Inspection Reports for Hampton Manor of Adrian

The inspection was conducted in response to a complaint alleging that Resident A was not receiving her medications as prescribed.

The investigation substantiated that Resident A did not receive her prescribed medications due to facility staff documenting refusals inaccurately and failure to proactively reorder medications, resulting in missed doses. Additionally, the facility issued a discharge notice missing required information.

The complaint alleged that Resident A was not given her iron pill and blood pressure medication as prescribed, with staff documenting refusals that the resident denied. The investigation confirmed the allegation and additional findings related to discharge notice deficiencies.

The inspection was conducted in response to a complaint alleging that Resident A was confined to bed against their rights and wishes, only allowed up for meals, showers, and bathroom use.

The investigation substantiated that Resident A's rights were violated by being forced to stay in bed against their will, despite their preference to be up more often. Staff confirmed strict bedrest orders were enforced, which decreased Resident A's strength.

The complaint alleged that Resident A was referred to hospice and confined to bed except for meals, showers, and bathroom use against their rights. The allegation was substantiated based on interviews and record review.

The investigation was initiated due to multiple allegations including the facility director babysitting grandchildren at the facility, having a friend who informs her of survey visits, yelling at residents, providing unnecessary services to a resident, understaffing, inaccurate staff schedules, and inadequate food to meet resident preferences.

No violations were established for the allegations regarding babysitting grandchildren, prior notice of survey visits, yelling at residents, unnecessary services to a resident, understaffing, inaccurate staff schedules, and food availability. However, violations were established related to inadequate supervision of memory care residents in an unsecured hallway, lack of a compliant written memory care program description, failure to post therapeutic diet menus, failure to provide therapeutic diets as ordered, and failure to maintain records of food used.

The complaint investigation was initiated based on allegations received on 03/19/2024 regarding multiple concerns at the facility including director babysitting grandchildren, prior notice of survey visits, yelling at residents, unnecessary services to a resident, understaffing, inaccurate staff schedules, and inadequate food to meet resident preferences. The investigation included interviews, observations, and document reviews.

The inspection was conducted as a Renewal Licensing Study for Hampton Manor of Madison to assess compliance with licensing requirements and verify corrective action plans.

The facility was found to be non-compliant with several rules including unsafe storage of hazardous materials, lack of proper sanitization records, absence of designated shift supervisors, insufficient protective measures for a bedside assistive device, and unclear medication administration instructions. Repeat violations were noted for sanitization and medication management.

The inspection was conducted in response to a complaint alleging that Resident A's medication orders were not implemented and that Resident A's personal belongings were stolen.

The investigation substantiated that Resident A's medication orders were not properly implemented, leading to harm and unnecessary hospitalization. Additionally, an employee was terminated for theft related to Resident A's belongings, but the facility was not held responsible for the theft. Multiple medication administration record (MAR) discrepancies were found indicating Resident A did not always receive medications as prescribed.

Complaint alleged Resident A's medication orders were not followed, causing low blood sugar and hospitalization, and that Resident A's personal belongings were stolen. The medication-related allegations were substantiated; the theft allegations were not substantiated against the facility but an employee was terminated and police investigated.

The inspection was conducted in response to a complaint alleging that Resident A's visitors were restricted from visiting and taking her out of the home, and that Resident A had bruises.

The investigation found that Resident A's visitors were permitted to visit, but Resident A was not allowed to leave the facility for a family wedding based on a licensed healthcare professional's recommendation. No bruising was observed on Resident A. However, a violation was established due to improper completion and activation of Resident A's Durable Power of Attorney for Health Care documents and an invalid admission contract.

The complaint alleged that Resident A's visitors were restricted from visiting and taking her out of the home and that Resident A had bruises. The allegation regarding visitation and bruising was not substantiated. The facility had a licensed healthcare professional's order restricting Resident A from leaving the facility, and no bruising was observed.

The document serves as a renewal notification for the Home for the Aged license following an administrative review of licensing activity over the past year.

The review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in the renewal of the facility's license.

The inspection was conducted in response to a complaint alleging residents lacked protection and safety, neglect, medication errors, lack of organized programs, short staffing, and cleanliness issues.

The investigation substantiated violations related to resident protection and safety, including delayed staff response to call pendants and failure to update service plans. Other allegations such as medication errors, lack of organized programs, short staffing, kitchen and facility cleanliness were not substantiated. Additional findings revealed failure to report incidents to the department as required.

The complaint alleged residents lacked protection and safety, neglect, medication errors, lack of organized programs, short staffing on weekends, kitchen and facility cleanliness issues, and staff working under the influence. The allegation of neglect and lack of protection was substantiated; medication errors, organized program deficiencies, staffing, and cleanliness allegations were not substantiated.

The inspection was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Hampton Manor of Madison.

The study determined substantial compliance with the home for the aged public health code and administrative rules. A temporary 6-month license with a maximum capacity of 120 beds was recommended and issued.