Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Post-licensing visit

GRAND OAKS ASSISTED LIVINGLicense 547209374
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On 10/29/24 Licensing Program Analyst (LPA) arrived at the facility unannounced to conduct the Post Licensing inspection. LPA was greeted by Residential Care Coordinator (RCC), stated the purpose of the visit and was allowed entry into the facility. Administrator on record is David Shellhamer, who is available via telephone on today's visit. LPA toured the facility inside and out. All passageways and exits are clear and free from obstruction. Facility was adequately furnished and lit. Fire extinguishers had current service tag dates. Facility had operational smoke detectors. LPA observed all hazardous materials and cleaning supplies to be secured in locked storage closets. LPA observed the dining room to be clean. 8 residents were observed drinking coffee at tables while dinner was being prepared. LPA observed a seven day supply of nonperishable food and a two day supply of perishable food. Medications were observed to be kept in a locked medicine cart located near a locked medication room. Facility was decorated for the holidays, activities room carpet neat the med cart was observed to be stained. Administrator assigned the cleaning to staff at the time of visit. LPA toured the outside and observed a shaded seating area with pathways and exits free from obstruction. This is one of 3 visits LPA is conducting at the facility on this date, LPA is documenting the physical plant facility tour, facility records will be reviewed at a later date on a continuation visit. No deficiencies cited during the inspection. Exit interview conducted. A copy of the report was provided to the licensee via email.

Citations

4 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.

  • 87465(a)(4)Type A

    Assist residents with self-administered medication

    87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4)The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by LPA's observation of Resident R1's records (CSMDR, MARS) and interview with Staff S1. R1 did not receive medication on 9 out of 23 days on the April 2024 MAR.

  • 87609(4)(C)Type A

    87609 Allowable Health Conditions and the Use of Home Health Agencies (4) The licensee and home health agency agree in writing on the responsibilities of the home health agency, and those of the licensee in caring for the resident’s medical condition(s). (C)The written agreement shall be signed by the licensee or licensee representative, and representative of the home health agency, and placed in the resident’s file. This requirement was not met as evidenced by:LPAs request for R2's Home Health care plan. During File review, LPAs did not observe a Plan of Care between Therapeutic Home Healthcare and Facility regarding a serious infection and how to care for it.

  • 87615(a)(4)Type A

    87615 Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (4)…infection or other serious infection.This requirement was not met as evidenced by: Based on LPA's observation of records review and interview with Staff R2 was sent to hospital on10/29/2024 due to a serious infection diagnosed on 9/9/2024.

  • 87211(a)Type B

    Licensee reports required by licensing agency

    87211 Reporting Requirements (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (B) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision.This requirement was not met as evidenced by: Facility did not submit an incident report for (R2) who was referred to their PCP for a change of health condition/ injury on 8/28/2024.

FAQ · About this visit

Common questions about this visit

What happened during the October 29, 2024 inspection of GRAND OAKS ASSISTED LIVING?

This was an other inspection of GRAND OAKS ASSISTED LIVING on October 29, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to GRAND OAKS ASSISTED LIVING on October 29, 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 an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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