Inspection Reports for
Vista Springs Timber Ridge Village

R 325.1931 Employees; general provisions: the facility failed to ensure staff complied with Resident A’s service plan requiring two staff members for transfers using the sit-to-stand device.

R 325.1931 Employees; general provisions: the facility had insufficient staff on duty at times, with only two caregivers present to assist residents requiring two-person assistance, leaving other residents without supervision or assistance.

R 325.1932 Resident medications: Review of Resident A’s MAR revealed Resident A was prescribed Lorazepam 0.5mg tab with instruction to administer one tablet by mouth every four hours as needed for anxiety. Review of Resident A’s service plan lacked detailed information on how the resident demonstrates anxiety/agitation and what behaviors require the administration of the medication or if staff can use nonpharmaceutical interventions. Similar findings were noted with Resident B and Resident C.

R 325.1931 Employees; general provisions: the facility had insufficient staff on duty at times to meet resident needs, including three residents requiring two staff persons to assist but only two caregivers present.

R 325.1931 Employees; general provisions: Resident C, E, and F’s service plans lacked sufficient detail on the amount and type of assistance required, including use of sit-stand devices and mobility/ambulation needs.

R 325.1931 Employees; general provisions: the facility did not ensure staff person SP1 completed the new employee training program.