Inspection Report
Renewal
Deficiencies: 2
Feb 8, 2023
Visit Reason
The inspection was conducted as a renewal inspection of Renaissance Senior Care - Lewis to assess compliance with assisted living facility regulations.
Findings
The inspection identified deficiencies including the lack of practitioner’s written orders for admission for certain residents and the absence of a written agreement for an off-site evacuation point.
Deficiencies (2)
| Description |
|---|
| No practitioner’s written order for admission for category AC residents #1 and #2 or for category BC resident #3. |
| Facility does not have a written agreement for an off-site evacuation point. |
Inspection Report
Renewal
Deficiencies: 4
Feb 17, 2016
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living facility Renaissance Senior Care - Lewis to assess compliance with licensing and regulatory standards.
Findings
The inspection identified several deficiencies including failure to review Health Care Plans quarterly for certain residents, unsecured codes on the secured care unit key pads, uncovered garbage in laundry and kitchen areas, and excessively high water temperatures recorded at 126.2 degrees Fahrenheit in the kitchen faucet and a resident's room.
Deficiencies (4)
| Description |
|---|
| Health Care Plans for Residents #1, #2, and #4 were not reviewed quarterly as required. |
| The secured care unit codes were not posted by the key pads. |
| Garbage in both the laundry room and kitchen was not covered during the survey. |
| Water temperatures tested in the kitchen faucet and Resident #2's room were recorded at 126.2 degrees Fahrenheit, exceeding safe limits. |
Report Facts
Water temperature: 126.2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tara Wooten | Survey Team Leader | Named as the survey team leader conducting the renewal inspection |
Inspection Report
Complaint Investigation
Deficiencies: 2
Mar 18, 2015
Visit Reason
The inspection was conducted as a complaint investigation triggered by concerns regarding a resident's change in status, including behavior, cognition, and incontinence, as well as multiple falls and inadequate care documentation.
Findings
The facility failed to complete a new Resident Needs Assessment or revise the service plan after a significant change in the resident's status. The resident experienced seven documented falls within a short period, had unaddressed changes in mental status and behavior, and lacked appropriate medical attention and bowel care. Medication administration records showed inconsistencies, and there were no documented visits or progress notes from the treating GNP. The resident was eventually hospitalized after a fall resulting in a fracture and later expired.
Complaint Details
The complaint investigation was substantiated by findings of inadequate care and documentation related to a resident's significant change in status, multiple falls, and lack of appropriate medical attention.
Severity Breakdown
Category A: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to complete a new Resident Needs Assessment and revise the service plan after a significant change in resident status. | Category A |
| Inadequate personal care services including failure to prevent multiple falls and insufficient documentation of medical visits and medication administration. | — |
Report Facts
Documented falls: 7
Medication administrations: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Lozano | GNP | Named as treating provider for resident's behavioral changes and noted to visit at least once weekly. |
| Tara Wooten | Survey Team Leader | Led the complaint inspection. |
Inspection Report
Renewal
Deficiencies: 1
Jan 13, 2014
Visit Reason
The inspection was conducted as a renewal inspection to assess compliance with regulatory standards for the facility license renewal.
Findings
The facility failed to meet the intent of the minimum standards rule due to lack of documentation for a current disaster drill being performed, as evidenced by surveyor record review during the on-site survey.
Deficiencies (1)
| Description |
|---|
| Facility has no documentation available for review of a current disaster drill being performed. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Don Kenny | Survey Team Leader | Named as Survey Team Leader for the renewal inspection. |
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