Inspection Reports for
Foxtail Assisted Living, Inc

.310.01.c. Medication Distribution System: the medication refrigerator temperatures were not monitored and documented daily, and temperatures were frequently out of the required 38 to 45 degrees F range, including 8 documented out-of-range instances in the assisted living refrigerator and 15 in the memory care unit.

.320.01. Use of NSA: the facility did not ensure residents' Negotiated Services Agreements were up-to-date and accurately reflected residents' needs, including outdated diet and supervision instructions and lack of caregiver guidance for peritoneal drain care; behaviors such as wandering and assaultive behavior were not reflected in the NSAs.

.330.04.c.vii. Resident Care Records: the facility nurse assessed residents for condition changes but did not consistently document these assessments, including incidents of nausea, vomiting, unresponsiveness, pain, swelling, confusion, and skin biopsies.

.330.06.a. Behavior Documentation: the facility did not ensure maladaptive behaviors of two residents were assessed to create behavior management plans, despite incidents of resident-to-resident physical altercations and assaultive behavior; no behavior plans were in place for these behaviors.

.404 Fire and life safety standards for existing buildings licensed for seventeen or more residents and multi-story buildings: empty and full oxygen cylinders were stored together without segregation, and empty cylinders were not marked 'empty' to avoid confusion and delay.

.250.04 Walls and floor surfaces: the kitchen floor had many areas where the epoxy coating had worn off exposing bare concrete, which appeared porous and no longer washable.

.405.01.b Electrical installations and equipment: extension cords and multiple plug adapters were used improperly in Room 106 and the Salon, which is prohibited.

.405.03 Medical gases: oxygen cylinders were unsecured in the main laundry, and the door to the second oxygen storage room was not self-closing nor properly ventilated.

.410.03 Report of fire: no fire report was filed for a fire in a resident room in October 2019; the fire incident report was received on December 17, 2019.

.415.05 Automatic fire extinguishing system service and testing: fire suppression system pendants had non-factory applied paint requiring replacement, and no quarterly water flow alarm test was performed in the fourth quarter of 2018.

.305.06 Self-Administered Medication: the facility nurse did not assess Resident #1's ability to self-administer insulin.

.350.02 Administrator or Designee Investigation Within Thirty Days: the administrator did not complete an investigation and written report when a resident complained their wallet and clock was missing on 4/26/19.

.350.05 Facility Notification to Appropriate Agencies: the facility did not notify Adult Protection and law enforcement after a resident reported their wallet and clock was missing on 4/26/19.