Inspection Reports for
Ida Culver House Broadview

The inspection identified multiple deficiencies primarily related to missing or incomplete documentation for fire-rated construction, fire door operation, sprinkler system testing, fire alarm system maintenance, and emergency lighting testing. Several physical deficiencies with fire doors and chute discharge protection were also noted. Many deficiencies were corrected on site, but the overall approval status was Disapproved due to outstanding documentation and unresolved issues.

Complaint number 210730 involved allegations of staff clocking out early leaving residents unattended, refusal of incontinence care by a resident, need for two-person assist due to aggressive behavior, and missed staff breaks. The investigation substantiated the failure to provide two-person assist leading to a fall, but did not substantiate other allegations.

The investigation found that the facility had adequate staffing and supervision except for failure to provide two caregivers for resident transfers, which may have contributed to a resident fall. Other allegations such as missed breaks and refusal of care were not substantiated. A citation was written for failure to implement the negotiated service agreement requiring two-person assistance.

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

The inspection found no deficiencies at the facility.

The inspection found multiple fire safety violations including lack of documentation for backflow internal inspection, sprinkler system gauges over replacement age, damaged sprinkler head escutcheon, and issues with sprinkler heads in the kitchen and dining areas. Several fire safety system components were noted as needing assessment or repair. The overall approval status was Disapproved, indicating outstanding deficiencies.

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

The complaint investigation involved allegations that a staff member touched a resident inappropriately. The investigation included interviews, record reviews, and observations. The facility delayed law enforcement notification by six days, which was a violation. The allegation was substantiated and citations were written.

The investigation found that the facility failed to immediately notify law enforcement following an allegation of sexual abuse, notifying them six days later. The facility removed the staff member involved and monitored the resident, but did not meet Assisted Living Facility requirements.

The complaint concerned hot liquid access with coffee machines in memory care dining rooms. The investigation found the facility failed to assure safety hazards were not present, placing 34 ambulatory residents at risk. Citations were issued.

The facility failed to ensure safety hazards were absent in the memory care dining rooms on two floors, placing 34 ambulatory residents at risk of injury or burns from hot beverage machine access. Citations were written for this failure.

The facility was cited for uncorrected deficiencies related to failure to update the Negotiated Service Agreement to reflect current resident needs and failure to have a written backup plan for family assistance with medications. These violations placed residents at risk and resulted in civil fines.