Inspection Reports for
Integrated Care Communities

The visit was related to complaint 18-AS-20240712084308. No deficiencies or penalties were found, indicating no substantiated issues during this visit.

No health and safety concerns were observed during the visit. No deficiencies were issued and no civil penalties were assessed.

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.

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 inspection.

The complaint alleged that resident R1 was not receiving medication at the facility during March 2022 to May 2022. The investigation included review of medication records, staff interviews, and resident interviews. R1 was reported deceased in August 2023. The allegation was unsubstantiated.

The investigation found no discrepancies in the medication administration records and interviews with staff and residents confirmed that medications were given as prescribed and on time. The allegation was determined to be unsubstantiated due to insufficient evidence.

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 facility was found to have no imminent health or safety concerns, with sufficient staffing, adequate food and medication supplies, and a clean environment meeting all resident care 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 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 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 allegation that staff did not ensure Resident #1 was provided a comfortable temperature was investigated and found to be unfounded because Resident #1 never resided at this facility.

The investigation found that the resident named in the allegation had never resided at the facility, therefore the allegation was deemed unfounded.

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 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 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 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 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 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.