Inspection Reports for Mission of Love

The inspection was an unannounced required annual visit to the facility to evaluate compliance with licensing regulations.

The facility was found to have several deficiencies including failure to review/update the Infection Control Plan and Emergency Disaster Plan annually, lack of active fire alarm/sprinkler services, and failure to notify the local fire jurisdiction about oxygen administration in the facility. Plans of correction were submitted with due dates.

The visit was an unannounced investigation of complaint number 56-AS-20240228135949 regarding the use of restraints on a resident.

It was found that Resident 1 was restrained to their bed with a sheet tied loosely to the bed rail, posing an immediate health and safety risk. Resident 1 was immediately released from the restraint with no observed bruising or skin discoloration.

The visit was conducted for the investigation of complaint number 56-AS-20240228135949. The complaint was substantiated by the observation of improper restraint use.

An unannounced complaint investigation visit was conducted following a complaint received on 2024-02-28 regarding allegations of inadequate care and facility conditions at Mission of Love II.

The investigation found the allegations unsubstantiated after observations, record reviews, and interviews. The facility was clean and odor-free, residents received appropriate incontinence care, pressure injuries were related to resident behavior and hospice care, and adequate food quantity and assistance were provided.

The complaint included allegations that staff did not ensure the facility remained free of odors, did not assist residents with incontinence needs, did not prevent a resident from developing a pressure injury, and did not ensure an adequate quantity of food was served. All allegations were found unsubstantiated.

The visit was conducted as a required comprehensive annual inspection of the facility.

The inspection found that the facility was operating within its approved capacity and maintained a safe and clean environment with sufficient staffing and supplies. However, three deficiencies were cited related to the absence of an Emergency Disaster Plan, Infection Control Plan, and Planned Activities for residents.

An unannounced required annual inspection was conducted with an emphasis on infection control due to the COVID-19 pandemic.

The facility was found to be in compliance with regulatory requirements, including infection control measures, operational standards, and safety protocols. No deficiencies were cited during the inspection.