Inspection Reports for
Aspen Valley Senior Living Community

.009.01 Criminal history and background check: four employees lacked Department Criminal History Background Checks and Idaho State Police background checks were not completed prior to working alone with residents (previously cited 2/6/2026).

.305.03 Change in resident health status: nursing assessments were not conducted when residents experienced changes in physical or mental health status, including multiple incidents involving residents #3, #6, #10 (previously cited 10/16/2025 and 2/6/2026).

.310.01.f Medication distribution: residents did not receive medications and treatments as ordered, with multiple missed doses and unavailable PRN medications; facility nurse was aware of these issues (previously cited 10/16/2025 and 2/6/2026).

.310.02 Discontinued and expired prescriptions: medication destruction log for March and April 2026 lacked residents' full names and required signatures; facility working on a new system (previously cited 2/6/2026).

.330.03.a.i Resident care records: current signed physician orders were missing for multiple residents; facility nurse confirmed records were incomplete and had to request orders from providers (previously cited 2/6/2026).

.330.03 Resident care records: facility records were not documented each shift nor complete and accurate, including medication administration records with blank entries and inaccurate documentation; medication technicians needed training (previously cited 2/6/2026).

.310.01.e Medication distribution: residents were not observed taking their medications; medications were left unattended in rooms and residents reported staff did not observe medication intake (previously cited 2/6/2026).

39-3309.01 Negotiated service agreement: residents' NSAs did not clearly reflect needs or describe services provided, with incomplete documentation for multiple residents; administrator stated updates were in progress (previously cited 2/6/2026).

.305.02.b. Current Medication Orders and Treatment Orders: the facility nurse did not ensure residents received medications and treatments as ordered by their provider, including incorrect dosages of torsemide and alprazolam.

.305.03. Resident Health Status: the facility nurse did not conduct nursing assessments when residents experienced changes in physical or mental health status, including failure to assess Resident #4 after changes in vision, urination issues, and medication errors.

.310.01.g. Medication Distribution System: the facility did not ensure all ordered PRN medications were available to residents at all times, with several medications missing from the medication cart.

.330.15 Fire and Life Safety Records: facility could not provide documentation of 5-year internal investigation of fire suppression system. Tags on riser stated October 2024.

.402 Fire and Life Safety Standards for New Buildings Housing Seventeen or More Residents and Multi-Story Buildings: life safety code requirements were not met as evidenced by missing full flow trip and air leakage testing since March 2021, incomplete semi-annual UL listed hood assembly suppression testing reports, and lack of documentation for recent inspections.

.405.04 Fuel-Fired Heating: facility provided documentation identified the last conducted fuel-fired heating system inspections were conducted April 2021. This deficiency was also identified on the Building Evaluation conducted on December 27, 2023.

.320.08. Periodic Review: negotiated service agreements were not updated to reflect significant changes in health status or hospice services for residents.

.330.06.a. Behavior Documentation: the facility did not evaluate residents when they exhibited maladaptive behaviors such as pinching, striking, biting, and attention-seeking.

.330.06.c. Behavior Documentation: the facility did not document times and dates of behaviors, interventions used, or their effectiveness for residents exhibiting behaviors.

.330.14. As Worked Schedules: the facility's as-worked schedule did not document dates and times worked by administrative and nursing staff.

.215.08.f. Notification to Licensing Agency within One Business Day: the facility failed to notify Licensing and Certification within one business day of resident falls and injuries.