Inspection Reports for Edencrest at Siena Hills

The inspection was conducted as part of an investigation of complaints and incidents related to the facility's care and services.

The investigation found multiple deficiencies including failure to respond timely to personal emergency response system (PERS) pendants, inadequate documentation of nurse delegation and training, failure to provide dependent adult abuse training within required timeframes, incomplete background checks prior to employment, insufficient staff training on medication administration, and failure to ensure dementia-specific continuing education for personnel.

The deficiencies were cited during the investigation of Complaints #129981-C, #130213-C, #130334-C and Incidents #130029-I and #130028-I.

The inspection was conducted as an investigation of Incident #125266-I and Complaint #1266855-C at the assisted living facility.

No regulatory insufficiencies were cited during the investigation of the incident and complaint.

Investigation of Incident #125266-I and Complaint #1266855-C found no regulatory insufficiencies.

The inspection was conducted as a complaint investigation into multiple complaints regarding tenant care and services at Edencrest at Siena Hills.

The investigation found that the program failed to provide timely care and services to tenants, including delayed response times to calls for assistance and medication administration errors. Additionally, the service plans did not adequately identify tenant needs, including hygiene and housekeeping issues.

The investigation was triggered by complaints #118680-C, #120107-C, #121124-C, and #121808-C. No regulatory insufficiencies were cited for complaint #123001-C. The complaints involved concerns about tenant rights, medication administration, and service plan adequacy.

The inspection was conducted to investigate Complaints #116065-C and #116167-C and to conduct a recertification visit for compliance with certification of an Assisted Living Program for People with Dementia.

The inspection found regulatory insufficiencies related to medication administration delays, failure to obtain required signatures on service plan updates, lack of dependent adult abuse training for some staff, and failure to provide annual dementia-specific continuing education for personnel.

The visit was triggered by complaints #116065-C and #116167-C. No regulatory insufficiencies were cited during investigations of complaints #117059-C and incidents #114095-I, #116643-I, and #113646-I.

Investigation of complaints #103345-C, #104047-C, and #109477-C at the Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the complaint investigations.

Investigation of Complaints #103345-C, #104047-C, and #109477-C found no regulatory insufficiencies.

The document is a plan of correction following an onsite review of an assisted living program for people with dementia, including investigations #101180-C and #101181-C and an infection control review.

No regulatory insufficiencies were cited during the investigations or the infection control review.

A recertification visit was conducted to determine compliance with certification for an Assisted Living Program. An onsite infection control survey and Complaint #99666-C were also completed.

No regulatory insufficiencies were cited during the recertification visit and infection control survey.

Complaint #99666-C was investigated during the visit; no regulatory insufficiencies were cited.

The inspection was conducted during the investigation of complaints 92206-A and 93066-I and included an infection control survey.

No regulatory insufficiencies were cited during the complaint investigation and infection control survey.

Investigation of complaints 92206-A and 93066-I; no regulatory insufficiencies found.

The inspection was conducted as a complaint investigation related to Complaint #83095-C to assess regulatory insufficiencies at Edencrest at Siena Hills.

The program failed to implement the plan of correction dated 12/12/18, specifically regarding medication administration as prescribed by physicians. One tenant was affected by inconsistent administration of insulin injections due to lack of supplies such as needles.

Complaint #83095-C was investigated. The complaint was substantiated as the program failed to consistently ensure medications were administered as prescribed, affecting 1 of 2 tenants reviewed who received insulin injections.

The inspection was conducted as an investigation of Complaint #79828 related to medication administration errors at Edencrest at Siena Hills.

The investigation revealed that the program failed to administer medications as prescribed by a physician, resulting in a medication error where a tenant received another tenant's medications, causing adverse symptoms and requiring an ER visit. The program lacked proper medication delivery policies and staff failed to follow medication administration protocols.

Complaint #79828 was investigated and substantiated. The medication error involved Tenant #1 receiving another tenant's medications, leading to nausea, vomiting, elevated blood pressure, and an ER visit. Staff received written warnings and medication management retraining.

Investigation of Incident #78520-I at the assisted living program for people with dementia.

No regulatory insufficiencies were cited during the investigation.

Investigation of Incident #78520-I; no deficiencies found.

Initial certification and complaint investigation conducted to determine compliance with certification for an Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the initial certification and complaint investigation.