Inspection Reports for Cogir at The Narrows

The inspection was conducted as a complaint investigation regarding allegations that a named resident did not receive their prescribed medication and other concerns including staff behavior, access to rooms, resident bruising, falls, and injuries.

The investigation found multiple deficiencies including failure to ensure residents received medications as prescribed, failure to ensure residents had access to their own rooms without staff assistance, and failure to determine the need for further action after resident accidents. Some allegations were unsubstantiated.

The complaint investigation included allegations of medication errors, unkind staff behavior, restricted access to rooms, bruising, multiple falls, and injury after death. Some allegations were substantiated with citations, others were not.

Follow-up inspection to verify correction of previously cited deficiencies related to infection control and other licensing laws.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to infection control, including fit testing of staff for N95 respirators, were corrected.

The Department of Social and Health Services conducted a follow-up visit to the assisted living facility Cogir at The Narrows to enforce a civil fine based on a previously cited infection control violation.

The facility failed to ensure that three staff members were fit tested for N95 respirators, placing residents, staff, and visitors at risk of potential harm from communicable pathogens. This deficiency was previously cited and remains uncorrected.

The inspection was conducted as a complaint investigation based on allegations including a resident being unkempt, poor room conditions, unmet podiatry and dental care needs, inappropriate placement of a resident, and a break-in with theft from a resident.

The investigation found that the named resident was well groomed and the room was clean. Podiatry services were provided, but dental care was not completed due to resident moving out. The facility failed to report an incident of financial exploitation involving a break-in and theft from a resident's room and failed to document measures to prevent future similar incidents. A citation was issued for these failures.

The complaint investigation was substantiated with findings that the facility failed to report a financial exploitation incident and failed to document preventive measures. Allegations included unkempt resident, poor room conditions, unmet podiatry and dental care, inappropriate resident placement, and theft due to break-in.

The inspection was conducted as an unannounced on-site complaint investigation based on multiple allegations including first responders being unable to open the facility door causing a delay, failure to provide services according to care plans, staff sleeping during emergency response, and a resident fall due to neglect.

The investigation found multiple deficiencies including failure to have the door key readily available for first responders, failure to provide care and services as agreed in negotiated service agreements causing harm to residents, failure to retain records of former residents, and failure to inform staff on emergency door operation. Citations were issued for these deficiencies.

The complaint investigation was triggered by allegations including first responders unable to open the facility door causing a 10-minute delay, failure to provide services according to care plans, staff sleeping during emergency response, and a resident fall due to neglect. The investigation substantiated these allegations and citations were issued.