Inspection Report Summary
The most recent inspection on February 19, 2025, identified deficiencies related to failure to report a client’s fall and not following incident reporting policies, resulting in a substantiated complaint and termination of an aide. Earlier inspections showed a mixed pattern, with some reports noting no violations, such as the June 14, 2024 renewal inspections, while others identified deficiencies including prior substantiated violations and issues with compliance. The main themes of deficiencies involved incident reporting and adherence to agency policies, with no fines or enforcement actions listed in the available reports. Complaint investigations included substantiated findings related to incident reporting failures, while most other complaints were either unsubstantiated or not clearly stated. The inspection history shows some recurring issues with reporting and policy adherence, though recent corrective actions have been taken to address these concerns.
Deficiencies (last 4 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Dawn Marie Amorosa | ED | Personnel contacted during inspection |
| Linda Burney | SALSA | Personnel contacted during inspection |
| Karen Donato | Nurse Consultant | Report submitted by |
Inspection Report
Plan of Correction| Name | Title | Context |
|---|---|---|
| Elizabeth T. Heiney | Supervising Nurse Consultant | Signed letter regarding the inspection and plan of correction instructions. |
| Dawn Amorosa | Administrator / Executive Director | Recipient of the letter and submitter of the plan of correction. |
| Linda Burney | Resident Service Director / RN | Provided in-service training related to reporting guidelines. |
Inspection Report
RenewalInspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Megan Edson-Sawyer | Nurse Consultant and Survey Team Leader | Signature of FLIS Staff and Survey Team Leader |
| Elizabeth Heiney | Supervisor | Supervisor of the survey team |
| Dawn Amorosa | Executive Director | Personnel contacted during inspection |
| Margaret Auz | SALSA | Personnel contacted during inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Michael J. Smith | RN Nurse Consultant | Signature of FLIS Staff and report submitter |
| Margaret Auz | SALSA | Personnel contacted during inspection |
| Gina Saunders | Ex Director | Personnel contacted and Service Coordinator |
| Heather Rueda | RN | SALSA Designee |
Inspection Report
Renewal| Name | Title | Context |
|---|---|---|
| Michael Smith | RN Nurse Consultant | Signature of FLIS Staff and report submitted by. |
| Gina Saunders | Ex Director | Personnel contacted during inspection. |
| Margaret Auz | SALSA | Personnel contacted during inspection. |
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