Inspection Reports for Medicalodges Independence

This is a post-certification revisit to verify that previously reported deficiencies have been corrected as of the revisit date.

The report shows that all previously cited deficiencies identified by regulation numbers and prefix codes were corrected by 03/29/2014.

This is a revisit report completed by a State surveyor to show those deficiencies previously reported that have been corrected and the date such corrective action was accomplished.

The report documents that the previously cited deficiency with regulation number 28-39-158(a) and ID prefix S0600 was corrected on 2014-03-29.

This document is a Plan of Correction submitted in response to an annual survey inspection, outlining corrective actions to address cited deficiencies.

The plan details corrective actions for multiple deficiencies including maintenance and housekeeping repairs, restorative therapy program revisions, pain monitoring, medication management, dietary staff education, infection control, and overall wellness program implementation.

The inspection was a Health Resurvey to assess compliance with regulatory requirements including housekeeping, care planning, pain management, rehabilitation services, infection control, medication management, and quality assurance.

The facility was found deficient in multiple areas including housekeeping and maintenance services, failure to review and revise care plans, inadequate pain management, failure to provide appropriate rehabilitation and restorative services, failure to prevent urinary tract infections, improper medication monitoring including expired insulin administration, inadequate infection control practices, failure to follow dietary menus, and ineffective quality assurance processes.

This document is a Plan of Correction submitted by the facility to address deficiencies cited in a prior inspection.

The facility acknowledged deficiencies related to dietary management and outlined corrective actions including hiring a certified dietary manager and monitoring the dietary department to ensure cleanliness and resident dietary needs are met.

This post-certification revisit was conducted to verify that previously cited deficiencies identified in the CMS-2567 Statement of Deficiencies and Plan of Correction had been corrected.

The report shows that all previously cited deficiencies, identified by regulation numbers and prefix codes, were corrected by 12/07/2012 as verified during the revisit on 1/10/2013.

The visit was a non-compliant revisit to assess the facility's compliance with dietary services regulations following previous deficiencies.

The facility failed to retain the services of a certified dietary manager to oversee and manage the dietary department on a full-time basis, resulting in non-compliance with state guidelines.

This document is a Plan of Correction submitted by the facility to address deficiencies cited during a prior inspection survey.

The Plan of Correction details multiple deficiencies related to resident care, assessment, activity programming, housekeeping, medication administration, dietary services, infection control, and safety. The facility outlines corrective actions, staff education, audits, and quality assurance programs implemented to address each deficiency.

The inspection was conducted to assess compliance with dietary services regulations, specifically focusing on the facility's retention of a certified dietary manager and the sanitary conditions of the dietary department.

The facility failed to retain a certified dietary manager to oversee dietary staff and maintain a clean and sanitary dietary department. Multiple sanitation issues were observed, including unsanitary conditions of cabinets, drawers, food preparation tables, and accumulation of black slime near the ice machine.

This post-certification revisit was conducted to verify that previously cited deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction had been corrected.

The report indicates that the deficiency identified under regulation 483.13(c)(1)(ii)-(iii), (c)(2)-(4) was corrected as of the revisit date.

The inspection was conducted as an investigation of complaints #55496 and 58233 regarding alleged abuse by direct care staff.

The facility failed to immediately report and thoroughly investigate two reports of verbal abuse by two direct care staff members affecting at least 7 residents. Both staff members were terminated after internal investigations, but the facility did not report the incidents to the state agency as required.

The investigation was triggered by complaints #55496 and 58233 involving verbal abuse by two direct care staff (E and F) towards residents. The allegations were substantiated, and both staff were terminated. The facility failed to report the abuse to the state agency in a timely manner.

This document is a Plan of Correction submitted in response to complaint investigations #55496 and #58233 completed and turned into the State agency on 7/5/12.

The plan outlines procedures for investigating and reporting allegations of mistreatment, neglect, or abuse, including injuries of unknown source and misappropriation of resident property. It details corrective actions such as staff in-service training, monitoring by the Director of Nursing or designee, and ongoing quality assurance reviews to ensure compliance.

Investigation of complaints #55496 and #58233 were completed and turned into the State agency on 7/5/12. The plan addresses allegations involving mistreatment, neglect, or abuse, including injuries of unknown source and misappropriation of resident property.

This post-certification revisit was conducted to verify that deficiencies previously cited in the CMS-2567 Statement of Deficiencies and Plan of Correction had been corrected.

The revisit confirmed that all previously reported deficiencies were corrected as of the revisit date, with multiple regulatory items marked as corrected on 09/27/2011.

Annual health facility resurvey to assess compliance with regulatory requirements including resident care, medication management, infection control, and facility maintenance.

The facility was found deficient in multiple areas including failure to treat residents with dignity during assisted dining, incomplete comprehensive care plans especially for residents with urinary catheters, failure to review and revise care plans after significant changes, inadequate prevention of urinary tract infections related to catheter care, failure to monitor medications with Black Box Warnings, inadequate infection control practices including improper disinfection of glucometers and laundry sanitation, and ineffective pest control with presence of flies in resident areas.