Stoney Brooke of Riverdale

November 18, 2025 · Follow-Up, Additional Follow-Up Inspection, Non On-Site Inspection

No citations from this inspection.

October 20, 2025 · Follow-Up, Additional Follow-Up Inspection

No citations from this inspection.

September 15, 2025 · Follow-Up, Additional Follow-Up Inspection

No citations from this inspection.

August 11, 2025 · Follow-Up, Additional Follow-Up Inspection

No citations from this inspection.

June 30, 2025 · Follow-Up Inspection

• Low Wearing Identification Badge(R432-1-4(1)(a)-(b))

  The Licensee was out of compliance with R432-1-4(1)(a) by not ensuring direct care employees wore name badges. During the inspection, direct care employees were not observed wearing name badges. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On September 15, 2025, the licensor verified that the administrator ensured direct care employees wore name badges, as stated in rule.

  Corrected on September 15, 2025, verified by the state.

• Low Resident's legal rights(R432-270-9(2)(a)-(b))

  The Licensee was out of compliance with R432-270-9(2)(b) by not ensuring that the residents received all their legal rights. During the inspection, the admission paperwork for 3 residents was reviewed. Their legal rights did not include a statement that the resident could file a complaint with the state long-term care ombudsman or any other advocacy group concerning resident abuse, neglect, or misappropriation of resident property in the facility. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On November 18, 2025, the licensor verified that the administrator ensured that residents were given all their legal rights upon admission, as stated in rule.

  Corrected on November 18, 2025, verified by the state.

• Low Signed and dated resident assessment completed prior to admission(R432-270-12(1))

  The Licensee was out of compliance with R432-270-12(1) by not ensuring signed and dated resident assessments were complete for each resident before admission and at least every six months thereafter. During the inspection, 3 resident files were reviewed and their assessments did not include a level of care for incontinence. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On September 15, 2025, the licensor verified that the administrator ensured resident assessments were complete, as stated in rule.

  Corrected on September 15, 2025, verified by the state.

• Low Activity and recreational programs(R432-270-17(1))

  The Licensee was out of compliance with R432-270-17(1) by not ensuring residents were encouraged to maintain and develop their fullest potential for independent living through participation in activity and recreational programs. During the inspection, residents were not observed to be encouraged to participate in activities or recreational programs throughout the day. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On October 20, 2025, the licensor verified that the administrator ensured residents had the opportunity to participate in activity and recreational programs, as stated in rule.

  Corrected on October 20, 2025, verified by the state.

• Low Socialization and community activities(R432-270-17(2)(a)-(d))

  The Licensee was out of compliance with R432-270-17(2)(a)-(d) by not ensuring that opportunities for the following were provided: socialization activities; independent living activities to foster and maintain independent functioning; physical activities; and community activities to promote resident participation in activities away from the facility. During the inspection, the licensor observed an activity calendar posted but did not observe that residents engaged or participating in activities throughout the day. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On October 20, 2025, the licensor verified that the administrator ensured that socialization and community activities were provided, as stated in rule.

  Corrected on October 20, 2025, verified by the state.

• Low Activity coordinator(R432-270-17(3)(a)-(c))

  The Licensee was out of compliance with R432-270-17(3)(a) and (c) by not ensuring the administrator designated an activity coordinator to direct the facility's activity program; coordinate recreational activities, including volunteer and auxiliary activities; plan, organize, and conduct the residents' activity program with resident participation; including information on community activities, based on residents' needs and interests. During the inspection, an environmental tour of the facility was conducted and residents were not observed to be engaged or participating in activities throughout the day. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On October 20, 2025, the licensor verified that the administrator ensured they had designated an activity coordinator, as stated in rule.

  Corrected on October 20, 2025, verified by the state.

• Low Resident unable to self administer medications(R432-270-18(7)(a)-(f))

  The Licensee was out of compliance with R432-270-18(7)(d) by not ensuring medications were administered according to the prescribing order. During the inspection, a medication pass was observed and 1 resident’s medication was not administered according to the prescribing orders. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On August 11, 2025, the licensor verified that the administrator ensured medications were administered as prescribed, as stated in rule.

  Corrected on August 11, 2025, verified by the state.

