Inspection Reports for Annette Overlock Home
22 Canns Beach Rd, Owls Head, ME 04854, ME, 04854
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Inspection Report
Biennial Survey
Census: 3
Capacity: 4
Deficiencies: 4
Sep 14, 2023
Visit Reason
The visit was a biennial survey to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Level III Residential Care Facilities.
Findings
The facility was found non-compliant in multiple areas including failure to maintain current written consents for release of resident information, lack of annual diabetes training for staff, absence of qualified personnel to administer PRN medications on site, and insufficient emergency drill rehearsals.
Severity Breakdown
Class IV: 1
Class III: 1
Class II: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Resident records did not contain a current written consent to release information. | Class IV |
| Failure to have evidence of annual diabetes training for staff members. | Class III |
| Facility failed to have a qualified person to administer PRN medications on site when residents were prescribed such medications. | — |
| Facility failed to conduct at least six emergency drills per year with two conducted while residents were asleep. | Class II |
Report Facts
Resident records reviewed: 2
Staff members reviewed: 3
PRN medication prescribed residents: 2
Shifts worked alone by unqualified staff: 2
Emergency drills completed: 4
Required emergency drills: 6
Required emergency drills while residents asleep: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gail Varga | Administrator | Named as facility administrator |
| Residential Supervisor | Interviewed and confirmed findings related to consent, diabetes training, medication administration, and emergency drills | |
| Staff #1 | Staff member without evidence of annual diabetes training | |
| Staff #2 | Staff member without evidence of annual diabetes training | |
| Staff #3 | Staff member without evidence of annual diabetes training | |
| Staff #4 | Staff member not CRMA certified who worked shifts alone without qualified personnel |
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