Inspection Reports for
Safe Haven Hill

R 400.641 Resident behavior interventions: Resident A has been refusing medications daily since October 2025, including insulin, with no plan specifying interventions to address this behavior or unique programmatic needs.

R 400.675 Resident medications: Resident B was prescribed Spironolacton for weight gain but it was not administered on dates when weight gain occurred, and Amiodarone was given despite pulse less than 60 on specified dates.

R 400.675 Resident medications: Staff did not consistently document Resident A's medication refusals, initialing the MAR as if medications were passed on multiple dates when they were refused.

R 400.675 Resident medications: Staff applied Nystatin cream to Resident A on 03/18/26 but incorrectly documented the reason for administration as agitation instead of rash/scales.

R 400.675 Resident medications: Staff did not have documented instructions from the licensed health professional regarding procedures to follow when Resident A refuses prescribed medications, despite physician awareness of refusals.

R 400.14203 Licensee and administrator training requirements: the licensee designee Zubair Ahmed did not complete annual trainings for 2022 or 2023.

R 400.14205 Health of a licensee, direct care staff, administrator, other employees, those volunteers under the direction of the licensee, and members of the household: the licensee designee Zubair Ahmed did not provide a physical for 2022.

R 400.14301 Resident admission criteria; resident assessment plan; emergency admission; resident care agreement; physician's instructions; health care appraisal: Resident A was admitted on 03/14/23 but did not receive a physical until 05/08/23.

R 400.14318 Emergency preparedness; evacuation plan; emergency transportation: fire drills were not completed during each required timeframe during the first, second, and fourth quarter in 2022 and were missing evening and sleeping fire drills during the second and third quarter in 2023.