2 Reports
Inspection Report — Aug 9, 2018
Complaint Investigation
Date: Aug 9, 2018
Visit Reason
The complaint inspection was conducted following the unexpected death of a resident and concerns about documentation and care.
Complaint Details
The complaint inspection addressed concerns about the unexpected death of a resident and inadequate documentation of care and health status.
Findings
Two deficiencies were found related to inadequate documentation of care and resident file review. The facility failed to document required night checks on the day before the resident's death, and the resident's file lacked indication of declining health prior to the unexpected death.
Deficiencies (2)
37.106.2815-1 Written policies and procedures: the facility failed to document required night checks on the day before the resident's death, missing documentation for multiple time points as required on the ADL log.
37.106.2829-2 Resident file: the resident's file and progress notes showed no indication of declining health prior to the unexpected death, and daily logs did not reflect significant changes.
Inspection Report — Nov 23, 2016
Renewal
Date: Nov 23, 2016
Visit Reason
Facility inspection.
Findings
The facility had several deficiencies including unsecured keypad codes at exit doors, lack of privacy curtains in a double occupancy room, a community bathroom without a call system, and resident health care plans that did not address individual needs.
Deficiencies (4)
37.106.316-2 Minimum standards for all HCFs: secured care unit within a licensed long-term HCF: the facility uses a keypad for door locks but codes were not posted at any exit doors.
37.106.2836-1 Furnishings: room 16 is a double occupancy room without a privacy curtain or screen.
37.106.2838-7 Resident toilets and bathing: the community bathroom used by residents, staff, and visitors does not have a call system.
37.106.2875-3 Resident health care plan: category B: health care plans for four residents list the same cognitive-related problems and do not address all individual needs and preferences.
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