Inspection Reports for
Homestead Estates

The inspection included attached complaint numbers 197788, 197766, 197770, 197471, 196774, 196571, 196334, and 191963.

The facility failed to ensure proper documentation of incidents and medical conditions for residents R3 and R6. Additionally, the secured specialty unit was not maintained to protect the health and safety of its 13 residents due to unsecured cleaning chemicals.

The inspection was a resurvey with complaints #186341, 188027, 190191, and 190729.

The facility was found deficient in maintaining residents' advanced directives, fully developing negotiated service agreements including service providers and payment responsibilities, identifying responsible persons for medication administration, complying with tuberculosis screening guidelines, and securing chemicals for resident safety.

The visit included complaint investigations 165406, 167035, and 171857.

The facility failed to ensure timely review and revision of negotiated service agreements following significant changes in resident conditions, proper assessment for self-administration of medication, appropriate handling and documentation of sample medications, and safe food storage practices.

The facility was found deficient in multiple areas including failure to ensure licensed nurse orientation and competency documentation for certified medication aides performing blood sugar testing and insulin administration, inadequate accountability and reconciliation of controlled substances, failure to conduct quarterly emergency management plan reviews with staff and residents, and unsecured hazardous chemicals accessible to residents.

The complaint investigation was triggered by complaint #139806. The investigation found that the administrator did not report incidents involving resident #2 to the department within 24 hours and did not maintain thorough investigations, lacking documentation on how neglect was ruled out.

The administrator failed to ensure that each potential allegation of neglect was reported to the department within 24 hours and failed to thoroughly investigate each incident to rule out staff neglect of resident #2. Multiple incidents involving resident #2 were documented, but investigations lacked proof of how determinations were made and did not include timely reporting to the department.

All previously cited deficiencies identified by regulation numbers 26-41-101 (f)(3), 26-41-202 (a), 26-41-203 (d), and 26-41-204 (a) were corrected as of the revisit date.

The visit was triggered by complaint investigations #115328, #121118, and #125631.

The facility failed to provide 30-day written notice of monthly rate increases to three sampled residents. Additionally, the administrator failed to ensure that over-the-counter medications were labeled with the full name of the resident on medication packages or containers in three medication carts and two medication rooms.

The report documents that the deficiency identified under regulation 26-41-104 (d) with ID prefix S3280 was corrected as of 12/07/2015.

The visit was triggered by complaints #80317, #81202, #84945, and #86081. The findings substantiated failure to perform required quarterly emergency management plan reviews.

The administrator failed to ensure disaster and emergency preparedness by not performing a quarterly review of the facility's emergency management plan with employees and residents as required.

The facility failed to ensure the development of a written negotiated service agreement for each resident, as required by regulation 26-41-202(a).

All previously reported deficiencies identified by regulation numbers 26-41-204(d), 26-41-205(i), 26-41-102(d), 26-41-104(d), and 26-41-206(e)(1) were corrected as of the revisit date.

The inspection was a resurvey with investigation of complaint #75445.

The facility failed to develop adequate negotiated service agreements for residents, did not follow proper medication disposal procedures, lacked required employee licensure and registry documentation, failed to ensure disaster and emergency preparedness training and education, and dietary staff failed to store food under safe and sanitary conditions.