Inspection Reports for Eiler Senior Living

The visit was conducted to investigate multiple incidents and complaints and to perform a recertification visit to determine compliance with certification of an Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the investigation of incidents, complaints, and the recertification visit.

The investigation included Complaints #127487-C, #128964-C, and #129209-C, with no regulatory insufficiencies cited.

The inspection was conducted to investigate Incident #123106-I and Complaints #123559-C and #125099-C at the assisted living facility.

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

The investigation of Complaint #123559-C and Complaint #125099-C found no regulatory insufficiencies.

The inspection was conducted as a recertification visit for an Assisted Living Program and included an investigation of Complaint #117559-C regarding tenant care concerns.

No regulatory insufficiencies were found during the recertification visit; however, a deficiency was cited for failure to evaluate a tenant's functional, cognitive, and health status following a significant change, specifically related to Tenant #1's care plan not reflecting changes after a grievance about staff interaction and mobility assistance.

The complaint involved Tenant #1 reporting a third shift staff person forcing her to walk, resulting in a fall and pain. The program investigated and found inconsistencies in reports and determined walking had become painful. The tenant's service plan was not updated to reflect the agreed changes in care after the grievance.

A recertification visit was conducted to determine compliance with certification for an Assisted Living Program. An onsite infection control survey and Complaint #92755-I were also completed.

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

Complaint #92755-I was investigated during the visit; no regulatory insufficiencies were cited.

The inspection was conducted as an onsite infection control survey for an assisted living program.

No regulatory insufficiencies were cited during the onsite infection control survey completed on 2020-08-25.

The inspection was a recertification visit to determine compliance with certification of an Assisted Living Program.

The program failed to provide required training related to the identification and reporting of dependent adult abuse for 3 of 5 staff reviewed. This deficiency was confirmed by the Care Services Manager during the visit.

Investigation of Incident #82029-I at the assisted living program.

No regulatory insufficiencies were cited during the investigation.

Investigation of Incident #82029-I found no regulatory insufficiencies.

Recertification conducted to determine compliance with certification for an Assisted Living Program.

No regulatory insufficiencies were cited during the recertification for the Assisted Living Program.

Investigation of Incident #62841-I at the assisted living program.

No regulatory insufficiencies were cited during the investigation of the incident. The census included 37 tenants without cognitive disorder and 6 tenants with cognitive disorder, totaling 43 residents.

Investigation of Incident #62841-I with no regulatory insufficiencies found.

The visit was conducted as a Final Recertification Monitoring Evaluation to determine compliance with certification for an Assisted Living Program.

No regulatory insufficiencies were found during this evaluation. The review of recertification documents and related inspections were completed and accepted.

The inspection was conducted as a complaint/incident investigation following allegations related to medication administration and food quality at Eiler Place Assisted Living.

No regulatory insufficiencies were identified during the investigation. Medication administration was found to be appropriate with no missed doses, and the food service was observed to be adequate with no evidence supporting the complaint that the food tasted terrible.

The complaint alleged that insulin was not given correctly resulting in high blood sugars for a tenant, and that the food tasted terrible. The investigation found no regulatory insufficiencies related to medication administration or food service.

The inspection was conducted as a complaint/incident investigation following allegations of regulatory insufficiencies related to tenant rights, tenant documents, evaluation, service plans, medications, nurse review, staffing, food service, and mandatory reporter training for dependent adult abuse at Eiler House Assisted Living.

The report found multiple regulatory insufficiencies including failure to complete service plans based on evaluations, incomplete evaluations, inaccurate medication documentation, inadequate staff training and documentation, and failure to meet requirements in tenant rights, medication administration, nurse reviews, and food service training. A $1500 civil penalty was assessed due to repeated regulatory insufficiencies.

The complaint investigation was substantiated with findings of regulatory insufficiencies in tenant rights, tenant documents, evaluation, service plans, medications, nurse review, staffing, food service, and mandatory reporter training. Specific allegations included falls resulting in injuries, medication errors, narcotics kept without inventory, and incomplete staff training.

