-5.5.a.Employee Orientation and Training
Type B64CSR14-5.5.b.Employee Orientation and Training
Type A64CSR14-7.3.a.Health Care Standards
Type A64CSR14-7.4.a.Medication Administration by Unlicensed Personnel
Type B64CSR14-9.1.b.Dietary Services
d64CSR14-9.1.d.Dietary Services
Type B64CSR14-11.1.b.Physical Facilities
g64CSR14-11.1.g.Physical Facilities
19 Nov 2009Revisit
19 Nov 2009Revisit
Investigated a complaint; found two deficiencies cited, and one was corrected on follow-up; the complaint was unsubstantiated.
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—
19 Nov 2009Revisit
19 Nov 2009Revisit
Investigated a complaint and identified deficiencies; follow-up confirmed one deficiency was corrected.
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16 Oct 2009Complaint
16 Oct 2009Complaint
Identified deficiencies in health assessments and dietary management during the review. Two residents lacked current health assessments and one resident on an advanced mechanical diet did not have diet orders followed or properly documented.
64CSR14-7.3.aHealth Care Standards - Health assessment
64CSR14-9.1.cDietary Services - Therapeutic or Modified Diets
15 Oct 2009Complaint
15 Oct 2009Complaint
Identified deficiencies in health assessments and dietary management, including missing or outdated health assessments and failure to follow physician-ordered diets.
64CSR14-7.3.a.Health Care Standards
64CSR14-9.1.c.Dietary Services
11 Mar 2009Life Safety
11 Mar 2009Life Safety
Found no deficiencies during the annual licensure survey.
11 Mar 2009Life Safety
11 Mar 2009Life Safety
Found no deficiencies during the annual licensure survey.
03 Mar 2009Licensure
03 Mar 2009Licensure
Found no deficiencies. Technical assistance provided.
03 Mar 2009Licensure
03 Mar 2009Licensure
Found no deficiencies. Technical assistance was provided during the annual licensure survey.
04 Apr 2008Revisit
04 Apr 2008Revisit
Identified a deficiency regarding documentation of training and noted that it was corrected on follow-up.
—Training documentation
31 Mar 2008Revisit
31 Mar 2008Revisit
Found deficiencies in annual staff training, with missing coverage of required topics for all staff and gaps in infection control training. The issues were identified during a follow-up visit.
64CSR14-5.5.b.Employee Orientation and Training
06 Mar 2008Life Safety
06 Mar 2008Life Safety
Found no deficiencies.
06 Mar 2008Life Safety
06 Mar 2008Life Safety
Found no deficiencies. The survey indicated compliance.
26 Feb 2008Licensure
26 Feb 2008Licensure
Identified deficiencies related to staff orientation/training and failure to provide resident transfer summaries with accompanying information.
64CSR14-5.5.b.Employee Orientation and Training
64CSR14-7.1.g.Health Care Standards
26 Feb 2008Licensure
26 Feb 2008Licensure
Found no deficiencies from the February 25-26, 2008 survey.
08 May 2007Revisit
08 May 2007Revisit
Deficiencies were corrected on follow-up. Technical assistance was provided during the follow-up.
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—
08 May 2007Revisit
08 May 2007Revisit
Found deficiencies cited during the survey and corrected during the follow-up visit.
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—
19 Apr 2007Life Safety
19 Apr 2007Life Safety
Concluded that deficiencies were corrected during follow-up.
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15 Apr 2007Life Safety
15 Apr 2007Life Safety
Cited deficiencies were corrected on follow-up.
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—
20 Mar 2007Life Safety
20 Mar 2007Life Safety
Identified multiple safety and maintenance deficiencies affecting residents, including mold on exterior siding, torn porch carpet, damaged wall covering, unposted oxygen use, and an unauthorized closet door lock.
64CSR14-11.1.b.Physical Facilities
06 Mar 2007Life Safety
06 Mar 2007Life Safety
Identified deficiencies in dietary records, disaster preparedness, and facility maintenance, including cleanliness, signage, and storage practices.
64CSR14-9.1.iDietary Services
64CSR14-10.2.e.Disaster & Emergency Preparedness
64CSR14-10.2.gDisaster & Emergency Preparedness
64CSR14-11.1.d.Physical Facilities
64CSR14-11.6.b.Physical Facilities
01 Mar 2007Licensure
01 Mar 2007Licensure
Found insufficient staffing and multiple lapses in resident monitoring, medication management, incident reporting, and notification practices.
