Inspection Reports for Cogir of Mill Creek

The Department completed a complaint investigation of the Assisted Living Facility due to complaint number 195970, focusing on medication administration, assessment of a resident's significant change in condition, and notification of family after a fall.

The investigation found that the facility staff administered medications as prescribed and followed fall notification policies, with no failed practice identified in these areas. However, the facility initially failed to conduct an assessment for a resident's significant change in condition, which was corrected by the exit conference. A citation was issued for this deficiency.

Complaint investigation included allegations that the facility staff did not administer medication as prescribed, did not conduct an assessment for a resident's significant change in condition, and failed to notify family immediately after a resident's fall. The medication and notification allegations were not substantiated; the assessment deficiency was substantiated and corrected.

The inspection was conducted as an unannounced on-site complaint investigation triggered by allegations that the Assisted Living Facility did not follow medication administration orders for named residents and failed to inform Med Tech about a resident experiencing diarrhea while continuing to administer large doses of stool softener.

The investigation found that the facility failed to follow up on a narcotic medication order for one resident, resulting in the resident not receiving prescribed routine pain medication for 21 days. Additionally, the facility staff failed to inform Med Techs about the resident's diarrhea, but no failed practice was identified regarding medication administration for constipation. A citation was issued for noncompliance with medication services regulations.

The complaint investigation was substantiated with a failed provider practice identified and citation(s) written related to medication administration failures involving one resident.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to background checks, tuberculosis testing, pet vaccinations, medication availability, family assistance with medications, staff training, and fingerprint background checks were corrected.

The Office of the State Fire Marshal conducted a fire protection inspection at the Cogir Mill Creek residential care facility to assess compliance with fire and life safety codes.

The facility was disapproved due to multiple deficiencies including lack of documentation for required fire drills, electrical hazards, blocked electrical panels, missing or damaged fire safety equipment, failure to provide required inspections and maintenance documentation for fire doors, sprinkler systems, fire extinguishers, fire alarm systems, carbon monoxide detectors, emergency lighting, and emergency generator servicing. Additionally, physical hazards such as unsecured oxygen tanks and compromised fire barriers were noted.