Inspection Reports for Homestead of Gardner

An offsite revisit survey was conducted on 10/09/24 to verify correction of all previous deficiencies cited on 09/24/24.

All deficiencies have been corrected as of the compliance date of 10/04/24 and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a licensure resurvey conducted on 09/23/24 and 09/24/24 to assess compliance with regulatory requirements for the assisted living facility.

The facility was found deficient in multiple areas including incomplete negotiated service agreements lacking descriptions of services and payment responsibilities, failure to provide healthcare services according to professional standards, improper medication storage, incomplete documentation of resident incidents, and failure to conduct quarterly emergency management plan reviews with employees and residents.

The document is a Plan of Correction submitted in response to findings from the licensure resurvey conducted on 09/23/24 and 09/24/24 at the facility.

The Plan of Correction addresses citations identified during the licensure resurvey conducted on 09/23/24 and 09/24/24. Specific deficiencies are not detailed in this document.

The abbreviated survey was conducted on 01/10/23 at the facility to assess compliance.

The survey resulted in a finding of no non-compliance.

The abbreviated survey with review of facility report #1777335 was conducted at the assisted living facility.

The survey resulted in a finding of no deficiency citations.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2022-02-09.

All deficiencies cited in the prior inspection have been corrected as of the compliance date 2022-02-16, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a resurvey with a complaint (#166584) at the assisted living facility conducted on 2/8 and 2/9/2022.

The facility failed to ensure that licensed nurses or medication aides remained with residents until medications were ingested, as evidenced by multiple observations and resident interviews indicating medications were left with residents to take later.

The visit was complaint-related under complaint #166584. The complaint was substantiated as the facility failed to comply with medication administration requirements.

The document is a plan of correction responding to findings from a resurvey conducted with a complaint #166584 at the assisted living facility on February 8 and 9, 2022.

The plan of correction addresses citations found during the resurvey related to the complaint investigation conducted at the facility.

The visit was complaint-related, associated with complaint #166584.

The special infection control survey for COVID-19 was conducted at the facility on 08/06/2020.

The survey resulted in findings of no deficiency citations.

The inspection was a resurvey with complaint investigations 136500, 121564, and 118147 conducted at the assisted living facility on 1-8-19, 1-9-19, and 1-10-19.

The facility was found deficient in conducting functional capacity screenings at least annually and following significant changes in condition, ensuring negotiated service agreements included descriptions of certain services such as use of bed assist rails and blood glucose monitoring, and ensuring quarterly review of the entire emergency management plan with all residents.

The inspection was triggered by complaint investigations numbered 136500, 121564, and 118147.

The inspection was an abbreviated survey combined with a complaint investigation at an assisted living facility.

The facility failed to conduct required functional capacity screenings following significant changes in resident conditions and failed to document incidents, symptoms, and other indications of illness or injury including dates, times, actions taken, and results. Documentation was incomplete or missing for resident transfers, hospital admissions, and assessments.

The visit included a complaint investigation (114104) related to failure to conduct functional capacity reassessments and inadequate documentation of incidents and resident transfers.

This revisit report documents the correction of deficiencies previously reported during an earlier survey, verifying that corrective actions were completed.

All previously cited deficiencies identified by regulation or LSC provision numbers were corrected as of the revisit date.

Licensure re-survey with attached complaint at the assisted living facility conducted on 12/5/16, 12/6/16 and 12/7/16.

The facility was found deficient in multiple areas including failure to execute written admission agreements, incomplete functional capacity screening forms, lack of negotiated service agreements for refused services, inadequate health care service coordination, improper medication administration and storage, incomplete incident documentation, and unsecured chemicals in resident areas.

The inspection was a licensure re-survey with an attached complaint. Specific complaint details are not separately stated but deficiencies relate to admission agreements, medication administration, and resident safety.

The licensure resurvey was conducted as a renewal inspection of the assisted living facility.

The inspection resulted in a finding of no deficiency citations on 10-5-15.