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Inspection visit

Complaint

MERRILL GARDENS AT WILLOW GLENLicense 4352028071 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

During interviews with facility residents 4 out of 6 residents interviewed stated that they had been made to wait an unusually long amount of time after pressing call button or pulling call strings. During interview with Admin, Admin stated that the facility had issues with simultaneous call ins for sick days during the week of May 22nd that resulted in understaffing for the week. Admin stated that the facility has since revised it's sick leave policy requiring staff calling in sick to confirm coverage with other staff members. Additionally Admin is in the process of hiring additional staff, including three new hires to the caregiving team that are currently on-boarding. The Department has conducted an investigation of the above allegation. Based on records review and interviews conducted, the preponderance of evidence standard has been met. Therefore, the Department found the above allegation to be SUBSTANTIATED. Deficiency cited. See LIC 9099-D. Exit interview conducted with General Manager Will Carter. A copy of this report, along with the facility's appeals rights were 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.

  • 87411(a)Type B

    Facility personnel sufficiency and competence

    87411 - 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 was not met as evidenced by: Based on records review and interviews, facility staffing levels were not high enough to meet the needs of residents between 05/22 and 06/02. This presented a potential risk to the health and safety of residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 9, 2023 inspection of MERRILL GARDENS AT WILLOW GLEN?

This was a complaint inspection of MERRILL GARDENS AT WILLOW GLEN on June 9, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to MERRILL GARDENS AT WILLOW GLEN on June 9, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87411 - Personnel Requirements - (a) Facility personnel shall at all times be sufficient in numbers, and competent to pr..."

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.