The most recent inspection on April 6, 2021, found no deficiencies. Earlier inspections showed mostly compliance, with the exception of a September 25, 2018, inspection that cited the facility for retaining non-ambulatory residents not capable of self-preservation and for not using appropriate safety devices to prevent elopement. Complaint investigations were unsubstantiated, and no enforcement actions or fines were listed in the available reports. Prior reports generally noted no rule violations. The record suggests improvement since the 2018 deficiencies were not repeated in later inspections.
Deficiencies (last 4 years)
Deficiencies (over 4 years)0.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The purpose of this visit was to conduct a compliance inspection at Safe Haven at Lenox Park.
Findings
The facility failed to ensure that only ambulatory residents capable of self-preservation with minimal assistance were retained, as evidenced by two residents needing total assistance. Additionally, the facility failed to utilize appropriate safety devices to protect residents at risk of eloping, with no safety devices or alarms on exterior doors.
Severity Breakdown
D: 2
Deficiencies (2)
Description
Severity
The home retained non-ambulatory residents who were not capable of self-preservation with minimal assistance (Residents #2 and #4).
D
Failure to utilize appropriate effective safety devices to protect residents at risk of eloping from the premises (Residents #1, #2, #4, #5, and #6).
D
Report Facts
Sampled residents: 6Residents at risk of eloping: 5
Employees Mentioned
Name
Title
Context
Staff C
Interviewed regarding Resident #2 and Resident #4's assistance needs and health decline
Staff A
Interviewed regarding waiver application for Residents #2 and #4 and alarm system on exterior doors
II
Interviewed regarding Resident #4's condition and assistance needs
