Inspection Reports for
Where The Heart Is

The facility was found to have multiple fire safety violations including lack of documentation for sprinkler system testing, obstructed kitchen suppression system nozzles, missing fire drills, and unmaintained smoke detector sensitivity logs. Several violations were corrected on site, but others remain open, resulting in a disapproved status.

The complaint investigation found the Assisted Living Facility was not in compliance with the Fire Marshal due to uncorrected violations from two Fire and Life Safety annual inspections. However, the follow-up inspection later found these deficiencies corrected.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to fire marshal compliance were corrected.

All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.

The inspection found multiple deficiencies related to fire safety equipment, signage, and access. Some items were corrected on site, but several deficiencies remain uncorrected, resulting in a disapproved status.

The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected.

The complaint alleged that a named staff member kissed a named resident on the lips. The investigation found that staff failed to report and investigate this suspected abuse, placing the resident at risk. Multiple staff interviews confirmed concerns, but no investigation or reporting was done. Citations were issued for failure to report and investigate.

The Assisted Living Facility failed to report and investigate suspected abuse of a resident, resulting in a citation for noncompliance with reporting and investigation regulations. The facility did not protect the resident from continued possible abuse.

The complaint alleged a bruise of unknown origin on a resident's left eye. The investigation confirmed the bruise and found the facility failed to notify the State Department. Multiple regulatory deficiencies were cited related to staff training, medication management, abuse reporting, infection control, and service agreements.

The investigation found a failed provider practice where the facility staff did not notify the State Department about the bruise on the resident. Multiple deficiencies related to staff orientation, continuing education, background checks, medication services, medication storage, food sanitation, reporting abuse and neglect, infection control, and implementation of negotiated service agreements were cited. The facility was found not in compliance with licensing requirements.

The complaint investigation involved allegations that a resident was found dehydrated and in pain, lost dentures, and was refused readmission after hospital stays. The investigation substantiated failed provider practices with citations written.

The investigation found that the facility failed to report a significant change in a resident's condition to the medical provider, placing the resident at risk for untreated medical issues. Citations were written for failed provider practices related to these deficiencies.

All violations noted during previous related inspections have been corrected. The facility was approved at this inspection with no open violations.

The complaint investigation (Complaint numbers 50630, 50511) focused on a medication error allegation. The investigation substantiated the allegation, finding that a medication administration record was improperly changed by a med tech in training without physician order, causing a resident to miss medication for 12 days and resulting in behavioral issues and assaultive behavior.

The investigation found that the facility failed to ensure a resident received prescribed medication for dementia with behavioral disturbance for 12 days, resulting in increased agitation and assaultive behaviors. Citations were written for this failure.