Inspection Reports for
Sparr Heights Estates Senior Living

The complaint involved two allegations: 1) staff did not ensure adequate care and supervision, specifically that a resident spent a night in a flooded room without checks until the next morning; 2) staff spoke inappropriately in front of a resident, including a claim that a staff member called the resident 'coo coo'. Both allegations were investigated through staff and resident interviews, record reviews, and physical plant tours. The allegations were found unsubstantiated.

The investigation found insufficient information to substantiate the allegations. Interviews, observations, and record reviews indicated that resident care and supervision were adequate, and no inappropriate staff behavior was confirmed. The resident involved had been moved out of the facility prior to the investigation.

The facility was found to be well-maintained with no health or safety hazards noted. Rooms were adequately furnished and clean, medication carts were locked and inaccessible to residents, and fire safety equipment was properly maintained and inspected.

The complaint alleged that staff member S1 sexually abused resident R1 over a period of 3-6 months in 2022 and that the incident was not reported to authorities. Interviews with multiple staff, residents, and administrators revealed inconsistent and conflicting information, with no corroboration or complaints from residents or staff. The former executive director denied knowledge of the allegations and stated S1 resigned voluntarily to focus on school. Based on the investigation, the allegations were deemed unsubstantiated.

The investigation included interviews with staff, residents, and administrators and review of relevant documents. Conflicting statements and lack of corroborating evidence led to the determination that the allegations were unsubstantiated at this time.

The complaint investigation was triggered by allegations that staff failed to follow proper reporting requirements and that resident care needs were not met. The reporting party did not provide details or contact information. The investigation found the incident was reported appropriately and residents expressed satisfaction with care. The allegations were unsubstantiated.

The investigation found that all twelve residents interviewed stated that staff were respectful and provided all necessary care, indicating no issues with quality of care. Regarding the reporting allegation, records showed the facility submitted an incident report for a resident altercation and reported it to law enforcement, and the allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated based on observations and interviews with residents, staff, and maintenance personnel. No evidence supported the allegations of unsafe access ways or improper medication assistance.

The investigation found that the access ways in the Memory Care units were secured with all safety protocols in place, and no issues were observed. Interviews with residents and staff revealed no medication errors or late medication passes, and the allegations were deemed unsubstantiated.

The facility was found to be clean and well-maintained with appropriate safety measures in place, including operational smoke detectors, carbon monoxide detectors, and fire extinguishers. Medication carts were secured, and no deficiencies were issued during this inspection.

The complaint involved allegations that residents' hygiene needs were not met, staff did not seek medical attention for a resident with a toe fungal infection, and staff failed to give prescribed medication. The investigation found these allegations unsubstantiated.

The investigation found that the resident's hygiene needs were met unless refused, medical attention was sought with documented communication with the podiatrist, and medication was administered as prescribed. Therefore, all allegations were deemed unsubstantiated.

The complaint involved two allegations: staff did not seek medical attention for resident #1 and staff did not notify the responsible party of the resident's injury. Both allegations were investigated through staff interviews and record reviews and were found to be unsubstantiated.

The investigation found insufficient information to support the allegations. Staff did seek medical attention for the resident and notified the responsible party within 24 hours. The allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated based on interviews with nine residents and four staff, observations of twelve rooms, and review of facility documents. Allegations of unclean rooms, insufficient staffing, and delayed call light responses were not supported by evidence.

The investigation found that all interviewed residents and staff reported adequate cleaning, sufficient staffing, and timely response to call lights. Observations confirmed clean rooms. Based on gathered information, the allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included insufficient clean linens and malodorous resident rooms, both of which were not supported by the investigation findings.

The investigation found that there were sufficient clean linens in stock and linens in residents' rooms were clean and in good condition. No foul odors or stains were observed in the rooms visited. The allegations were deemed unsubstantiated based on observations and interviews.

The complaint investigation was unsubstantiated. Allegations included medication not being provided as prescribed, resident left in soiled diaper for extended time, and untimely medical attention. Investigations through interviews and record reviews found no evidence to support these allegations.

Based on interviews, record review, and observation, all allegations were found to be unsubstantiated. Medication was administered as prescribed except for documented exceptions, residents' diapers were changed regularly, and medical attention was provided timely with palliative care involvement.

The facility was found to be in compliance with infection control measures, including proper signage, PPE stock, and screening procedures. Common areas, resident rooms, and safety equipment were inspected and found adequate. No deficiencies were issued at this time.

The complaint alleged that facility staff over-medicated a resident. The investigation found the allegation unsubstantiated based on interviews, record review, and observation.

The investigation included staff interviews and record reviews, which showed that medication administration matched documentation and the resident had no adverse reactions. The allegation was found to be unsubstantiated.