Kirkwood Orange

COMPLAINT INVESTIGATION REPORT

The facility underwent an unannounced required visit on September 22, 2025. The inspection covered physical plant, resident rooms, and administrative records. Overall, the report indicates that no deficiencies were found during this inspection visit.

The facility underwent a Required Annual Inspection on August 21, 2024. The inspection found one Type B deficiency related to the ongoing appraisal process for residents with dementia. Overall, the facility demonstrated compliance in several areas, including safety equipment and record keeping, but requires follow-up on medical documentation.

The facility underwent an unannounced Case Management visit following an incident report concerning a medication error for Resident 1. The inspection identified one Type B deficiency related to medication administration protocols and one critical finding (Type A) regarding the actual medication error that occurred. Immediate corrective action is required to address medication safety procedures.

The facility underwent an unannounced Case Management visit following an incident report concerning a medication error for Resident 1. The inspection identified one Type B deficiency related to medication administration protocols and one critical finding (Type A) regarding the actual medication error that occurred. Immediate corrective action is required to address medication safety procedures.

The investigation substantiated allegations regarding medication mismanagement and failure to report incidents promptly. Specifically, the facility was cited for failing to administer prescribed medications and for violating reporting requirements by delaying notification to the department. These findings indicate immediate health risks and procedural non-compliance.

This report details a complaint investigation concerning a resident who sustained a fracture while in care. The allegation was found to be substantiated, and the facility was cited for failing to meet basic standards of care and supervision. Specifically, staff failed to report the incident and observation of the injury to a supervisor.

The facility underwent an unannounced Case Management and Health and Safety check following a complaint. The inspector noted that the facility appeared well-maintained, with positive observations regarding safety equipment, linens, and general repair status. No deficiencies were cited during this inspection.