64CSR14-5.4.a.Staffing Requirements
64CSR14-6.2.k.Resident Rights – Monitoring devices
64CSR14-7.4.b.Health Care Standards – PRN medications
64CSR14-7.5.b.Health Care Standards – Illness or accident notification
64CSR14-7.5.d.Health Care Standards – Major incident notification
64CSR14-7.5.d.Injury of unknown origin – incident reporting
28 Feb 2007Licensure
28 Feb 2007Licensure
Found deficiencies in staffing and supervision, resident rights monitoring, care planning, staff qualifications, and dietary management.
64CSR14-5.4.hStaffing Requirements
64CSR14-6.2.k.Resident Rights
64CSR14-7.3.dHealth Care Standards
64CSR14-7.4.aHealth Care Standards
64CSR14-9.1.cDietary Services
19 Dec 2006Complaint
19 Dec 2006Complaint
inspectors found multiple deficiencies related to inadequate incident handling, staffing, and health care monitoring following a resident injury.
64CSR14-5.2.aNotification and handling of resident incidents (RN/911)
64CSR14-5.2.bProtection of resident well-being; staffing and supervision
64CSR14-5.2.fNotify licensing office of major incidents within next business day
64CSR14-5.4.hAdequate staffing to prevent poor outcomes
64CSR14-7.5.bHealth care standards—contact licensed professional and obtain emergency assistance if needed
64CSR14-7.5.cPost-accident monitoring and documentation
14 Dec 2006Complaint
14 Dec 2006Complaint
Identified staffing deficiencies: no direct care staff on duty 24/7 for nine residents, leaving some residents unattended.
64CSR14-5.4.a.Staffing Requirements
23 Oct 2006Complaint
23 Oct 2006Complaint
Investigated a complaint involving two care homes. No specific findings are described in the provided information.
13 Sept 2006Revisit
13 Sept 2006Revisit
Investigated a complaint and identified deficiencies, which were corrected.
—
13 Sept 2006Revisit
13 Sept 2006Revisit
Identified a deficiency and corrected it on follow-up.
—
08 Aug 2006Complaint
08 Aug 2006Complaint
Found multiple deficiencies in daily activity provision and health care documentation, including missing daily activities and incomplete wound care records and service plans.
64CSR14-5.2.c.Maintain accurate records and reports
64CSR14-7.2.c.Health Care Standards - Health status documentation
64CSR14-7.3.d.Health Care Standards - Service plans updated
64CSR14-8.2.a.-c.Activities - Provision and documentation
08 Aug 2006Complaint
08 Aug 2006Complaint
Found deficiencies in resident assessment and activity program documentation. The service plans did not reflect current needs, and daily activities were not provided or properly documented.
64CSR14-7.3.d.Assessment and service plans
64CSR14-8.2.a.-c.Activities
02 May 2006Revisit
02 May 2006Revisit
Cited deficiencies were corrected on follow-up after initial findings.
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—
02 May 2006Revisit
02 May 2006Revisit
Cited deficiencies during the initial survey; follow-up confirmed corrections.
02 May 2006Complaint
02 May 2006Complaint
Investigated the complaint and found no deficiencies.
02 Mar 2006Life Safety
02 Mar 2006Life Safety
Found no deficiencies. The survey conducted March 2, 2006 confirmed the absence of deficiencies.
01 Mar 2006Revisit
01 Mar 2006Revisit
Found insufficient staffing with only one direct care staff on duty at times and no floating coverage between two adjacent care areas, violating staffing requirements.
Type A64CSR14-5.4.a.Staffing Requirements
01 Mar 2006Life Safety
01 Mar 2006Life Safety
Found no deficiencies cited during the annual licensure review. No violations were cited.
28 Feb 2006Revisit
28 Feb 2006Revisit
Investigated a complaint and identified insufficient staffing on each shift that could lead to poor resident outcomes.
64CSR14-5.4.h.Staffing Requirements
23 Feb 2006Licensure
23 Feb 2006Licensure
Identified multiple deficiencies in staffing, care planning, medication orders, activities, nutrition, emergency preparedness, and storage of hazardous substances.
