Inspection Reports for Merrill Gardens at Lafayette

The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.

The Licensing Program Analyst toured the facility and reviewed resident and staff records. All safety equipment and emergency plans were in place and operational. No deficiencies were cited during the visit.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not seek medical attention for a resident in a timely manner resulting in injuries and that staff unlawfully evicted a resident.

The investigation found that staff followed proper fall protocols and that the resident declined ambulance assistance at the time of the fall. The resident was later hospitalized with rib fractures and other injuries. The complaints were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included failure to seek timely medical attention and unlawful eviction of a resident. The resident was independent and declined ambulance transport after a fall. Staff followed protocols and the resident was later hospitalized. There was insufficient evidence to prove violations occurred.

The inspection was conducted as a result of a priority 1 complaint to perform a Health & Safety inspection at the facility.

The Licensing Program Analysts toured the facility and found no deficiencies. Hot water temperature, food supplies, medication storage, smoke and carbon monoxide detectors, first-aid kit, and fire extinguisher were all in compliance. Passageways were free of obstruction.

The visit was triggered by a priority 1 complaint. No deficiencies were cited during the visit.

The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.

The Licensing Program Analysts toured the facility and reviewed resident and staff records, finding no deficiencies. Safety equipment and emergency plans were in place and operational.

The visit was an unannounced complaint investigation conducted in response to an allegation that a staff member yelled at and verbally threatened another co-worker in front of residents at the facility.

The investigation found that a verbal altercation occurred between two staff members on 05/21/2023, but no residents were present during the incident and residents were not aware of it. The complaint was determined to be unfounded and was dismissed.

The complaint alleged that a staff member yelled at and verbally threatened a co-worker in front of residents. The complaint was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-05-11 alleging that staff were not available to meet resident needs.

The investigation found that the facility had sufficient staffing for all three shifts, residents were calm and comfortable, and residents reported no issues with staff availability. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff were not available to meet resident needs. The investigation was unannounced and included interviews and document reviews. The allegation was found to be unsubstantiated.

The visit was an unannounced case management inspection conducted due to a self-reported incident involving a staff member's violation of HIPAA.

The investigation found that the incident was reported to the police, and the staff member returned most property except photo albums. The administrator took immediate corrective actions including deactivating access and terminating the staff member. No health or safety impacts to residents were identified and no deficiencies were cited during the visit.

The complaint involved a staff member (S1) violating HIPAA by mishandling facility property including photos. The incident was substantiated with police involvement and corrective actions taken by the facility.

The visit was an unannounced routine Infection Control Inspection conducted to assess compliance with infection control protocols.

The facility was found to be in compliance with infection control requirements, including proper PPE use, screening procedures, and adequate supplies of food and PPE. No deficiencies were cited during the visit.

An unannounced complaint investigation visit was conducted following a complaint received on 09/24/2021 regarding staff not preventing a resident from smoking in violation of facility policy.

The investigation found that for over three years, staff and residents informed management about Resident R1 smoking on their balcony despite a no-smoking policy. The facility did not issue a formal warning to the resident or their authorized representatives, constituting a violation of residents' personal rights.

The complaint alleging staff did not prevent a resident from smoking was substantiated based on interviews and record reviews.