Inspection Reports for Round Pond Green
1410 State Route 32., Round Pond, ME 04564, ME, 04564
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Inspection Report
Biennial Survey
Census: 6
Capacity: 6
Deficiencies: 4
Jan 3, 2024
Visit Reason
The inspection was a biennial survey to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs for a Level III Residential Care Facility.
Findings
The facility was found not in substantial compliance due to deficiencies including unsigned standard contracts, missing resident rights appended to contracts, incorrect medication dosages on medication administration records, and water temperatures exceeding the allowed maximum in resident areas.
Severity Breakdown
Class III: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| One of two records did not include a signed standard contract by the provider (Resident #1). | — |
| One of two records did not include resident rights appended to the contract (Resident #1). | — |
| One of two records did not include the correct dosage for one medication on the medication administration record (Resident #2). | Class III |
| Water temperature in resident areas exceeded 120°F, measuring 125.6°F in the shower room before adjustment. | Class III |
Report Facts
Census: 6
Total Capacity: 6
Water temperature: 125.6
Water temperature: 121.1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| House Manager | Confirmed findings at exit meeting on 1/3/2024 |
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