• Low Accurate and complete records(R432-270-20(1))

  The Licensee was out of compliance with R432-270-20(1) by not ensuring records were easily accessible to the Department. During the inspection, the licensor requested 1 employee file and it was not provided. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On November 18, 2025, the licensor verified that the administrator ensured that all records were made available to the department, as stated in rule.

  Corrected on November 18, 2025, verified by the state.

• Low Food service personnel(R432-270-21(8)(a)-(c))

  The licensee was out of compliance with R432-270-21(8)(c) by not ensuring personnel who served or prepared food had a current food handler's permit. During the inspection, 1 employee who was identified to serve food did not have a current food handler's permit in their file. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On August 11, 2025, the licensor verified that the administrator ensured food service personnel had current Food Handler's permits., as stated in rule.

  Corrected on August 11, 2025, verified by the state.

• Low Review and update emergency and evacuation plan(R432-270-26(5))

  The Licensee was out of compliance with R432-270-26(5) by not ensuring the administrator reviewed and updated the emergency and disaster plan. During the inspection, the emergency and disaster plan was reviewed and was observed to have been borrowed from another facility. The name of the person in charge and persons with decision-making authority as well as the persons who were to be notified in an emergency included the names of the persons from the assisted living facility that the plan was borrowed from. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On August 11, 2025, the licensor verified that the administrator ensured their emergency and disaster plan was accurate, as stated in rule.

  Corrected on August 11, 2025, verified by the state.

• Low Emergency and Disaster Response Plan(R432-270-26(6)(a)-(j))

  The Licensee was out of compliance with R432-270-26(6)(a)(b)(e)-(j) by not ensuring their emergency and disaster response plan was complete. During the inspection, the facility's emergency and disaster response plan was reviewed. It did not address the names of the person in charge and the persons with decision-making authority; the names of persons who should be notified in an emergency in order of priority; assignment of personnel to specific tasks during an emergency; the procedure to evacuate and transport residents and staff to a safe place within the facility or to other prearranged locations; instructions on how to obtain additional supplies, and equipment to meet the resident's needs after an emergency or disaster; delivery of essential care and services to facility occupants by alternate means; delivery of essential care and services if additional persons were housed in the facility; and delivery of essential care and services to facility occupants if personnel were reduced by an emergency. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On October 20, 2025, the licensor verified that the administrator ensured the emergency and disaster response plan was complete, as stated in rule.

  Corrected on October 20, 2025, verified by the state.

• Low First Aid Training(R432-270-27(1)(a)-(d))

  The Licensee was out of compliance with R432-270-27(1)(a)-(d) by not ensuring there was one staff person on duty at all times, who had training in basic first aid; training in the Heimlich maneuver; certification in cardiopulmonary resuscitation; and training in emergency procedures to ensure each resident received prompt first aid as needed. During the inspection, a sample of personnel files were reviewed and 1 employee who worked alone did not have documentation of the aforementioned training in their file. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On August 11, 2025, the licensor verified that the administrator ensured employees who worked alone were certified in CPR and first aid, as stated in rule.

  Corrected on August 11, 2025, verified by the state.

• Low 15 days to submission of prints(R432-35-3(2)(a)-(b))

  The Licensee was out of compliance with R432-35-3(2)(b) by not ensuring employee background checks were completed. During the inspection, the Direct Access Clearance System was accessed and the facility’s roster was reviewed. One employee had not submitted fingerprints within 15 working days of their hire date. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On September 15, 2025, the licensor verified that the administrator ensured employees submitted fingerprints within 15 working days of their hire date, as stated in rule.

  Corrected on September 15, 2025, verified by the state.

• Low Update Status within 5 working days(R432-35-3(3))

  The Licensee was out of compliance with R432-35-3(3) by not ensuring that employee's status’ in the Direct Access Clearance System were accurate. During the inspection, 1 current employee and 1 terminated employee's status’ in the Direct Access Clearance System were reviewed. The current employee's status showed them as a “Separated” employee of the facility and the terminated employee's status showed them as a "Permanent" employee of the facility. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On August 11, 2025, the licensor verified that the administrator ensured the status of current and terminated employees were reflected in DACS within 5 working days of the action, as stated in rule.

  Corrected on August 11, 2025, verified by the state.

