Inspection Reports for Church of Christ Assisted Living

The inspection was conducted in response to a complaint alleging that Resident A's catheter was not emptied, night shift staff disturbed the resident by turning on a light, the funeral director was instructed to use the front door, poor medication management, and inadequate housekeeping.

The investigation found no violation regarding Resident A's catheter and funeral director exit. However, violations were established for poor and negligent medication management, including missed doses and medication errors, and for inadequate housekeeping related to water damage and maintenance issues in the facility.

Complaint alleged Resident A's catheter was not emptied, night shift disturbed Resident A by turning on a light, funeral director instructed to use front door, poor medication management including missed doses and discontinued medications being given, and inadequate housekeeping with empty paper towel dispenser, soaked carpet, and wet ceiling tiles. The catheter and funeral director exit claims were not substantiated. Medication management and housekeeping violations were substantiated.

The inspection was conducted in response to a complaint alleging that a Resident of Concern (ROC) was not receiving appropriate care, including timely medication administration and proper hygiene assistance, and that the ROC was issued a 30-day discharge notice for an invalid reason.

The investigation found that the facility issued a 30-day discharge notice to the ROC due to issues related to the complexity of the ROC's medication schedule and family-supplied medications not being replenished timely. The facility was unable to manage the ROC's medications properly because of these factors, which was deemed a valid reason for discharge. The ROC was observed to be well-groomed and cooperative with care when reminded. The violation of discharge policy was established.

The complaint alleged that the ROC was not receiving medication timely or at all, and was not receiving showers as scheduled, with staff incorrectly stating the resident was refusing. The complainant also challenged the validity of the 30-day discharge notice issued to the ROC.

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

The facility was found to be non-compliant with several rules including lack of an organized program for safe use of bed assist devices without physician orders or staff training, inadequate ventilation in certain rooms, and absence of reliable thermometers in multiple refrigerators and freezers.

The inspection was conducted in response to a complaint alleging that Resident A did not receive medications as prescribed, medications were not observed being administered, lacked care and laundry services, lacked medical services, and issues with front desk staffing and access to medication administration records.

The investigation substantiated violations related to medication administration errors, failure to observe medication consumption, and inconsistent personal care and laundry services for Resident A. However, allegations regarding lack of medical services, front desk staffing, and access to medication records were not substantiated.

The complaint alleged Resident A did not receive medications as prescribed, medications were not observed being administered, lacked care and laundry services, lacked medical services, front desk lacked staff, and Resident A's family was unable to view medication administration records. The investigation substantiated medication and care-related allegations but did not substantiate lack of medical services or front desk staffing issues.

The visit was a renewal inspection with an addendum to the original licensing study report to consider a modification of terms to add services for residents with Alzheimer's disease and other forms of dementia.

An inspection tour of the 16-bed unit for residents with Alzheimer's and dementia was conducted, including observation of staff and residents, verification of staff training, and review of the facility's description of services. All items met compliance with relevant state regulations.