Inspection Reports for Sparr Heights Estates Senior Living

The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not ensure adequate care and supervision to residents and that staff spoke inappropriately in front of a resident.

The investigation found insufficient information to substantiate the allegations. Interviews, observations, and record reviews indicated that resident care and supervision were adequate, and no inappropriate staff behavior was confirmed. The resident involved had been moved out of the facility prior to the investigation.

The complaint involved two allegations: 1) staff did not ensure adequate care and supervision, specifically that a resident spent a night in a flooded room without checks until the next morning; 2) staff spoke inappropriately in front of a resident, including a claim that a staff member called the resident 'coo coo'. Both allegations were investigated through staff and resident interviews, record reviews, and physical plant tours. The allegations were found unsubstantiated.

The inspection was a required one-year unannounced visit to evaluate the facility's compliance with licensing regulations.

The facility was found to be in good condition with no health or safety hazards noted. Rooms were adequately furnished and clean, food storage and preparation areas were sanitary, and safety systems such as fire extinguishers and smoke detectors were properly maintained.

An unannounced complaint investigation was conducted in response to allegations that staff sexually abused a resident and failed to report the incident to proper agencies.

The investigation included interviews with staff, residents, and administrators and review of relevant documents. Conflicting statements and lack of corroborating evidence led to the determination that the allegations were unsubstantiated at this time.

The complaint alleged that staff member S1 sexually abused resident R1 over a period of 3-6 months in 2022 and that the incident was not reported to authorities. Interviews with multiple staff, residents, and administrators revealed inconsistent and conflicting information, with no corroboration or complaints from residents or staff. The former executive director denied knowledge of the allegations and stated S1 resigned voluntarily to focus on school. Based on the investigation, the allegations were deemed unsubstantiated.

An unannounced complaint investigation visit was conducted to investigate allegations that staff were not following proper reporting requirements and that resident care needs were not being met by facility staff.

The investigation found that all twelve residents interviewed stated that staff were respectful and provided all needed care, with no complaints about care quality. The allegation regarding failure to report an altercation was unsubstantiated as the facility had submitted the required incident report and reported the incident to local law enforcement.

The complaint involved allegations of improper reporting by staff and unmet resident care needs. The allegations were deemed unsubstantiated based on interviews, record reviews, and documentation of incident reporting.

The visit was an unannounced complaint investigation conducted to investigate allegations that the facility is unsafe for residents due to unsecured access ways and that residents are not provided proper medication assistance.

The investigation found that the access ways in the Memory Care Unit were secured with all safety protocols in place, and no issues were reported by maintenance staff. Interviews with residents and medication staff revealed no medication errors or late medication passes, leading to the allegations being deemed unsubstantiated.

The complaint investigation was unsubstantiated based on observations, interviews with residents, staff, and maintenance personnel, and review of relevant records. No evidence supported the allegations of unsecured access ways or medication errors.

An unannounced required 1-year inspection was conducted to evaluate the facility's compliance with licensing regulations.

The facility was found to be clean and well-maintained with appropriate safety measures in place, including operational smoke detectors, carbon monoxide detectors, and fire extinguishers. Medication carts were secured, and no deficiencies were issued during this inspection.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2021-05-19 regarding residents' hygiene needs not being met, failure to seek medical attention for a resident, and failure to administer medication.

The investigation found that the resident's hygiene needs were met unless refused, medical attention was sought with documented communication with the podiatrist, and medication was administered as prescribed. Therefore, all allegations were deemed unsubstantiated.

The complaint involved allegations that residents' hygiene needs were not met, staff did not seek medical attention for a resident with a toe fungal infection, and staff failed to give prescribed medication. The investigation found these allegations unsubstantiated.

Unannounced complaint investigation visit conducted to investigate allegations that staff did not follow doctor's orders and that medications were accessible to a resident in care.

