Deficiencies per Year
4
3
2
1
0
Unclassified
Inspection Report
Plan of Correction
Deficiencies: 1
Feb 26, 2024
Visit Reason
An unannounced visit was made to Maplewood At Southport on February 26, 2024, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a complaint investigation.
Findings
The Assisted Living Services Agency staff failed to provide timely responses to clients' calls for assistance, with multiple instances of call response times exceeding five and twelve minutes, contrary to agency policies and the Emergency Response System Policy.
Complaint Details
Complaint #36950 triggered the investigation. The complaint was substantiated based on clinical record reviews, policy reviews, and interviews revealing delayed response times to client calls for assistance.
Deficiencies (1)
| Description |
|---|
| Failure to provide timely responses to clients' calls for assistance as required by the ALSA policy, with documented call response times exceeding five and twelve minutes on multiple occasions. |
Report Facts
Call response times exceeding five minutes: 39
Call response times exceeding twelve minutes: 29
Call response times exceeding five minutes: 48
Call response times exceeding twelve minutes: 52
Days of call log review: 40
Plan of Correction completion date: Apr 15, 2024
Monthly audits: 6
Audit duration: 4
Retention period for documentation: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Heiney | Supervising Nurse Consultant | Signed the initial violation letter and correspondence |
| Kayla Duvall | Supervisor of Assisted Living Services Agency | Signed the Plan of Correction response letter |
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