Inspection Reports for
HomePlace Special Care at Burlington

The inspection identified multiple fire safety violations including lack of construction review documentation, combustible storage in mechanical rooms, blocked electrical panel access, obstructed fire rated doors, blocked emergency exits, and non-functioning emergency egress lighting. The facility was disapproved due to these unresolved issues.

All violations noted during previous related inspections have been corrected. The facility is currently approved with no open violations.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

The complaint investigation involved three allegations: failure to notify a resident's family of a change in condition, medication errors including missed doses and administration despite allergy warnings, and failure to implement intervention for a wheezing episode. The first two allegations were substantiated with citations issued, while the wheezing episode allegation was not substantiated.

The investigation found multiple deficiencies including failure to notify a resident's representative of a significant change in condition, medication errors resulting in hospitalization, and administration of medication despite allergy warnings. Some allegations were substantiated with citations issued, while others were found not to be failed practices.

The investigation involved complaint numbers 166002 and 168285. Multiple deficiencies were found related to staff training, certification, food sanitation, tuberculosis testing, and background checks. No indication of any allegation being unsubstantiated was given.

The Assisted Living Facility was found not in compliance with multiple licensing laws and regulations related to staff training, certification, food sanitation, tuberculosis testing, and background checks. Several staff members lacked required training, certifications, or timely background checks, placing all 37 residents at risk. No corrections were noted as completed within the report.

The complaint investigation involved multiple allegations including physical abuse by staff, failure to provide call systems for residents, and inadequate colostomy care. Investigations revealed failures in thoroughness, documentation, and protective measures. The facility did not conduct internal investigations and referred matters to corporate HR, which did not release investigation documents to the department. The department found multiple failed provider practices and cited the facility accordingly.

The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility meets Assisted Living Facility licensing requirements.

The facility was cited for an uncorrected deficiency involving a non-functioning communication system in one unit, resulting in eight residents lacking working pendants to alert staff. This violation led to the imposition of a $400 civil fine.

The complaint investigation (Complaint #101427) found that staff failed to escalate care promptly for a resident with significant symptoms and delayed notifying the family and medical provider. The allegation that staff lied about vital signs was not substantiated.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to failure to report significant changes in a resident's condition were corrected.

Complaint #108165 alleged a fire from a failed water heater. The investigation confirmed the fire origin and sprinkler activation. The water heater was replaced and no violations were found.

The fire was caused by a water heater failure that triggered the fire alarm. The sprinkler system functioned properly and extinguished the small fire. The water heater was replaced and operational, no injuries were reported, and no violations were observed.

All violations noted during previous related inspections have been corrected. The facility was approved at this inspection with no open violations.

Two complaints were investigated: one alleging a resident had pressure ulcers and another alleging repeated falls by a resident. Both complaints were substantiated with citations written for failure to appropriately assess and respond to residents' changing needs.

The Assisted Living Facility failed to take appropriate action in response to a resident's changing needs after a change in condition was identified, resulting in pressure injuries and repeated falls. Citations were written for these failures.