11 Reports
Inspection Report — Jan 12, 2022
Complaint Investigation
Date: Jan 12, 2022
Visit Reason
Complaint inspection conducted to investigate reported issues at the facility.
Complaint Details
The complaint inspection cited deficiencies related to the accessibility and security of resident units #2 and #13, specifically regarding doorknobs and locks.
Findings
The facility's resident units #2 and #13 are not fitted with single motion doorknobs and require special knowledge to open. Additionally, these units have locks that need servicing and planned resident evaluations quarterly to demonstrate ability to use a lock and key.
Deficiencies (1)
37.106.2835-2 Resident units: resident units #2 and #13 are not fitted with single motion doorknobs and require special knowledge to open, and the locks need servicing with planned quarterly resident evaluations showing ability to use a lock and key.
Inspection Report — Aug 24, 2021
Complaint Investigation
Date: Aug 24, 2021
Visit Reason
A complaint inspection was conducted at Renaissance Senior Care, Dillon South, resulting in cited core issue deficiencies.
Complaint Details
The complaint inspection cited deficiencies involving inadequate monitoring and care of a resident who fell and was injured, delayed notifications to responsible parties, and insufficient pain management documentation.
Findings
Deficiencies were found related to personal care services and administration, including failure to monitor a resident properly, delayed notification of injuries, and inadequate pain assessment and medication.
Deficiencies (3)
37.106.2843-2 Personal care services: a resident was left unobserved on the toilet and later found injured, and high blood pressures were not reported to the nurse or physician promptly.
37.106.2843-3 Personal care services: a resident's fall with injury was not reported to the legal representative or practitioner until the following day.
37.106.2814-6 Administrator: after a resident's fall, pain assessments were not documented and only one dose of pain medication was given despite signs of pain.
Report Facts
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Inspection Report — Jun 2, 2021
Renewal
Date: Jun 2, 2021
Visit Reason
The survey was a renewal inspection of Renaissance Senior Care, Dillon South.
Findings
Four deficiencies were cited including lack of documentation in the disaster plan, missing thermometers in food storage, absence of privacy curtains in resident rooms, and missing documentation that service plans were provided to residents or their legal representatives.
Deficiencies (4)
37.106.322-3 Minimum standard for all health care facilities: disaster plan: the facility disaster plan lacked documentation of acquisition of blankets, water, and food, and did not include or maintain a written agreement for off-site evacuation.
37.106.2860-9 Food service: the standup refrigerator/freezer and deep freezer in the garage did not have thermometers to monitor or record temperatures.
37.106.2836-1 Furnishings: there was no privacy curtain or screen in the double occupancy room, and no documentation that curtains were treated with non-combustible treatment in resident rooms.
37.106.2822-4 Resident service plan: category A: service plans for three residents lacked documentation that copies were given to the resident or their legal representative.
Inspection Report — Jul 28, 2020
Renewal
Date: Jul 28, 2020
Visit Reason
The survey was a renewal inspection of Renaissance Senior Care, Dillon South.
Findings
Two deficiencies were found: expired first aide certification in the administrator's file and lack of privacy curtains or screens in a double occupancy room.
Deficiencies (2)
37.106.2817-2 Employee files: the administrator's file contained a first aide certification that expired in September 2016.
37.106.2836-1 Furnishings: the facility did not have a privacy curtain or screen in the double occupancy room or available upon request.
Inspection Report — Sep 13, 2018
Complaint Investigation
Date: Sep 13, 2018
Visit Reason
Complaint inspection conducted at Renaissance Senior Care, Dillon South.
Complaint Details
The cited findings were related to deficiencies in written policies and procedures and personal care services at the facility.
Findings
Two deficiencies were cited related to written policies and procedures and personal care services. The report does not provide detailed findings for these items.
Deficiencies (2)
37.106.2815-1 Written policies and procedures: deficiency details not provided in the report.
37.106.2843-3 Personal care services: deficiency details not provided in the report.
Inspection Report — May 25, 2018
Renewal
Date: May 25, 2018
Visit Reason
The survey was conducted as a renewal inspection of the facility.
Findings
The survey found missing May activity calendar and lack of access to certain facility records during the initial survey. Some resident certifications were outdated, and employee files were initially unavailable but later found compliant.
Deficiencies (3)
37.106.2831-1 Resident activities: the facility did not have a May activity calendar available, repeating a deficiency from the prior renewal survey.
50-5-116-2 Facility inspections: the surveyor was unable to review several required facility records during the initial survey because they were inaccessible due to the administrator being out of town.
