Inspection Reports for
Fountainview Living LLC

The report confirms that the previously cited deficiency under regulation 26-41-206(d) has been corrected as of the revisit date.

All previously cited deficiencies listed with their regulation numbers were marked as corrected and completed as of the revisit date.

The report confirms that the previously cited deficiency under regulation 28-39-158(a) was corrected as of the revisit date. No other deficiencies or uncorrected issues are noted.

The report documents that previously cited deficiencies have been corrected as of the revisit date. Specific corrections are identified by regulation numbers and completion dates.

The facility failed to prepare food in a safe manner under sanitary conditions. Multiple sanitation issues were observed in the kitchen including unlabeled opened food packages, accumulation of dust and grease on vents and equipment, and dietary staff not wearing required hair coverings.

The facility failed to retain the services of a full-time certified dietary manager to oversee the dietary staff and maintain a clean and sanitary dietary department for food storage, preparation, and service to residents.

The facility identified issues with food preparation and storage under sanitary conditions. Corrective actions include thorough cleaning, implementation of daily and weekly deep cleaning task sheets, and re-education of dietary staff on labeling, storage, and kitchen cleanliness.

The survey found the most serious deficiencies to be 'F' level, widespread, constituting no actual harm but with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance effective June 30, 2017.

The facility outlines corrective actions and ongoing interventions to address deficiencies related to comprehensive care plans, prevention of pressure ulcers, urinary tract infection prevention, medication management, dietary services, and restorative programs. The facility asserts substantial compliance and commits to continued quality assurance monitoring.

The plan addresses corrective actions taken following an elopement incident, including changes to door alarm procedures and staff education to prevent unauthorized exit through certain doors.

The complaint investigation #95873 substantiated that the facility did not prevent a cognitively impaired resident from eloping. Staff failed to hear the alarm and did not maintain adequate supervision during the incident.

The facility failed to implement effective interventions to prevent one resident with cognitive impairments from eloping unsupervised. Observations, record reviews, and staff interviews confirmed inadequate supervision and failure to respond properly to alarms during the incident.

All deficiencies previously reported on the CMS-2567 Statement of Deficiencies and Plan of Correction were corrected as of the revisit date.

The visit included a complaint investigation #92386 as part of the Health Licensure Resurvey.

The facility failed to maintain sanitary and comfortable conditions in resident areas, did not follow physician orders for blood sugar notifications, failed to document self-administration of medications properly, lacked quarterly medication regimen reviews by a licensed pharmacist, and failed to store and prepare food under sanitary conditions.

The survey found the most serious deficiencies to be 'F' level, widespread, constituting no actual harm but with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance based on the credible allegation of compliance.

The inspection included a complaint investigation identified as #90283.

The facility failed to maintain housekeeping and maintenance services in multiple resident areas, failed to maintain an effective toileting plan for a dependent resident, failed to monitor blood pressure as ordered for a resident on antihypertensive medication, failed to maintain sanitary food preparation and storage conditions, failed to identify medication monitoring deficiencies by the pharmacist, and failed to maintain infection control practices including cleaning of glucometers and proper hand hygiene by staff.

The facility identified multiple deficiencies related to housekeeping and maintenance, toileting plans and assessments, medication monitoring, food sanitation, pharmacy consultant communication, and infection control. Corrective actions and ongoing compliance measures have been implemented for each area.

The facility identified multiple deficiencies related to maintenance, health care services, medication administration, medication regimen review, and food sanitation. Corrective actions include professional cleaning, staff re-education, updating service agreements, pharmacist reviews, and sanitation improvements.

The survey found the most serious deficiencies to be 'F' level, widespread, with no harm but potential for more than minimal harm, and not constituting immediate jeopardy. A plan of correction was required to address these deficiencies.

The survey found the most serious deficiencies to be 'F' level, widespread, with no harm but potential for more than minimal harm, and not immediate jeopardy. A plan of correction was required and remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance was not achieved.

The report documents that the previously reported deficiency identified by regulation 26-41-204 (i) with ID prefix S3171 was corrected as of 03/03/2015.

The complaint investigation #83201 found that the facility failed to provide adequate care and fall prevention interventions for a resident who fell twice in one day and sustained serious injuries. The resident was admitted to inpatient hospice and expired shortly after due to complications from the falls.

The facility failed to provide care according to acceptable standards for one resident who experienced multiple falls resulting in serious injuries including a fractured hip, fractured ribs, and pneumothorax. The facility lacked timely interventions and proper documentation for fall prevention and care of the declining resident.

This plan of correction is in response to a complaint investigation conducted on 2015-02-13. The facility asserts compliance with corrective actions related to the complaint.

The plan addresses corrective actions related to fall reporting and investigation procedures on the assisted living unit, staff education on fall processes, and notification protocols for changes in resident condition. The facility aims to achieve substantial compliance by 2015-03-08.

