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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Deficiencies (last 1 years)

Deficiencies (over 1 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

49% better than Idaho average
Idaho average: 7.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024

Inspection Report

Complaint Investigation
Deficiencies: 4 Date: Mar 15, 2024

Visit Reason
The inspection was conducted as an initial licensure survey combined with a complaint investigation.

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.
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.

Deficiencies (4)
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
NameTitleContext
Heather ParkerAdministratorNamed as the facility Administrator who stated the facility did not always have a licensed administrator and was unaware of psychotropic medication review requirements.
Bradley PerrySurvey Team LeaderLed the inspection team for the initial licensure and complaint investigation.

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