Inspection Reports for Appledorn Assisted Living Center – South

The inspection was conducted as a renewal licensing study for Appledorn Assisted Living Center to assess compliance with applicable rules and regulations.

The facility was found to be in non-compliance with multiple rules including tuberculosis screening for residents and employees, medication handling, linen storage, kitchen and dietary sanitation, food labeling, and hazardous materials storage. Violations were established in all these areas.

The investigation was initiated due to a complaint alleging that facility staff did not provide care in accordance with the service plan from 11/9/2024 to 11/11/2024, and that the facility was short staffed during that period.

The investigation found that the facility did not provide care within a reasonable time frame consistent with the resident's service plan, substantiated by call light logs showing long wait times up to 3 hours and 45 minutes. However, the allegation of short staffing was not substantiated as the facility had adequate staff coverage despite some call-ins.

The complaint alleged that facility staff did not provide care in accordance with the service plan from 11/9/2024 to 11/11/2024, and that the facility was short staffed during that time. The allegation of inadequate care was substantiated, while the short staffing allegation was not substantiated.

The inspection was conducted as a renewal inspection to review licensing activity and compliance with public health code and administrative rules regulating home for the aged facilities over the past year.

The facility was found to be in compliance with all applicable rules and statutes. Renewal of the license is recommended.

The inspection was conducted in response to an anonymous complaint alleging insufficient staff on second and third shifts at the facility.

The investigation confirmed insufficient staffing on second and third shifts, with evidence including staff interviews, review of schedules showing staff shortages, and resident reports of delayed assistance. The facility had to bring in staff from other locations and used agency workers to fill gaps.

The complaint alleged insufficient staff on second and third shifts. The violation was established based on interviews, schedule reviews, and observations.

The investigation was initiated due to a complaint alleging that Resident A fell eight times resulting in injury and that the facility did not follow Resident A’s service plan.

The investigation found that Resident A fell four times, not eight as alleged, and the facility notified the physician and authorized representative of each fall. However, the facility did not send Resident A to the hospital after a fall on 8/20/2023 despite complaints of extreme pain, nor after complaints of chest pain on 9/5/2023, constituting a violation. The allegation that Resident A missed medications was not substantiated.

The complaint alleged Resident A fell eight times resulting in injury and the facility did not follow Resident A’s service plan. The allegation that Resident A missed medications was also investigated but not substantiated.

The visit was conducted as a renewal licensing study to assess compliance with licensing requirements and determine eligibility for license renewal.

The facility was found to be in non-compliance with rules related to kitchen and dietary safety and general maintenance and storage. Specifically, multiple unlabeled food items were found in various locations, and hazardous cleaning materials were stored unsecured in memory care units.

The inspection was conducted in response to an anonymous complaint alleging that Resident C was aggressive with staff, the facility had insufficient staff, and call lights were not answered.

The investigation found that Resident C exhibited behaviors with staff but the facility managed these behaviors with psychological nursing and medication adjustments. Staffing was found to be adequate with use of agency staff to fill shifts, and call lights were generally answered within an appropriate timeframe. One violation was established related to omission of information in Resident C's service plan.

The complaint alleged Resident C was aggressive with staff, the facility had insufficient staff on second shift, and call lights were not answered. The complaint was anonymous and could not be further contacted. The allegation of Resident C's behaviors was substantiated with a violation established. The allegations of insufficient staffing and call lights not being answered were not substantiated.

The visit was conducted as an original licensing study with an addendum to approve an increase in the number of beds by 43, including 25 beds in a specialized care unit for individuals with Alzheimer's disease or related conditions.

The facility was inspected onsite and found to have appropriate secured units and safety features. Approval for the increased bed capacity to 174 was granted by the Bureau of Health Services on 09/02/2009, and a fire safety inspection was completed on 08/19/2009 with final approval of the construction.

The inspection was conducted as an original licensing study to approve an increase in bed capacity by 68 beds, including a specialized care unit for residents with Alzheimer's disease or related conditions.

The facility was found to be in compliance with licensing requirements, including staff training and secure unit safety measures. Approval for the increased capacity and services for Alzheimer's residents was recommended and granted.