The report confirms that the previously cited deficiency under regulation 26-41-205 (d) (1-2) with ID prefix S3200 was corrected as of 11/07/2014.

The complaint investigation involved two complaint numbers, 79215 and 78362. The facility was found to have failed in medication administration for one resident, substantiated by observations and staff interviews.

The facility failed to administer medications according to physician orders for one resident out of six reviewed, resulting in at least three missed doses of prescribed medications over three days.

The facility had deficiencies related to medication administration, specifically ensuring all residents receive medications as ordered by the physician. Corrective actions include contacting families for missing medications, staff inservice on medication procedures, and audits to ensure compliance.

The report confirms that the previously cited deficiency with regulation 483.25(h) was corrected as of 10/10/2014. No other deficiencies are noted.

The complaint investigation #78625 substantiated that the facility did not prevent elopement of a resident at risk. The resident was missing for about 1 hour and 45 minutes to 2 hours due to alarm system failure and staff not properly securing exit doors or conducting adequate rounds.

The facility failed to maintain a safe environment by not properly securing exit doors, resulting in a resident at risk for elopement leaving the facility unnoticed for approximately two hours. The door alarm system was found to be deactivated or malfunctioning, and staff failed to follow proper procedures for monitoring and securing the resident.

The facility addressed deficiencies related to accident hazards, supervision, and door monitoring systems. Corrective actions include resident discharge to a more appropriate unit, staff re-education, daily monitoring of wander guard systems, and plans to install improved security alarm systems.

The denial of payment action was based on deficiencies found during this revisit and a prior complaint investigation conducted on October 28, 2013.

The revisit found the most serious deficiency to be a 'G' level deficiency related to pressure ulcers. Enforcement remedies including denial of payment for new Medicare admissions were imposed due to noncompliance.

The denial of payment action was based on deficiencies found during this revisit and a Complaint investigation conducted on October 28, 2013.

The revisit found the most serious deficiency to be a 'G' level deficiency related to pressure ulcers. Due to noncompliance, a denial of payment for all new Medicare admissions was imposed effective September 16, 2014, and further enforcement actions may be taken if substantial compliance is not achieved within six months.

The facility addressed multiple deficiencies related to abuse investigations, dignity and respect, housekeeping, comprehensive assessments, care planning, professional standards, skin care, infection control, medication administration, staffing, and quality assurance. Corrective actions include staff re-education, hiring a new Director of Nursing, implementation of new monitoring programs, and ongoing quality assurance reviews.

The report documents that all previously identified deficiencies were corrected as of the revisit date. Specific regulatory citations are listed with confirmation of correction completion.

The report confirms that all previously identified deficiencies have been corrected as of the revisit date.

The visit was complaint-related triggered by allegations of sexual abuse, fall with injury, and a large bruise of unknown origin. The facility failed to investigate and report these allegations properly.

The facility failed to thoroughly investigate and report allegations of sexual abuse, falls, and bruises. The facility also failed to promote dignity and respect, maintain a sanitary environment, conduct comprehensive assessments, develop and revise care plans, provide necessary care and services including pressure ulcer prevention, urinary continence management, range of motion services, and ensure adequate staffing and supervision. Medication administration and infection control practices were also deficient.

All previously cited deficiencies listed by regulation numbers were corrected as of the revisit date, August 8, 2014.

The inspection included complaint investigations #75348 and #74323.

The facility failed to complete timely functional capacity screenings and negotiated service agreements upon admission, did not provide adequate housekeeping and maintenance, failed to follow physician orders for laboratory testing and medication administration, lacked assessments for self-administration of medications, delayed criminal background checks for staff, and failed to maintain a clean and sanitary dietary environment.

The facility identified multiple deficiencies related to functional capacity screening, negotiated service agreements, routine maintenance, health care services, self-administration of medications, staff qualifications, and food storage. Corrective actions and ongoing interventions have been implemented to ensure compliance with regulations.

The facility identified multiple deficiencies related to investigation and reporting of allegations, dignity and respect of residents, housekeeping and maintenance, comprehensive assessments, care planning, medication management, infection control, and other regulatory requirements. The Plan of Correction outlines corrective actions, staff re-education, policy updates, and ongoing monitoring to achieve substantial compliance by July 22, 2014.

The facility had multiple deficiencies including failure to thoroughly investigate elopement, failure to promote dignified care, inadequate housekeeping and maintenance, incomplete comprehensive assessments and care plans, medication errors, infection control lapses, insufficient staffing, and failure to prevent pressure ulcers and falls.

The report documents that the previously identified deficiencies, including one under regulation 483.25(h), were corrected by 2014-04-18 as verified during this revisit.

The deficiency citation represents findings from complaint investigation #72958. The resident fell during transfer due to use of an incorrect sling size and lack of adequate supervision.

The facility failed to follow mechanical lift sling size recommendations, resulting in a resident falling from the sling during transfer and sustaining abrasions and skin tears. The resident required extensive assistance and was transferred using an incorrect sling size.

