Inspection Reports for Integrated Care Communities

The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing requirements for the facility.

The facility was found to be in compliance with regulations, including physical plant conditions, medication storage, food service, care and supervision, records, disaster preparedness, and infection control. No deficiencies were noted during the visit.

An unannounced case management visit was conducted by Licensing Program Analysts to assess the facility's compliance and resident care conditions.

The facility was found to have no imminent health or safety concerns. Staffing levels were adequate, food and medication supplies met requirements, and the facility was clean and well-maintained.

The inspection was an unannounced required annual inspection conducted to assess compliance with licensing requirements.

The facility was found to be clean, well-maintained, and in compliance with department requirements including infection control, physical plant safety, food service, staff certifications, medication security, and disaster preparedness. No deficiencies were cited during the visit.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not refill a resident's medication prescription in a timely manner and that staff did not keep an accurate medical log for residents.

The investigation found the allegation regarding the medication refill to be unfounded as medication was available and administered appropriately. The allegation about inaccurate medical logs was deemed unsubstantiated as no discrepancies were found in medication records or administration documentation.

The complaint involved two allegations: 1) staff did not refill a resident's medication prescription timely, and 2) staff did not keep an accurate medical log for residents. The first allegation was found to be unfounded, meaning it was false or without reasonable basis. The second allegation was unsubstantiated, meaning there was insufficient evidence to prove the violation occurred.

The visit was an unannounced annual inspection conducted by Licensing Program Analyst Chinwe Nwogene to evaluate the facility's compliance with regulatory standards.

The facility was found to be in good repair, operating within approved capacity, and maintaining safe and sanitary conditions. No deficiencies were cited during the inspection.

The visit was conducted to address a potential violation reported during the investigation of complaint #18-AS-20230314155846 involving a resident sustaining injuries after being pushed by a staff member.

The Licensing Program Analyst conducted staff and resident interviews, reviewed records, and video surveillance related to the incident. The video showed a resident arguing with an unidentifiable individual and the staff member stumbling and falling, but did not clearly capture the alleged pushing incident. Further follow-up will occur if additional information indicates a violation.

The complaint involved a resident (R1) who reported being pushed by an unknown staff member (S1), resulting in a head injury and hospital transport. The incident was reported on March 14, 2023, and emergency services were called due to bleeding from a fall.

The visit was an unannounced complaint investigation initiated due to an allegation of staff neglecting a resident, received on 06/08/2020.

The investigation found that a resident called for help and staff responded promptly, but the resident was found on the floor and later had difficulty breathing. The allegation was deemed unsubstantiated due to insufficient evidence to prove the violation occurred. No deficiencies were cited during the visit.

The complaint alleged staff neglected a resident. The investigation included review of records and staff interviews. The resident had passed away and could not be interviewed. The allegation was found unsubstantiated.

The inspection was an unannounced required annual visit with emphasis on infection control.

The Licensing Program Analyst observed sufficient hand hygiene supplies, cleaning and disinfecting provisions, and proper use of face coverings. The facility has a designated infection control lead responsible for tracking COVID-19 cases and maintaining PPE and cleaning supplies.

The inspection was an unannounced annual inspection limited to infection control conducted to evaluate the facility's compliance with COVID-19 best practices and other regulatory requirements.

The facility was found to be generally compliant with infection control practices including COVID-19 mitigation, staff training, and resident hygiene supplies. However, there was insufficient PPE supply readily available to staff, staff had not been fit tested for N95 masks, and one medication cabinet was found unlocked, posing a safety risk.