Inspection Reports for Kokoro Assisted Living

The visit was conducted to perform a Case Management inspection related to a Change in Management application at the facility.

No deficiencies were cited during the visit. The Licensing Program Analyst collected the facility's current LIC 500 and discussed the Change in Management process with facility staff.

An unannounced Annual Required – 1 year inspection was conducted to evaluate compliance with licensing requirements at Kokoro Assisted Living Facility.

The facility was found clean, well-maintained, and compliant with safety and food storage standards. Two technical violations were issued for lack of documentation regarding one resident's refusal of annual medical assessment and the first quarterly emergency drill. No deficiencies were cited.

An unannounced annual required 1-year inspection was conducted to evaluate compliance with licensing regulations and facility conditions.

The facility was found clean, safe, and well-maintained with proper food storage, fire safety equipment, and resident care plans in order. A technical violation was issued for incomplete staff annual training records, with proof of completion due by 11/6/2024. A maintenance cart with potentially dangerous tools was found unsecured but was immediately removed and secured during the visit.

The visit was an unannounced Case Management visit to assess a resident for whom the facility had submitted a total care exception request.

No deficiencies were cited during the visit. The Licensing Program Analyst observed the resident during a pre-scheduled appointment and lunch.

The visit was an unannounced Case Management visit regarding an Exception request submitted by the facility for a resident believed to need total care.

No deficiencies were cited during the visit. The Licensing Program Analyst interviewed the resident and staff, and the visit will be continued at a later date.

Unannounced complaint investigation visit conducted due to allegations including a resident sustaining a fracture while in care, lack of activities for residents, and inadequate feeding of residents.

The investigation found the allegations to be unsubstantiated based on observations, interviews, and document reviews. Although some issues such as curtailed activities due to COVID-19 and individualized social visits were noted, there was insufficient evidence to prove violations occurred.

The complaint investigation was unsubstantiated. Allegations included resident fracture, lack of activities, and inadequate feeding. Incident reports were submitted for medical emergencies, and food service was overseen by a certified dietician. Activities were limited due to COVID-19 but individualized visits were provided.

An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and infection control practices at the assisted living facility.

No deficiencies were cited during the inspection. The facility was found to have appropriate infection control measures, emergency call systems, adequate PPE supplies, and proper food storage temperatures.

An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and infection control practices.

No deficiencies were cited. The facility demonstrated adequate infection control measures, proper storage of medications and sharps, and maintained a safe environment with sufficient lighting and comfortable temperature.

An unannounced complaint investigation visit was conducted following a complaint received on 08/19/2021 regarding alleged violations of resident rights and confidentiality at Kokoro Assisted Living Facility.

The investigation substantiated that the facility failed to maintain confidentiality of resident records by sharing medical information without consent, did not regularly inform the resident's representative about care activities, and failed to respond promptly to communications from representatives. These deficiencies posed potential health and safety risks to residents.

The complaint was substantiated based on evidence that the facility shared confidential resident information without consent, failed to keep the resident's representative informed about care activities, and did not respond promptly to communications from the representative.

An unannounced complaint investigation visit was conducted in response to allegations that staff failed to address residents' changes in medical condition and failed to follow proper reporting requirements.

The investigation substantiated the allegations that the facility failed to arrange appropriate medical care for a resident with significant weight loss and failed to provide written reports to the person responsible for a resident after an incident, only providing verbal reports.

The complaint was substantiated based on evidence that staff failed to address a resident's significant weight loss in a timely manner and failed to follow proper reporting requirements after a resident's unwitnessed mechanical fall.

An unannounced complaint investigation visit was conducted in response to an allegation that the facility failed to conduct emergency preparedness drills.

The investigation found the complaint to be unfounded, meaning the allegation was false or without reasonable basis, and the complaint was dismissed.

The complaint alleged failure to conduct emergency preparedness drills. The facility had previously been cited for this deficiency in January 2020 but had corrected it. At the time of the complaint investigation, the facility was found to be in compliance.

An unannounced complaint investigation visit was conducted in response to allegations received on 2020-03-05 regarding resident injuries from falls, staff leaving residents in soiled diapers for extended periods, inability to locate a resident, failure to notify authorized representatives of incidents, and administration of discontinued medication.

The investigation found that although the allegations may have occurred or are valid, there was insufficient evidence to substantiate the claims. Specific findings included an unwitnessed fall with no fall prevention plan for a low-risk resident, regular continence care provided, a resident leaving the facility authorized and documented, incidents reported verbally to responsible persons, and discontinued medication administration stopped prior to the alleged date.

The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.

An unannounced complaint investigation was conducted in response to a complaint alleging that residents were not provided with plastic utensils such as forks and spoons.

The investigation found that during times when plastic utensils were unavailable, residents were provided with chopsticks and small wooden spoons, and those who could not use chopsticks were offered silverware or cleaned plastic utensils saved from previous meals. Most residents preferred chopsticks and no complaints were reported. The allegation was unsubstantiated.

The complaint alleged residents were not provided with plastic utensils (forks and spoons). The investigation was unsubstantiated based on record review and interviews with staff and residents.

The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations including untimely linen changes, lack of scheduled activities, failure to report incidents, incomplete administrator certification, and insufficient staff training.

All allegations were investigated through record reviews and interviews with staff, residents, and responsible parties. Each allegation was found to be unsubstantiated based on evidence including housekeeping schedules, activity calendars, incident reports, training records, and certifications.

The complaint investigation was unsubstantiated. Allegations included untimely linen changes, no scheduled activities, failure to report incidents, administrator not completing required 80-hour RCFE certification, and staff not receiving required training. All were found unsubstantiated after review and interviews.