Inspection Reports for South Haven Living Center

The document is a Nursing Home Licensure Renewal Application and related regulatory documents for South Haven Living Center, including Alzheimer's Special Care Unit Disclosure and Memory Care Endorsement Application.

The documents confirm the facility's licensure renewal, describe the Alzheimer's Special Care Unit philosophy, admission and discharge criteria, staffing patterns, training, environmental considerations, life enrichment programs, family support, and cost of care.

An unannounced visit was conducted to investigate a complaint at South Haven Living Center on March 11-12, 2020, focusing on multiple allegations including failure to prevent pressure sores, maintain infection control, prevent falls, maintain housekeeping, respond to calls and complaints, address changes in condition, notify family/POA, provide position transfers, ensure access to fresh water, and provide three meals per day.

The facility was found to be in compliance with all relevant regulatory requirements for each allegation investigated, including pressure sore prevention, infection control, fall prevention, housekeeping, timely response to calls, handling of missing items, notification of changes in condition, appropriate position transfers, access to fresh water, and provision of three meals daily.

The investigation addressed 11 specific allegations related to care and services, all of which were found to be in compliance with regulatory requirements.

An unannounced visit was conducted to investigate a complaint at South Haven Living Center on October 22, 2018, regarding safe use of electric recliners, timely completion of written investigations, and protection of residents from abuse.

The facility was found to be in compliance with regulations and not cited for any deficiencies related to the safe use of electric recliners, completion of investigations within five working days, and protection of residents from abuse.

The complaint allegations included failure to ensure safe use of electric recliners, failure to complete written investigations within five working days, and failure to protect residents from abuse. The investigation found the facility compliant with all allegations and no citations were issued.

An unannounced visit was conducted to investigate a complaint and annual survey at South Haven Living Center from August 15, 2018 to August 22, 2018 by representatives of the Department of Health and Human Services Division of Public Health. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff. Allegations included failure to protect residents from abuse, failure to submit investigations within 5 working days, and failure to implement care planned fall interventions.

The facility was found not to have failed in protecting residents from abuse, submitting investigations timely, or implementing fall interventions. However, deficiencies were identified related to provision of medication by unlicensed persons, accuracy of assessments, fire safety, and other regulatory requirements. Several deficiencies were contested and subsequently dismissed or modified after an Informal Dispute Resolution. The facility was affirmed for the deficiency related to provision of medication by unlicensed persons.

The complaint investigation was triggered by allegations that the facility failed to protect residents from abuse, failed to submit investigations within 5 working days, and failed to implement care planned fall interventions. The investigation found no violations related to these allegations.

Annual inspection survey of South Haven Living Center to assess compliance with Medicare/Medicaid participation requirements including Life Safety Code and other regulatory standards.

The facility was found not in compliance with several regulatory requirements including failure to implement care plans, medication management errors, food safety violations, fire safety deficiencies, and electrical system issues. Deficiencies included failure to notify responsible parties of weight loss, improper dental care, medication errors and storage issues, food temperature and labeling violations, fire safety emergency lighting and door latching problems, incomplete fire alarm testing documentation, sprinkler system maintenance issues, and unsafe electrical equipment use.

The document package relates to the renewal of the Skilled Nursing Facility license for South Haven Living Center due to a change of ownership effective July 1, 2017.

The documents include the license issuance, change of ownership application, Alzheimer's Special Care Unit Disclosure, occupancy permit, facility floor plan, and lease agreement. The facility is licensed for 86 beds and includes a memory support household with specialized dementia care. The renewal confirms compliance with state regulations and facility operational standards.

The document is a nursing home licensure renewal application and certification for South Haven Living Center, verifying that the facility's SNF/NF dual certification is licensed through the renewal date.

The documents confirm that South Haven Living Center meets statutory requirements for licensure renewal as a Skilled Nursing Facility with Alzheimer's/Special Care services. The facility has an endorsed memory care unit with detailed staffing, training, and care philosophies described.

