1 Report
Inspection Report — Mar 6, 2025
State
Date: Mar 6, 2025
Visit Reason
State-compiled facility profile showing 18 citations across 2 inspection dates with deficiency history for Twin Rivers Assisted Living and Memory Care.
Findings
The facility was cited for 18 violations across two inspection dates, including failures in management oversight, employee background checks, medication handling, food safety, infection control, fire drills, and emergency preparedness. No enforcement actions were recorded.
Citations (18)
The facility failed to ensure that the manager was on duty and managing only one facility, or for small type A facilities responsible for no more than 16 residents in no more than four facilities and available when off-site.
The facility failed to conduct criminal history checks of employees and applicants.
The facility failed to search the employee misconduct registry and nurse aide registry before hiring to determine if the individual is unemployable.
The facility failed to search the NAR and EMR annually.
The facility failed to keep discontinued medications separate from current medications or failed to meet requirements for appropriate disposal of discontinued medications.
The facility failed to procure food from acceptable sources, or failed to handle food, subject to spoilage, as required.
The facility failed to store, serve, or reheat foods at the appropriate temperatures.
The facility failed to ensure effective hair restraints were worn to prevent food contamination.
The facility failed to establish and maintain an infection control policy and procedure designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection.
The facility failed to conduct required fire drills and document fire drills on the required form.
The facility failed to have documented evidence showing that it had explained and provided a copy of the disclosure statement to the resident, family, or responsible party prior to admitting a resident.
State violation cited on 2022-10-03 — deficiency details not yet published by the state (correction status: Pending).
The facility failed to conduct required fire drills and document fire drills on the required form. (cited 2022-10-03)
The facility failed to check gas heating systems prior to the heating season and to maintain records of the those checks. (cited 2022-10-03)
The facility failed to provide required emergency lighting. (cited 2022-10-03)
The facility failed to ensure heating, ventilating and air-conditioning equipment met the referenced codes and standards. (cited 2022-10-03)
The facility failed to conduct and document a risk assessment for potential emergencies or disasters. (cited 2022-10-03)
The facility's emergency preparedness and response plan failed to address the eight core functions of emergency management. (cited 2022-10-03)
Report Facts
Inspections on page: 2
Total citations: 18
Health Code citations: 11
Life Safety citations: 7
Enforcement actions: 0
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