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Inspection visit

Complaint

BERKSHIRE, THELicense 286804030
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Continued from LIC9099 Complaint alleges that staff interfered with resident’s visits. Residents interviewed indicated that they have not had staff interfere with their visits. Staff interviewed stated that they do have recommended visitation hours, and they try to encourage visitors to not come during mealtimes. However, they do not monitor or interfere with visitation. Interviews revealed that there is one resident (Resident 1, R1) who cannot have two specific individuals visit due to a restraining order that was filed against them. Documentation reviewed revealed that the restrained persons shall not contact the individual directly or indirectly, in any way, including but not limited to: in person, by telephone, in writing, by public or private mail, by interoffice mail, by email, by text message, by fax, or by other electronic means. Staff interviews indicated that R1 still had visitors, but staff encouraged those visitors not to use their phone with R1 present in order to mitigate indirect contact from those restrained from R1. Based on interviews conducted and observations made, and while the allegation may be valid, there is not a preponderance of evidence to prove the alleged violations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED.

Citations

2 citations 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

    Facility personnel sufficiency and competence

    87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs... This requirement has not been met as evidenced by: Based on document review, facility has one overnight staff despite having multiple residents who require a two person assist.

  • 87555(a)Type B

    Diet quality and preparation in safe healthful manner

    87555 General Food Service Requirements (a) ...All food shall be selected, stored, prepared and served in a safe and healthful manner.This requirement has not been met as evidenced by: Based on observation and interview, food is served cold on occasion and there was a time when residents observed vegetables to have frost on them.

FAQ · About this visit

Common questions about this visit

What happened during the April 26, 2024 inspection of BERKSHIRE, THE?

This was a complaint inspection of BERKSHIRE, THE on April 26, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to BERKSHIRE, THE on April 26, 2024?

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.

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