Vineyard Park at Queen Anne Manor

The facility had moderate violations including missed medication doses (2 pain medications, 1 heart medication) due to failure to reorder medications on time in October 2025, and initial pharmacy coordination issues after ownership change in April 2025. The facility responded appropriately by investigating all complaints, implementing new systems to prevent medication unavailability, working with the pharmacy to update medication lists, and coordinating with family on resident care needs. A consultation was issued for medication non-availability, and the facility corrected the finding with systemic improvements.

The facility failed to provide required 30-day written notice to 81 residents and their representatives before reducing registered nurse availability from 40 hours/week to approximately 8 hours/week following an ownership change on April 1, 2025. The violation represents a moderate procedural non-compliance affecting care transparency rather than immediate safety. The facility demonstrated a moderate response by acknowledging the issue during the investigation, updating the Disclosure of Services document, and committing to distribute corrected information to residents and legal representatives, though corrective action was reactive rather than proactive and occurred only after being identified during the complaint investigation.

The facility failed to provide required Disclosure of Services forms to all 80 residents following new ownership and did not document activity preferences for 11 of 11 memory care residents sampled, resulting in no observed activities during inspection. The facility promptly acknowledged the violations, completed corrective actions within the 20-day timeframe, and passed follow-up inspection on 08/12/2025 with all deficiencies corrected. While these violations represented procedural non-compliance affecting care quality (particularly for vulnerable memory care residents), they did not involve immediate safety threats or resident harm, and the facility demonstrated adequate corrective response.

This residential care facility failed both initial inspection (02/05/2025) and re-inspection (05/06/2025) with 16 violations, including multiple life-safety system failures: fire doors that won't latch, missing fire drill documentation for all three shifts across all quarters, and lack of required testing/maintenance records for sprinklers, fire alarms, emergency lighting, and fire/smoke dampers. The facility demonstrated inadequate response by failing to correct any violations between inspections, providing no documentation of required safety system testing, and showing a systemic failure to maintain basic fire protection compliance. Critical issues include non-functional fire doors in stairwells and near elevators, complete absence of emergency evacuation drill records, and missing maintenance documentation for virtually all life-safety systems, indicating either neglect or deliberate non-compliance.