Type A64CSR14-5.4.a.STAFFING REQUIREMENTS
Type A64CSR14-7.4.b.HEALTH CARE STANDARDS
Type A64CSR14-7.6.c.HEALTH CARE STANDARDS
Type A64CSR14-8.2.a-c.ACTIVITIES
Type A64CSR14-9.1.d.DIETARY SERVICES
Type A64CSR14-10.2.h.DISASTER & EMERGENCY
Type A64CSR14-11.6.c.PHYSICAL FACILITIES
23 Feb 2006Licensure
23 Feb 2006Licensure
Identified multiple deficiencies across staffing, medication management, resident records, activities documentation, and storage security.
Type A64CSR14-5.4.a.STAFFING REQUIREMENTS
Type A64CSR14-5.7.h.ADMISSION AND DISCHARGE
Type A64CSR14-7.4.a.HEALTH CARE STANDARDS
Type A64CSR14-7.4.a.HEALTH CARE STANDARDS
Type A64CSR14-7.4.f.HEALTH CARE STANDARDS
Type A64CSR14-8.2.a-c.ACTIVITIES
c64CSR14-11.6.c.PHYSICAL FACILITIES
04 Aug 2005Revisit
04 Aug 2005Revisit
Investigated a complaint and identified a deficiency at the first follow-up.
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04 Aug 2005Revisit
04 Aug 2005Revisit
Found no deficiencies.
04 Aug 2005Revisit
04 Aug 2005Revisit
Investigated the change of ownership; found no deficiencies.
06 Jul 2005Life Safety
06 Jul 2005Life Safety
Cited deficiencies corrected on follow-up.
06 Jul 2005Life Safety
06 Jul 2005Life Safety
Identified deficiencies were corrected.
05 Jul 2005Complaint
05 Jul 2005Complaint
Investigated a complaint about neglect and inadequate medical care after injuries; found multiple deficiencies in prompt medical care, documentation, and physician notification.
64CSR14-6.2.b.RESIDENT RIGHTS
64CSR14-7.2.c.HEALTH CARE STANDARDS
64CSR14-7.4.a.HEALTH CARE STANDARDS
64CSR14-7.4.b.HEALTH CARE STANDARDS
64CSR14-7.5.c.HEALTH CARE STANDARDS
64CSR14-7.5.d.HEALTH CARE STANDARDS
06 Jun 2005Life Safety
06 Jun 2005Life Safety
Identified a deficiency for not providing a handicapped-accessible bathing facility for disabled residents; existing bathrooms were not accessible.
64CSR14-11.1.a.PHYSICAL FACILITIES
06 Jun 2005Life Safety
06 Jun 2005Life Safety
Found deficiencies in maintenance and accessibility-related facilities, including plans to renovate an ADA-compliant bathroom and other improvements with multiple deadlines.
Type A64CSR14-11.1.b.PHYSICAL FACILITIES
01 Jun 2005Inspection
01 Jun 2005Inspection
Found deficiencies in admission contracts, care planning, nursing records, and activity programming.
64CSR14-5.7.b.1-8ADMISSION AND DISCHARGE 5.7.b.1-8
64CSR14-7.3.dHEALTH CARE STANDARDS 64CSR14-7.3.d
64CSR14-7.6.dHEALTH CARE STANDARDS 64CSR14-7.6.d
64CSR14-8.1ACTIVITIES 64CSR14-8.1
01 Jun 2005Inspection
01 Jun 2005Inspection
Found deficiencies in admissions contracts, nursing documentation, care planning, and activities.
64CSR14-5.7.b.1-8Admission/Discharge contracts—required information
64CSR14-7.6.dHealth care standards—RN documentation
64CSR14-7.6.gHealth care standards—service plans
64CSR14-7.6.hHealth care standards—progress notes
64CSR14-8.2.a-cActivities program requirements
31 May 2005Life Safety
31 May 2005Life Safety
Identified deficiencies in disaster planning, housekeeping, and call systems.
64CSR14-10.2.b.DISASTER & EMERGENCY
64CSR14-11.1.d.PHYSICAL FACILITIES
64CSR14-11.1.i.CALL SYSTEM
31 May 2005Life Safety
31 May 2005Life Safety
Identified deficiencies in disaster planning, facility maintenance, and resident calling devices.
