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Inspection visit

Routine inspection

CAREWELL MANORLicense 3060024827 citations on this visit
7 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPAs) Dwayne Mason Jr. and Nancy Guillen arrived at the facility unannounced for the purpose of conducting a required annual inspection. LPAs were greeted at the facility by facility staff. LPAs met with Carol Wilson, Administrator and explained the purpose of the inspection. The facility is one-story building with 5 resident rooms, 3 bathrooms, kitchen, dining room, living room, den, staff room, backyard and 2-car garage. All resident rooms had the required elements, including bed, chair, closet space and ample lighting. LPAs observed nails on the backyard table, an inoperable shower, oven is missing an igniter knob, light in the refrigerator in inoperable, broken drawer in the kitchen and two sinks not draining. A deficiency is being issued. LPAs observed 3 trash cans without lids, a deficiency is being issued. LPAs observed bleach in two accessible areas. A deficiency is being issued. Hot water measured between 105 and 120 degrees F. LPAs observed facility has emergency food and water supply. LPAs reviewed facility files. Base on file review, LPAs determined the facility does not have a dementia care plan. A deficiency is being issued. LPAs reviewed five staff files and six resident files. LPAs conducted interviews with five residents and two staff. LPAs reviewed medication. Based on medication review, LPAs determined the facility does not have a current record of dosages for prescribed medication or prescribed PRNs. Two deficiencies are being issued. LPAs also observed multiple residents' medication in pill containers up to one week in advance. One deficiency is being issued. Based on today's inspection, seven deficiencies are being issued. An exit interview was conducted and a copy of this report and appeal rights were provided to the facility.

Citations

7 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.

  • 87208(c)Type B

    Based on record review, the licensee did not comply with the section cited above due to the absence of a dementia care plan. This poses a potential health, safety or personal rights risk to persons in care.

  • 87303(a)Type B

    Based on observations, the licensee did not comply with the section cited above due to the presence of nails on the backyard table, an inoperable shower, a missing igniter knob on the oven, an inoperable light in the refrigerator, a broken drawer in the kitchen and two bathroom sinks not draining. This poses a potential safety or personal rights risk to persons in care.

  • 87303(f)(3)Type B

    Based on observation, the licensee did not comply with the section cited above due to the absence of lids on three trash cans. This poses a potential health risk to persons in care.

  • 87309(a)Type A

    Based on observation, the licensee did not comply with the section cited above due to the presence of accessible bleach in two locations in the facility. This poses an immediate safety or risk to persons in care.

  • 87465(a)(6)Type B

    Based on medication and medication record review, the licensee did not comply with the section cited above due to the absence of a record of doses administered to residents in care. This poses a potential health, safety or personal rights risk to persons in care.

  • 87465(d)(3)Type A

    Based on PRN medication review and PRN medication record review, the licensee did not comply with the section cited above due to the absence of a record of PRN doses administered to residents in care. This poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(h)(5)Type B

    Based on medication review, the licensee did not comply with the section cited above in due to multiple residents' medication being transferred between containers which poses a potential health or safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 26, 2024 inspection of CAREWELL MANOR?

This was a inspection inspection of CAREWELL MANOR on November 26, 2024. 7 citations were issued: 2 Type A (serious) and 5 Type B.

Were any citations issued to CAREWELL MANOR on November 26, 2024?

Yes, 7 citations were issued (2 Type A, 5 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above due to the absence of a dementia care p..."

What type of inspection was this?

This was a inspection inspection. inspection 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.