An unannounced visit was conducted to investigate a complaint at South Haven Living Center on March 22, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation found no violations related to the allegations that the facility failed to change fall interventions for residents at risk of falls and failed to protect residents from injury. Records, observations, and staff interviews revealed no concerns.

The complaint alleged failure to change fall interventions after residents were identified at risk for falls and failure to protect residents from injury. Both allegations were found unsubstantiated.

Routine inspection of South Haven Living Center to assess compliance with regulatory standards including dignity and respect of residents, food safety, infection control, and life safety.

The facility was found deficient in maintaining resident dignity during blood glucose monitoring and insulin administration, food temperature control for pureed diets, infection control practices related to blood glucose monitoring supplies, life safety code compliance regarding unsecured furniture in exit corridors, electrical system maintenance, and oxygen cylinder storage safety.

An unannounced visit was conducted to investigate a complaint alleging that the facility fails to allow residents to share rooms per their request.

The facility does allow residents to share rooms per their request when it is safe to do so, and no violation was found. The investigation included interviews with residents and staff, review of care plans, and observation of resident interactions, confirming compliance.

The complaint alleged that the facility fails to allow residents to share rooms per their request. The complaint was found to be unsubstantiated as the facility was in compliance.

This document acknowledges the increase in the number of licensed beds at South Haven Living Center's Skilled Nursing Facility from 84 to 85 beds, effective July 1, 2016.

The letter confirms the amendment of the Health Insurance Benefits Agreement to reflect the updated total of 85 Medicare certified beds at the facility.

An unannounced visit was conducted to investigate a complaint alleging the facility failed to evaluate causal factors for burns.

The investigation found that the facility does evaluate causal factors for burns and no violation was identified. Reviews of incident logs, care plans, staff interviews, and observations showed no concerns at this time.

The complaint alleged failure to evaluate causal factors for burns. The complaint was not substantiated as the facility was found to be compliant.

An unannounced visit was conducted to investigate a complaint alleging the facility fails to protect residents from injury.

The facility was found to protect residents from injury with no violations related to this issue. Observations, record reviews, and interviews confirmed safety policies and interventions were in place.

The complaint alleged the facility fails to protect residents from injury. The allegation was not substantiated.

An unannounced visit was conducted to investigate a complaint and annual survey at South Haven Living Center on August 19, 2015-August 26, 2015. The complaint alleged failure to develop a plan of care to address identified needs and failure to use fall interventions to prevent injuries.

The facility failed to develop a written plan of care to address some identified resident needs but was providing care in the absence of the written plan. The facility was found to be using fall interventions effectively to prevent injuries, with no violation related to falls.

Complaint investigation included allegations that the facility failed to develop a plan of care to address identified needs and failed to use fall interventions to prevent injuries. The facility was found to have deficiencies in care planning but no violation related to fall interventions.

An unannounced visit was conducted to investigate a complaint at South Haven Living Center regarding failure to provide care and treatment to prevent skin breakdown/burns and failure to ensure staff had appropriate credentials.

The facility provided care and treatment to prevent skin breakdown/burns and ensured staff had appropriate credentials; no violations were identified related to these allegations.

The complaint alleged failure to provide care and treatment to prevent skin breakdown/burns and failure to ensure staff had appropriate credentials. Both allegations were found to have no violations after investigation.

An unannounced visit was conducted to investigate a complaint and annual survey at South Haven Living Center on July 21-24, 2014. The complaint alleged failure to ensure residents are able to give informed consent and failure to protect residents from injury.

The facility was found to ensure residents are able to give informed consent and protect residents from injury. Staff and resident interviews, record reviews, and observations confirmed appropriate procedures and no violations related to the allegations.

The complaint alleged failure to ensure residents are able to give informed consent and failure to protect residents from injury. The investigation found no violations related to these allegations.

Annual inspection of South Haven Living Center to assess compliance with federal and state regulations including resident rights, comprehensive assessments, care planning, infection control, food safety, medication management, and life safety code compliance.

