Inspection Reports for
Gifts of Grace Assisted Living Homes I

R9-10-803 — The manager failed to ensure policies and procedures covered methods by which the facility is aware of the general or specific whereabouts of a resident. The facility policy was missing this coverage and the manager acknowledged the absence.

R9-10-815 — The manager failed to ensure a bell, intercom, or other mechanical means to alert employees to a resident’s needs or emergencies was available in bedrooms of three residents receiving directed care services. This posed a risk to resident health and safety.

R9-10-815 — The manager failed to ensure that exit doors had alarms to alert employees of resident egress for four doors. Alarms were turned off or nonfunctional, posing a risk of unmonitored resident exit.

R9-10-819 — The manager failed to ensure oxygen containers were secured in an upright position. Oxygen tanks were observed unsecured in a closet, posing a risk of explosion or gas leak.

36-420.01 — The facility failed to develop and administer a fall prevention and fall recovery training program for all staff, lacking documented policy and training records for personnel.

The manager failed to verify and document a caregiver's skills and knowledge before providing physical health services, as an unverified individual administered medications and care.

The manager failed to ensure the facility had a caregiver with the necessary qualifications and knowledge to provide assisted living services, as an unqualified individual provided medication and care without personnel records.

R9-10-115 — The manager failed to maintain a personnel record for one employee, preventing verification of job duties and safety to work with residents.

The manager failed to ensure a resident's updated written service plan was signed and dated by the resident's representative, manager, and medical reviewer, risking unagreed services.

The manager failed to ensure a resident was treated with dignity, respect, and consideration, including issues with privacy, call bell accessibility, and inappropriate staff behavior.

The manager failed to ensure a resident received privacy in care for personal needs, as open doors and refusal to assist with roommate removal compromised privacy.

The manager failed to ensure medication was administered under the direction of a medical practitioner, as an unqualified individual administered medications without proper oversight.

The manager failed to store poisonous or toxic materials in a locked area inaccessible to residents, with cleaning supplies found in an unlocked cabinet.

The manager failed to ensure at least one common bathroom contained paper towels in a dispenser or mechanical hand dryer, citing resident misuse as the reason.