The survey found isolated 'D' level deficiencies with no harm but potential for more than minimal harm that is not immediate jeopardy. Remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance is not achieved.

The survey found isolated 'D' level deficiencies with no harm but potential for more than minimal harm that is not immediate jeopardy. Remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance is not achieved.

The report confirms that the previously identified deficiency under regulation 483.25(h) was corrected by the revisit date of 03/01/2014. No other deficiencies are noted.

This Plan of Correction is related to a complaint investigation identified as Fountainview 022414 Complaint.

The facility was found to have deficiencies related to ensuring the resident environment is free of accident hazards and providing adequate supervision and assistance devices to prevent accidents.

The investigation was triggered by complaint #71958. The complaint was substantiated as the facility failed to prevent the elopement of a resident with a history of wanderguard removal and inadequate supervision.

The facility failed to adequately supervise a resident identified as an elopement risk, who left the facility without staff knowledge and sustained a skin tear. The front door alarm did not sound, and the resident's wanderguard bracelet was missing at the time of elopement.

This Plan of Correction addresses deficiencies cited during a complaint investigation identified as Fountainview 040314 Complaint.

The facility was found deficient in ensuring the resident environment was free of accident hazards and that residents received adequate supervision and assistance devices to prevent accidents, specifically regarding the proper use and sizing of slings during transfers.

This Plan of Correction addresses deficiencies identified in a complaint investigation as referenced by the linked deficiency report (2567) Fountainview 120513 RV Complaint.

The facility identified deficiencies related to fall risk assessments, care plan updates, and environmental safety to prevent accidents. The plan outlines corrective actions including new assessments, staff inservices, and ongoing monitoring.

The report confirms that the deficiencies previously cited under regulations 483.20(d)(3), 483.10(k)(2), and 483.25(h) were corrected as of the revisit date.

This inspection was triggered by complaints #69819, #70227, and #70305. The findings confirmed deficiencies related to care planning and accident prevention for residents with cognitive impairments and histories of falls.

The facility failed to review and revise care plans for appropriate assistive devices and supervision to prevent repeated falls for two residents with cognitive impairments. Both residents experienced multiple falls, including serious injuries, and the facility did not ensure adequate supervision or interventions to prevent further accidents.

This Plan of Correction addresses deficiencies cited during a complaint investigation as referenced by the linked Deficiency Report (2567) and Fountainview 102813 Complaint.

The facility identified multiple deficiencies related to resident care, including failure to notify responsible parties of accidents, inadequate skin and wound care, improper catheter care, and infection control issues. Corrective actions and staff training were implemented to address these deficiencies.

The inspection was triggered by multiple complaint investigations (#69715, 69717, 69818, #69795) concerning resident care and infection control.

The facility failed to timely notify family and physician of resident injuries, failed to provide adequate care and treatment for skin tears and pressure ulcers, failed to prevent urinary tract infections by improper catheter care, and failed to handle wound dressing materials in a sanitary manner to prevent infection spread.

The report documents that previously reported deficiencies identified by regulation numbers 28-39-158(g) and 26-41-205(l)(1) were corrected as of the revisit date.

The Plan of Correction details corrective actions for multiple deficiencies related to call light availability, care planning, pain and skin assessments, pressure sore prevention, medication administration, nutritional needs, food sanitation, pharmacy recommendations, and medication storage and labeling.

The Plan of Correction addresses deficiencies related to sanitary conditions in food storage, preparation, and service, as well as the obtaining and reporting of laboratory results to physicians. Corrective actions include staff training and policy reviews to prevent recurrence.

The report documents that previously identified deficiencies under regulations 28-39-158(g) and 26-41-205(l)(1) were corrected as of the revisit date.

The facility failed to maintain sanitary conditions in food storage, preparation, and serving areas, and failed to monitor medication regimens properly for residents, including lack of laboratory monitoring and inconsistent blood sugar checks.

The facility was found deficient in multiple areas including failure to provide reasonable accommodations for residents' call light access, inadequate care plan revisions, failure to provide necessary care for pressure ulcers, inadequate pain management, medication errors, unsanitary food handling and storage, and improper medication storage and labeling.

The facility developed and implemented a system to assure correction and continued compliance with regulations. Multiple deficiencies related to resident assessments, care plans, medication monitoring, dietary services, and infection control were addressed with policy reviews, staff in-services, and monitoring plans.

The visit was triggered by a complaint investigation regarding care deficiencies including urinary incontinence assessment, fall prevention, infection control, and medication administration.

The facility failed to adequately assess and develop care plans for residents' urinary incontinence, failed to provide adequate supervision and assistive devices to prevent falls and accidents, failed to ensure appropriate treatment to prevent urinary tract infections, failed to monitor bowel movements and medication administration properly, failed to maintain sanitary food preparation and storage conditions, and failed to implement an effective infection control program.