Inspection Reports for
Elegant Residential Assisted Living

.310.01.c. Medication distribution system: the facility did not maintain medication refrigerator temperatures between 38 and 45 degrees F nor consistently document them; refrigerators in buildings #4 and #5 contained insulin and were out of range or not recorded multiple times in September and October 2025, and the facility nurse was unaware of these issues.

.450. Requirements for food and nutritional care services: the facility did not meet the standards for the Idaho Food Code; the kitchen inspection failed on 11/19/2025 and mandatory reinspection was required within 10 days.

.403 Fire and life safety standards: fire alarm reports did not indicate the location of devices tested (previously cited 10/11/2023).

.404 Fire and life safety standards: fire suppression systems were not fully maintained; Buildings #2 and #5 had only 4 of 6 required spare sprinkler heads, and no documentation was available for semi-annual inspection/testing of waterflow alarm devices for Building #5 (previously cited 10/11/2023).

.410 Requirements for emergency actions and fire drills: the facility failed to conduct two night shift fire/evacuation drills within a 12-month period or survey cycle, despite records showing drills in June 2023 and September 2024.

.300.01 Licensed Registered Nurse (RN): the facility nurse did not complete initial nursing assessments for all residents, including Residents #1, 3, and 4, after admission.

.320.08 Periodic Review: negotiated service agreements were not updated to reflect significant changes in Resident #3's health status, including use of medical devices and wounds.

.330.15 Fire and Life Safety Records: all inspections and testing documentation is required onsite annually; no documentation was provided for fire suppression inspections of buildings 1-4.

.403 Fire and life safety standards for existing buildings licensed for three through sixteen residents: fire alarm reports did not indicate the location of all devices tested; attic protection documentation was lacking for buildings 1-4; building 2 was missing one fire suppression spare pendant.

.404 Fire and life safety standards for existing buildings licensed for seventeen or more residents and multi-story buildings: building 5 lacked documented full trip testing; missing full drop test for rolling fire shutter; no documentation of UL 300 fire suppression system inspection and testing every 6 months; smoke barrier doors would not fully close with a 12-inch gap on the south side; and no semi-annual waterflow alarm testing documentation for building 5's full 13 system.

.405.01.a Electrical installations and equipment: extension cords and multiple plug adapters are prohibited; building 2 had a plug adapter for a refrigerator in room 14; building 3 used a 3-1 multiple plug adapter in room 10.

.405.02.a Prohibited applications: building 4, room 6 used a relocatable power tap (RPT) to supply power to a lift bed.

.405.02.c Prohibited applications: RPTs are prohibited with the use of appliances; building 1 used an RPT to supply power to a coffee maker; building 3, room 10 used an RPT to supply power to a coffee maker.

.215.01 Administrator Responsibility: the facility's abuse/neglect/exploitation policy did not include all required elements such as specific definitions, education procedures, emergency contacts, documentation systems, and privacy protections. The facility was previously provided technical assistance on 3/10/2021 regarding these missing elements.

.260.07 Toxic Chemicals: toxic chemicals including Clorox cleaner, Easy-off, Comet cleanser, Lysol spray, Raid bug spray, and Clorox spray were stored in an unlocked area accessible to cognitively impaired residents on two occasions from 3/28/23 to 3/29/23 under sinks in the kitchen of building #3.

.403 Fire and life safety standards for existing buildings licensed for three through sixteen residents: the facility did not maintain compliance with NFPA 101, Life Safety Code, Chapter 33; one smoke detector's sensitivity testing was not documented one year after installation.

.250.10.b Heating, ventilation, and air-conditioning (HVAC): each building had a natural gas fireplace in the living area, none equipped with a safety barrier.

.403. Fire and life safety standards for existing buildings licensed for three through sixteen residents: no documentation for monthly and weekly control valve and wet system riser inspections; no documented inservice training for residents on emergency plan roles; no documented bi-monthly or annual staff training review of the emergency plan; non-single operational locks in common areas and ancillary spaces; and blocked access to building 2 riser by four wheelchairs; the finding was systemic.

.405.02.a. Prohibited applications: oxygen concentrator plugged into relocatable power tap in building 2, room 8; corrected on site 4/5/21.

.405.02.c. Prohibited applications: mini-fridge and microwave plugged into relocatable power tap in building 2, room 2; corrected on site 4/5/21.

.405.03. Medical gases: oxygen cylinders were unsecured in building 1 wheelchair storage and building 4 furnace room (repeat); all cylinders must be secured by rack or chained in accordance with NFPA 99, Chapter 11, Section 11.3.

.009.03.b. Availability to Work: one of ten staff who required a criminal history background check had a pending background check and was observed working unsupervised throughout the survey.

.335.02. Standard Precautions: surveyors and outside agency were not screened according to CDC guidelines for signs and symptoms of COVID-19 virus upon entering facility buildings on multiple occasions.

.405.01 Medical gases: extension cords and multiple plug adapters were used improperly in several building rooms, including non-grounded 3-1 extension cords.

.405.03 Medical gases: several unsecured oxygen cylinders were found in multiple building rooms, not secured by racks or chains as required.

.405.05 Structure, maintenance, equipment to assure safety: a wreath decoration prevented a door from closing and a cadet heater was blocked without required clearance.

.410.02 Fire drills: quarterly fire drills were not conducted for all shifts; no day shift drills in 3rd quarter and no night shift drills in 4th quarter for all buildings.

.520-09 Inadequate care - safe living environment: the facility failed to provide hot running water for eleven days, resulting in residents' inability to bathe as desired, inadequate hand sanitation by staff and residents, and improper sanitation of eating utensils and dishware.