Inspection Reports for Safe Harbor Elder Care

An unannounced annual required visit was conducted to evaluate the facility's compliance with licensing requirements.

The facility was generally found to be clean, well-maintained, and compliant with infection control, physical plant, food service, care and supervision, and record-keeping requirements. However, a deficiency was cited for one staff member who worked without receiving a required criminal record clearance prior to employment, resulting in a civil penalty.

An unannounced Case Management Visit was conducted to perform health checks and assess compliance with licensing requirements.

One staff member was found working without a criminal record clearance and was escorted off the premises. A deficiency was issued related to this finding. No other health or safety issues were observed during the visit.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations including that facility staff recorded a resident without consent and that staff did not assist a resident after a fall.

The investigation substantiated that staff took photographs and videos of Resident One without their consent, violating personal rights. Another allegation that staff did not assist the resident after a fall was unsubstantiated due to lack of evidence. The facility was cited for failure to ensure personal rights related to unauthorized photography.

The complaint investigation was substantiated for the allegation that facility staff recorded a resident without consent. The allegation that staff did not assist a resident after a fall was unsubstantiated.

An unannounced complaint investigation visit was conducted in response to an allegation that a staff member hit a resident.

The investigation included interviews, observations, and records review. The allegation that a staff member smacked a resident was unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that a staff member (S1) hit Resident One (R1) on the left hip. Interviews with the resident and staff did not confirm the allegation. Residents reported feeling safe and no witnesses confirmed the incident. The allegation was deemed unsubstantiated.

An unannounced complaint investigation was conducted in response to a complaint received on 2020-09-25 alleging multiple violations including failure to follow physician's orders, violation of residents' personal rights, inadequate staff training and supervision, improper resident assessments, and poor food quality.

The investigation found no evidence to substantiate the allegations. Medication administration records, staff interviews, and resident feedback indicated compliance with physician orders, proper staff training, adequate supervision, proper resident assessments, and good quality food. No incidents or violations were confirmed.

The complaint was unsubstantiated after investigation. Allegations included failure to follow physician's orders, violation of residents' personal rights, inadequate staff training and supervision, improper resident assessments, and poor food quality. No credible evidence was found to support these claims.

The visit was an unannounced Required Annual Inspection conducted to evaluate the facility's compliance with regulations.

The facility was inspected inside and outside with no obstructions found. All physical plant requirements, safety equipment, medication storage, food supply, and care supervision met regulatory standards. No Title 22, Division 6 Regulation violations were observed or cited during the visit.

Licensing Program Analyst Chinwe Nwogene made an unannounced visit to conduct an annual inspection focused on infection control at the facility.

The facility was found to have adequate infection control measures including Covid-19 postings, hand hygiene supplies, PPE supplies, and a plan to monitor residents for changes in condition. No deficiencies were noted at the time of the visit.

An unannounced complaint investigation was conducted in response to an allegation that staff provided unprescribed medication to a resident.

The investigation included a tour, observations, records review, and interviews. No evidence was found to support the allegation; medications were administered as prescribed and no unprescribed medications were observed or reported. The allegation was found unsubstantiated.

The complaint alleged that staff provided unprescribed medication to a resident for pain. The investigation did not produce substantial evidence to meet the preponderance of evidence standard; therefore, the allegation was found unsubstantiated.

Licensing Program Analyst Eva Torres conducted a case management visit to amend a report that was created on 06/09/21.

During the visit, the Licensing Program Analyst met with the administrator, informed them of the purpose of the visit, obtained their signature on the amended report, and conducted an exit interview providing Licensee Rights and a copy of the report.

An unannounced complaint investigation visit was conducted due to an allegation that staff administered resident medication without a physician's order.

The investigation found insufficient evidence to prove or disprove the allegation that the licensee administered a discontinued medication to Resident #1 without a physician's order; therefore, the complaint was unsubstantiated.

The complaint alleged that staff administered medication M1 to Resident #1 without a physician's order from June through September 2020. Interviews and record reviews showed the medication was listed as PRN and not discontinued by the physician until September 10, 2020. Staff interviews did not support the allegation, and evidence was inconsistent, resulting in an unsubstantiated finding.