Inspection Reports for Ponté Palmero

The visit was an unannounced office non-compliance conference held to address ongoing compliance issues and review the licensee's appeal for citations issued on April 8, 2025.

The facility has a history of citations including 2 A citations, 1 B citation, and a civil penalty of $500 since 2021. There is one open complaint and one outstanding appeal. Substantiated complaints involve timely medical response and serious resident injuries including one death. No new citations were issued during this visit.

Substantiated complaints include allegations related to timely medical response and observation of residents, involving four separate incidents of serious resident injuries and one death.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2025-03-17 regarding staff sexual abuse of residents and inadequate staffing to meet residents' needs.

The investigation found insufficient evidence to substantiate the allegation of staff sexual abuse due to inconsistent statements and lack of evidence. The allegation of inadequate staffing was also unsubstantiated based on interviews with staff and residents indicating adequate staffing and care.

The complaint included allegations of staff sexually abusing residents and inadequate staffing. The investigation was unsubstantiated as evidence was insufficient to prove the allegations.

The inspection was an unannounced complaint investigation visit triggered by allegations including questionable death, neglect/lack of care and supervision resulting in failure to seek timely medical attention, and residents sustaining multiple falls with serious injury.

The investigation substantiated the allegations that the facility failed to provide adequate care and supervision to residents who sustained multiple falls resulting in serious injury and failed to seek timely medical attention for these residents. Deficiencies were cited related to failure to reassess fall risks and failure to call 911 promptly after injuries. A civil penalty of $500 was assessed.

The complaint investigation was substantiated. Allegations included questionable death, neglect/lack of care and supervision resulting in failure to seek timely medical attention, and residents sustaining multiple falls with serious injury. The investigation found that residents R1, R2, R3, and R4 sustained multiple falls with serious injuries and the facility failed to provide adequate fall prevention plans and timely medical care. A civil penalty of $500 was assessed.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2025-01-10 regarding medication administration and resident care issues.

The investigation found the medication administration allegation unsubstantiated due to insufficient evidence of errors, with documentation and interviews supporting proper medication delivery. The allegations regarding hygiene, dressing, room cleanliness, and laundry needs were found unfounded based on staff and resident interviews and observations confirming care needs were met and the facility was clean and sanitary.

The complaint involved allegations that staff did not provide medications as prescribed and failed to meet residents' hygiene, dressing, room cleanliness, and laundry needs. The medication allegation was unsubstantiated, and the other allegations were unfounded based on interviews, documentation review, and observations.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-12-24 regarding staff not ensuring resident cleanliness, inadequate food service, and disrespectful treatment of residents.

The investigation included interviews with staff and residents and a review of documentation. All allegations were found to be unfounded, with staff providing adequate care, food service, and respectful treatment to residents.

The complaint investigation was conducted due to allegations that staff did not ensure residents were kept clean, did not provide adequate food service, and did not treat residents with respect. After interviews and record reviews, all allegations were determined to be unfounded.

The inspection was an unannounced complaint investigation visit triggered by allegations of staff negligence resulting in a resident's fall and staff administering an overdose of prescribed medications resulting in a resident's death.

The investigation found the allegation of staff negligence and lack of supervision resulting in a resident's fall to be unsubstantiated, as there was insufficient evidence to prove the violation. The allegation of staff administering an overdose of prescribed medications resulting in a resident's death was found to be unfounded based on the resident's death certificate listing Alzheimer's Disease as the cause of death.

The complaint investigation was unannounced and conducted by Licensing Program Analyst Lavinia Muscan. The allegations included staff negligence causing a resident's fall and staff administering an overdose causing a resident's death. Both allegations were investigated through interviews and record reviews. The fall allegation was unsubstantiated, and the overdose allegation was unfounded.

The inspection was conducted as a required annual unannounced visit to evaluate compliance with licensing regulations.

The Licensing Program Analysts reviewed resident and staff files, toured the facility, and found all required paperwork and training in order. No health or safety violations were observed during the inspection.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not ensure resident wound care needs were met.

The investigation found that the facility is meeting residents' hygiene needs, including first aid and wound care, according to residents' needs and service plans. Interviews and observations did not indicate any issues with cleanliness, sanitation, or wound care. The allegation was found to be unsubstantiated.

The complaint alleged that staff did not ensure resident wound care needs were met. The complaint was found to be unsubstantiated based on interviews, record reviews, and observations.

The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2024-05-21 concerning staff neglect, unattended residents, and other care-related issues at the facility.

All allegations investigated were found to be either unsubstantiated or unfounded after interviews and record reviews. The resident involved was assessed as independent in self-care and did not require additional checks. Facility staff were found to be performing required duties appropriately.

The complaint investigation addressed allegations including staff neglect resulting in hospitalization, leaving a resident unattended, failure to ensure emergency pendant operation, failure to meet hygiene needs, and failure to ensure proper operation of facility radio. All allegations were found to be unsubstantiated or unfounded based on evidence and interviews.

The visit was an unannounced case management visit to confirm orders for immediate exclusion of an individual from all facilities.

The facility was informed of an immediate exclusion effective 09/13/2024, requiring removal of the individual S1 from any contact with clients and prohibiting physical presence in the facility.

The inspection was conducted as a required unannounced annual inspection to evaluate compliance with regulatory standards.

The Licensing Program Analyst reviewed resident and staff files, all containing required paperwork and training. A facility tour found no health or safety violations, and water temperatures were within the required range.

Unannounced complaint investigation visit conducted in response to an allegation that facility staff do not ensure residents' hygiene needs are being met.

