Complete Care at Dawnview LLC

In the surveyor’s words

From the most serious findings on record at Complete Care at Dawnview LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Apr 10, 2024

  An IJ at F600 was called on 04/03/24 at 1:26 PM . A Plan of Correction (POC) was approved on 04/03/24 at 4:56 PM. The IJ was abated on 04/04/24 at 10:15 AM. Based on record review, observations and staff interviews, the facility failed to protect a defenseless, non communicative resident from sexual abuse and to ensure other residents were protected from sexual abuse. This failed practice had the potential to affect all residents residing in the facility. Resident identifiers: #14 and #20. […]

• Immediate jeopardy, isolatedF609Apr 10, 2024

  An IJ at F609 was called on 04/03/24 at 1:26 PM . A Plan of Correction (POC) was approved on 04/03/24 at 4:56 PM. The IJ was abated on 04/04/24 at 10:15 AM. Based on record review, reportables review, staff interviews, and policy review, the facility failed to report an allegation of sexual abuse within the required two (2) hour time. Resident identifiers: #14 and #20. Facility census: 49. Findings included: Review of the policy and procedure titled Abuse, Neglect and Exploitation dated reviewed/revised 03/22/23 stated that reporting of all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies (e.g., law enforcement when applicable) within specific time frames: immediately, but not later than 2 hours after the allegation is made… […]

• No harm, potential for more than minimal, patternF577Apr 15, 2026

  Based on observation and staff interview the facility failed to ensure the the most recent state inspection results were easily accessible to residents and others without having to ask. This was a random opportunity for discovery and had the potential to affect more than a limited amount of residents. Facility census: 61.Findings included:During a facility entry on 04/13/2026 at 12:47 PM, observation revealed that the most recent state inspection results were stored in a wall-mounted box but were obscured by a folder labeled concerns. Consequently, the results were not clearly visible to residents or visitors without inquiry. […]

• No harm, potential for more than minimal, patternF645Apr 15, 2026

  Based on record review and staff interview, the facility failed to ensure Level 1 pre-screening of a new residents for serious Mental Illness/Intellectual Disability (MD/ID) or a related condition prior to admission to the facility. This failed practice was true for four (4) out of 22 residents reviewed in the Long-Term Care Survey Process. Resident Identifiers: #1, #7, #30 and #45. Facility Census: 61. Findings included: a) Resident #7 During a record review on 04/13/26 at 3:25 PM, it was discovered that a Major Depressive Disorder diagnosis had not been captured on Resident #7's PASARR. There were no other PASARRs on file for this resident. […]

• No harm, potential for more than minimal, patternF689Apr 15, 2026

  Based on Observations and staff interviews, the facility failed to maintain a safe and accident hazard free environment for the residents. Multiple residents had items/clutter both around and underneath their beds, making both normal movement and resident care dangerous. This was discovered during the normal Long Term Survey Process and has the ability to affect more than a limited number of residents. Resident identifiers #33, #52, #36, #38, #45 and #3. Census: 61.Findings include:During a facility walk through on 4/13/26 the following were accident hazards that were observed in residents rooms:a) Resident #33Books, papers, and boxes on the floor around the bed created a trip and fall hazard for both Resident #33 and staff while providing care.b) Resident #52Multiple personal items… […]