Inspection Reports for Highgate at Bozeman

MT

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Deficiencies per Year

4 3 2 1 0
2014
2016
2019
2022
Unclassified
Inspection Report Renewal Deficiencies: 3 Dec 14, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the Highgate Senior Living facility to assess compliance with regulatory standards.
Findings
The inspection identified deficiencies including lack of separation between soiled and clean aprons in laundry rooms, outdated temperature logs for kitchen freezers and fridges last recorded eight months prior, and unsecured chemicals and bleach bottles in laundry rooms.
Deficiencies (3)
Description
No separation between aprons staff use for soiled versus clean laundry in both laundry rooms.
Temperature logs for all kitchen freezers and fridges were last recorded eight months ago in April 2022, a previous citation from 2016.
Chemicals left out and not locked in low side laundry room; clear bottle labeled bleach found under sink in high side laundry room not kept locked.
Report Facts
Previous citation date: Nov 30, 2016
Employees Mentioned
NameTitleContext
Jen WilliamsAdministratorNamed as facility administrator
Noelle MarklandSurvey Team LeaderNamed as survey team leader
Inspection Report Renewal Deficiencies: 3 Jan 3, 2019
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living facility to assess compliance with regulatory requirements.
Findings
The survey identified deficiencies related to medication aide practices, including performing tasks outside their scope, administering insulin injections without resident assistance, and failure to follow proper infection control procedures such as hand hygiene.
Deficiencies (3)
Description
Medication aide performing tasks outside their scope of practice by dialing up insulin and administering insulin injection without resident assist.
Medication aide administering insulin injection to a resident who refused to assist with injection.
Medication aide providing direct care without observed hand washing or use of hand cleaning gel before or after resident contact.
Employees Mentioned
NameTitleContext
Rachel RidleSurvey Team LeaderNamed as survey team leader for the renewal inspection.
Inspection Report Renewal Deficiencies: 2 Nov 30, 2016
Visit Reason
The inspection was conducted as a renewal inspection of Highgate Senior Living facility to assess compliance with licensing requirements.
Findings
The inspection identified deficiencies including lack of privacy curtains or screens in double occupancy rooms on the Memory Care unit and missing temperature logs for refrigerators and freezers since January 2016.
Deficiencies (2)
Description
No curtains or screens to provide privacy in double occupancy rooms #6, #11, and #13 on the Memory Care unit.
Temperature logs for refrigerators and freezers in the facility’s kitchen had not been done since January 2016.
Inspection Report Renewal Deficiencies: 4 Oct 22, 2014
Visit Reason
The inspection was conducted as a renewal inspection of the Highgate Senior Living assisted living facility to assess compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including missing practitioner’s written orders for resident admissions, lack of required staff orientation and training documentation, incomplete employee files regarding orientation and first aid training, and medication administration records lacking documentation of reasons for scheduled medications.
Deficiencies (4)
Description
Missing practitioner’s written order for admission as a Category B resident for Resident #1 and missing orders for Category C residents #2 - #5.
In 7 of 7 staff files (Staff #2 - #8), orientation/training to the Montana Elder and Persons with Developmental Disabilities Abuse Prevention Act was not found.
In 6 of 7 employee files, initialed documentation of employee orientation was not found; in 5 of 7 files, documentation of basic first aid and Heimlich maneuver was missing.
Facility Medication Administration Records lack documentation of reason for use on scheduled medications.
Report Facts
Staff files missing orientation/training: 7 Employee files missing orientation documentation: 6 Employee files missing first aid and Heimlich documentation: 5

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