Inspection Reports for
Lily and Syringa

840 1st St, Idaho Falls, ID 83401, United States, ID, 83401

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2 Reports

2021–2022

Inspection Report — Oct 7, 2022

Life Safety
Date: Oct 7, 2022

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A fire life safety and sanitation licensure survey was conducted to assess compliance with applicable safety and health regulations.

Findings
Six deficiencies were identified related to fire and life safety standards, relocation agreements, resident sleeping room door functionality, prohibited electrical applications, and damaged floor surfaces.

Deficiencies (5)
.403 Fire and life safety standards for existing buildings licensed for three through sixteen residents: facility did not maintain compliance with NFPA 101, Chapter 33, as staff training on oxygen safety was not documented and holes were observed in furnace closet walls.
.155.01 Relocation agreements: the facility had two relocation agreements but they had not been updated annually; the last review was in 2019.
.250.12.j Resident sleeping rooms: operational testing revealed that the door to room #5 in the Lily building would not latch.
.405.02.c Prohibited applications: a full-sized refrigerator was plugged into a relocatable power tap in the garage, which is a prohibited use.
.250.04 Walls and floor surfaces: laundry/utility room vinyl floors in the Lily building were badly damaged with torn and missing pieces, exposing non-washable sub-flooring.

Inspection Report — Feb 11, 2021

Original Licensing
Date: Feb 11, 2021

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Initial licensure survey conducted to assess compliance with health care regulations.

Findings
Two deficiencies were found related to failure to conduct a timely investigation and failure to protect residents during the investigation of a staff member's alleged inappropriate behavior.

Deficiencies (2)
.215.08.b. Investigation within Thirty Days: the facility did not conduct an investigation when a resident made an allegation against a staff member on 8/14/20 for having "attitude" while providing cares and swearing at/around them; the current administrator confirmed an investigation was not completed.
.215.08.c. Resident Protection: the facility did not protect residents during the course of an investigation when an allegation against a staff member was made on 8/14/20 for having "attitude" while providing cares and swearing at/around them; the current administrator confirmed the alleged perpetrator was only assigned to the other building and not put on suspension.

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