64CSR14-10.2.b.DISASTER & EMERGENCY
64CSR14-11.1.d.PHYSICAL FACILITIES
64CSR14-11.1.i.PHYSICAL FACILITIES - CALL SYSTEM
10 Apr 2005Revisit
10 Apr 2005Revisit
Identified multiple deficiencies in staff background checks, orientation and training, recordkeeping, and admission contracts, with missing or incomplete documentation across several areas.
64CSR14-5.1.g.Administrative requirements - central abuse registry and nurse aide registry checks
64CSR14-5.5.a.Employee orientation and training - new hires
64CSR14-5.5.b.Employee orientation and training - in-service training
64CSR14-5.6.a.Personnel records - background screening and TB screening
64CSR14-5.7.b.1-8Admission and discharge - written contract information
64CSR14-5.7.cAdmission and discharge - contract copies to parties
64CSR14-5.7.d.1-6Admission and discharge - information provided at admission
10 Apr 2005Revisit
10 Apr 2005Revisit
Identified multiple deficiencies across hiring, training, records, admissions contracts, and service planning, indicating noncompliance with regulatory standards.
64CSR14-5.1.aAdministrative Requirements
64CSR14-5.5.aEMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.5.bEMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.6.aPERSONNEL RECORDS
64CSR14-5.7.bADMISSION AND DISCHARGE
64CSR14-5.7.cADMISSION AND DISCHARGE
64CSR14-5.7.d.1-6ADMISSION AND DISCHARGE
64CSR14-7.3.cHEALTH CARE STANDARDS
64CSR14-7.6.gHEALTH CARE STANDARDS
02 Feb 2005Inspection
02 Feb 2005Inspection
Identified multiple deficiencies in hiring practices, employee training, and resident admission materials, and in the development and use of resident service plans.
64CSR14-5.1.aAdministrative Requirements
64CSR14-5.5.aEmployee Orientation and Training
64CSR14-5.5.bEmployee Orientation and Training
64CSR14-5.6.a.4Personnel Records
64CSR14-5.7.b.1-8Admission and Discharge
64CSR14-5.7.cAdmission and Discharge
64CSR14-5.7.d.1-6Admission and Discharge
64CSR14-7.3.cHealth Care Standards
64CSR14-7.6.gHealth Care Standards
02 Feb 2005Inspection
02 Feb 2005Inspection
Identified multiple deficiencies in personnel screening, staff training, TB testing, and admission contracts.
64CSR14-5.1.g.ADMINISTRATIVE REQUIREMENTS
64CSR14-5.5.a.EMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.5.b.EMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.6.a.PERSONNEL RECORDS
64CSR14-5.7.b.1-8ADMISSION AND DISCHARGE
64CSR14-5.7.cADMISSION AND DISCHARGE
64CSR14-5.7.d.1-6ADMISSION AND DISCHARGE
02 Feb 2005Life Safety
02 Feb 2005Life Safety
Found no handicapped-accessible bathing facility for disabled residents; prior efforts to provide ADA-compliant facilities were not completed.
Type A64CSR14-11.1.a.PHYSICAL FACILITIES
02 Feb 2005Life Safety
02 Feb 2005Life Safety
Found unsafe, unsanitary and accident-prone conditions due to inadequate maintenance and housekeeping.
64 CSR 14-11.1.bPHYSICAL FACILITIES
64 CSR 14-11.1.bPHYSICAL FACILITIES
64 CSR 14-11.1.bPHYSICAL FACILITIES
64 CSR 14-11.1.bPHYSICAL FACILITIES
64 CSR 14-11.1.bPHYSICAL FACILITIES
64 CSR 14-11.1.bPHYSICAL FACILITIES
64 CSR 14-11.1.bPHYSICAL FACILITIES
64 CSR 14-11.1.bPHYSICAL FACILITIES
64 CSR 14-11.1.bPHYSICAL FACILITIES
64 CSR 14-11.1.bPHYSICAL FACILITIES
64 CSR 14-11.1.bPHYSICAL FACILITIES
64 CSR 14-11.1.bPHYSICAL FACILITIES
64 CSR 14-11.1.bPHYSICAL FACILITIES
64 CSR 14-11.1.bPHYSICAL FACILITIES
64 CSR 14-11.1.bPHYSICAL FACILITIES
64 CSR 14-11.1.bPHYSICAL FACILITIES
28 Sept 2004Complaint
28 Sept 2004Complaint
Investigated a complaint about prompt written responses to concerns; found the administrator did not reply in writing within the required four days. A specific complaint about a kitchen screen door and related conditions remained unanswered.
