The Pinnacles at Burton

The investigation substantiated two primary allegations: failure to present advance directives to emergency personnel and failure to follow the resident's hospice care plan protocol. Both deficiencies were cited as Type B violations, requiring the facility to review relevant regulations and conduct staff training by November 30, 2025.

This report details an investigation into allegations of unexplained injuries and staff failure to prevent resident injury. The investigation concluded that the allegations were unfounded because the residents cited were not listed on the facility's roster. No deficiencies were cited in this report.

The facility underwent an unannounced annual continuation visit on July 16, 2025. The Licensing Program Analyst observed the facility to be sanitary, appropriately furnished, and compliant with regulations during the tour. No deficiencies were identified during this inspection visit.

This report details a complaint investigation regarding unsanitary kitchen conditions and pest issues. The investigation involved interviews with staff and residents, and a review of facility records. Based on the evidence gathered, the allegation was deemed Unsubstantiated.

The facility underwent an unannounced annual required visit on June 5, 2025. The Licensing Program Analyst noted that the facility is current on annual fees and that records reviewed for residents and staff were accurate and complete. No deficiencies were cited during this inspection visit, though an additional visit is required for the annual continuation inspection.

This complaint investigation, conducted on March 19, 2025, found evidence substantiating the allegation that the licensee did not provide copies of resident records in a timely manner. The primary deficiency cited relates to the failure to properly safeguard and provide confidential resident records to the designated representative.

The inspection report details findings from a complaint investigation regarding multiple allegations, most of which were deemed unsubstantiated after review of records and interviews. However, a separate deficiency was cited concerning unsanitary conditions in the kitchen area due to the presence of vermin, which requires corrective action.

The facility underwent an unannounced annual visit conducted by the Licensing Program Analyst. The LPA conducted a risk assessment and toured the facility, noting that all rooms were occupied and appeared to have required furniture. No deficiencies were observed, and therefore, no citations were issued.