Inspection Reports for
Heritage Senior Living
155 + 175 East 3rd North, Preston, ID, 83263
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
12.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
57% worse than Idaho average
Idaho average: 7.9 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Follow-Up
Deficiencies: 4
Date: Feb 13, 2025
Visit Reason
The visit was a follow-up inspection to verify correction of previously cited deficiencies related to medication administration, medication distribution system, and behavior documentation.
Findings
The facility continued to have deficiencies including failure to ensure residents received medications as ordered, lack of daily temperature monitoring for medication refrigerators, unavailability of ordered as-needed medications, and failure to develop behavior plans with interventions for a resident exhibiting refusal behaviors. All issues were previously cited on 5/21/24.
Deficiencies (4)
Facility nurse did not ensure residents received medications and treatments as ordered, including extra doses given and missed doses for multiple residents.
Temperatures for the medication refrigerator containing insulin were not monitored and documented daily, missing documentation 15 times from 1/1/25 to 2/11/25.
Facility did not ensure all ordered as-needed (PRN) medications were available to residents at all times.
Facility did not develop a behavior plan with interventions for a resident exhibiting recurrent refusal of medications and care from September 2024 to February 2025.
Report Facts
Extra doses of simvastatin given: 15
Missed doses of tramadol: 6
Missed doses of celecoxib: 4
Missed doses of calcium carbonate plus vitamin D3: 31
Missed doses of calcium carbonate plus vitamin D3: 12
Times temperature not documented: 15
Date behavioral modifying medication started: Jan 29, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jordan Snedaker | Administrator | Named as facility administrator in report header. |
| Michael Oldfield | Survey Team Leader | Named as survey team leader conducting the inspection. |
Inspection Report
Follow-Up
Deficiencies: 21
Date: May 21, 2024
Visit Reason
The inspection was a health care licensure and follow-up survey conducted to assess compliance with facility policies, staff training, resident care, medication management, and safety protocols.
Findings
The facility had multiple deficiencies including incomplete criminal background checks for staff, inadequate staff training on resident care and incident response, ineffective corrective actions for resident falls, unsafe hot water temperatures, unsecured toxic chemicals, medication administration errors, incomplete nursing assessments, and lack of specialized staff training for mental illness and dementia care.
Deficiencies (21)
Staff members worked without completed criminal history background checks.
Facility staff were not adequately trained on notifying nurses and caring for residents after incidents.
Administrator failed to ensure implementation of facility policies and procedures.
Ineffective corrective action to prevent recurrence of resident falls.
Administrator did not monitor incident patterns or develop interventions.
Hot water temperatures were not consistently maintained within safe range.
Toxic chemicals were stored in unlocked areas accessible to residents.
Nursing services lacked clear coordination and follow-up on outside agency recommendations.
Residents did not consistently receive medications and treatments as ordered.
Facility nurse did not perform timely assessments after changes in resident health status.
Medication distribution system had unsecured medications and improper labeling.
Medication refrigerator temperatures were not monitored or documented daily.
Not all ordered PRN medications were available to residents at all times.
Registered Nurse did not consistently assess residents prior to admission.
Residents' service agreements were not updated to reflect significant health changes.
Facility nurse did not consistently document resident assessments or counseling on medication refusals.
Facility did not obtain history and physical results for all residents upon admission.
Behavior plans with interventions were not developed for residents exhibiting problematic behaviors.
As-worked schedules did not document times administrator or nurses were present.
No staff had current Certified Food Protection Manager certification.
Staff lacked specialized training for mental illness, dementia, and developmental disabilities.
Report Facts
Resident falls: 31
Resident falls: 7
Resident falls: 3
Hot water temperature: 127
Hot water temperature: 129
Hot water temperature: 122
Hot water temperature: 129
Medication doses unavailable: 14
PRN medications ordered: 13
PRN medications available: 3
PRN medications ordered: 10
Medication refusals: 60
Staff training deficiencies: 7
Staff training deficiencies: 3
Staff training deficiencies: 2
Inspection Report
Life Safety
Deficiencies: 3
Date: Jan 11, 2024
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to evaluate compliance with safety regulations.
Findings
The facility was found to have multiple deficiencies including the use of prohibited electrical applications, failure to conduct annual inspections on fuel-fired heating systems, and failure to conduct the required six annual fire/emergency evacuation drills including nighttime drills.
Deficiencies (3)
Use of a RPT to power multiple electronic devices in Room 4, which is a prohibited application in lieu of permanent installed receptacles.
Failure to have an annual inspection on all fuel-fired heating systems and devices.
Failure to conduct the required six annual, bi-monthly fire/emergency evacuation/relocation drills, including two drills during nighttime hours when residents would be sleeping.
Report Facts
Required fire/emergency drills: 6
Nighttime drills required: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeremy Wilson | Survey Team Leader | Named as the survey team leader for the fire life safety and sanitation licensure inspection |
| Bradley Wall | Administrator | Named as the facility administrator |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Dec 12, 2023
Visit Reason
The inspection was conducted as a health care complaint investigation regarding allegations of staff abuse of Resident #4.
Complaint Details
The complaint investigation was substantiated by findings that the administrator did not notify Adult Protection promptly and did not follow proper investigation procedures for abuse allegations involving Resident #4.
Findings
The administrator failed to report allegations of abuse to Adult Protection immediately and did not follow facility policies for investigation, notification, and documentation related to the abuse allegations involving Resident #4.
