Inspection Reports for
Linda Manor Assisted Living

Emergency call response: Documentation of the ALR management testing the system to ensure functionality as required by the Residence policy was missing for the calendar years reviewed.

Quality assurance program: One nurse documented on the medication administration record for two Residents prior to the completion of the medication administration.

Incident reporting: The Residence filed 26 incident reports greater than 24 hours after the occurrence of the incident during the period reviewed (repeat finding).

Controlled medication handling: The Residence was inconsistent in documenting a controlled substance count for one Resident prescribed a controlled substance in accordance with the Residence policy.

Resident records: The Residence did not use the Correspondence Logs to communicate all significant or pertinent information necessary to maintain the continuity of care for all Residents.

Staff training: Seven records were missing signature documentation to support that Introductory Visits have been conducted with all applicable staff prior to or within 48 hours after the provision of Personal Care services, at the time of move-in (repeat finding).