Inspection Reports for New Perspective Senior Living Howard
2790 Elm Tree Hl, Green Bay, WI 54313, United States, WI
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 61
Deficiencies: 1
Jun 20, 2024
Visit Reason
The surveyor conducted a complaint investigation at New Perspective Howard following a grievance regarding injuries of unknown origin to Resident 1, including allegations of an uninvestigated fall and unexplained bruising.
Findings
The investigation found that the provider failed to conduct a timely and documented investigation into Resident 1's injuries of unknown source, did not immediately protect the resident, failed to interview all potentially involved caregivers, and did not provide a written summary of the investigation to the legal representative despite multiple grievances.
Complaint Details
The complaint was substantiated. Resident 1 had multiple unexplained injuries and bruising observed by the Power of Attorney (POA) on 01/08/2024, which were not investigated or documented by the provider. The resident had reported falls with inconsistent accounts, and the provider failed to investigate or protect the resident adequately. Multiple grievances were made by the POA with no satisfactory response or investigation documentation. Resident 1 passed away on 01/24/2024.
Deficiencies (1)
| Description |
|---|
| Provider did not ensure an investigation was completed into Resident 1's injuries of unknown source, including failure to identify who conducted the investigation, lack of immediate investigation, failure to protect the resident, incomplete interviews of caregivers, lack of documentation, and no written summary provided to the legal representative after multiple grievances. |
Report Facts
Census: 61
Number of grievances: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN D | Licensed Practical Nurse | Created incident report, communicated with POA about injuries, and involved in email communications regarding investigation |
| Wellness Director B | Wellness Director | Interviewed by surveyor; stated caregivers document incidents and was unaware of investigation documentation |
| Care Team Manager I | Care Team Manager | Interviewed by surveyor; could not recall investigation details or documentation |
| Caregiver F | Caregiver | Provided original information for incident report; interviewed by surveyor |
| Caregiver E | Caregiver | Interviewed by surveyor; stated no investigation was conducted |
| RN C | Registered Nurse | Present during interview with Wellness Director B; involved in email communications |
| Administrator H | Administrator | Potentially involved in investigation but no documentation or information provided |
Inspection Report
Complaint Investigation
Census: 38
Deficiencies: 0
Mar 11, 2024
Visit Reason
Surveyor conducted a complaint investigation at New Perspective - Howard following a complaint.
Findings
The complaint was unsubstantiated and no deficiencies were identified during the investigation.
Complaint Details
Complaint investigation was unsubstantiated with no deficiencies found.
Inspection Report
Follow-Up
Census: 44
Deficiencies: 0
Oct 27, 2023
Visit Reason
Surveyor conducted a verification visit to New Perspective-Howard to confirm correction of previous deficiencies.
Findings
All previous deficiencies were corrected and no new deficiencies were identified during the follow-up visit.
Report Facts
Revisit fee: 200
Inspection Report
Complaint Investigation
Deficiencies: 3
Apr 19, 2023
Visit Reason
A Standard Survey and Complaint Investigation were conducted on April 19, 2023, to determine if New Perspective – Howard was in substantial compliance with Wisconsin statutes and administrative codes governing community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD # G5QD11) for violations of Wis. Stat. ch. 50 and Wis. Admin. Code ch. DHS 83, resulting in a Notice of Violation and an imposed forfeiture totaling $1,800 for specific code violations.
Complaint Details
The inspection was triggered by a complaint investigation combined with a standard survey. Specific substantiation status is not stated.
Deficiencies (3)
| Description |
|---|
| Violation of DHS Code 83.19 |
| Violation of DHS Code 83.21(1) |
| Violation of DHS Code 83.25 |
Report Facts
Forfeiture Amount: 600
Forfeiture Amount: 600
Forfeiture Amount: 600
Total Forfeiture Due: 1800
Reduced Forfeiture Amount: 1170
Forfeiture Payment Deadline: 10
Compliance Deadline: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the Notice and Order letter |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter |
Inspection Report
Complaint Investigation
Census: 41
Capacity: 60
Deficiencies: 4
Apr 17, 2023
Visit Reason
Surveyor conducted a standard survey and complaint investigation at New Perspectives following a complaint alleging residents were not receiving medication as prescribed.
Findings
Four deficient practices were identified including failure to provide required orientation training to employees, inadequate employee training in resident rights and continuing education, and failure to ensure a resident received prescribed medication resulting in extended antibiotic treatment.
Complaint Details
The complaint was substantiated. It alleged residents were not receiving medication as prescribed, specifically Resident 1 missing 4 doses of an antibiotic.
Deficiencies (4)
| Description |
|---|
| Provider did not ensure 3 of 3 employees received orientation training in abuse, policy and procedures, and recognizing and responding to resident changes of condition prior to performing job duties. |
| Provider did not ensure adequate training in resident rights was provided or obtained for 3 of 3 employees within 90 days after starting employment. |
| Facility did not ensure all caregivers received at least 15 hours per calendar year of continuing education beginning with the first full calendar year of employment for 3 of 3 staff reviewed. |
| Provider did not ensure Resident 1 received medication as prescribed; Resident 1 missed 4 doses of a scheduled antibiotic resulting in longer treatment and increased risk of antibiotic resistance. |
Report Facts
Deficiencies identified: 4
Census: 41
Total capacity: 60
Missed antibiotic doses: 4
Continuing education hours: 0
Continuing education hours: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director A | Interviewed regarding employee training records and acknowledged training deficiencies. | |
| Director B | Interviewed regarding Resident 1's medication administration and confirmed missed doses. | |
| Caregiver D | Caregiver | Did not receive required orientation and resident rights training. |
| Caregiver F | Caregiver | Did not receive required orientation and resident rights training; had 0 hours continuing education in 2022. |
| Caregiver G | Caregiver | Did not receive required orientation and resident rights training; had less than 1 hour continuing education in 2022. |
| Caregiver C | Caregiver | Had 0 hours of documented continuing education in 2022. |
Inspection Report
Complaint Investigation
Census: 41
Deficiencies: 0
Feb 8, 2023
Visit Reason
Surveyors conducted a complaint investigation at New Perspective-Howard CBRF.
Findings
No deficiencies were identified as a result of the visit.
Complaint Details
Complaint investigation conducted; no deficiencies identified.
Report
File
H53F11SODS.PDF_16149.pdf
Report
File
U3SC11ENFS.PDF_16149.pdf
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