8 Reports
Inspection Report — Feb 21, 2024
Renewal
Date: Feb 21, 2024
Visit Reason
The survey was conducted as a routine renewal inspection of the facility.
Findings
One deficiency was cited regarding the facility's fire inspection records. The last documented fire inspection was outdated, having been conducted over two years prior to the survey date.
Deficiencies (1)
37.106.2866-7 Construction, building and fire codes: the last documented fire inspection was conducted on March 10, 2022, which is outdated at the time of the survey.
Inspection Report — Feb 10, 2022
Renewal
Date: Feb 10, 2022
Visit Reason
The facility underwent a renewal inspection as part of its regular licensing process.
Findings
One deficiency was found regarding bathroom door locks that require special knowledge or effort to open, which does not comply with the Life Safety Code.
Deficiencies (1)
37.106.302-2 Minimum standards of construction for a: all resident bathroom doors on the non-memory care wings have locks that require special knowledge and effort to unlock and open, which is not compliant with the Life Safety Code.
Inspection Report — Jan 16, 2020
Renewal
Date: Jan 16, 2020
Visit Reason
The survey was conducted as a renewal inspection of the facility.
Findings
One deficiency was found related to category C resident health care plans missing documentation of mood and character changes, behavioral patterns, and wandering.
Deficiencies (1)
37.106.2895-1 Health care plan: category C: category C resident health care plans were missing mood and character changes, behavioral patterns, and wandering documentation.
Inspection Report — Mar 7, 2019
Renewal
Date: Mar 7, 2019
Visit Reason
The facility underwent a renewal inspection to assess compliance with licensing standards.
Findings
Four deficiencies were identified related to physical plant safety, resident bathroom call lights, employee file documentation, and housekeeping practices.
Deficiencies (4)
37.106.2865-8 Physical plant: there were no grab bars in room 110, which compromises resident safety as the plan to install them is only for when residents move out.
37.106.2838-7 Resident toilets and bathing: bathroom call lights in bedrooms 110 and 113 were not working, and the bedroom call light in room 103 was inoperable.
37.106.315-2 Minimum standards for all health care facilities: employee files lacked documentation of orientation for two of six employees reviewed.
37.106.2862-1 Housekeeping: uncovered trash cans were observed in the kitchen area where food was being prepared.
Inspection Report — Feb 21, 2018
Renewal
Date: Feb 21, 2018
Visit Reason
The survey was conducted as a renewal inspection of the facility.
Findings
Four deficiencies were cited related to furnishings, resident toilets and bathing, employee files, and placement in assisted living facilities. Issues included inaccessible call lights, missing employee training documentation, and lack of quarterly assessments in resident files.
Deficiencies (4)
37.106.2836-1 Furnishings: call lights were wrapped around mounting fixtures with strings hanging behind furniture, making them ineffective and inaccessible to residents.
37.106.2838-7 Resident toilets and bathing: a call light cord was hanging approximately 18 inches above the floor and was not accessible to an individual collapsed on the floor.
37.106.2817-2 Employee files: all staff files reviewed were missing documentation of employee training, and most were missing documentation of first aid Heimlich maneuver training.
50-5-226-3 Placement in assisted living facilities: all category C resident files reviewed lacked quarterly LHCP assessments.
Inspection Report — Mar 16, 2017
Renewal
Date: Mar 16, 2017
Visit Reason
The survey was conducted as a renewal inspection to assess compliance with licensing requirements.
Findings
Two deficiencies were found: the facility had not completed an annual fire inspection in the last three years, and Category C residents' health care plans were missing required assessments and interventions.
Deficiencies (2)
37.106.2866-7 Construction, building and fire codes: the facility had not completed an annual fire inspection in the last three years, with the last known inspection in 2013 and no records found.
37.106.2895-1 Health care plan: Category C residents' health care plans lacked detailed assessments, therapeutic management, and intervention techniques, failing to meet ARM 37.106.2875 requirements.
Inspection Report — Feb 10, 2015
Renewal
Date: Feb 10, 2015
Visit Reason
The facility underwent a renewal inspection as part of its regular licensing process.
Findings
One deficiency was found regarding resident files lacking documentation about the disposition of personal possessions.
Deficiencies (1)
37.106.2829-2 Resident file: closed resident files did not have documentation regarding the disposition of personal possessions.
Inspection Report — Jan 15, 2014
Renewal
Date: Jan 15, 2014
Visit Reason
The survey was conducted as a renewal inspection of the assisted living facility.
Findings
Two deficiencies were found related to placement orders for residents and prohibited deadbolts on resident unit doors.
Deficiencies (2)
50-5-226-3 Placement in assisted living facilities: the facility lacked physician orders specific to residents admitted to category B or C status as required by statute.
37.106.2835-2 Resident units: all resident unit doors had deadbolts, which are prohibited by regulation.
Viewing
Loading inspection reports...
