Inspection Reports for Edgewood Spring Creek Eagle, LLC
653 North Eagle Road, Eagle, ID, 83616
Back to Facility ProfileInspection Report Summary
The most recent inspection on June 13, 2024, identified two deficiencies related to staff background check documentation and incomplete six-month psychotropic medication reviews. Earlier inspections showed a mix of issues, including fire safety code violations in May 2021 and medication administration and staffing certification deficiencies in March 2021. The main themes across reports involved documentation gaps, medication management, and compliance with safety and training requirements. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports, and no complaint investigations were noted. The facility’s deficiencies appear consistent over time without a clear trend toward improvement or worsening.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
6.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
18% better than Idaho average
Idaho average: 7.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Follow-Up
Deficiencies: 2
Date: Jun 13, 2024
Visit Reason
The inspection was conducted as a health care licensure and follow-up survey to assess compliance with regulatory requirements.
Findings
Two non-core issues were identified: one staff member did not have fingerprint background checks submitted within 21 days of hire, and the facility failed to complete six-month psychotropic medication reviews for three residents due to a recent change in nursing staff.
Deficiencies (2)
One of seven staff did not have documentation that their background check fingerprints were submitted within 21 days of hire.
The facility did not complete six-month psychotropic medication reviews for three of seven residents taking such medications for six months or more.
Report Facts
Staff personnel records reviewed: 7
Residents on psychotropic medications: 7
Residents missing six-month psychotropic medication reviews: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Randi Knefel | Administrator | Confirmed fingerprints were not submitted within 21 days of hire |
| Michael Oldfield | Survey Team Leader | Led the health care licensure and follow-up survey |
Inspection Report
Life Safety
Deficiencies: 8
Date: May 6, 2021
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with fire and life safety standards for existing buildings licensed for seventeen or more residents and multi-story buildings.
Findings
The facility failed to maintain compliance with the 2018 edition of NFPA 101 Life Safety Code, including lack of documentation for sprinkler system testing, missing monthly fire extinguisher inspections, missing staff training documentation on oxygen use, non-operational emergency lighting, and unsealed conduit openings. Additional electrical violations included use of non-grounded extension cords, prohibited daisy chaining of power taps, and improper microwave plug-in.
Deficiencies (8)
Facility could not produce documentation for a 3-year, full-trip test of the dry sprinkler system.
Fire extinguishers were not inspected monthly as required; missing inspections in November and December 2020.
Facility could not produce documentation for staff training on oxygen use and handling at hire and annually thereafter.
Emergency light in corridor between room #3 and #4 was non-operational.
Mechanical/electrical room conduit openings were not sealed with intumescent fire product to prevent passage of smoke, fire, and gases.
Resident room #6 had a non-grounded 'zip' style extension cord in use.
Mechanical room had a 'daisy chain' on the IT wall, Relocatable Power Tap (RPT) to RPT.
Resident room #11 had a microwave plugged into a RPT in the shared foyer.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Randi Knefel | Administrator | Named as facility administrator during inspection |
| Linda Chaney | Survey Team Leader | Led the fire life safety and sanitation licensure survey |
Inspection Report
Follow-Up
Deficiencies: 3
Date: Mar 17, 2021
Visit Reason
The visit was a health care licensure and follow-up survey to assess compliance with regulatory requirements.
Findings
The facility lacked a system for staff to document nurse notifications related to medication administration and changes in resident conditions. Additionally, caregivers worked alone on night shifts without required Medication Assistance Certifications or CPR/first aid certification.
Deficiencies (3)
No system for staff to document when they contacted the facility nurse; no documentation in multiple residents' records of nurse notifications.
Caregivers worked alone on night shift without Medication Assistance Certifications and relied on facility nurse to pass medications.
Two staff members who worked alone did not have CPR/first aid certification.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Randi Knefel | Administrator | Named as Administrator confirming lack of documentation and staffing issues. |
| Teresa McClenathan | Survey Team Leader | Led the health care licensure and follow-up survey. |
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