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Inspection visit

complaint

SERENITY SENIOR RETREATLicense 1976099211 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Based on observations and interviews, there is not enough information to verify the allegation, therefore, the allegation is UNSUBSTANTIATED at this time. ---Staff are not following a resident's medical orders. It was alleged that staff would not take the resident’s blood pressure before administering medications. To investigate this allegation, on 08/27/2022, LPA conducted interviews with two (02) staff and five (05) out of five (05) residents from 11:30 AM – 01:15 PM. Interviews revealed that staff take the blood pressure of each resident prior to administering medication and that they do not refuse blood pressure measurement requests made by resident. Based on observations and interviews, there is not enough information to verify the allegation, therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards observed during the visit. Exit interview conducted and a copy of the report was issued.

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.

  • 87211(a)(1)(D)Type B

    87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency...:(1) A written report shall be submitted to the licensing agency of the occurrence of...(D) any incident which threatens the welfare, safety or health of any resident... This requirement is not met as evidenced by: Based on interviews & record reviews, the licensee did not comply with the section cited above as the facility did not notify the responsible party and send an incident report to the Dept. which poses a potential health & safety risk & violation of personal rights to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 27, 2022 inspection of SERENITY SENIOR RETREAT?

This was a complaint inspection of SERENITY SENIOR RETREAT on August 27, 2022. 1 citation were issued: 1 Type B.

Were any citations issued to SERENITY SENIOR RETREAT on August 27, 2022?

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...:(1) A written report shall be sub..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.