Inspection Reports for
Inspirations of River Centre

A manager failed to ensure each resident had a written service plan that accurately included the amount, type, and frequency of assisted living services provided, including medication administration or assistance in self-administration, and how medication would be stored and controlled. The service plan for resident R2 was inaccurate and incomplete, lacking a Medication Administration Record and failing to reflect actual medication assistance and storage practices.

The manager failed to ensure a caregiver's skills and knowledge were verified and documented before providing physical or behavioral health services for four caregivers sampled. Personnel records lacked documentation and interviews confirmed the absence of verification.

The manager failed to provide required documentation to the Department within two hours after a request during the on-site inspection, including incident reports, medical records, TB documentation, reference checks, skills documentation, and disaster plan review.

The manager failed to ensure a caregiver provided documentation of completion of a Department-approved caregiver training program; one caregiver's personnel record contained a certificate with a different person's name and lacked valid legal documentation of a name change.

R9-10-113 — The manager failed to ensure seven employees provided documentation of freedom from infectious tuberculosis as required, posing a potential TB exposure risk to residents.

The manager failed to ensure two caregivers provided current documentation of first aid training before providing assisted living services, posing a risk during emergencies.

The manager failed to ensure personnel records included documentation of fingerprint clearance cards and reference checks for seven employees, including one without a valid fingerprint clearance card.

R9-10-808 — The manager failed to ensure six residents provided documentation of freedom from infectious tuberculosis, posing a TB exposure risk.

The manager failed to ensure a documented residency agreement was in place before or at acceptance for one resident, including all required elements.

The manager failed to ensure six residents had written service plans signed and dated by the resident or representative and the manager when initially developed and updated.

The manager failed to ensure caregivers documented services provided in the medical records for six residents.

R9-10-807 — The manager failed to ensure medical records for two residents included all required information, and the records were unavailable for review.

The manager failed to ensure the disaster plan was reviewed at least once every 12 months; the disaster plan review documentation was unavailable during inspection.

The manager failed to ensure documentation of incidents resulting in medical services was complete, including date/time, observers, notifications, and preventive actions, for one resident.