• Low Emergency Supplies(R432-270-26(10)(a)-(g))

  The Licensee was out of compliance with R432-270-26(10)(g) by not ensuring that they had adequate emergency supplies on hand. During the inspection, the emergency supplies were observed. The facility did not have a radio. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On August 11, 2025, the licensor verified that the administrator ensured they had an emergency radio, as stated in rule.

  Corrected on August 11, 2025, verified by the state.

• Low Employee Health Inventory(R432-270-9(14)(a)-(g))

  The Licensee was out of compliance with R432-270-9(14)(a) and (e)(i) by not ensuring the personnel health program was followed for all employees. During the inspection, 1 employees file was reviewed. They did not have documentation of a tuberculosis skin test or a health inventory. This is a repeat noncompliance as noted on 5/27/2025.

  How was this corrected? On October 20, 2025, the licensor verified that the administrator ensured employes completed health inventories, as stated in rule.

  Corrected on October 20, 2025, verified by the state.

• Low In-service Training(R432-270-9(9)(a)-(l))

  The Licensee was out of compliance with R432-270-9(9)(b)(e)(f)(g)(h)(i)(j)(k)(l) by not ensuring employees were trained. During the inspection, 3 employees annual in-services were reviewed. They did not receive all required in-services. This is a repeat non-compliance as noted on 5/27/2025.

  How was this corrected? On October 20, 2025, the licensor verified that the administrator ensured employees received training in all the required areas, as stated in rule.

  Corrected on October 20, 2025, verified by the state.

May 27, 2025 · Unannounced, Annual Inspection

• Low Written schedule for maintenance(R432-270-25(1))

  The Licensee was out of compliance with R432-270-25(1) by not ensuring maintenance was conducted to ensure that the facility equipment, fixtures, and spaces, were safe and in good repair and in compliance with Rule R432-6. During the inspection, the licensor spoke with 1 resident who reported that 2 of her maintenance requests had not been addressed. This is a repeat non-compliance as noted on 8/27/2024.

  How was this corrected? On September 15, 2025, the licensor verified that the administrator ensured all maintenance requests were addressed, as stated in rule.

  Corrected on September 15, 2025, verified by the state.

• Low Written Resident Agreement(R432-270-11(8)(a)-(g))

  The Licensee was out of compliance with R432-270-11(8)(a)(b) and (f) by not ensuring admission agreements were complete. During the inspection, a sample of admission agreements were reviewed. Two residents did not have a signed admission agreement. Three resident admission agreements did not include a notice that the department could examine resident records to determine compliance or provisions for a 30-day notice before any change in established charges. One resident's admission agreement did not include room and board charges and charges for basic and optional services. This is a repeat non-compliance as noted on 8/27/2024.

  How was this corrected? On October 20, 2025, the licensor verified that the administrator ensured all residents had completed admission agreements, as stated in rule.

  Corrected on October 20, 2025, verified by the state.

May 13, 2025 · Investigation Inspection

No citations from this inspection.

January 23, 2025 · Follow-Up, Additional Follow-Up Inspection

No citations from this inspection.

December 4, 2024 · Complaint, Investigation Inspection, Follow-Up Inspection

• Low Document maintenance work(R432-270-25(4))

  The provider was out of compliance with this rule by not ensuring they documented any maintenance work or pest control performed. During the inspection, documentation of the pest control program was requested and was unable to be provided. Additionally, maintenance work had been performed at the facility and had not been documented on the maintenance log.

  How was this corrected? On 1/23/25, the Licensor verified that the maintenance work listed on the maintenance request log was documented as completed. Pest control was also verified as completed with invoices in the maintenance binder.

  Corrected on January 23, 2025, verified by the state.

• Low Residents Rights(R432-270-10(5)(a)-(x))

  The provider was out of compliance with this rule by not ensuring resident rights included the right to be treated with consideration and full recognition of personal dignity and individuality. During the inspection, 1 resident was noted to have asked for a key to their private room and the request had not been fulfilled.

  How was this corrected? On 1/23/25, the Licensor verified residents were able to access their rooms independently. The resident who had requested a key to their room had been discharged to the hospital and subsequently to a nursing home. Return to the assisted living was unknown and thought to be unlikely according to the medtech on shift during the inspection.

  Corrected on January 23, 2025, verified by the state.

October 15, 2024 · Follow-Up Inspection

No citations from this inspection.