Inspection Reports for
Ruth‘s House

Incident reporting: The Residence filed 59 incident reports greater than 24 hours after the occurrence of the incident during the period reviewed (repeat finding).

Emergency call response: In the months of October 2022, August 2023, and May 2024 there were 187 e-call response times over the seven minutes required by the Residence policy, and documentation of hourly safety checks in the Specialized Care Residence neighborhood for May 2024 had multiple instances where staff failed to document the hourly safety checks (repeat finding).

Quality assurance program: Documentation of the date the audit was completed was missing in 2022 and 2023 calendar years, documentation of a target date for follow-up was missing in 2022 and 2023, documentation of staff responsible for follow-up was missing in 2023, monitoring of the effectiveness of the Evidence Informed Falls Prevention Program was missing for 2022 and 2023, and medication assistance included unsecured medications (repeat finding).

Resident care plans: Documentation of an assessment confirming that the Resident can independently navigate around the bed rail/U-bar were missing for four Residents for the calendar year 2023 and 2024.

Resident records: The Residence did not use the Correspondence Log to communicate all significant or pertinent information necessary to maintain the continuity of care for all Residents (repeat finding).

Staff health screening: Five personnel records were missing documentation to confirm receipt or declination of the seasonal influenza vaccine.

Memory care unit: Chemicals were not secured in the common kitchen areas in the Special Care Unit and exit doors in the common use areas within Special Care Residences were not secured with alarms at the time of the Compliance Review.