Inspection Report
Renewal
Deficiencies: 1
Jun 11, 2021
Visit Reason
The inspection was conducted as a renewal inspection of Silver Springs Assisted Living facility to assess compliance with regulatory requirements.
Findings
The inspection found that 2 out of 2 resident files reviewed did not have documentation of annual Resident Needs Assessment (RNA) review or updates when changes were made. The administrator confirmed that none of the resident files had this documentation as staff were unaware it was needed.
Severity Breakdown
CATEGORY A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Resident files lacked documentation of annual Resident Needs Assessment (RNA) review or updates when changes were made. | CATEGORY A |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason George | Administrator | Confirmed that resident files lacked required documentation. |
| Noelle Markland | Survey Team Leader | Led the renewal inspection. |
Inspection Report
Renewal
Deficiencies: 2
Jun 5, 2019
Visit Reason
The inspection was conducted as a renewal inspection of Silver Springs Assisted Living facility to assess compliance with regulatory requirements.
Findings
The review of three resident files revealed deficiencies in resident service plans, including missing information related to assistive device use and lack of annual review and update of resident needs assessments and service plans.
Severity Breakdown
CATEGORY A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Resident #1's service plan did not address the use of a walker required for locomotion and mobility. | CATEGORY A |
| Residents #2 and #3 did not have resident needs assessments reviewed and updated annually; Resident #2's service plan was not reviewed and updated annually. | CATEGORY A |
Inspection Report
Renewal
Deficiencies: 3
Apr 25, 2018
Visit Reason
The inspection was conducted as a renewal inspection of Silver Springs Assisted Living facility to assess compliance with licensing requirements.
Findings
The survey identified deficiencies including missing documentation in a deceased resident's file, inability to locate a 2017 fire inspection, and incomplete medication administration records for multiple residents.
Deficiencies (3)
| Description |
|---|
| Deceased resident file number four lacked documentation for date and circumstance of final status, notice to responsible parties, and disposition of personal possessions. |
| Staff was unable to locate a fire inspection for 2017. |
| Medication administration records (MARS) for residents one and two were missing reason for use on all medications; resident three's MARS were missing reason for use, prescribing practitioner's name and telephone number, and allergies. |
Report Facts
Facility License Number: 31497
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason George | Administrator | Administrator of Silver Springs Assisted Living |
| Rachel Ridle | Survey Team Leader | Led the renewal inspection survey |
Inspection Report
Renewal
Deficiencies: 2
May 25, 2017
Visit Reason
The inspection was conducted as a renewal inspection of Silver Springs Assisted Living facility to assess compliance with licensing requirements.
Findings
Two deficiencies were identified: a small dog named 'Gypsy' was brought into the facility without documentation of being disease free and vaccinated, and five out of five resident Service Plans reviewed lacked identification of resident activities.
Deficiencies (2)
| Description |
|---|
| A small dog named 'Gypsy' was brought into the facility every other week without documentation of being disease free and vaccinated. |
| No identification of resident activities listed in five out of five resident Service Plans reviewed. |
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