The investigation found that residents' hygiene needs are met according to their needs and service plans. Memory care staff do not cut residents' nails per facility policy; nail care is provided by families, salons, or hospice companies. The allegation was unsubstantiated due to lack of preponderance of evidence.

The complaint alleging that facility staff do not ensure residents' hygiene needs are met was investigated and found unsubstantiated.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-09-12 regarding staff mismanagement of residents' medication, neglect, unsafe environment, and inappropriate transport of a deceased resident.

The investigation found the allegation of staff mismanaging residents' medication to be unsubstantiated due to insufficient evidence. Allegations of staff neglect, unsafe environment, and inappropriate transport of a deceased resident were found to be unfounded based on records, interviews, and observations.

The complaint investigation was unsubstantiated for medication mismanagement and unfounded for neglect, unsafe environment, and inappropriate transport of deceased resident. The report states that there was insufficient evidence or the allegations were false or without reasonable basis.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-08-03 regarding resident injury prevention, incident reporting, and assistance with incontinence needs.

The investigation found all allegations to be unfounded after interviews, record reviews, and observations. The incident involving a resident injury was accidental, incident reports were timely, and residents received appropriate assistance with incontinence care.

The complaint involved allegations that staff did not prevent a resident from being injured by another resident, failed to provide a written incident report to the resident's responsible party within 7 days, and did not assist residents with incontinence needs. All allegations were found to be unfounded.

An unannounced complaint investigation was conducted in response to an allegation that staff were not quarantining residents with COVID-19.

The investigation found that the facility was following proper infection control protocols, including quarantining COVID-19 positive residents in their rooms with designated staff using PPE, and maintaining designated areas for positive and negative residents. The complaint was determined to be unfounded.

The complaint alleged that staff were not quarantining residents with COVID-19. After interviews and record reviews, the allegation was found to be unfounded as the facility followed infection control policies and maintained communication with Public Health and Community Care Licensing.

The inspection was an unannounced annual visit conducted to assess infection control compliance at the facility.

The facility was found to be in substantial compliance with infection control requirements, with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during this inspection.

An unannounced case management visit was conducted to serve an order of immediate exclusion for an employee (S1) who is prohibited from working or being present in the facility.

The Licensing Program Analyst served an immediate exclusion order to the facility director regarding S1, who was confirmed terminated from employment and barred from contact with clients in the facility.

The visit was a case management follow-up on an incident report submitted by the facility regarding an allegation of staff-to-resident abuse.

The facility conducted an internal investigation confirming that staff member S1 slapped resident R1, violating R1's personal rights. S1 was terminated, and citations were issued as a result of the incident.

The visit was triggered by a complaint/incident report alleging that staff member S1 slapped resident R1 on the face on 06/29/22. The allegation was substantiated by the facility's internal investigation.

Unannounced complaint investigation visit conducted due to allegations including failure to seek timely medical attention, staff not meeting resident needs, insufficient staffing, and not following residents' care plans.

All allegations were found to be unsubstantiated after investigation. The facility was adequately staffed, care plans were followed, and no evidence supported the claims of neglect or insufficient care.

The complaint investigation was unsubstantiated. Allegations included failure to seek timely medical attention, staff not meeting resident needs, insufficient staffing, and failure to follow residents' care plans. Evidence reviewed did not support these allegations.

Unannounced annual visit utilizing the infection control domain was performed as a required 1-year inspection.

A review of staff records indicated that all facility staff and other individuals requiring caregiver background checks have received criminal record clearances. There were no deficiencies and no technical advisories as a result of this visit.

An unannounced complaint investigation visit was conducted in response to a complaint alleging that the facility had not promptly provided all of a resident's records.

The investigation found that the facility administrator indicated all requested documents had been provided to the resident's family, who reported receiving them in two parts, with the last part received in early August 2021. The complaint was determined to be unfounded and dismissed.

The complaint alleged that the facility had not promptly provided all of a resident's records. The complaint was found to be unfounded, meaning the allegation was false, could not have happened, or was without reasonable basis.

The inspection was an unannounced complaint investigation visit triggered by allegations that a resident sustained severe dehydration and a urinary tract infection due to lack of care and supervision, and that staff did not ensure timely reporting of changes in the resident's condition to a physician.

The investigation substantiated the allegations that the resident suffered severe dehydration and a UTI due to inadequate care and supervision, and that staff failed to report changes in the resident's condition to medical personnel in a timely manner. Deficiencies related to insufficient staffing and failure to observe and report resident condition changes were cited, posing immediate health and safety risks.

The complaint was substantiated. Allegations included severe dehydration and UTI due to lack of care and supervision, and failure to timely report changes in resident's condition to a physician. The preponderance of evidence supported these claims.

The inspection was conducted as an unannounced complaint investigation following a complaint alleging that the facility serves residents cold food.

The investigation found the complaint to be unfounded due to a public health order requiring food delivery to individual rooms during a COVID outbreak, thus the allegation was dismissed.

The complaint alleging that the facility serves residents cold food was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.

An unannounced complaint investigation visit was conducted in response to allegations that a resident was restricted from dining privileges, activities, and transportation services.

The investigation found that the resident was restricted from dining, activities, and transportation due to disruptive and aggressive behaviors, but the allegations were determined to be unsubstantiated as there was insufficient evidence to prove a violation occurred.

The complaint was unsubstantiated. Although the resident was restricted from certain privileges due to disruptive behaviors, there was not a preponderance of evidence to prove the alleged violation occurred.