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Inspection visit

Complaint

ADELYA SENIOR HOME IIILicense 306004779
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Interviews with Director Lindsy, R1’s Physician, Hospice, and R1’s son-in-law, confirm R1’s family decided the resident would not be sent out and would not receive surgery for the fracture. Based on the information gathered during the investigation through interviews, the allegation mentioned above is deemed UNFOUNDED, meaning the allegation is false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report was provided.

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

    Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports... (1) a written report shall be submitted to the licensing agency... within seven days... (D) Any incident which threatens the welfare, safety, or health of any resident, such as... or unexplained absence of any resident. This requirement is not being met as evidenced by interview confirmation with Director Lindsy that an incident report was not completed and sent to the Regional Office. Multiple interviews and a review of a Hospice document titled "RN/LVN Communication Flow Sheet" reveal R1 had an unwitnessed fall and sustained an injury October 18, 2023.

FAQ · About this visit

Common questions about this visit

What happened during the November 16, 2023 inspection of ADELYA SENIOR HOME III?

This was a complaint inspection of ADELYA SENIOR HOME III on November 16, 2023. The inspection found no deficiencies and no citations were issued.

Were any citations issued to ADELYA SENIOR HOME III on November 16, 2023?

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.