64CSR14-6.2.n.Resident Rights
19 Aug 2004Complaint
19 Aug 2004Complaint
Investigated a complaint. Two allegations yielded no deficiencies, and one allegation lacked evidence.
30 Jul 2004Revisit
30 Jul 2004Revisit
Investigative findings identified multiple deficiencies: major incidents were not reported timely, the administrator did not follow regulatory requirements, and abuse reporting and documentation processes were inadequate.
64CSR14-5.2.f.Major incidents reporting
64CSR14-5.3.d.Administrator responsibilities and knowledge of regulations
64CSR14-6.2.b.Restraints policy
64CSR14-6.2.c.Mandatory reporting of abuse/neglect to APS/OHFLAC
64CSR14-6.2.d.Documentation and investigation of abuse/neglect
30 Jul 2004Revisit
30 Jul 2004Revisit
Found numerous deficiencies in hiring procedures, staff training and records, admission contracts, resident rights, medications and infection control, diet, and emergency orientation for new residents.
64CSR14-5.1.g.ADMINISTRATIVE REQUIREMENTS
64CSR14-5.5.a.EMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.5.b.EMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.6.a.PERSONNEL RECORDS
64CSR14-5.7.b.ADMISSION AND DISCHARGE
64CSR14-5.7.d.1-6ADMISSION AND DISCHARGE
64CSR14-6.2.l.RESIDENT RIGHTS
64CSR14-7.4.a.HEALTH CARE STANDARDS
64CSR14-7.4.m.HEALTH CARE STANDARDS
64CSR14-9.1.c.DIETARY SERVICES
64CSR14-10.2.h.DISASTER & EMERGENCY
16 Jul 2004Life Safety
16 Jul 2004Life Safety
Identified deficiencies in maintenance and housekeeping affecting safety and sanitation. The deficiencies included repairs and replacements to fixtures, paint, and wiring.
64CSR14-11.1.b.PHYSICAL FACILITIES
10 Jun 2004Complaint
10 Jun 2004Complaint
Found violations related to major incident reporting and safeguarding residents from abuse, neglect, and mistreatment. These included failures to notify the licensing agency promptly, inadequate reporting of abuse to APS and OHFLAC, and poor documentation and investigation of alleged abuse.
64CSR14-5.2.fMajor incidents reporting
64CSR14-5.3.dAdministrator's knowledge of requirements
64CSR14-6.2.bRESIDENT RIGHTS – No abuse/mistreatment; restraints
64CSR14-6.2.cRESIDENT RIGHTS – Reporting abuse to APS/OHFLAC
64CSR14-6.2.dRESIDENT RIGHTS – Documenting/investigating abuse allegations
25 May 2004Life Safety
25 May 2004Life Safety
Identified multiple safety and maintenance deficiencies affecting the interior environment, including lighting, doors, oxygen equipment labeling, and electrical hazards.
64CSR14-11.1.b.PHYSICAL FACILITIES
20 May 2004Inspection
20 May 2004Inspection
The facility was found to have multiple deficiencies across personnel screening, orientation and training, records, admission contracts, resident rights, medication administration, infection control, diet, and emergency information.
64CSR14-5.1.g.ADMINISTRATIVE REQUIREMENTS
64CSR14-5.5.a.EMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.5.b.EMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.6.a.1-4PERSONNEL RECORDS
64CSR14-5.7.b.1-8ADMISSION AND DISCHARGE
64CSR14-5.7.d.1-6ADMISSION AND DISCHARGE
64CSR14-6.2.lRESIDENT RIGHTS
64CSR14-7.4.aHEALTH CARE STANDARDS
64CSR14-7.4.mHEALTH CARE STANDARDS
64CSR14-9.1.cDIETARY SERVICES
64CSR14-10.2.hDISASTER & EMERGENCY
18 Nov 2003Revisit
18 Nov 2003Revisit
Found deficiencies in staff training, admissions contracts, and medication management, with inadequate monitoring of residents after incidents.
