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Inspection Reports for Foxtail Assisted Living, Inc

3559 West Bavaria Street, Eagle, ID, 83616

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Inspection Report Summary

The most recent inspection on January 20, 2022, identified deficiencies related to medication refrigerator temperature monitoring, outdated resident service agreements, incomplete resident condition assessments, and missing behavior management plans. Earlier inspections showed issues with life safety compliance, including improper oxygen cylinder storage and kitchen floor maintenance. Inspectors cited documentation and resident care planning as recurring themes in the deficiencies. The complaint investigation in 2022 focused on these care and documentation concerns, and no enforcement actions or fines were listed in the available reports. The facility’s inspection history shows ongoing challenges in documentation and safety maintenance without a clear pattern of improvement or worsening.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

62% better than Idaho average
Idaho average: 7.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2021
2022
Unclassified
State average

Inspection Report

Complaint Investigation
Deficiencies: 4 Date: Jan 20, 2022
Visit Reason
The inspection was conducted as a health care licensure and follow-up combined with a complaint investigation to assess compliance with regulations and address specific concerns.
Complaint Details
The visit was complaint-related, focusing on issues such as medication storage, resident care documentation, and behavior management. Specific complaints included inadequate NSA updates and failure to assess and document resident behaviors and conditions.
Findings
The facility failed to consistently monitor and document medication refrigerator temperatures, maintain up-to-date Negotiated Services Agreements (NSAs) reflecting residents' needs, document resident condition assessments, and assess maladaptive behaviors to create behavior management plans. Several residents' care records and behavior documentation were incomplete or inaccurate.
Deficiencies (4)
Medication refrigerator temperatures were not monitored and documented daily and were frequently out of the required range.
Residents' Negotiated Services Agreements (NSA) were not up-to-date or accurate to reflect residents' current needs and behaviors.
Resident condition assessments were performed but not consistently documented in the care records.
Maladaptive behaviors of residents were not assessed, and behavior management plans were not developed as required.
Report Facts
Medication refrigerator temperature out-of-range occurrences: 8 Medication refrigerator temperature out-of-range occurrences: 15 Dates of resident incidents: Resident #3 involved in physical altercations on 12/10/21 and 12/15/21; Resident #8 wandered and attacked a care aid on 9/30/21.
Employees mentioned
NameTitleContext
Samantha KitchenAdministratorFacility administrator stated NSAs were in need of updating and that behaviors had not been assessed.
Stacey BrownSurvey Team LeaderLed the health care licensure and follow-up plus complaint investigation survey.

Inspection Report

Life Safety
Capacity: 17 Deficiencies: 2 Date: Mar 5, 2021
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey for Foxtail Assisted Living, Inc.
Findings
The facility did not maintain compliance with the 2018 edition of NFPA 101 Life Safety Code, specifically regarding improper storage and marking of oxygen cylinders, and the kitchen floor had worn epoxy coating exposing porous, non-washable concrete.
Deficiencies (2)
Empty and full oxygen cylinders stored together were not segregated and empty cylinders were not marked 'empty' to avoid confusion and delay.
The kitchen floor had many areas where the epoxy coating had worn off exposing bare concrete, which appeared porous and no longer washable.
Report Facts
Total licensed capacity: 17
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