Inspection Reports for
Artis Senior Living of Lexington

Medication assistance and Emergency call response: Documentation of actions regarding whether the Resident took or refused medication was missing for six Residents, and documentation of hourly safety checks from March 1, 2025 through the review date had multiple missing instances.

Memory care unit: Documentation of the required operational review was incomplete for the second review of 2023 and both reviews of the 2024 calendar year.

Resident screening and assessment and Resident care plans: Six records were missing documentation of an initial nurse assessment, five missing cognitive assessments, two missing signatures of a Residence Representative, two missing documentation of Legal Representative, three missing supervised access documentation, three missing service plans at residency commencement, five missing Resident goals, four missing service plan reviews within 30 days, three missing individualized enrichment activities documentation, and three missing six-month or change-of-condition service plan reviews (repeat finding).

Quality assurance program: Documentation of audit completion dates, service plan identification, Resident Safety Assurances, Falls Prevention Program review, quarterly medication audits, target dates and responsible staff for follow-up, and specified outcomes were missing for various quarters in 2023 and 2024. Observations included unlabeled medication storage, missed scheduled medications, and missing physician orders for crushed medications (repeat finding).

Incident reporting: The Residence filed 38 incident reports more than 24 hours after the occurrence of the incident or accident (repeat finding).

Controlled medication handling: One Resident’s secondary controlled substance medication storage unit was unsecured as required by Residence policy.

Resident progress notes: Documentation of significant occurrences in the Progress Notes was missing for three Residents.

Resident records: Correspondence Logs did not contain documentation for each 24-hour period during the 90-day period prior to the compliance review as required.

Staffing and Staff health screening: Documentation confirming quarterly staffing level assessments was missing for the third quarter of 2023, and five personnel records were missing documentation of seasonal influenza vaccinations or declination statements for the 2023/2024 flu season.

Staff training: Documentation to support consistent Introductory Visits was missing for four records, and documentation confirming biannual SAMM and skills evaluations was missing for four Personal Care staff for 2024. Required disclosures of Rights and Services were missing in four and three records respectively (repeat finding).

Information given to residents: Missing disclosures about services, costs, and rights.