The visit was conducted as a Final Recertification Monitoring Evaluation to review the Plan of Correction submitted in response to a Preliminary Recertification Monitoring Evaluation Report for Eiler House Assisted Living.

The review found no regulatory insufficiencies during this recertification period. The Plan of Correction was accepted by the Department of Inspections and Appeals. Background checks for staff were completed with no criminal history found, and the program met all requirements.

The inspection was conducted as a complaint/incident investigation based on complaints alleging tenant intimidation, insufficient staff training, inadequate care, dirty kitchen conditions, door alarms turned off, and lack of activities at Eiler House Assisted Living.

The investigation found regulatory insufficiency related to staffing, specifically that a sufficient number of trained staff were not always available to meet tenants' needs. No regulatory insufficiencies were noted in tenant rights, food service, life safety, or activities. The facility was assessed a $500 civil penalty.

Complaints included tenant intimidation by staff, staff not trained to perform tenant care, tenants not receiving necessary care, staff not responding timely to call lights, dirty kitchen and utensils, door alarms turned off, and lack of activities despite an activity calendar. The complaint was substantiated with a regulatory insufficiency found in staffing.

The inspection was conducted as a final complaint/incident investigation related to regulatory insufficiencies in policies and procedures, medications, staffing, evaluation, service plans, nurse review, and other areas at Eiler House Assisted Living.

The investigation found multiple regulatory insufficiencies including failure to follow medication policies, inadequate staff training for dementia care, incomplete evaluations and service plans, and lack of proper nurse reviews. The facility was assessed a $2,000 civil penalty and required to submit a plan of correction.

The complaint investigation was substantiated, identifying regulatory insufficiencies in multiple areas including medication administration, staffing, evaluations, service plans, and nurse reviews. The tenant involved had incidents of elopement, falls, and behavioral issues that were not adequately managed or documented.

A complaint investigation on-site visit was conducted at Eiler House Assisted Living on March 10, 2011, to evaluate regulatory insufficiencies related to life safety and other issues including dependent adult abuse training.

The investigation found regulatory insufficiencies in life safety, specifically related to malfunctioning kitchen stove pilot lights that caused fire hazards and staff injuries. Additionally, there were deficiencies in dependent adult abuse training requirements. A $1500 civil penalty was assessed and a plan of correction was accepted.

Complaint Intake #33196-C involved allegations that the kitchen grill had no flames when staff turned it on, leading to a fire incident injuring staff. The complaint was substantiated with observations and interviews confirming the pilot light issues and staff injuries.

The inspection was conducted as a final complaint investigation and safety monitoring evaluation following a complaint alleging that a tenant exceeded criteria for assisted living level of care.

No regulatory insufficiencies were identified during the monitoring visit. The complaint allegation was reviewed through tenant file reviews, staff interviews, and observations, which found no tenants exceeded the level of care criteria.

Complaint intake number 29015-C involved an allegation that a tenant exceeded criteria for assisted living level of care. The complaint was investigated with no regulatory insufficiencies substantiated.

A complaint investigation on-site visit was conducted at Eiler House Assisted Living on May 20, 2010, to investigate allegations related to tenant care and privacy violations.

The investigation found regulatory insufficiencies related to tenant evaluation and service plan development, including failure to complete evaluations within required timeframes and incomplete service plan updates despite significant changes in tenant condition.

Complaint Allegation: On 5-13-10, the program’s registered nurse completed an assessment of a tenant at an intermediate care facility and invaded the tenant’s privacy. On 4-22-10, the tenant’s family gave the program written notice that the tenant would not be returning to the program. The complaint investigator made observations related to tenant care, hospitalization, wound care, and service plan updates.

The inspection was conducted as a complaint investigation following allegations related to food quality, staff availability at night, and living conditions at Eiler House Assisted Living.

