Inspection Report
Complaint Investigation
Deficiencies: 2
Aug 9, 2018
Visit Reason
The inspection was conducted as a complaint investigation following the unexpected death of a resident at the facility.
Findings
The investigation found that the facility failed to document required Activities of Daily Living (ADL) care for the resident on the day before their death, including missing night check documentation. Additionally, the resident's file and daily logs showed no indication of declining health prior to the death, and the unexpected death was a significant event with no indication of required follow-up documentation.
Complaint Details
Complaint investigation triggered by the unexpected death of resident #1, with review of ADL logs, resident file, and staff interviews. No indication of required documentation or health decline was found.
Deficiencies (2)
| Description |
|---|
| No documentation of required night checks on July 4 and early July 5, 2018, as required on the ADL log. |
| Resident file and daily log lacked indication of declining health prior to unexpected death. |
Report Facts
Facility License Number: 13077
Inspection Report
Renewal
Deficiencies: 4
Nov 23, 2016
Visit Reason
The inspection was conducted as a renewal inspection of the Bee Hive Homes of Great Falls, Linden House facility to assess compliance with licensing and regulatory standards.
Findings
The facility was found to have several deficiencies including unsecured keypad codes not posted at exit doors, lack of privacy curtains in a double occupancy room, a community bathroom without a call system used by residents and staff, and resident health care plans that did not address individual needs and preferences.
Deficiencies (4)
| Description |
|---|
| Codes were not posted at any of the exit doors in the secured care unit. |
| Room #16 is a double occupancy room with no privacy curtain or screen. |
| Community bathroom used by residents, staff, and visitors does not have a call system. |
| Resident Health Care Plans for four residents list the same cognitive-related problems and do not address individual needs and preferences. |
Report Facts
Number of Resident Health Care Plans reviewed: 4
Room number with deficiency: 16
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