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Inspection visit

Follow-up on corrections

KINGSTON BAY SENIOR LIVINGLicense 1072069391 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Katie Brown arrived unannounced at the facility to conduct a Case Management visit. LPA met with and explained the purpose of the visit with Administrator (AD) Paige Williamson. The purpose of the Case Management visit is to follow up on a Special Incident Reports (SIR) submitted to CCLD on 11/23/2021. SIRs were not submitted to the licensing agency within seven days of the occurrence. The facility did not submit a SIR to CCLD reporting a fall which occurred on 11/28/21. SIR and Hospice notification provided during this visit. The facility did not submit a SIR to CCLD reporting an incident which occurred on 9/14/21 resulting in R1 being hospitalized. SIR provided during this visit. See 809-D for Deficiency A copy of this report and Appeal Rights were provided and an exit interview was conducted with Paige Williamson.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87221(a)(1)Type B

    87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.This requirement was not met as evidenced by: Licensee did not submit complete Special Incident Reports to to CCLD within 7 days. Incident dates include 11/12/21, 11/13/21, 11/15/21, 11/28/21 and 9/14/21.This poses a potential health and safety risk to persons in care.

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FAQ · About this visit

Common questions about this visit

What happened during the December 8, 2021 inspection of KINGSTON BAY SENIOR LIVING?

This was an other inspection of KINGSTON BAY SENIOR LIVING on December 8, 2021. 1 citation were issued: 1 Type B.

Were any citations issued to KINGSTON BAY SENIOR LIVING on December 8, 2021?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may r..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.