The investigation substantiated that staff failed to follow physician's orders by applying two medication patches instead of one on Resident #1, and that prescription medication was accessible to the resident in their room, posing immediate health and safety risks.

Complaint investigation was substantiated based on evidence including photo documentation and record reviews confirming medication errors and improper medication storage.

The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident sustained a bruise while in care.

Based on inspection, observation, interviews, and record review, there was insufficient information to support the allegation. The injury appeared to be scratches caused by the resident scratching their own face, and no health and safety issues were noted. The complaint was deemed unsubstantiated.

The complaint alleged that on 02/17/2022, Resident #1 sustained a bruise while in care. Staff interviews and review of photos indicated the injury was likely self-inflicted scratches. The allegation was unsubstantiated.

The visit was an unannounced complaint investigation triggered by allegations that staff did not seek medical attention for a resident and did not notify the responsible party of the resident's injury.

The investigation found insufficient information to support the allegations. Staff did seek medical attention for the resident and notified the responsible party within 24 hours. The allegations were deemed unsubstantiated.

The complaint involved two allegations: staff did not seek medical attention for resident #1 and staff did not notify the responsible party of the resident's injury. Both allegations were investigated through staff interviews and record reviews and were found to be unsubstantiated.

An unannounced complaint investigation visit was conducted to investigate allegations regarding residents' clothes being dirty and missing.

The investigation found that the allegations were unsubstantiated. Resident #1's clothes were observed to be clean and tidy, and no complaints about missing clothes were confirmed. Staff reported that residents' clothes are laundered once a week and families are advised to label clothes to avoid mixing.

The complaint investigation was unsubstantiated based on observations, record reviews, and staff interviews regarding allegations of dirty and missing clothes for Resident #1.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2020-11-24 regarding staff not cleaning resident rooms, insufficient staffing, and call lights not being answered timely.

The investigation found that residents reported rooms were cleaned daily and general cleaning was done weekly, staffing was sufficient to meet residents' needs according to residents and staff interviewed, and call lights were answered within a reasonable time. Therefore, the allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated based on interviews with residents and staff, observations of clean rooms, and no evidence supporting the allegations of insufficient staffing or delayed call light responses.

The visit was an unannounced complaint investigation triggered by allegations received on 2020-11-24 regarding insufficient clean linens and malodorous resident rooms.

The investigation found sufficient linens in stock and clean linens in all twelve rooms visited. No foul odors or carpet stains were observed in the rooms inspected. The allegations were deemed unsubstantiated based on observations and interviews.

The complaint was unsubstantiated after investigation. Allegations included insufficient clean linens and malodorous resident rooms, both of which were not supported by observations or interviews.

An unannounced complaint investigation was conducted to investigate allegations that staff were not providing resident's medication as prescribed, a resident was left in a soiled diaper for an extended period, and a resident was not being provided medical attention in a timely manner.

Based on interviews, record review, and observation, all allegations were found to be unsubstantiated. Medication was administered as prescribed except for documented exceptions, residents' diapers were changed regularly, and medical attention was provided timely with palliative care involvement.

The complaint investigation was unsubstantiated based on staff interviews, medication administration record review, and observations. Allegations regarding medication administration, diaper care, and timely medical attention were not supported by evidence.

An unannounced required 1-year infection control inspection was conducted to assess compliance with COVID-19 prevention protocols and overall facility conditions.

The facility was found to be in compliance with infection control measures, including proper signage, PPE stock, and screening procedures. Common areas, resident rooms, and safety equipment were inspected and found adequate. No deficiencies were issued at this time.

The visit was an unannounced complaint investigation triggered by an allegation that facility staff over-medicated a resident.

The investigation included staff interviews and record reviews, which showed that medication administration matched documentation and the resident had no adverse reactions. The allegation was found to be unsubstantiated.

The complaint alleged that facility staff over-medicated a resident. The investigation found the allegation unsubstantiated based on interviews, record review, and observation.