7 Reports
Inspection Report — Oct 31, 2024
Complaint Investigation
Date: Oct 31, 2024
Visit Reason
Investigation of a complaint received on 2024-10-31 about medication administration.
Complaint Details
Resident A was administered insulin incorrectly: established. Additional findings: no.
Findings
One rule violation was established related to medication administration and employee supervision; a written corrective action plan was required.
Deficiencies (1)
R 325.1921 Governing bodies, administrators, and supervisors: the facility did not ensure the safety and protection of Resident A by continuing to allow SP2 to administer medications despite multiple disciplinary issues.
Report Facts
Corrective action plan due: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| SP2 | Staff person | Named in the established violation for medication administration and disciplinary issues |
Inspection Report — Oct 15, 2024
Complaint Investigation
Date: Oct 15, 2024
Visit Reason
Investigation of a complaint received on 2024-10-14 about staff aggression and resident care.
Complaint Details
Staff aggression towards Resident A: not established. Residents left soiled and needs unmet: not established. Failure to report incident timely: established.
Findings
One rule violation was established regarding failure to report an incident timely. Other allegations were not substantiated.
Deficiencies (1)
R 325.1924 Reporting of incidents, quality review program: the facility failed to report the incident between SP1 and Resident A to the administrator or initiate an internal investigation within 48 hours as required.
Report Facts
Corrective action plan due: 15
Inspection Report — Jun 6, 2024
Complaint Investigation
Date: Jun 6, 2024
Visit Reason
Investigation of a complaint received on 2024-06-04 about admission contract, discharge notice, and care provision.
Complaint Details
Resident D did not receive an updated admission contract after a change of ownership: established. The facility did not provide Resident D’s responsible persons with her discharge notice: established. Staff stopped providing care to Resident D due to her discharge notice: not established.
Findings
Two rule violations were established regarding admission contract and discharge notice; one allegation of care cessation was not established.
Deficiencies (2)
R 325.1922 Admission and retention of residents: Resident D did not have a signed updated resident admission contract after a change of ownership occurred at the facility.
R 325.1922 Admission and retention of residents: The facility did not provide Resident D and her responsible persons with a 30-day written discharge notice including the effective date and statement of right to file a complaint.
Report Facts
Corrective action plan due: 15
Inspection Report — Mar 28, 2024
Complaint Investigation
Date: Mar 28, 2024
Visit Reason
Investigation of a complaint received on 2024-03-26 about neglect of Resident C resulting in being left soiled for a long period and missed meals.
Complaint Details
Resident C left soiled for a long period and missed lunch: established.
Findings
One violation was established for failing to provide care consistent with Resident C's service plan, resulting in her being left soiled for several hours.
Deficiencies (1)
R 325.1931 Employees; general provisions: staff did not provide care consistent with Resident C's service plan, leaving her soiled for several hours despite multiple requests for assistance.
Report Facts
Corrective action plan due: 15
Inspection Report — Mar 14, 2024
Complaint Investigation
Date: Mar 14, 2024
Visit Reason
Investigation of a complaint received on 2024-03-13 about Resident A's care needs not being met.
Complaint Details
Resident A care needs are not met: established. Resident A nutritional needs are not met: not established. Additional findings: not established.
Findings
One rule violation was established related to Resident A's care needs not being met. The allegation that Resident A's nutritional needs were not met was not established.
Deficiencies (1)
R 325.1931 Employees; general provisions: Resident A's service plan omitted required information resulting in Resident A not receiving appropriate care including hearing aids, two-hour checks, incontinent care, and bandage application for a sore on her buttocks.
Report Facts
Corrective action plan due: 15
Inspection Report — Feb 20, 2024
Original Licensing
Date: Feb 20, 2024
Visit Reason
Original license application for a home for the aged facility.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities.
Inspection Report — Jul 13, 2023
Original Licensing
Date: Jul 13, 2023
Visit Reason
Original license application for a home for the aged facility.
Findings
The study determined substantial compliance with applicable licensing statutes and administrative rules.
Report Facts
License length: 6
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