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Inspection visit

complaint

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

has refused medications for over a month. Also, Med tech did not witness R1 trying to locate the elevator and did not appear dizzy. Also, LPA interviewed nine residents who stated all staff treated residents with dignity & have never snickered at residents. The allegation, resident not accorded dignity in relationships is unsubstantiated. Staff did not clean a resident's room from an odor - LPA Spaeth spoke to cleaning staff member S1 today at 12:20 pm and asked if R1 had stated room had an odor. S1 stated the carpet was cleaned by maintenance staff member and S1 mopped the bathroom two times. S1 stated after the carpet was clean, there was no odor. LPA interviewed nine residents who stated rooms are always cleaned and never smell odor in room. Therefore, the allegation, staff did not clean a resident’s room from an odor is unsubstantiated. Staff are not allowing resident to leave or depart the facility at any time – LPA Spaeth interviewed Administrator on 12/15/2021. Administrator stated witnessed R1 leaving the facility on various occasions. LPA Spaeth reviewed resident’s records and observed the physician’s assessment stated resident could leave the facility on own. Also, LPA observed the residents’ sign out sheet which indicates R1 left the facility on November 7, 2021. Therefore, the allegation, staff are not allowing resident to leave or depart the facility at any time is unsubstantiated. Staff are not allowing resident access to personal items – LPA Spaeth interviewed Administrator on 12/15/2021. Administrator stated R1 had a out of town Post office box and a Staff member drove R1 to the local post office to do a change of address. Administrator stated R1 received mail at the facility. Also, LPA interviewed nine residents who stated there has not been any issues with receiving mail and staff have not with held personal mail. Therefore, this allegation staff not allowing resident access to personal items is unsubstantiated. Exit interview conducted, appeal rights discussed, and a copy of the report was submitted to the Administrator.

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.

  • 87411(a)Type B

    87411(a) Personnel Requirements - (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs... This requirement is not met as evidenced by: Based upon LPA's interviews of ten residents, licensee failed to ensure the care of residents was met. Six of the ten residents interviewed stated had to wait over thirty minutes for a diaper change. Three residents stated only checked two times a day during the 7:00 am until 7:00 pm shift and one resident stated had to wait over two hours for a assistance.

FAQ · About this visit

Common questions about this visit

What happened during the December 16, 2021 inspection of LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY?

This was a complaint inspection of LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY on December 16, 2021. The inspection found no deficiencies and no citations were issued.

Were any citations issued to LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY on December 16, 2021?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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.