Inspection Reports for Mountain Springs Assisted Living Center
3254 Spirit Lake Cutoff Rd, Spirit Lake, ID 83869, United States, ID, 83869
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Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 4
Mar 15, 2024
Visit Reason
The inspection was conducted as an initial licensure survey combined with a complaint investigation.
Findings
The facility operated without a licensed administrator for multiple periods, failed to conduct nursing assessments after resident incidents, did not complete required six-month psychotropic medication reviews, and did not sufficiently staff night shifts to ensure resident safety, resulting in an elopement incident.
Complaint Details
The complaint investigation was triggered by concerns including lack of licensed administrator, failure to assess residents after incidents, missing psychotropic medication reviews, and insufficient staffing leading to resident elopement on 3/3/24.
Deficiencies (4)
| Description |
|---|
| The facility operated without a licensed administrator overseeing day-to-day operations for multiple periods. |
| The facility Nurse did not conduct nursing assessments when residents experienced changes in physical or mental health status. |
| Six-month psychotropic medication reviews were not completed for residents who required them. |
| The facility did not sufficiently schedule staff during the night shift to keep residents safe, and staff did not act in a safe and timely manner when a confused resident eloped. |
Report Facts
Days without licensed administrator: 80
Date of resident elopement: Mar 3, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Parker | Administrator | Named as the facility Administrator who stated the facility did not always have a licensed administrator and was unaware of psychotropic medication review requirements. |
| Bradley Perry | Survey Team Leader | Led the inspection team for the initial licensure and complaint investigation. |
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