Inspection Reports for Hampton Manor of Hamburg

The inspection was conducted in response to a complaint alleging that direct care staff member Wilma Baker improperly restrained Resident A by placing a Broda chair next to his bed to prevent him from getting out of bed.

The investigation confirmed that a Broda chair was placed next to Resident A's bed on multiple occasions to restrain him, which is considered a violation of resident behavior intervention prohibitions. Staff communications warned against this practice, but it continued. The facility lacked a written policy on restraints.

The complaint alleged that direct care staff member Wilma Baker improperly restrained Resident A by placing a Broda chair next to his bed so he could not get out of bed. The violation was established based on interviews and evidence.

The investigation was initiated due to a complaint alleging that Resident A requires assistance from two direct care workers but the facility does not always have the required staffing.

The investigation found that on multiple dates between 04/28/2025 and 06/17/2025, the facility did not have two direct care workers during waking hours despite having more than 15 residents, violating staffing requirements. However, the need for two direct care workers to assist Resident A with transferring was not supported by Resident A's Assessment Plan and Health Care Appraisal.

The complaint alleged chronic understaffing and management failures to support staff during critical shortages, including retaliation against staff raising concerns. The complaint was substantiated regarding staffing shortages but not regarding the need for two direct care workers for transferring Resident A.

The inspection was conducted as a Renewal Licensing Study Report to assess compliance with licensing requirements and determine if the facility's license should be renewed.

The facility was found non-compliant with several rules including exceeding licensed capacity, outdated resident care agreements, improper medication storage and administration, charges exceeding agreed prices, and incomplete resident weight records. Repeat violations were noted for medication storage and weight documentation.

The visit was conducted as a Renewal Licensing Study to assess compliance with licensing requirements and determine if the facility's license should be renewed.

The facility was found to be non-compliant with several rules including staff CPR training documentation, resident health care appraisals, medication security, resident records, emergency preparedness/fire drills, and water temperature exceeding allowed limits. A corrective action plan is required for renewal.

The investigation was initiated due to a complaint alleging that direct care staff were not providing personal care to residents and were not properly administering resident medications.

The investigation found no violation regarding personal care provision, as residents and staff interviews and documentation supported adequate care. However, a violation was established for improper medication administration due to missing medications not being administered as prescribed, with no documentation of refill attempts.

Complaint alleged direct care staff were not providing personal care and not properly administering medications. The personal care allegation was not substantiated; the medication administration allegation was substantiated.

The investigation was initiated due to anonymous complaints alleging that direct care workers were sleeping on the job, being disrespectful to residents, medications were not administered as prescribed, residents were not showered regularly, and linens were not changed regularly.

The investigation did not find evidence supporting the allegation that direct care workers were sleeping on the job or being disrespectful to residents. However, violations were established for medications not being administered as prescribed, residents not being showered regularly, and linens not being changed regularly, particularly for Resident D and Resident F.

The complaint was anonymous and alleged direct care workers sleeping on the job and being disrespectful to residents, medications not administered correctly, residents not showered regularly, and linens not changed regularly. The sleeping and disrespect allegations were not substantiated. The medication, showering, and linen allegations were substantiated.

The inspection was conducted as an original licensing study for Hampton Manor of Hamburg 1 to determine compliance with applicable licensing statutes and administrative rules for issuance of a temporary license.

The facility was found to be in substantial compliance with licensing statutes and administrative rules, including fire safety compliance. The facility is a single-story, wheelchair accessible adult foster care home with 20 private bedrooms and adequate staffing plans. A temporary license with a maximum capacity of 20 residents was recommended.