Inspection Report Summary
The most recent inspection on March 5, 2025, identified deficiencies related to fire life safety, including prohibited use of multi-plug adapters in resident rooms, insufficient timing of emergency fire drills with none conducted during night hours, and a missing safety barrier on the gas-fired fireplace. Earlier inspections showed ongoing issues with medication management, staff background checks, resident care documentation, and fire safety compliance. Prior reports cited medication refrigerator temperature monitoring problems, unsecured medication storage, missed medication doses, incomplete resident assessments, and food code violations. Complaint investigations were not listed in the available reports. The inspection history shows recurring challenges in safety protocols and medication management, with some issues persisting over multiple inspections.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
24% better than Idaho average
Idaho average: 7.9 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Life Safety
Deficiencies: 3
Mar 5, 2025
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey at Gables of Pocatello Assisted Living.
Findings
The inspection identified non-core issues including prohibited use of multi-plug adapters in resident rooms, insufficient timing of emergency fire drills with none conducted during night hours, and lack of a required safety barrier on the gas-fired fireplace in the main living room.
Deficiencies (3)
| Description |
|---|
| Use of multi-plug adapters in resident rooms is prohibited. |
| Seven emergency fire drills were conducted only between 1:30 and 3:30 PM, failing to meet the requirement of at least two drills during night hours when residents are sleeping. |
| Gas-fired fireplace in main living room lacked a required safety barrier despite having heat-tempered glass cover. |
Report Facts
Number of fire drills conducted: 7
Required number of night fire drills: 2
Inspection Report
Follow-Up
Deficiencies: 2
Dec 14, 2023
Visit Reason
The inspection was conducted as a health care licensure and follow-up survey to verify compliance with previously cited deficiencies and regulatory requirements.
Findings
The facility was found to have ongoing issues with medication refrigerator temperature monitoring and documentation, with repeated inaccurate temperature logs. Additionally, one employee did not have a completed Idaho State Police background check prior to working unsupervised.
Deficiencies (2)
| Description |
|---|
| Medication refrigerator temperatures containing insulin were not monitored and documented accurately daily, with repeated documentation of 37 degrees F without actual checks. |
| One of four employees reviewed did not have an Idaho State Police background check completed before working unsupervised. |
Report Facts
Temperature log occurrences: 29
Employees reviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joyce Foster | Administrator | Facility administrator who provided information regarding temperature monitoring and background check issues |
| Melvin Lu | Survey Team Leader | Leader of the health care licensure and follow-up survey team |
Inspection Report
Follow-Up
Deficiencies: 10
Sep 16, 2022
Visit Reason
The inspection was a health care licensure and follow-up survey conducted to assess compliance with regulatory requirements and verify correction of previous deficiencies.
Findings
The facility was found deficient in multiple areas including failure to conduct timely investigations, inadequate secure environment for cognitively impaired residents, medication administration errors, lack of resident assessments after significant health events, unsecured medication storage, improper medication refrigerator temperatures, incomplete resident care documentation, failure to implement behavior plans, missing personnel background checks, and failure to meet food and nutritional care standards.
Deficiencies (10)
| Description |
|---|
| Administrator did not conduct investigations within 30 days for medication errors and injuries to residents. |
| Facility fence was not secure enough for residents with cognitive impairments who could scale it. |
| Residents did not receive all ordered medications, including missed doses of Gabapentin, insulin, cardiac medications, and antibiotics. |
| Residents were not assessed after significant health changes or events such as skin biopsy, suicidal ideation, coughing, low blood glucose, and incorrect insulin administration. |
| Medications were stored unsecured in an unlocked hallway closet accessible to cognitively impaired residents. |
| Medication refrigerator was below required temperature range on 18 occasions between July and September 2022. |
| Resident care assessments were performed but not documented after changes in condition. |
| Facility did not implement a behavior plan for a resident exhibiting aggressive behaviors towards staff and roommate. |
| Missing documentation of criminal history and background checks for three of five sampled staff members. |
| Facility failed to meet Idaho Food Code standards; kitchen inspection failed and mandatory re-inspection required within 10 days. |
Report Facts
Missed medication doses: 8
Missed medication doses: 4
Missed medication doses: 10
Missed medication doses: 23
Medication refrigerator temperature violations: 18
Days until response due: 30
Days until mandatory re-inspection: 10
Staff missing background checks: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joyce Foster | Administrator | Named in relation to failure to conduct timely investigations and behavior plan implementation |
| Teresa McClenathan | Survey Team Leader | Led the health care licensure and follow-up survey |
Inspection Report
Life Safety
Deficiencies: 3
Jan 26, 2022
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with fire and life safety standards for the facility licensed for three through sixteen residents.
Findings
The facility was found non-compliant with multiple fire and life safety code requirements including lack of documentation for testing alcohol-based hand rub dispensers, combustible storage in mechanical rooms without self-closing doors, obstructed electrical panel access, missing documented in-service training on emergency plans, insufficient spare sprinklers, outdated relocation agreements, and incomplete documentation of emergency drills.
Deficiencies (3)
| Description |
|---|
| Facility did not maintain compliance with NFPA 101 Life Safety Code including lack of documentation for testing alcohol-based hand rub dispensers, combustible storage in mechanical/electrical rooms without self-closing doors, obstructed electrical panel access, missing resident and staff emergency plan training documentation, and insufficient spare sprinklers. |
| Relocation agreements were not updated annually; last review was in 2020. |
| Emergency egress and relocation drill records lacked required elements such as date, time, description, personnel and resident response, problems encountered, and recommendations for improvement. |
Report Facts
Spare sprinklers: 5
Relocation agreements: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Terri Scott | Administrator | Named as facility administrator in the report header. |
| Linda Chaney | Survey Team Leader | Named as survey team leader conducting the fire life safety and sanitation licensure survey. |
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