Inspection visit

ComplaintOctober 15, 2021

COTTAGES AT RIVERSIDELicense 3364258402 citations on this visit

2 citations recorded

Inspector’s narrative

What the inspector wrote

incident report sent to the Department regarding R1's bruise. LPA reviewed the Department's incident report log and did not observe that an incident report regarding R1's bruise was reported to the appropriate regional office. S1 confirmed that they first learned of R1's bruise from R1's daughter; not facility staff; therefore, the incident was not properly reported to the Department and responsible party. In regards to allegation #2, LPA interviewed S1 who stated that they when they first learned of R1's bruise, they could not find documentation/notes of the incident so S1 stated that they conducted interviews with facility staff of the origin of R1's bruise. LPA reviewed the facility's "Narrative Chart" which did not indicate that facility staff observed a bruise on R1's forehead as stated by S2 and S3. UNSUBSTANTIATED; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report was discussed and a copy was provided to Tawfik at the conclusion of the investigation.

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.

87211(a)(1)(B)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 ..(B) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision. This requirement has not been met as evidenced by: Based on interviews and records review, 2 of 4 staff members (S1 & S2) stated that there was no incident report was sent to the Department. LPA also reviewed incident report log and did not observe incident report regarding R1's bruise submitted to the Department.
87466Type B
Regular observation and documentation of resident changes
87466 Observation of the ResidentThe licensee shall ensure that residents are regularly observed for changes in physical... the licensee shall ensure that such changes are documented and brought to the attention.. and the resident's responsible person. This requirement has not been met as evidenced by: Based on interviews and records review, the facility could not produce documentation regarding R1's bruise to the forehead. However, during interviews conducted by LPA, 2 of 4 (S3 & S4) staff members interviewed stated that they observed the bruise prior to S1 learning of the bruise from R1's daughter.

FAQ · About this visit

Common questions about this visit

What happened during the October 15, 2021 inspection of COTTAGES AT RIVERSIDE?

This was a complaint inspection of COTTAGES AT RIVERSIDE on October 15, 2021. 2 citations were issued: 2 Type B.

Were any citations issued to COTTAGES AT RIVERSIDE on October 15, 2021?

Yes, 2 citations were issued (0 Type A, 2 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 CCLD View original report

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Data from CCLD public records. Last updated June 15, 2026. If you believe any information is inaccurate, report it here.

Complaint·October 15, 2021