Type A64CSR14-5.5.aEmployee orientation and training
Type B64CSR14-5.5.bEmployee orientation and training
Type B64CSR14-5.7.b.1-8Admission and discharge contracts
Type B64CSR14-7.4.bHealth care standards
c64CSR14-7.4.cHealth care standards
c64CSR14-7.5.cHealth care standards
30 Oct 2003Life Safety
30 Oct 2003Life Safety
Observed lack of wheelchair-accessible toilet and bathing facilities for disabled persons.
Type A64CSR14-5.2.aThe licensee shall comply with this rule and with the residence's policies.
Type B64CSR65-11.1.bLIFE SAFETY AND CONSTRUCTION - Accessibility for individuals with a physical disability.
24 Oct 2003Licensure
24 Oct 2003Licensure
Found multiple deficiencies affecting resident well-being and rights. They included failures to protect mental well-being, missing contracts and liability coverage, not posting house rules, and inadequate behavioral health services.
64CSR14-5.2.b.THE LICENSEE
64CSR14-5.7.b.1-8ADMISSION AND DISCHARGE
64CSR14-6.1.aLIABILITY INSURANCE / RESIDENT RIGHTS
64CSR14-6.1.aHOUSE RULES/VISITING HOURS POSTING
64CSR14-6.2.nCOMPLAINT RESOLUTION
64CSR14-7.1.cBEHAVIORAL HEALTH SERVICES REFERRALS
64CSR14-7.1.dBEHAVIORAL HEALTH TREATMENT
03 Sept 2003Inspection
03 Sept 2003Inspection
Identified multiple deficiencies in administrative controls, staff training, health records, medication oversight, and activities.
64CSR14-5.1.g.ADMINISTRATIVE REQUIREMENTS
64CSR14-5.5.a.EMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.5.b.EMPLOYEE ORIENTATION AND TRAINING
64CSR14-5.6.a.1-4PERSONNEL RECORDS
64CSR14-7.4.b.HEALTH CARE STANDARDS
64CSR14-7.4.c.HEALTH CARE STANDARDS
64CSR14-8.1.ACTIVITIES
30 Jul 2003Revisit
30 Jul 2003Revisit
Investigation found multiple deficiencies in hiring practices, staff training, care planning, medication management, dietary service, emergency preparedness, and facility safeguards. Violations covered central registry checks, orientation, care plans, admissions information, health assessments, medication administration, incident follow-up, dietary orders, emergency orientation, and storage of hazardous substances.
64CSR14-5.1.g.Central abuse registry screening and nurse aide abuse registry checks prior to hire
64CSR14-5.5.a.Employee orientation and training prior to unsupervised work
64CSR14-5.5.b.Annual in-service training for all staff
64CSR14-5.7.b.1-8Admission and discharge contracts must include specified information
64CSR14-5.7.d.1-6Providing residents with house rules, rights, and access to policies at admission
64CSR14-7.3.aHealth assessments and TB screening (timeliness)
64CSR14-7.3.dService plans updated to reflect current needs
64CSR14-7.4.aMedication administration not in accordance with orders
64CSR14-7.4.bPrescriptions and orders; pharmacist and MAR alignment
64CSR14-7.4.gStorage of medications in locked receptacles only
64CSR14-7.5.cPost-incident monitoring and documentation
64CSR14-9.1.cDietary orders and instructions for therapeutic diets
64CSR14-10.2.hDisaster and emergency evacuation orientation
64CSR14-11.6.cStorage of toxic/hazardous substances in locked storage
17 Jul 2003Life Safety
17 Jul 2003Life Safety
Identified multiple regulatory deficiencies related to permit, fire safety records, emergency planning, and wheelchair accessibility.
