Inspection Reports for Family Life Memory Care
422 11th Ave S, Nampa, ID 83651, United States, ID, 83651
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Inspection Report
Follow-Up
Deficiencies: 3
Apr 3, 2024
Visit Reason
The inspection was a health care licensure and follow-up survey to assess compliance with regulatory requirements and verify correction of previous deficiencies.
Findings
The facility was found to have deficiencies including failure to monitor and document medication refrigerator temperatures containing insulin, lack of six-month psychotropic medication reviews for residents on such medications, and staff not having specialized training for traumatic brain injury despite admitting a resident with that diagnosis.
Deficiencies (3)
| Description |
|---|
| Medication refrigerator temperatures were not monitored and documented daily for several months despite containing insulin. |
| Four residents on psychotropic medications for at least six months did not have required six-month medication reviews completed. |
| Five staff members lacked specialized training for traumatic brain injury, although the facility had a resident diagnosed with this condition. |
Report Facts
Residents on psychotropic medications without six-month reviews: 4
Staff without traumatic brain injury training: 5
Survey date: Apr 3, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carry Avalos | Administrator | Stated facility had not been documenting medication refrigerator temperatures and confirmed admission of resident with traumatic brain injury |
| Bradley Perry | Survey Team Leader | Led the health care licensure and follow-up survey |
Inspection Report
Life Safety
Capacity: 16
Deficiencies: 7
Dec 12, 2022
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 three through sixteen residents.
Findings
The facility failed to maintain compliance with the 2018 edition of NFPA 101 Life Safety Code and related standards, including lack of documentation for emergency plan training, oxygen safety training, policies on flammable substances, monthly inspections of suppression systems, a resident room door that would not latch, unsecured exterior gates, and hot water temperature exceeding the allowed maximum.
Deficiencies (7)
| Description |
|---|
| Lack of documentation for periodic emergency plan training and bi-monthly in-service training for staff. |
| No documentation showing staff are trained periodically on safety guidelines and oxygen use. |
| No policy for elimination of ignition sources and misuse of flammable substances. |
| No documentation of monthly visual inspections of wet suppression system gauges and secured control valves. |
| Resident room #2 door would not latch when fully closed. |
| Exterior yard gates are not secured by locks, only latching mechanisms. |
| Hot water temperature at plumbing fixtures was 125°F, exceeding the allowed maximum of 120°F. |
Report Facts
Total licensed capacity: 16
Hot water temperature: 125
Fence height: 6
Number of gates: 2
Inspection Report
Life Safety
Deficiencies: 4
Jun 4, 2021
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with applicable fire and life safety standards.
Findings
The facility had several non-core issues including an outdated relocation agreement, an emergency plan lacking a designated point of assembly, and improper use of relocatable power taps which were corrected on site during the inspection.
Deficiencies (4)
| Description |
|---|
| Facility has one relocation agreement dated 2017; facility shall have two relocation agreements with two separate locations, reviewed not less than annually. |
| Facility emergency plan does not show point of assembly; drills shall be conducted at designated point of assembly per NFPA 101. |
| Relocatable power taps (RPTs) shall not be daisy-chained; RPTs were daisy-chained in main living room (corrected on site). |
| RPTs shall not be used for appliances; RPT used to supply power to an air purifier in main living room (corrected on site). |
Report Facts
Facility relocation agreements required: 2
Relocation agreements present: 1
Inspection Report
Follow-Up
Deficiencies: 3
Dec 10, 2020
Visit Reason
The inspection was a health care licensure and follow-up survey to assess compliance with nursing assessments, staff scheduling documentation, and food protection manager certification requirements.
Findings
The facility failed to consistently conduct nursing assessments for residents with changes in health status, did not maintain accurate as-worked staff schedules, and lacked an employee certified as a food protection manager at the time of the survey.
Deficiencies (3)
| Description |
|---|
| Facility nurse did not consistently conduct nursing assessments when residents experienced changes in physical or mental health status. |
| Facility did not maintain as-worked schedules documenting personnel on duty at any given time. |
| Facility did not have an employee with certified food protection manager certification at the time of survey. |
Report Facts
Facility License Number: RC-1059
Survey Date: Dec 10, 2020
Response Due Date: Jan 9, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carry Avalos | Administrator | Named as facility administrator |
| Stacey Brown | Survey Team Leader | Named as survey team leader |
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