Inspection Reports for Renaissance Gardens at Fox Run

The inspection was conducted as a renewal licensing study to evaluate compliance with state regulations and determine if the facility's license should be renewed.

The facility was found to be non-compliant with several regulations including incomplete narcotic medication documentation, failure to comply with tuberculosis screening requirements for employees and residents, and inconsistencies in supervisory staff assignments. Repeat violations related to tuberculosis screening and risk assessment were noted.

The inspection was conducted in response to a complaint regarding Resident A’s patio door leaking water into the apartment on multiple occasions over two years, with concerns about mold growth and lack of permanent repair.

The investigation confirmed that Resident A’s patio door was leaking water due to improper grading of the concrete patio, causing water to drain into the apartment. The facility had not taken sufficient or timely action to permanently fix the issue despite multiple notifications and maintenance attempts.

The complaint alleged that Resident A’s patio door leaked water on at least 20 occasions over two years, with concerns about mold growth and ignored requests for air quality testing. The violation was substantiated.

The document serves as a renewal notification for the Home for the Aged license following an administrative review of licensing activity over the past year.

The administrative review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in the renewal of the facility's license.

The inspection was conducted as a renewal licensing study to evaluate compliance with applicable rules and regulations for the facility's license renewal.

The facility was found non-compliant with tuberculosis screening requirements for residents and employees, and medication administration errors were identified, including missed doses without documented attempts to readminister.

The facility requested an increase in licensed bed capacity from 88 to 200 beds, following a construction project adding a three-story, 89-unit addition to the existing building.

The inspection confirmed the completion of the new construction area consisting of studio, one and two-bedroom units, with approved double occupancy in specified apartments. The new area will house general assisted living residents and is not intended for memory care.

The facility requested conversion of the third floor from nursing home beds to a memory care program, increasing the licensed capacity from 44 to 88 beds. The visit was to inspect and approve this licensing change.

An onsite inspection confirmed the third floor has 44 private bedrooms with barrier-free areas and appropriate safety features. The memory care program statement met statutory requirements, and the facility was recommended for licensing as a memory care unit with increased capacity.

The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Renaissance Gardens at Fox Run.

The study determined substantial compliance with applicable licensing statutes and administrative rules. Fire safety violations observed in a prior inspection were corrected. A temporary license with a maximum capacity of 44 residents was recommended and issued.