64CSR65-5.3.d.ADMINISTRATOR
64CSR65-5.8.aRESIDENT RECORDS
64CSR65-10.1FIRE SAFETY
64CSR65-10.2.cDISASTER & EMERGENCY PREPAREDNESS
64CSR65-10.2.dDISASTER & EMERGENCY PREPAREDNESS
64CSR65-10.2.gDISASTER & EMERGENCY PREPAREDNESS
64CSR65-11.1.bLIFE SAFETY AND CONSTRUCTION
28 Jun 2003Life Safety
28 Jun 2003Life Safety
Found deficiencies in wheelchair-accessible bathing facilities and related fixtures; two full toilet/bathing facilities were not accessible to residents using wheelchairs.
64CSR14-5.2.aADA accessibility for bathing facilities
64CSR14-11.1.bPHYSICAL FACILITIES
20 May 2003Life Safety
20 May 2003Life Safety
Found repeated ADA accessibility deficiencies for wheelchairs in bathing/toilet areas and maintenance issues affecting bathroom facilities and interior fixtures.
64CSR14-5.2.aWheelchair accessibility for bathing/toilet facilities
64CSR14-11.1.bPhysical facilities maintenance
20 May 2003Revisit
20 May 2003Revisit
Concluded that nine deficiencies were corrected during follow-up.
19 May 2003Revisit
19 May 2003Revisit
Identified numerous deficiencies across administration, health assessments, care plans, medications, dietary services, emergency preparedness, and safety, indicating violations of multiple regulatory requirements.
64CSR14-5.1.g.Administrative 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.d.Admission and Discharge
64CSR14-7.3.a.Health Care Standards
64CSR14-7.3.d.Health Care Standards
64CSR14-7.4.a.Health Care Standards
64CSR14-7.4.b.Health Care Standards
64CSR14-7.4.g.Health Care Standards
64CSR14-7.5.c.Health Care Standards
64CSR14-7.4.g.Dietary Services
64CSR14-10.2.h.Disaster & Emergency
64CSR14-11.6.c.Physical Facilities
14 May 2003Complaint
14 May 2003Complaint
Investigated a complaint and found no deficiencies. Provided technical guidance on documenting illness or injury after onset and on ensuring service plans reflect current resident needs.
13 Jan 2003Revisit
13 Jan 2003Revisit
Identified multiple deficiencies related to resident protection, abuse reporting, and contract disclosures.
64CSR14-5.2.b.Protection of residents' mental well-being
64CSR14-5.7.b.1-8Admission and discharge contract addendum; liability insurance coverage
64CSR14-6.1.a.Posting of house rules and visiting hours
64CSR14-6.2.c.Reporting neglect, abuse or emergency situations
64CSR14-6.2.d.Documentation and investigation of abuse allegations
64CSR14-6.2.f.Notification to licensing agency of abuse/neglect; documentation
64CSR14-6.2.n.Responding to resident complaints in writing
64CSR14-7.1.c.Behavioral health services when at risk
64CSR14-7.1.d.Immediate treatment/referral when harm may occur
09 Dec 2002Inspection
09 Dec 2002Inspection
Found numerous deficiencies including failure to post residents' rights and ombudsman information, lack of liability insurance, inadequate administrator training, deficient admission contracts, poor protection of resident property, emergency planning gaps, improper medication management, insufficient staff training on privacy, and incomplete activity and nursing oversight.
64CSR65-7.1.aPOSTING INFORMATION & RIGHTS
64CSR65-5.2.dLIABILITY INSURANCE
64CSR65-5.3.cADMINISTRATOR TRAINING
64CSR65-5.4.bADMISSION PROCEDURES
64CSR65-5.4.c.2ADMISSION PROCEDURES
64CSR65-5.4.c.3ADMISSION PROCEDURES
64CSR65-5.4.c.4ADMISSION PROCEDURES
64CSR65-5.4.c.5ADMISSION PROCEDURES
64CSR65-6.3.d.1-5EMPLOYEE ORIENTATION & TRAINING
64CSR65-7.6.dPRIVACY & CONFIDENTIALITY
64CSR65-8.4.f.1-5SERVICES
64CSR65-8.4.fACTIVITIES PROGRAM
64CSR65-12.1.f.2NURSING SERVICES
64CSR65-12.2.bNURSING SERVICES
64CSR65-12.2.e.5NURSING SERVICES
17 Oct 2002Revisit
17 Oct 2002Revisit
Found deficiencies in staff medication administration retraining and in communicating disaster and emergency plans to residents within 24 hours of admission.
