5 Reports
Inspection Report — Apr 30, 2025
Renewal
Date: Apr 30, 2025
Visit Reason
Recertification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit.
Report Facts
Number of tenants without cognitive impairment: 61
Number of tenants with cognitive impairment: 6
Inspection Report — Mar 12, 2024
Complaint Investigation
Date: Mar 12, 2024
Visit Reason
Investigation of Complaint #119396-C to assess regulatory compliance at Heritage at Fox Run Assisted Living.
Complaint Details
Complaint #119396-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation. The program met criteria to be an Assisted Living Program for People with Dementia for the last two recertification visits.
Report Facts
Number of tenants without cognitive impairment: 62
Number of tenants with cognitive impairment: 9
Inspection Report — Mar 29, 2023
Complaint Investigation
Date: Mar 29, 2023
Visit Reason
The inspection was conducted due to the investigation of Complaint #110010-C, Incident 109812-I, and the recertification visit to determine compliance with certification of an Assisted Living Program for People with Dementia.
Complaint Details
The inspection was triggered by Complaint #110010-C and Incident 109812-I. The complaint investigation found multiple regulatory insufficiencies related to tenant evaluations, service plans, and nurse reviews.
Findings
The program failed to complete required tenant evaluations within 30 days of occupancy for 4 of 6 tenants, failed to evaluate tenants with significant change for 2 of 6 tenants, failed to develop service plans based on evaluations for 5 of 6 tenants, failed to ensure signatures on updated service plans for all 6 tenants, and failed to complete required 90-day nurse reviews for all 6 tenants.
Violations (5)
Failed to complete evaluations within 30 days of occupancy for 4 of 6 tenants.
Failed to evaluate tenants with significant change for 2 of 6 tenants.
Failed to develop service plans based on evaluations for 5 of 6 tenants.
Failed to ensure signatures on updated service plans within required timeframes for all 6 tenants.
Failed to complete 90-day nurse reviews for all 6 tenants.
Report Facts
Number of tenants without cognitive impairment: 49
Number of tenants with cognitive impairment: 10
Tenants reviewed for evaluations: 6
Tenants with missing 30-day evaluations: 4
Tenants with missing evaluations for significant change: 2
Tenants with missing service plans based on evaluations: 5
Tenants without signed updated service plans: 6
Tenants without completed 90-day nurse reviews: 6
Inspection Report — Mar 8, 2022
Complaint Investigation
Date: Mar 8, 2022
Visit Reason
The inspection was conducted to investigate Incident #102946-I at the assisted living facility.
Complaint Details
Investigation of Incident #102946-I found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the incident.
Report Facts
Number of tenants without cognitive disorder: 51
Number of tenants with cognitive disorder: 9
Total Population of Program at time of on-site: 60
Inspection Report — Mar 9, 2021
Renewal
Date: Mar 9, 2021
Visit Reason
The visit was conducted as a recertification to determine compliance with certification of an Assisted Living Program, including an onsite infection control survey and investigation of several incidents and a complaint.
Findings
No regulatory insufficiencies were cited during the recertification visit, the infection control survey, or the investigations of incidents and complaint.
Report Facts
Number of tenants without cognitive disorder: 55
Number of tenants with cognitive disorder: 9
Total Population of Program at time of on-site: 64
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