Inspection Reports for True Care Living

The facility was found to be in non-compliance with multiple rules including incomplete incident reporting, inadequate staffing levels, insufficient staff training, improper medication administration, unsanitary kitchen conditions, unlabeled food items, building disrepair, and unsafe storage of hazardous materials. Violations were established for each cited rule.

The complaint alleged Resident A incurred a fall and was found unattended in the lobby when emergency services arrived, and that Resident A was given Lorazepam prior to emergency services arriving but it was not on Resident A’s medication list. The violations were substantiated based on investigation findings.

The investigation confirmed violations including lack of documentation supporting staff statements that Resident A was not left unattended, discrepancies between medication administration records and medication lists regarding Lorazepam administration, failure to document medication administration, and failure to document the incident of Resident A’s fall and subsequent hospital visit.

Complaint received from Adult Protective Services on 03/25/2024 alleging clutter in Resident B's room, rust on the building, and black mold in the facility. The complaint was substantiated with violations established.

The investigation found that the facility was undergoing drywall repairs due to water damage without relocating or shielding residents, which posed safety concerns. Additionally, the hot water temperature in the shower room was below the required range, reaching only 82 degrees Fahrenheit.

The facility was found to be in non-compliance with tuberculosis screening requirements for residents and employees, with violations established for admission and retention of residents and employee health screening.

The complaint alleged that staff allowed Resident A to go into town unassisted and without supervision. The allegation was not substantiated based on interviews, documentation review, and on-site inspection.

The investigation found that Resident A is independent with care and cognition and is appropriately allowed to leave the facility unassisted and without supervision, so the allegation was not substantiated. However, violations were found related to failure to submit multiple internal incident reports to the department and unsafe storage of hazardous materials accessible to residents.

Complaint received on 2023-01-03 alleging the facility has bed bugs. The complaint was substantiated based on observations, resident interviews, and medical records confirming live bed bugs on a resident admitted to the emergency room.

The investigation substantiated a chronic bed bug infestation at the facility, with live bed bugs observed in resident rooms and ongoing treatment efforts by facility staff that have not resolved the issue. Additional violations included failure to protect residents' health and wellbeing and failure to report hospitalizations of residents timely.

The complaint alleged residents were not receiving their medications as prescribed, staff did not watch residents ingest medications, and resident rooms were dirty and smelled like urine and feces. The violations regarding medications and supervision were substantiated; the cleanliness allegation was not substantiated.

The investigation established violations that some residents went several days without their prescribed medications and staff often did not watch residents ingest their medications. However, the allegation regarding dirty resident rooms and foul odors was not substantiated.