4 Reports
Inspection Report — Dec 14, 2022
Renewal
Date: Dec 14, 2022
Visit Reason
The survey was conducted as a renewal inspection of the facility.
Findings
Three deficiencies were identified related to laundry room practices, food service temperature log documentation, and unsecured chemicals in laundry areas.
Deficiencies (3)
37.106.331-1 Minimum standards for all health care fa: there was no separation between aprons used for soiled versus clean laundry in both laundry rooms.
37.106.2860-9 Food service: temperature logs for all kitchen freezers and fridges had not been recorded for eight months, with the last entry in April 2022.
37.106.2865-13 Physical plant: chemicals were left out and not locked in the low side laundry room, and a clear bottle labeled bleach was found unlocked under a sink in the high side laundry room.
Inspection Report — Jan 3, 2019
Renewal
Date: Jan 3, 2019
Visit Reason
The survey was conducted as a renewal inspection of the facility.
Findings
Three deficiencies were found related to medication administration and infection control practices by a medication aide.
Deficiencies (3)
37.106.2816-6 Assisted living facility staffing: a medication aide performed tasks outside their scope by dialing and administering insulin injections without resident assistance.
37.106.2848-1 Medications, administration and preparation: a medication aide administered an insulin injection to a resident who refused to assist with the injection.
37.106.2855-1 Infection control: a medication aide did not wash hands or use hand cleaning gel before or after resident contact while providing direct care and administering medications.
Inspection Report — Nov 30, 2016
Renewal
Date: Nov 30, 2016
Visit Reason
Facility inspection.
Findings
Two deficiencies were found related to furnishings and food service. Privacy curtains or screens were missing in double occupancy memory care rooms, and temperature logs for refrigerators and freezers had not been maintained since January 2016.
Deficiencies (2)
37.106.2836-1 Furnishings: double occupancy rooms on the Memory Care unit lacked curtains or screens to provide privacy.
37.106.2860-9 Food service: temperature logs for refrigerators and freezers had not been completed since January 2016.
Inspection Report — Oct 22, 2014
Renewal
Date: Oct 22, 2014
Visit Reason
The survey was conducted as a renewal inspection of Highgate Senior Living.
Findings
The survey identified deficiencies in resident placement documentation, staff training and orientation, and medication record keeping. Several employee files lacked required documentation for orientation and first aid training, and medication administration records were incomplete.
Deficiencies (4)
50-5-226-3 Placement in assisted living facilities: practitioner’s written orders for admission as Category B and Category C residents were not found in the respective resident files.
37.106.2816-3 Assisted living facility staffing: PCAs and med techs were setting insulin doses on flex pens and assisting residents with self-administration without proper protocol adherence.
37.106.2817-2 Employee files: documentation of employee orientation and basic first aid and Heimlich maneuver training was missing in multiple employee files.
37.106.2849-2 Medications, records and documentation: medication administration records lacked documentation of the reason for use on scheduled medications.
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