Inspection Reports for Kathleen Care Home

An unannounced required 1-year annual inspection was conducted to evaluate compliance with licensing requirements for the Kathleen Care Home Facility.

The facility was generally compliant with infection control, operational requirements, and physical plant safety. However, deficiencies were cited related to medication administration, resident records, and postural supports, including incorrect medication labeling, missing physician orders, and incomplete documentation.

The visit was a continuation of the annual inspection conducted as part of case management to evaluate compliance with licensing requirements.

The inspection found no deficiencies. The administrator's certificate had expired but renewal was pending approval. Staff files and resident records were reviewed and found to be in order, including current CPR and First Aid certifications and proper medication storage. The facility has an emergency disaster plan and accepts residents with dementia and hospice care.

The visit was an unannounced annual inspection conducted using the Compliance and Regulatory Enforcement (CARE) tool to evaluate the facility's compliance with regulatory requirements.

The inspection found that the facility staff were following infection control protocols, the physical plant and environment were safe and secure, operational requirements were met including hospice waivers, and food service supplies were adequate. No deficiencies were issued during this visit.

The inspection was a required annual unannounced visit to evaluate compliance with licensing regulations for the facility.

The facility was inspected using Compliance and Regulatory Enforcement tools and found to be in compliance with regulations including proper storage of medications, sufficient food supplies, appropriate staff certifications, and safety measures. No deficiencies were noted.

The purpose of the visit is to complete the required annual inspection of the facility, including infection control, food supply, medications, and criminal clearance checks.

The inspection found the facility to be in compliance with no deficiencies. Adequate supplies of food, medications, and PPE were observed, staff were trained and cleared, infection control measures were in place, and proper signage and sanitation protocols were followed.

An unannounced annual inspection focusing on the Infection Control Domain was conducted to evaluate compliance with regulatory requirements.

The inspection found several deficiencies including accessible sharp knives, lack of physician's orders and labels for medications, uncovered and unlabeled refrigerated foods, one stove burner not operating, and a kitchen trash can without a lid. Required furniture and supplies were present, and safety equipment was operable.