Inspection Reports for
Linden Square Senior Care

The facility was found to be in non-compliance with several rules including employee tuberculosis screening, medication administration record keeping, and meal census documentation. Violations were established in these areas requiring corrective action.

Complaint received on 2024-10-23 alleging poor quality of care, medication mismanagement, and insufficient food supply. The complaint was substantiated for quality of care and medication issues but not for food supply.

The investigation substantiated violations related to inadequate quality of care, improper medication administration and training, and unsanitary kitchen conditions. The allegation of insufficient food supply was not substantiated.

The review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, supporting license renewal.

The facility was found to be in non-compliance with multiple rules including lack of proper documentation and monitoring of bedside assistive devices, failure to conduct timely tuberculosis screening for employees, inadequate menu posting for special diets, unsafe food storage practices, and unsecured hazardous materials in the kitchen. A renewal of the license is recommended contingent upon receipt of an acceptable corrective action plan.

The complaint alleged that the resident choked on food he was unable to swallow and did not respond to first aid, resulting in brain death. The complaint was substantiated with a violation established.

The investigation found that the resident was served a whole hamburger instead of the prescribed minced and moist diet, leading to choking and subsequent brain death. The facility failed to maintain updated diet order boards, and the culinary staff was not properly informed of the resident's dietary needs. A violation was established.

The complaint alleged Resident A was left in wet/soiled clothing for over an hour on 9/12/2022. The allegation was substantiated based on Resident A's statements, call light response logs, and review of task administration records.

The investigation substantiated that Resident A required one-person assistance for transfers and care, and staff failed to respond timely to call lights, resulting in neglect of Resident A's care and safety consistent with her service plan. Numerous documentation gaps were found in the task administration records.

The addition consists of 36 apartment units for the general aged population and 16 units for memory care, all meeting applicable administrative rules and fire safety requirements. The facility was found to be in full compliance following inspection.

The facility was found to be in substantial compliance with home for the aged public health code and administrative rules. A temporary license with a maximum capacity of 97 beds was recommended for issuance.