Inspection Reports for Linden Square Senior Care

The inspection was conducted as a Renewal Licensing Study for Linden Square Senior Care to assess compliance with licensing requirements and to determine if the facility meets standards for license renewal.

The facility was found to be in non-compliance with several rules including employee tuberculosis screening, medication administration record keeping, and meal census documentation. Violations were established in these areas requiring corrective action.

The inspection was conducted in response to a complaint alleging that residents were not receiving quality care, medications were not administered correctly or consistently, and there was insufficient food supply at the facility.

The investigation substantiated violations related to inadequate quality of care, improper medication administration and training, and unsanitary kitchen conditions. The allegation of insufficient food supply was not substantiated.

Complaint received on 2024-10-23 alleging poor quality of care, medication mismanagement, and insufficient food supply. The complaint was substantiated for quality of care and medication issues but not for food supply.

The document serves as an administrative review of licensing activity for the past year to determine compliance with public health code and administrative rules for home for the aged facilities, leading to license renewal upon receipt of the licensing bed fee.

The review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, supporting license renewal.

The inspection was conducted as a Renewal Licensing Study to evaluate compliance with licensing rules and regulations for Linden Square Assisted Living.

The facility was found to be in non-compliance with multiple rules including lack of proper documentation and monitoring of bedside assistive devices, failure to conduct timely tuberculosis screening for employees, inadequate menu posting for special diets, unsafe food storage practices, and unsecured hazardous materials in the kitchen. A renewal of the license is recommended contingent upon receipt of an acceptable corrective action plan.

The investigation was initiated due to a complaint alleging that a resident choked on food he was unable to swallow, resulting in brain death. The complaint focused on whether the facility neglected the resident by serving inappropriate food despite known swallowing difficulties.

The investigation found that the resident was served a whole hamburger instead of the prescribed minced and moist diet, leading to choking and subsequent brain death. The facility failed to maintain updated diet order boards, and the culinary staff was not properly informed of the resident's dietary needs. A violation was established.

The complaint alleged that the resident choked on food he was unable to swallow and did not respond to first aid, resulting in brain death. The complaint was substantiated with a violation established.

The inspection was conducted in response to a complaint alleging that Resident A did not receive her medications as prescribed and that the facility lacked an organized program for resident protection.

The investigation substantiated that Resident A's medications were held for a two-week period without physician orders, leading to a violation. The allegation regarding lack of an organized program for resident protection was unsubstantiated as the facility had appropriate COVID-19 screening and mitigation procedures in place.

The complaint alleged that Resident A did not receive her medications as prescribed, specifically that medications were held for two weeks without physician orders, resulting in hospitalization for stroke-like symptoms. The complaint also alleged the facility lacked an organized program for resident protection, including failure to stop a COVID-positive family member from entering the building. The medication allegation was substantiated; the resident protection allegation was not substantiated.

The inspection was conducted in response to a complaint alleging that Resident A was left in wet/soiled clothing for over an hour in her wheelchair on 9/12/2022 after returning from physical therapy.

The investigation substantiated that Resident A required one-person assistance for transfers and care, and staff failed to respond timely to call lights, resulting in neglect of Resident A's care and safety consistent with her service plan. Numerous documentation gaps were found in the task administration records.

The complaint alleged Resident A was left in wet/soiled clothing for over an hour on 9/12/2022. The allegation was substantiated based on Resident A's statements, call light response logs, and review of task administration records.

The facility requested an increase in licensed bed capacity from 97 to 187 beds due to an addition of 90 beds in a new building addition.

The addition consists of 36 apartment units for the general aged population and 16 units for memory care, all meeting applicable administrative rules and fire safety requirements. The facility was found to be in full compliance following inspection.

The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Linden Square Assisted Living.

The facility was found to be in substantial compliance with home for the aged public health code and administrative rules. A temporary license with a maximum capacity of 97 beds was recommended for issuance.