Inspection Reports for Richmond Eldercare
18 Hathorn St., Richmond, ME 04357, ME, 04357
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Inspection Report
Biennial Survey
Census: 15
Capacity: 16
Deficiencies: 7
Apr 9, 2025
Visit Reason
The inspection was conducted as a biennial survey to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs for a PNMI Level IV Residential Care Facility.
Findings
The facility was found non-compliant in multiple areas including medication order review timeliness after hospital discharge, medication storage practices, staff certification training, facility maintenance, safety requirements regarding extension cords, and infection prevention and control practices related to MRSA management.
Severity Breakdown
Class III: 2
Deficiencies (7)
| Description | Severity |
|---|---|
| Failure to have all medication orders reviewed and approved by the resident’s duly authorized licensed practitioner within 72 hours upon return to the facility after hospital discharge. | — |
| Medications were not stored in a locked cabinet with separate cubicles plainly labeled for each resident’s medications. | Class III |
| Medications requiring refrigeration were stored in an unlocked portable refrigerator without a lock mechanism. | Class III |
| Four staff members working at least 20 hours per week had not completed a department-approved certification course within 120 days of hiring. | — |
| Facility failed to show evidence of routine maintenance and housekeeping; observed fuel line close to ground, cigarette butts scattered, and bathroom wall damage. | — |
| Use of an extension cord without a fuse mechanism was observed in a resident bedroom. | — |
| Facility did not implement and maintain an Infection Prevention and Control Plan (IPCP) effectively to control transmission of infectious diseases; MRSA diagnosis not recorded in resident’s records, inadequate staff knowledge, lack of PPE and cleaning supplies. | — |
Report Facts
Census: 15
Total Capacity: 16
Staff without certification: 4
Inspection Report
Complaint Investigation
Census: 15
Capacity: 16
Deficiencies: 4
Sep 9, 2024
Visit Reason
The inspection was conducted as a complaint investigation to assess compliance with regulations governing the licensing and functioning of assisted housing programs at Richmond Eldercare.
Findings
The facility was found not in substantial compliance with multiple regulatory requirements including failure to post menus conspicuously, poor sanitation and maintenance issues throughout the facility, water temperature exceeding the allowed maximum, and lack of window coverings in a resident bedroom. Several deficiencies were repeat findings from a prior inspection dated 4/4/2023.
Complaint Details
Complaint Investigation 2024-AHP-38456. The findings were reviewed with the Administrator at the exit meeting on 9/9/2024.
Severity Breakdown
Class III: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility failed to post menus conspicuously in the food service area and in an area used frequently by residents during the week used. | — |
| Facility failed to ensure routine maintenance and housekeeping; observed missing baseboard heater cover, missing sink cabinet door, smeared stool on shower room toilet, damaged furniture, broken outlet cover, holes and scuff marks on walls, food and debris on floors, unclean dining tables, food left on kitchen counters, and towels on kitchen floor. | — |
| Water temperature in resident areas exceeded 120°F, measured at 125.3°F in the shower room. | Class III |
| Resident bedroom (Room 104) lacked window shades or equivalent window coverings providing privacy. | — |
Report Facts
Census: 15
Total Capacity: 16
Water temperature: 125.3
Date of prior deficiency: Apr 4, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jill Wagurak | Administrator | Named in relation to review of findings at exit meeting |
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