Inspection Reports for Norma J’s Home for the Elderly

The visit was an unannounced complaint investigation triggered by allegations received on 2025-01-22 regarding staff sexually abusing a resident and forcing the resident to take medications.

The investigation found insufficient evidence to substantiate the allegations of sexual abuse and forced medication. Staff and administrator interviews, medication records, and a sheriff's report were reviewed. The resident had a history of hallucinations and aggression, and the allegations were deemed unsubstantiated.

The complaint alleged that Staff #1 sexually abused resident #1 on 2025-01-18 and forced the resident to take medications on multiple occasions including 2025-01-17. The investigation included interviews with staff, administrator, family members, and review of medication records and sheriff's report. The allegations were found unsubstantiated due to insufficient evidence.

The inspection was an unannounced required annual visit to evaluate compliance with Title 22 Regulations and ensure there are no health and safety hazards.

The facility was generally found to be in compliance with regulations, including proper kitchen conditions, clean and safe restrooms, and appropriate resident and personnel records. However, a deficiency was cited for hot water temperatures in resident bathrooms exceeding the regulated maximum, which was corrected during the visit.

The visit was an unannounced continuation of a required annual case management visit to the facility.

The medication review found medications properly stored, labeled, and documented with no errors observed. No deficiencies were cited during this inspection.

The inspection was an unannounced required annual visit to evaluate the facility's compliance with Title 22 regulations and ensure health and safety standards are met.

The facility was found to be in compliance with regulations, with bedrooms and bathrooms appropriately furnished and sanitary, kitchen and common areas in good condition, safety equipment operational, and records in order. No health or safety hazards were observed during the inspection.

The visit was conducted as a Case Management - Deficiencies visit in conjunction with a complaint investigation to issue a citation for a deficiency observed during the complaint investigation.

The licensee admitted and retained a resident (R1) who had no capacity for self-care, which is a prohibited health condition and posed an immediate health and safety risk to residents in care. The licensee did not submit an exception request to admit and retain this resident.

Complaint Control # 29-AS-20220325091634. The deficiency was observed during the complaint investigation and a citation was issued.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2022-03-25 regarding inappropriate touching of a resident by staff, inappropriate comments made by staff towards a resident, and concerns about the quality of food served at the facility.

The investigation found insufficient evidence to substantiate the allegations of sexual abuse, inappropriate comments by staff, and poor food quality. Interviews with residents, staff, and the administrator, as well as observations of the facility, supported the conclusion that the allegations were unsubstantiated.

The complaint involved allegations that Staff #1 sexually abused Resident #1 by inappropriate touching, made inappropriate comments calling the resident 'honey' and 'baby', and that the facility served food that was not of quality. The investigation included interviews with the resident, resident representative, staff, and other residents, as well as review of relevant documents. The allegations were deemed unsubstantiated due to lack of sufficient evidence.

The inspection was a required one-year unannounced visit focusing on infection control practices and procedures at the facility.

The facility was found to be clean, well-maintained, and compliant with infection control protocols. Fire safety equipment was functional, emergency exits unobstructed, and COVID-19 precautions adequate. No deficiencies were noted in the report.