Inspection Report Summary
The most recent inspection on August 13, 2024, identified deficiencies related to emergency responder documentation and resident service plans. Earlier inspections also noted similar issues with emergency responder documentation and caregiver responsibilities following resident accidents. Inspectors cited gaps in documentation of patient information, discharge planning, and the content and revision of resident service plans. Complaint investigations did not result in any substantiated complaints or enforcement actions listed in the available reports. The pattern of findings suggests ongoing challenges with documentation requirements, with no clear indication of improvement or worsening over time.
Deficiencies (last 1 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
| Description |
|---|
| 36-420.04. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: c. The amount, type, and frequency of assisted living services |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when revised |
| C. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving directed care services includes documentation of the resident's weight or documentation from a medical practitioner |
| Description |
|---|
| 36-420.04. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document |
| D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver provides required notifications and documentation |
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