1 Report
Inspection Report — Sep 3, 2024
Annual Inspection
Date: Sep 3, 2024
Visit Reason
Annual Licensure Survey
Findings
The establishment was found to have deficiencies in residency requirements, service plan development and revision, and Alzheimer's and dementia program staff training. The facility failed to meet residency criteria for one resident on hospice care, did not revise service plans adequately for two residents, and lacked required dementia-specific training for several employees.
Deficiencies (3)
A2000 (295.2000 Residency Requirements) - The establishment accepted one resident on hospice care who requires extensive assistance with activities of daily living, contrary to residency requirements.
A4010 (295.4010 Service Plan) - The establishment failed to revise the service plan to address an unwitnessed fall and oxygen therapy for one resident, and did not specify responsibility for care of a subclavian catheter and foley catheter for another resident.
A4060 (295.4060 Alzheimer's and Dementia Programs) - The establishment failed to ensure that 3 of 8 newly hired employees received required dementia-specific orientation training, 3 newly hired direct care employees received required on-the-job supervision and training, and 2 employees employed over 12 months completed required annual dementia training.
Report Facts
Residents reviewed: 3
Employees reviewed: 8
Newly hired employees missing dementia training: 3
Newly hired direct care employees missing on-the-job training: 3
Employees missing annual dementia training: 2
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