64CSR65-8.5.a.Medications
64CSR65-10.2.f.Disaster & Emergency Preparedness
19 Jul 2002Inspection
19 Jul 2002Inspection
Found multiple deficiencies across personnel records, health documentation, admission procedures, emergency planning, medications, incident reporting, and facility conditions.
64CSR65-6.5.a.2PERSONNEL RECORDS
64CSR65-6.5.a.5PERSONNEL RECORDS
64CSR65-5.1.eGENERAL ADMINISTRATIVE REQUIREMENTS
64CSR65-5.2.dTHE LICENSEE
64CSR65-5.4.bADMISSION PROCEDURES
64CSR65-5.4.c.4ADMISSION PROCEDURES
64CSR65-6.3.b.1-9EMPLOYEE ORIENTATION & TRAINING
64CSR65-6.3.d.1-5EMPLOYEE ORIENTATION & TRAINING
64CSR65-8.5.aMEDICATIONS
64CSR65-8.5.iMEDICATIONS
64CSR65-8.5.l.2MEDICATIONS
64CSR65-8.5.l.2MEDICATIONS
64CSR65-8.6.dACCIDENT ILLNESS & INCIDENT
64CSR65-10.2.fDISASTER & EMERGENCY PREPAREDNESS
64CSR65-11.2.gSANITATION
64CSR65-11.4.aINTERIOR COMFORT
01 Jul 2002Revisit
01 Jul 2002Revisit
Found that the home did not maintain liability insurance; this was a repeat deficiency identified through multiple follow-up surveys.
64CSR65-5.2.d.Liability insurance policy
14 May 2002Revisit
14 May 2002Revisit
Investigated found that abuse was not reported, liability insurance was not in place, and incidents involving residents were not properly documented.
64CSR65-7.3.b.TREATMENT - No resident shall be abused; reporting requirements
64CSR65-5.8.c.5RESIDENT RECORDS - Documentation of incidents and accidents
02 May 2002Life Safety
02 May 2002Life Safety
Found wheelchair accessibility deficiencies in bathing/toilet areas and missing ADA-compliant facilities.
Type B64CSR65-11.1.b.Wheelchair accessibility for bathing/toilet facilities
18 Mar 2002Inspection
18 Mar 2002Inspection
Found no liability insurance coverage in place. Attempts to obtain coverage were unsuccessful.
64 CSR 65-5.2.d.Liability insurance coverage
26 Feb 2002Revisit
26 Feb 2002Revisit
Investigated a complaint of abuse and identified multiple administrative failures, including inadequate incident reporting, missing supervision, and incomplete resident contracts and records.
64CSR65-7.3.b.TREATMENT
64CSR65-5.2.d.LIABILITY INSURANCE
64CSR65-5.3.c.ADMINISTRATOR
64CSR65-5.4.b.ADMISSION PROCEDURES
64CSR65-5.8.c.5RESIDENT RECORDS
64CSR65-8.5.k.MEDICATIONS
64CSR65-8.6.g.Abuse
64CSR65-8.5.k.NURSING SERVICES
20 Dec 2001Life Safety
20 Dec 2001Life Safety
Found multiple deficiencies in disaster and emergency preparedness planning, including missing detailed procedures for high winds, tornadoes, floods, utility failure, emergency menu, and bomb threats; plan not accessible or signed; and no annual staff rehearsal.
64CSR65-10.2.b.Disaster & Emergency Preparedness
64CSR65-10.2.c.Disaster & Emergency Preparedness
64CSR65-10.2.d.Disaster & Emergency Preparedness
64CSR65-10.2.g.Disaster & Emergency Preparedness
04 Apr 2001Life Safety
04 Apr 2001Life Safety
Determined that there was no liability insurance policy in place to cover residents. Attempts to obtain coverage have not succeeded.
64CSR65-5.2.d.The licensee shall maintain a liability insurance policy in an amount that will cover all injuries to any residents. (Class III)
20 Feb 2001Life Safety
20 Feb 2001Life Safety
Found deficiencies in the disaster and emergency preparedness plan, including missing detailed procedures, lack of annual review signatures, and no annual staff rehearsal.
64CSR65-10.2.b.Emergency preparedness plan must include procedures for various events.
64CSR65-10.2.d.Annual review and signature requirement.
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