Inspection Reports for The Gables Assisted Living & Memory Care of Caldwell

The inspection was conducted as a health care complaint investigation regarding the adequacy of residents' Negotiated Service Agreements and delegation of wound care responsibilities.

The facility's Negotiated Service Agreements did not clearly reflect residents' needs or describe required services, particularly for residents with pressure injuries. Additionally, the facility nurse failed to delegate wound care responsibilities to unlicensed caregivers as required.

The visit was triggered by a health care complaint investigation. The administrator confirmed deficiencies related to NSAs and delegation of wound care. Substantiation status is not stated.

The inspection was conducted as a fire life safety and sanitation licensure survey at Gables Assisted Living and Memory Care of Caldwell.

The facility was found to have multiple non-core issues including outdated relocation agreements, prohibited use of extension cords and multi-plug adapters, use of a RPT to supply power to medical devices, and insufficient fire/emergency evacuation drills conducted bi-monthly as required.

The inspection was conducted as a health care complaint investigation regarding the facility's handling of resident falls and notification procedures.

The facility administrator failed to consistently implement adequate corrective actions to prevent resident falls from recurring, and the facility did not notify the Licensing and Certification agency within one business day for multiple resident falls requiring hospital assessment and treatment.

The investigation was triggered by complaints related to inadequate corrective actions for resident falls and failure to notify the licensing agency timely. The administrator acknowledged awareness of the issues and was working on corrective processes.

The inspection was a health care licensure and follow-up survey to assess compliance with previously cited deficiencies and regulatory requirements.

The facility was found deficient in multiple areas including incomplete criminal history and background checks for employees, failure to implement effective corrective actions to prevent resident falls, inadequate nursing assessments following changes in resident health status, and incomplete documentation of staff training and orientation.

The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with fire and life safety codes and related regulations.

The facility was found non-compliant with several fire and life safety standards including failure to maintain self-closing doors on kitchen and laundry areas, damaged kitchen hood filters, missing specialized wrench for sprinkler maintenance, missed annual fire extinguisher inspections, exposed electrical panel components, prohibited use of extension cords, and failure to conduct required emergency fire drills bimonthly including night drills.

The inspection was conducted as an initial licensure survey combined with a complaint investigation at Gables Assisted Living and Memory Care of Caldwell.

The facility was found to have multiple deficiencies including failure to complete criminal background checks, expired administrator license, inadequate investigation and corrective actions for resident falls, failure to notify licensing agency of incidents, lack of secure environment for residents at risk of elopement, insufficient nursing assessments, incomplete behavior documentation and plans, inadequate staff training documentation, failure to follow CDC COVID-19 infection control recommendations, and medication technicians administering medications without proper certification.

The inspection included a complaint investigation component, as indicated by the survey type. Specific complaints involved failure to conduct timely investigations, failure to notify licensing agency of incidents, and inadequate care and supervision leading to resident falls and elopements.