50-5-226-3 Placement in assisted living facilities: a resident's certification by a licensed healthcare professional was outdated, last updated in May 2018 with the prior certification from 2016, repeating a prior deficiency.
Inspection Report — May 10, 2017
Renewal
Date: May 10, 2017
Visit Reason
The facility underwent a renewal inspection as part of its regular licensing process.
Findings
One deficiency was found related to construction, building, and fire codes. A staff and resident fire drill was conducted only once in 2016, which did not meet the expected frequency.
Deficiencies (1)
37.106.2866-8 Construction, building and fire codes: a staff and resident fire drill was conducted only once in 2016, which is insufficient.
Inspection Report — Dec 12, 2016
Renewal
Date: Dec 12, 2016
Visit Reason
The facility underwent a renewal inspection as part of its regular licensing process.
Findings
Four deficiencies were identified related to resident bathroom accessibility, food service labeling, hot water temperatures, and fire inspection records.
Deficiencies (4)
37.106.2838-7 Resident toilets and bathing: rooms 3 and 9 did not have a string attached to the call system in the bathroom, making it inaccessible to an individual collapsed on the floor.
37.106.2860-1 Food service: three food items in the refrigerator were not dated or labeled, including two items not covered.
37.106.2865-6 Physical plant: hot water temperatures in rooms 3, 7, and 9 were below the required level, measuring 129, 129.2, and 126 degrees respectively.
37.106.2866-7 Construction, building and fire codes: the last fire inspection on record was completed on 9/1/2015, which is outdated.
Report Facts
temperature: 129
temperature: 129.2
temperature: 126
date: Sep 1, 2015
Inspection Report — Dec 18, 2015
Renewal
Date: Dec 18, 2015
Visit Reason
The survey was conducted as a renewal inspection of Renaissance Senior Care, Dillon South.
Findings
Five deficiencies were identified related to resident placement, activities, resident unit security, food service maintenance, and physical plant temperature controls.
Deficiencies (5)
50-5-226-3 Placement in assisted living facilities: Resident #1 was categorized as an A/C resident with an outdated Health Care Plan review and certification by a licensed health care professional.
37.106.2831-4 Resident activities: The activity calendar posted in the facility was outdated, dated September 2015.
37.106.2835-2 Resident units: The main entrance and back patio doors had dead bolts, and no resident room doorknobs were single motion.
37.106.2860-9 Food service: Refrigerator temperature logs were not maintained for more than three months, and no thermometer was found in the kitchen freezer.
37.106.2865-12 Physical plant: Temperatures exceeded 120 degrees in three of four tested locations including the laundry sink, community bathroom, and one resident room bathroom.
Report Facts
temperature: 130
temperature: 128.8
temperature: 129.1
Inspection Report — Jan 22, 2015
Complaint Investigation
Date: Jan 22, 2015
Visit Reason
The inspection was conducted following a complaint investigation.
Complaint Details
The complaint investigation identified deficiencies related to safety issues with keypad access, improper admission orders, lack of family notification for incidents, inadequate personal care documentation, and missing physician orders for safety devices.
Findings
Five deficiencies were cited involving safety issues with keypad access, lack of proper admission orders, failure to notify family members of incidents, inadequate documentation of personal care services, and missing physician orders for safety devices. One deficiency was noted as a repeat for the facility.
Deficiencies (5)
37.106.316-2 Minimum standards for all HCFs: secured care unit within a licensed long-term HCF: the facility did not post the keypad code sequence, creating a safety risk as visitors could not exit without the code in an emergency.
50-5-226-1 Placement in assisted living facilities: residents lacked practitioner's written orders for admission as category B residents and for care.
37.106.2829-2 Resident file: incident reports on residents lacked documentation of family member notification.
37.106.2843-2 Personal care services: there was no documentation supporting that frequent supervision for safety and adequate food/fluid intake was provided, and progress notes were missing in resident files.
37.106.2905-1 Documentation in resident's medical record: a resident had a half rail on the bed without a physician's order for the rail as a safety device; this was a repeat deficiency.
Inspection Report — Nov 14, 2013
Renewal
Date: Nov 14, 2013
Visit Reason
The facility underwent a renewal inspection as part of its licensing requirements.
Findings
Three deficiencies were cited related to placement in assisted living facilities and physical plant issues. Specific details of the findings were not provided in the report.
Deficiencies (3)
50-5-226-3 Placement in assisted living facilities: deficiency details not provided in the report.
50-5-226-7 Placement in assisted living facilities: deficiency details not provided in the report.
37.106.2865-12 Physical plant: deficiency details not provided in the report.
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