No regulatory insufficiencies were identified during the complaint investigation. Observations included tenant feedback on food service, staffing, and housekeeping, with no deficiencies noted.

The complaint investigation addressed allegations that the food was bad, staff were not available at night, and living conditions were deplorable. The investigation found no regulatory insufficiencies and the program was returned to standard certification.

The visit was a final incident and complaint investigation revisit conducted on April 6, 2010, to monitor compliance following previous regulatory insufficiencies found during earlier investigations and recertification visits.

No regulatory insufficiencies were identified during this revisit. Previous regulatory insufficiencies related to service plans, medications, nurse review, food service, staffing, record checks, and notification of incidents were found in prior investigations but were corrected by the time of this revisit.

This was a complaint investigation revisit following substantiated regulatory insufficiencies found in areas including Evaluation of Tenant, Service Plans, Medications, Nurse Review, Food Service, Staffing, Record Checks, Managed Risk, and Other during the certification period. Previous fines of $1,000 and $5,000 were issued related to these deficiencies.

A complaint investigation on-site visit was conducted at Eiler House on September 8, 9 & 10, 2009, to investigate regulatory insufficiencies related to service plans, medications, nurse review, food service, staffing, record checks, and other compliance issues.

The program failed to comprehensively follow regulations, resulting in multiple regulatory insufficiencies including incomplete service plans, medication administration errors, lack of nurse review, inadequate staffing training, and failure to complete required record checks. A $5,000 civil penalty was assessed and a conditional certificate remains in effect.

Complaint investigation involved allegations of medication errors, failure to notify authorities of incidents, falsification of records by program nurse, and failure to follow Plan of Correction. The complaint was substantiated with multiple regulatory insufficiencies found.

A complaint investigation was conducted at Eiler House Assisted Living due to allegations of medications being stolen and staff coming to work under the influence of marijuana.

The investigation found no regulatory insufficiencies. Medication administration records indicated medications were administered appropriately, and no staff were found to be working under the influence of drugs or alcohol. Missing medications were attributed to tenant-related issues rather than staff misconduct.

Complaint Allegation: Medications have been stolen and staff come to work "high on marijuana and smoke marijuana while on the job." The complaint was investigated with interviews of staff and tenants, review of medication records, and police involvement. No regulatory insufficiencies were identified.

A complaint investigation on-site visit was conducted at Eiler House Assisted Living to investigate allegations related to service plans, staffing, and activities for tenants, including those with dementia.

The investigation found regulatory insufficiencies in individualized service plans and service plan individualization for tenants with dementia. Staffing was adequate to conduct activities, and activities were appropriate and consistent with service plans. No regulatory insufficiencies were noted in staffing or activities sections.

Complaint allegations included insufficient staffing to conduct activities and inadequate activities for tenants with dementia. The complaint was not substantiated as staffing and activities were found appropriate.

The visit was an on-site recertification monitoring evaluation conducted to assess compliance with assisted living program regulations at Eiler House Assisted Living.

The program generally met tenant expectations with positive tenant feedback on staff and services. However, a regulatory insufficiency was found due to failure to obtain a criminal background check when rehiring a staff member.

There were no substantiated complaints this certification period.

A complaint investigation on-site visit was conducted at Eiler House due to an allegation that Tenant #1 eloped on May 5, 2004, walking three blocks to the local high school.

The investigation found that the tenant eloped once, was unharmed, and had a history of unescorted short walks. The tenant's cognitive status had declined, possibly influenced by a urinary tract infection. The program implemented interventions including changing the entrance/exit code and accompanying the tenant on walks. No regulatory insufficiencies were noted.

The complaint alleged that Tenant #1 eloped on May 5, 2004. The tenant was last seen by staff about twenty minutes before being found at the high school. The tenant was assessed with cognitive decline and treated for a UTI after the incident. The program responded with safety measures and medication adjustments. No regulatory insufficiency was found.