Inspection Reports for Homestead Estates

An offsite revisit survey was conducted on 11/18/24 to verify correction of all previous deficiencies cited on 10/31/24.

All deficiencies have been corrected as of the compliance date of 11/15/24 and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a resurvey with complaints #186341, 188027, 190191, and 190729 conducted on 10/29/24, 10/30/24, and 10/31/24 at an assisted living facility.

The facility was found deficient in multiple areas including failure to maintain a signed Do Not Resuscitate (DNR) order in a resident's medical record, incomplete negotiated service agreements for residents, failure to identify responsible persons for medication administration, non-compliance with tuberculosis testing guidelines, and failure to secure chemicals properly for resident safety.

The visit was a resurvey with complaints #186341, 188027, 190191, and 190729.

The document is a Plan of Correction addressing findings from a resurvey with complaints #186341, 188027, 190191, and 190729 conducted on 10/29/24, 10/30/24, and 10/31/24 at the assisted living facility.

The Plan of Correction corresponds to deficiencies identified during the resurvey and complaint investigations conducted over three days in late October 2024.

The resurvey was conducted in response to complaints #186341, 188027, 190191, and 190729.

An offsite revisit survey was conducted on 06/08/23 to verify correction of all previous deficiencies cited on 05/17/23.

All deficiencies have been corrected as of the compliance date of 06/07/23, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a Re-Licensure survey combined with complaint investigations 165406, 167035, and 171857 conducted on 05/16/23 and 05/17/23 at an Assisted Living Facility.

The inspection identified multiple deficiencies including failure to review and revise negotiated service agreements after significant changes in resident condition, failure to assess residents properly for self-administration of medication, inadequate documentation and communication regarding sample medications, and unsafe food storage practices.

The visit included complaint investigations 165406, 167035, and 171857 as part of the Re-Licensure survey.

The document is a Plan of Correction addressing findings from a Re-Licensure survey with complaint investigations conducted on 05/16/23 and 05/17/23 at the Assisted Living Facility.

The Plan of Correction references citations from a Re-Licensure survey combined with complaint investigations numbered 165406, 167035, and 171857 conducted over two days in May 2023.

The inspection was a resurvey with complaints #154548, #153642, #153153, and #151459 conducted on 08-23-21, 08-24-21, and 08-30-21.

The facility was found deficient in several areas including failure to ensure licensed nurses oriented and documented competency of certified medication aides in blood sugar testing and insulin administration, failure to maintain accurate accountability and reconciliation of controlled substances, failure to conduct quarterly reviews of the emergency management plan with staff and residents, and failure to secure hazardous chemicals to protect health and safety.

The resurvey was conducted in response to complaints #154548, #153642, #153153, and #151459.

The special infection control survey for COVID-19 was conducted at the facility on 7-9-20.

The survey resulted in findings of no deficiency citations.

The inspection was conducted as an abbreviated survey for investigation of complaint #139806 at the assisted living facility on 4/9/19 and 4/11/19.

The administrator failed to ensure that each potential allegation of neglect was reported to the department within 24 hours and failed to thoroughly investigate each incident to rule out staff neglect of resident #2. Multiple incidents involving resident #2 were documented, but investigations lacked proof of how determinations were made and did not include timely reporting to the department.

Complaint #139806 triggered the investigation. The complaint was related to allegations of neglect involving resident #2. The facility failed to report incidents within 24 hours and did not conduct thorough investigations to rule out staff neglect.

This is a revisit report completed by a State surveyor to show those deficiencies previously reported that have been corrected and the date such corrective action was accomplished.

All previously reported deficiencies identified by regulation or LSC provision numbers were corrected as of the revisit date 2018-11-15.

The inspection was conducted as a resurvey and complaint investigation for citations #115328, #121118, and #125631 at Chaucer Estates LLC on 6/7/18 and 6/11/18.

The facility failed to provide 30-day written notice of monthly rate increases to three sampled residents and failed to ensure that licensed nurses or pharmacists placed the full name of residents on over-the-counter medication packages or containers in medication carts and rooms.

The inspection included complaint investigations #115328, #121118, and #125631.

This report documents a revisit inspection to verify correction of previously cited deficiencies at Chaucer Estates LLC.

The revisit confirmed that the previously reported deficiency identified by regulation 26-41-104 (d) with ID prefix S3280 was corrected as of 12/07/2015.

The inspection was a resurvey with investigation of complaints #80317, #81202, #84945, and #86081 conducted on 10/21/15, 10/22/15, and 10/26/15.

The administrator failed to ensure disaster and emergency preparedness by not performing a quarterly review of the facility's emergency management plan with employees and residents as required.

The visit was complaint-related involving complaints #80317, #81202, #84945, and #86081. The findings were substantiated as the administrator failed to ensure required quarterly reviews of the emergency management plan.

This revisit report documents the correction of deficiencies previously reported during a prior survey, verifying that corrective actions were accomplished.

All previously cited deficiencies identified by regulation numbers 26-41-204(d), 26-41-205(i), 26-41-102(d), 26-41-104(d), and 26-41-206(e)(1) were corrected as of the revisit date.

The document is a plan of correction related to a deficiency found during an inspection of an assisted living facility regarding the development of negotiated service agreements for residents.

The facility failed to meet the requirement to develop a written negotiated service agreement for each resident, including descriptions of services, service providers, and payment responsibilities.

Resurvey with investigation of complaint #75445 at an assisted living facility conducted over 7/28/14 to 7/31/14.

The investigation found multiple deficiencies including failure to develop adequate negotiated service agreements for residents, improper medication disposal practices, incomplete employee records, lack of disaster and emergency preparedness training and education, and unsafe food storage practices.

The visit was a resurvey with investigation of complaint #75445 conducted from 7/28/14 to 7/31/14.

This document is a Plan of Correction related to a prior inspection event identified by ASPEN Event ID TJ4X12 for facility State ID N087048.

No specific deficiencies or findings are detailed in this document; it serves as a record for the Plan of Correction submission and status.