The facility was found deficient in multiple areas including failure to inform residents of Medicare liability and appeal rights, inaccurate resident assessments and care planning for range of motion limitations, failure to provide restorative exercises, improper food handling practices, lack of expiration date labeling on PRN medications, failure to perform hand hygiene during medication administration, and multiple life safety code violations including fire safety, exit access, fire alarm testing, electrical safety, and emergency preparedness.

Routine inspection of South Haven Living Center to assess compliance with pharmaceutical services and medication administration regulations.

The facility failed to ensure that three residents received medications according to the manufacturer's directions, specifically regarding timing of medication administration relative to meals.

Annual inspection of South Haven Living Center to assess compliance with health, safety, and regulatory standards including medication management, infection control, and life safety code.

The facility was found deficient in multiple areas including failure to maintain separate controlled substance count sheets, significant medication error related to insulin administration timing, inadequate infection control practices with glucometer cleaning, and multiple life safety code violations such as non-self-closing doors, improper exit gate hardware, inadequate fire drill scheduling, sprinkler obstructions, presence of prohibited heat-producing devices, non-flame retardant decorations, oversized trash receptacles, missing oxygen use signage, lack of remote generator annunciator, and improper use of power strips.

The document serves as a renewal application for the nursing home license of South Haven Living Center and includes related certification and licensing information.

The documents confirm the facility's licensure status, renewal of certifications, and provide detailed information about the facility's services, ownership, and special care programs.

The document serves to verify the renewal of the SNF/NF dual certification license for South Haven Living Center and includes a renewal application for the nursing home licensure.

The documents confirm that South Haven Living Center meets statutory requirements for licensure renewal and provides details on facility ownership, services, and accreditation status.

The documents serve to verify and renew the licensure of South Haven Living Center as a Skilled Nursing Facility, including renewal of the Alzheimer's/Special Care Unit Disclosure and occupancy permit.

The documents confirm that South Haven Living Center meets statutory requirements for licensure renewal, including specialized care services such as Alzheimer's/Special Care Unit, physical therapy, occupational therapy, and speech therapy. The Alzheimer's Special Care Unit disclosure details the philosophy, admission criteria, staffing, environmental considerations, and life enrichment programs.

The document serves as a renewal application for the nursing home license of South Haven Living Center, verifying licensure through the renewal date and providing updated facility and ownership information.

The document includes certification of licensure renewal, occupancy permit details, facility capacity, ownership and officer information, and a detailed Alzheimer's Special Care Unit Disclosure outlining philosophy, admission criteria, staffing patterns, environmental considerations, and care fees.

This document serves as a licensure renewal application for South Haven Living Center, verifying the facility's license status and providing detailed information about the facility, ownership, services, and care programs.

The document includes renewal certification, occupancy permit details, ownership and corporate officers, and extensive descriptions of the Memory Support Household program, including care principles, team development, physical care, nutrition, environmental considerations, psychosocial support, and communication techniques.

This document serves to verify the renewal of the SNF/NF dual certification license for South Haven Living Center and provides detailed facility and ownership information.

The document confirms the facility's licensure status through 3/31/2019, lists the number of beds to be relicensed as 85, and outlines services offered including physical therapy, occupational therapy, speech therapy, and Alzheimer's/special care unit. It also includes ownership and corporate governance details.

This document serves to verify the license renewal of South Haven Living Center as a SNF/NF dual certified facility and provides related administrative, ownership, occupancy, and program information.

The document confirms that South Haven Living Center meets statutory requirements for licensure through the renewal date, includes an occupancy permit for 85 beds, and outlines the facility's memory support household principles, staffing patterns, and ownership structure.

This document serves as a licensure renewal application and certification for South Haven Living Center, verifying the facility's license and providing details about ownership, capacity, and special care services.

The documents confirm the facility's licensure status, ownership structure, capacity, and special care programs including Alzheimer's/Special Care Unit. No inspection findings or deficiencies are reported.