Inspection Report
Complaint Investigation
Census: 47
Deficiencies: 3
Jul 23, 2024
Visit Reason
The inspection was conducted as a Regulation Review Survey and Complaint survey to investigate complaint intake NM [redacted] and to assess compliance with state requirements for Assisted Living Facilities for Adults.
Findings
The facility was found deficient in ensuring resident rights, including treating residents with courtesy, respect, dignity, and compassion, providing a safe environment, humane care, and freedom from physical and emotional abuse. Additionally, medication administration errors were identified, and the facility failed to ensure cooks and food handlers wore hair nets or caps at all times.
Complaint Details
Complaint Intake NM [redacted] was investigated with deficiencies cited. The complaint involved a resident being physically restrained improperly by staff, which led to termination of the staff member involved. The Executive Director self-reported the incident to the Department of Health.
Deficiencies (3)
| Description |
|---|
| Failure to ensure residents were treated with courtesy, respect, dignity, and compassion; provided with a safe environment; humane care; and freedom from physical and emotional abuse. |
| Medication administration errors including incorrect dosage and frequency of medications administered to residents. |
| Cooks and food handlers failed to wear hair nets or caps at all times when handling food, drink, utensils, and equipment. |
Report Facts
Resident Census: 47
Dates of training and meetings: Trainings scheduled for 10/17/2024 and 10/19/2024; Complaint Team meeting on 10/21/2024.
Medication error dates: Medication errors and related reviews occurred between 7/10/2024 and 7/18/2024.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Morgan O'Roark | Executive Director | Signed the report and involved in investigating the complaint and corrective actions. |
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