Inspection Reports for Summerfield Memory Care of Roseville

The visit was conducted as a Case Management - Other unannounced inspection to review the facility's licensing status and fee payment.

The facility was found to have an overdue license fee balance of $10,860.00 billed on 02/05/2025. No deficiencies were cited during the visit.

The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2025-02-04 regarding resident falls, fractures, and issues related to care and communication at Summerfield of Roseville.

The investigation substantiated neglect related to multiple unwitnessed falls of a resident due to staff neglect and failure to reassess the resident's fall risk, resulting in a cited deficiency. Another allegation of neglect related to a resident's fracture was unsubstantiated as staff supervision was deemed appropriate. Allegations regarding failure to provide the resident's responsible party with detailed explanations and itemization of charges at a new level of care were found to be unfounded.

The complaint investigation was substantiated for neglect/lack of care and supervision related to multiple unwitnessed falls of resident R1 due to staff neglect. The allegation of neglect related to a fracture was unsubstantiated. Allegations regarding failure to provide responsible party with explanations and itemization of charges were unfounded.

The visit was conducted as a required unannounced annual inspection to evaluate compliance with licensing regulations.

During the inspection, no health or safety violations were observed. Five resident and five staff files were reviewed and found complete. The facility's emergency preparedness and fire safety measures were verified to be in compliance.

The visit was an unannounced case management visit to confirm orders for immediate exclusion of an individual from all facilities.

The facility was informed of an immediate exclusion order effective 09/13/2024, requiring removal of the individual (S1) from any contact with clients and prohibiting their physical presence in the facility.

The visit was conducted as the required annual unannounced inspection to evaluate compliance with regulatory standards.

The inspection found deficiencies related to personnel records and care of persons with dementia, including missing health screening and TB records for staff and outdated physician reports for residents with dementia. No health or safety violations were observed during the facility tour.

The visit was an unannounced follow-up on a Case Management - Incident visit conducted on 05/04/2023, related to a complaint investigation regarding medication administration errors for resident R1.

The investigation found that the facility did not ensure medications were given according to physician directions. Resident R1's medications were found to be full and unopened, indicating they were not administered as prescribed. Additionally, R1 did not have an updated medication assessment, posing potential health and safety risks.

The complaint investigation focused on medication errors for resident R1, diagnosed with dementia and unable to self-administer medications. The facility was found to have not administered prescribed medications and lacked updated medication assessments. The complaint was substantiated based on observations and record reviews.

The visit was conducted as a Case Management - Incident investigation in response to a telephone call and incident report regarding a resident's eye drops not being administered, which allegedly caused vision loss.

The facility conducted an internal investigation, reviewed medication administration records, interviewed staff, and confirmed that eye drops were being given. The responsible party refilled the eye drops after the incident. No deficiencies were cited at this time.

The complaint alleged that staff failed to administer eye drops to a resident, causing vision loss in the left eye. The facility investigated and reported the incident to the licensing agency and local ombudsman. The complaint was not substantiated with deficiencies.

The inspection was an unannounced Required - 1 Year inspection conducted to ensure compliance with health and safety regulations for residents in care.

The inspection found that the facility generally maintained a safe and sanitary environment with proper medication storage and staff training. However, deficiencies were noted related to the lack of updated annual medical assessments for 2 out of 5 residents with dementia.

The visit was an unannounced Case Management - Incident inspection to follow up on two unusual incident/injury reports submitted regarding missed medication administration for two residents.

The inspection found that residents had missed medications due to refill issues, the facility notified physicians and observed residents for 48 hours with no deficiencies cited. The facility plans mandatory training for medication technicians and is switching to an online medication tracking system.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-11-04 regarding a resident being forced to take medication against her will and being restrained.

The complaint that a resident was forced to take medication against her will and restrained was substantiated based on interviews and documentation, including statements from staff and review of medical records. The facility lacked proper medication training records for some staff. Another complaint that a resident was forced to eat against her will was unsubstantiated after investigation and interviews.

The complaint investigation was substantiated for allegations that a resident was forced to take medication against her will and restrained. The complaint that a resident was forced to eat against her will was unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-02-09 regarding emergency disaster plan adherence, locked facility gates, and maintenance of residents' rooms.

All allegations were found to be unsubstantiated or unfounded. The facility conducted fire drill training with some gaps in records, gates were locked but accessible in emergencies, the kitchen was properly maintained, and residents' rooms were generally well maintained with some exceptions noted during agency staff coverage.

The complaint investigation addressed multiple allegations: staff not following the emergency disaster plan (unsubstantiated), facility gates locked to residents (unsubstantiated), residents' rooms not properly maintained (unsubstantiated), facility lacking an active administrator on premises (unfounded), and staff not properly maintaining the kitchen (unfounded). The complaint was ultimately unsubstantiated/unfounded.

An unannounced complaint investigation was conducted following allegations of mold presence and kitchen equipment disrepair at the facility.

The investigation substantiated the allegations, finding mold on the kitchen ceiling and kitchen equipment such as the ice machine, mixer, and oven in disrepair, posing health and safety risks to residents.

The complaint was substantiated based on the preponderance of evidence standard.

The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 10/29/2021 alleging that staff spoke inappropriately to a resident in care.

The investigation included interviews and review of relevant documents. The allegation that staff spoke inappropriately to a resident was found to be unsubstantiated due to lack of preponderance of evidence. The facility conducted an internal investigation and took corrective actions including discontinuing use of the implicated agency staff.

The complaint alleged that staff spoke inappropriately to a resident. The allegation was investigated and found to be unsubstantiated. The facility's internal investigation revealed that two agency caregivers denied the allegation, and the agency stopped sending one caregiver to the facility. The facility also implemented in-service training for new agency staff on dementia residents.

The inspection was an unannounced Annual/Random Inspection focusing on the infection control domain to ensure compliance with health and safety standards.

The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.

The inspection was a required unannounced 1-year inspection focusing on the infection control domain, conducted to ensure health and safety compliance at the facility.

The facility was toured including common areas and resident rooms, with no immediate health, safety, or personal rights violations observed. The facility was found to be in substantial compliance with infection control requirements and no deficiencies were cited.