Inspection Reports for Lily and Syringa

840 1st St, Idaho Falls, ID 83401, United States, ID, 83401

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Inspection Report Summary

The most recent inspection on October 7, 2022, identified several deficiencies related to life safety and facility maintenance. Earlier inspections also noted issues, including a 2021 report that cited failures in investigating a resident’s allegation against staff and protecting residents during that process. The main themes of deficiencies involve safety training, building maintenance, and procedural compliance. There were no complaint investigations listed in the available reports, and no fines or enforcement actions were mentioned. The pattern of findings suggests ongoing challenges with facility upkeep and staff procedures without clear improvement or worsening over time.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

49% better than Idaho average
Idaho average: 7.9 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022

Inspection Report

Life Safety
Deficiencies: 6 Date: Oct 7, 2022

Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey of the Lily and Syringa Assisted Living facility.

Findings
The facility failed to maintain compliance with the 2018 edition of NFPA 101 Life Safety Code, including lack of staff training on oxygen safety, structural holes in furnace closets, outdated relocation agreements, resident room door latch failure, prohibited use of a relocatable power tap, and damaged vinyl flooring exposing non-washable sub-flooring.

Deficiencies (6)
Facility could not produce documentation showing staff are trained periodically on safety guidelines, usage requirements and risks associated with handling and use of oxygen.
Observation of furnace closets revealed holes in walls next to furnaces in both Lily and Syringa buildings.
Relocation agreements were not updated annually; last review was in 2019.
Resident room door in Lily building (room #5) would not latch.
Full-sized refrigerator plugged into a relocatable power tap (RPT) in the garage, which is prohibited.
Laundry/utility room vinyl floors in Lily building were badly damaged with torn and missing pieces exposing non-washable sub-flooring.
Report Facts
Facility licensed capacity range: 16 Number of relocation agreements: 2

Employees mentioned
NameTitleContext
Mary White Administrator Named as facility administrator
Linda Chaney Survey Team Leader Conducted the fire life safety and sanitation licensure survey

Inspection Report

Original Licensing
Deficiencies: 2 Date: Feb 11, 2021

Visit Reason
The inspection was conducted as an initial licensure survey for Lily and Syringa Assisted Living facility.

Findings
The facility failed to conduct a timely investigation of a resident's allegation against a staff member and did not adequately protect residents during the investigation process.

Deficiencies (2)
The facility did not conduct an investigation when a resident made an allegation against a staff member on 8/14/20 for having 'attitude' while providing cares and swearing at/around them.
The facility did not protect residents during the course of an investigation when an allegation against a staff member was made on 8/14/20 for having 'attitude' while providing cares and swearing at/around them.

Employees mentioned
NameTitleContext
Mary White Administrator Confirmed that an investigation was not completed and that the alleged perpetrator was only assigned to the other building and not put on suspension.
Torrey Bollinger Survey Team Leader Led the initial licensure survey.

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