Deficiencies (2)
Failure to report all allegations of abuse to Adult Protection immediately after staff allegedly abused Resident #4 on 9/13/23.
Failure to implement policies related to a thorough investigation of an abuse allegation by staff, including notifications, documentation, and investigation procedures.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bradley Wall | Administrator | Named in findings related to failure to report and investigate abuse allegations. |
| Bradley Perry | Survey Team Leader | Led the health care complaint investigation survey. |
Inspection Report
Life Safety
Deficiencies: 11
Date: Jun 8, 2022
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey of Heritage Senior Living facility.
Findings
Multiple fire and life safety deficiencies were identified including lack of semi-annual hood system inspections, outdated fire suppression tank testing, undocumented fire door drop testing, improper maintenance of cadet heaters, insufficient emergency drill documentation, malfunctioning bifold doors, missing keys to locked mechanical rooms, use of non-grounded extension cords, prohibited use of relocatable power taps, lack of medical gas policies and signage, improper oxygen storage, and missing fire alarm inspection documentation for 2021.
Deficiencies (11)
Only one documented hood cleaning/inspection; hood system required to be inspected semi-annually and cleaned at least annually.
Fire suppression tanks in hoods dated over 12 years ago; hydro testing required every 12 years.
Drop testing of rolling fire doors not documented; no documented staff certification or testing records.
Cadet heaters maintained with less than 3 foot clearance from combustible materials.
Emergency drills did not document assembly point; only one drill documented during night shift.
Bifold door in laundry area not functional, leaning against motor assembly and exhaust system of running dryer.
Mechanical room housing fuel-fired furnace locked with missing key.
3-1 non-grounded extension cord in use in room West 13.
Prohibited use of relocatable power taps with appliances in rooms South 9 and South 2.
No policy for medical gas elimination of ignition sources; no oxygen use signage on rooms or exterior doors; improper oxygen storage exceeding 300 cubic feet outside dedicated storage.
No documentation for fire alarm inspection completed during 2021.
Report Facts
Oxygen cylinders: 17
Oxygen cylinders: 2
Fire suppression tank age: 17
Emergency drills required: 6
Emergency night drills required: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jordan Snedaker | Administrator | Named as facility administrator |
| Sam Burbank | Survey Team Leader | Named as survey team leader for fire life safety and sanitation licensure |
Inspection Report
Follow-Up
Deficiencies: 3
Date: Jun 23, 2021
Visit Reason
The inspection was a health care licensure and follow-up survey conducted to assess compliance with nursing and infection control standards at Heritage Senior Living.
Findings
The facility nurse failed to assess residents with changes in condition, did not provide required behavior updates for psychotropic medication reviews, and staff did not consistently follow standard precautions such as glove use and hand hygiene during diabetic care.
Deficiencies (3)
The facility nurse did not assess residents who experienced changes of condition, including wounds, blisters, vomiting episodes, and falls.
The facility did not provide behavior updates to the physician or authorized provider for residents requiring psychotropic medication reviews.
The facility did not implement standard precautions as per CDC guidelines; staff failed to consistently wear gloves and perform hand hygiene during blood sugar checks and insulin administration.
Report Facts
Residents requiring psychotropic medication reviews: 4
Dates of observed non-compliance: Jun 22, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jordan Snedaker | Administrator | Named as facility administrator |
| Mina Ramirez | Survey Team Leader | Led the health care licensure and follow-up survey |
Inspection Report
Life Safety
Deficiencies: 18
Date: Apr 7, 2021
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to evaluate compliance with fire and life safety standards for the facility.
Findings
Multiple deficiencies were found related to fire and life safety standards including lack of documented monthly inspections of sprinkler system control valves, missing inservice training for residents and staff on emergency plans, overdue fire suppression system inspections, improper storage clearance, unsecured oxygen cylinders, blocked heater clearance, and incomplete emergency drill documentation.
Deficiencies (18)
Only one relocation agreement with one alternate location; facility requires two separate relocation agreements reviewed annually.
No documented monthly control valve and wet system riser inspections for sprinkler system.
No documented inservice training for residents on emergency plan roles and responsibilities.
No documented bi-monthly inservice reviews for staff training on emergency plan.
No documented testing of automatic hand sanitizer dispensers during refills.
Antifreeze loop documentation missing percentage of antifreeze; only temperature documented.
Emergency plan lacks point of assembly for drills.
No documented first quarter 2021 waterflow alarm testing.
Fire suppression system inspection and testing past due; UL 300 hood systems not inspected semi-annually.
No documentation of annual drop-testing of rolling fire doors in main kitchen of West building.
No visible placard for operation of 'K' style fire extinguisher in West building kitchen.
Activities closet in West building dining room not maintaining required 18 inches clearance to storage and upper shelf.
Transfer grilles installed in prohibited locations in West building.
Cadet heater in room 15 North of West building blocked by wooden dresser, violating 3 feet clearance requirement.
No documented annual inservice training for staff on oxygen risks.
One unsecured oxygen cylinder found in maintenance office.
No documented annual fuel-fired heating inspection since September 2019.
Emergency egress and relocation drills lack documentation of personnel response, problems, or recommendations; only 'Room Checks' documented due to COVID.
Report Facts
Facility License Number: RC-1116
Response Due Date: 05/07/2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jordan Snedaker | Administrator | Named as facility administrator during inspection |
| Sam Burbank | Survey Team Leader | Conducted fire life safety and sanitation licensure survey |
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