Inspection Reports for Grand Pines Assisted Living Center

The inspection was conducted as a renewal licensing study to assess compliance with state regulations and to determine if the facility meets the requirements for license renewal.

The facility was found to be in non-compliance with multiple rules including medication administration documentation, improper storage of clean linens, incomplete dishwasher sanitization records, unlabeled food items, and unsafe storage of hazardous chemicals.

The investigation was initiated due to complaints alleging that Resident A and Resident B were not provided care in accordance with their service plans and that Resident A was not administered medication according to physician orders.

The investigation found no violation regarding care provided according to service plans for Resident A and Resident B. However, a medication administration error was identified where the facility failed to follow physician orders for the Lidocaine 4% patch application, resulting in a violation.

The complaint alleged that Resident A and Resident B were not provided care in accordance with their service plans, including missed showers and lack of eating assistance, and that Resident A was not administered prescribed medications, including pain medication, properly. The complaint was substantiated only for the medication administration error regarding the Lidocaine patch.

The inspection was conducted in response to a complaint alleging that Resident A experienced increased call light response times, did not receive showers, and received incorrect medication.

The investigation established violations related to increased call light response times and failure to follow Resident A's shower service plan, but found no violation regarding incorrect medication administration. The facility took appropriate actions following the medication error.

The complaint alleged that Resident A had excessive call light response times leading to multiple UTIs, did not receive showers resulting in skin and vaginal infections, and received incorrect medication on 01/19/2024. The medication error was not substantiated as a violation.

The inspection was conducted in response to a complaint alleging mold in the walk-in cooler and improper labeling, dating, and covering of food stored in the kitchen.

The investigation confirmed the presence of mold on a cooling rack in the walk-in refrigerator and several uncovered and undated food items. Equipment used to store and transport food was found to be dirty and not cleaned regularly, violating food safety regulations.

The complaint was received on 2023-11-20 from an anonymous source alleging mold in the walk-in cooler and improper food storage practices. The violation was substantiated based on inspection and staff interviews.

The investigation was initiated due to a complaint alleging that Resident B was not included in a recent care conference scheduled to discuss her service plan and that staff did not provide Resident B with her pendant or check on her throughout the night as outlined in her service plan.

The investigation found that Resident B was not included in the care conference as alleged, which was a violation. However, the allegation that staff failed to provide Resident B with her pendant and check on her during the night was not substantiated. Resident B's service plan was updated to reflect her toileting schedule and staff instructions to check on her quietly at night.

The complaint was received on 2023-07-07 from Adult Protective Services alleging Resident B was excluded from a care conference and that staff failed to provide her pendant and check on her at night. The violation for exclusion from the care conference was established; the allegation regarding the pendant and night checks was not established.

The inspection was conducted in response to a complaint alleging the facility failed to provide medical attention to Resident A, that Resident A's guardian was unaware of the service plan, and that the facility had insufficient staff.

The investigation found that the facility provided timely medical attention to Resident A following a fall, including coordination of mobile X-rays and emergency room visits. However, the facility failed to demonstrate that Resident A's guardian participated in the annual review of the service plan, constituting a violation. Staffing levels were found to be adequate and sufficient to meet resident needs.

The complaint alleged the facility failed to provide medical attention to Resident A, that Resident A's guardian was unaware of the service plan, and that the facility had insufficient staff. The allegation of failure to provide medical attention and insufficient staff were not substantiated. The allegation that Resident A's guardian was unaware of the service plan was substantiated.

The inspection was conducted as a renewal licensing study for Grand Pines Assisted Living Center to assess compliance with applicable rules and regulations.

The facility was found to be in non-compliance with rules related to kitchen and dietary safety, including expired and unlabeled food items, and unsafe storage of hazardous and toxic materials accessible to residents.

The investigation was initiated due to complaints alleging that Resident A's hospitalization and death were not reported to the department, residents were not receiving adequate care according to service plans, and the facility was understaffed.

The investigation found violations including failure to report Resident A's hospitalization and death, inadequate care not consistent with service plans, and significant understaffing especially in December 2022. Additional findings included Resident A not being sent to the hospital despite requests and Resident B sustaining injuries due to improper transfer.

Complaint investigation initiated based on anonymous online complaint received 2023-01-05 alleging failure to report Resident A’s hospitalization and death, inadequate resident care, and understaffing. Violations were substantiated.

The purpose of the visit was to inspect and approve an addition to the Grand Pines Assisted Living Center facility, including an increase in licensed bed capacity and the establishment of an Alzheimer's memory unit.

The inspection found the new addition compliant with applicable administrative rules and fire safety standards, including secured memory unit features and emergency systems. The facility's licensed bed capacity was recommended to be increased to 177.

The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Grand Pines Assisted Living Center.

The facility was found to be in substantial compliance with licensing requirements, including physical and program descriptions, staff training, and safety measures. A temporary license with a maximum capacity of 85 was recommended and issued.