Inspection Reports for Pomerelle Place Senior Living
1301 Bennett Ave, Burley, ID 83318, United States, ID, 83318
Back to Facility ProfileInspection Report Summary
The most recent inspection on May 21, 2025, identified deficiencies related to medication destruction logs, the absence of a Certified Food Protection Manager, and night shift staff lacking current first aid certification. Earlier inspections showed a pattern of issues including operating without a licensed administrator for an extended period and medication administration errors, as well as incomplete staff background checks, missing admission agreements, and inadequate staff training. The main themes across reports involved medication management, staff qualifications and training, and administrative oversight. Complaint investigations were substantiated in prior reports, particularly concerning medication errors and administrative deficiencies. The facility’s recent inspection findings are consistent with past issues, indicating ongoing challenges rather than clear improvement.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
24% better than Idaho average
Idaho average: 7.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Follow-Up
Deficiencies: 3
May 21, 2025
Visit Reason
The inspection was a health care licensure and follow-up survey to verify compliance with regulatory requirements.
Findings
The facility had issues with medication destruction logs not consistently documenting destruction dates or witnesses, lacked a Certified Food Protection Manager at the time of survey, and three night shift staff did not have evidence of current first aid certification.
Deficiencies (3)
| Description |
|---|
| Medication destruction log did not consistently document medication destruction dates nor a witness; destruction not always witnessed by two people. |
| Facility did not have a Certified Food Protection Manager at the time of survey. |
| Three staff members working alone on night shift lacked evidence of first aid certification. |
Report Facts
Staff members without first aid certification: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vanessa Anguiano | Administrator | Named as the facility administrator who provided statements regarding certification and staff training. |
| Mina Ramirez | Survey Team Leader | Named as the survey team leader conducting the health care licensure and follow-up survey. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Dec 3, 2024
Visit Reason
The inspection was conducted as a health care complaint investigation to assess compliance with facility regulations, specifically regarding the presence of a licensed administrator and medication administration.
Findings
The facility operated without a licensed administrator overseeing day-to-day operations for 141 days, resulting in a core deficiency. Additionally, residents did not receive medications as ordered, including missed doses and over-administration of certain medications.
Complaint Details
The visit was triggered by a complaint investigation. The facility was found to have operated without a licensed administrator for 141 days and failed to ensure residents received medications as ordered.
Severity Breakdown
core deficiency: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| The facility did not have a licensed administrator overseeing day-to-day operations for a period greater than 30 days, resulting in a core deficiency. | core deficiency |
| Residents did not receive medications as ordered, including missed doses of Montelukast Sodium and Bisoprolol-Hydrochlorothiazide, and over-administration of Clobetasol Propionate foam. | — |
Report Facts
Days without licensed administrator: 141
Missed doses of Montelukast Sodium: 9
Missed doses of Bisoprolol-Hydrochlorothiazide: 2
Excess doses of Clobetasol Propionate foam: 152
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Betty Aberg | Licensed Administrator | Named as the licensed administrator who had not been on-site to oversee day-to-day operations since her license was assigned. |
| Jenny Walker | Survey Team Leader, Health Facility Surveyor | Led the complaint investigation survey. |
| Lisa Junod | Former Administrator | Administrator from 2/5/24 until 7/15/24 before the lapse in licensed administrator coverage. |
Inspection Report
Original Licensing
Deficiencies: 7
Feb 29, 2024
Visit Reason
The inspection was conducted as an initial licensure survey combined with a complaint investigation for the facility.
Findings
The facility failed to complete criminal background checks for all staff with resident access, did not coordinate private duty caregiver services, failed to provide admission agreements after a change of ownership, did not maintain proper medication refrigerator temperatures, lacked updated and signed Negotiated Service Agreements for residents, and staff lacked required dementia and mental illness training.
Complaint Details
The visit included a complaint investigation as indicated by the survey type.
Deficiencies (7)
| Description |
|---|
| The facility did not complete background checks for all employees who had direct resident access. |
| The facility did not arrange or coordinate private duty caregiver services for residents. |
| Seven of seven residents did not receive admission agreements after a change of ownership. |
| The facility did not maintain medication refrigerator temperatures between 38 and 45 degrees F, with documented lows as low as 25 degrees on multiple occasions. |
| Seven of seven residents did not have updated, signed Negotiated Service Agreements reflecting current needs within 14 days of change of ownership. |
| Three of seven staff did not have Alzheimer's and Dementia training despite the facility retaining residents with dementia. |
| Seven of seven staff did not have specialized training for caring for residents with mental illness. |
Report Facts
Staff without completed background checks: 2
Medication refrigerator temperature low occurrences: 18
Medication refrigerator temperature low occurrences: 10
Staff without Alzheimer's and Dementia training: 3
Staff without mental illness training: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Junod | Administrator | Confirmed lack of completed criminal history background checks and acknowledged training and admission agreement deficiencies. |
| Michael Oldfield | Survey Team Leader | Led the initial licensure and complaint investigation survey. |
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