Inspection Reports for
Homestead of Paola

KS, 66071

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Deficiencies (last 10 years)

Deficiencies (over 10 years) 6.1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

2% worse than Kansas average
Kansas average: 6 deficiencies/year

Deficiencies per year

20 15 10 5 0
2014
2015
2016
2018
2019
2020
2021
2022
2023
2025

Occupancy

Latest occupancy rate 85% occupied

Based on a March 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

20% 40% 60% 80% 100% Apr 2014 May 2015 Aug 2019 Dec 2022 Mar 2025

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Nov 18, 2025

Visit Reason
The visit was a Licensure Resurvey and Complaint Investigation for multiple complaint cases at the facility.

Complaint Details
The complaint investigation involved multiple complaint cases identified by KS00196539, KS00195464, KS00196604, KS00196622, KS00196914, KS00197024, and KS00197276. No deficiencies were found.
Findings
The investigation and resurvey resulted in a finding of no deficiency citations for the facility.

Inspection Report

Follow-Up
Deficiencies: 0 Date: Apr 21, 2025

Visit Reason
This visit was conducted as a follow-up to verify correction of previously reported deficiencies at the facility.

Findings
All previously reported deficiencies identified by regulation numbers 26-41-101 (f)(1), 26-41-204 (i), 26-41-103 (c), and 26-41-207 (a)(b) were corrected as of the revisit date.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Apr 21, 2025

Visit Reason
This document is a plan of correction submitted in response to findings from an abbreviated investigation conducted on 2025-04-21 at the assisted living facility.

Findings
The abbreviated investigation #194413 and #194283 conducted on 2025-04-21 resulted in no citations.

Inspection Report

Abbreviated Survey
Deficiencies: 0 Date: Apr 21, 2025

Visit Reason
The visit was an abbreviated investigation of the assisted living facility Homestead of Crestview conducted on 04/21/2025.

Findings
The abbreviated investigation resulted in no citations or deficiencies.

Inspection Report

Re-Inspection
Census: 41 Deficiencies: 4 Date: Mar 24, 2025

Visit Reason
The visit was a resurvey with attached complaints conducted on 03/18/25, 03/19/25, and 03/24/25 at the assisted living facility Homestead of Crestview.

Complaint Details
The resurvey included attached complaints #194043, #190751, #190622, #188798, #188113, #185378, #184221, and #178721.
Findings
The inspection found multiple deficiencies including failure to protect residents from physical and verbal abuse, failure to keep a resident safe from elopement, failure to provide dementia training to staff upon hire, and failure to maintain safe and sanitary food delivery practices.

Deficiencies (4)
KAR 26-41-101(f)(1)(A) The administrator failed to protect Resident 3 from physical abuse resulting in a left eye injury of unknown origin on 03/08/25 and Resident 9 from verbal abuse by a direct care staff member on 01/22/24.
KAR 26-41-204(i) The operator failed to keep Resident 12 safe from potential injury or death by not completing an accurate headcount after the resident exited the facility unsupervised on 09/14/24, leaving the resident unaccounted for 57 minutes.
KAR 26-41-103(c) The administrator failed to provide dementia training to direct care staff upon hire for five sampled staff members.
KAR 26-41-207(a) The operator failed to ensure facility staff kept food items safe and sanitary during delivery to residents' rooms, as food was left unattended and uncovered on a cart.
Report Facts
Resident census: 41 Time unaccounted: 57 Number of residents with cognitive impairment: 18 Residents in dementia/memory care unit: 12 Number of sampled staff without dementia training upon hire: 5

Employees mentioned
NameTitleContext
CNA FCertified Nurse AideNamed in physical abuse finding related to Resident 3's left eye injury.
CMA ICertified Medication AideNamed in verbal abuse finding related to Resident 9.
Administrative Staff AInvolved in investigation and assessments related to Resident 3 and Resident 9 abuse cases.
Administrative Nurse BConducted assessment and investigation related to Resident 3's injury.
Administrative Nurse CProvided statements regarding abuse investigations and dementia training.
Licensed Nurse EOn-call nurse notified about Resident 3's injury and involved in abuse investigation.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Mar 18, 2025

Visit Reason
The document represents the findings of a resurvey with attached complaints conducted at an assisted living facility on 03/18/25, 03/19/25, and 03/24/25.

Complaint Details
The resurvey included attached complaints #194043, #190751, #190622, #188798, #188113, #185378, #184221, and #178721.
Findings
This plan of correction addresses deficiencies identified during the resurvey and complaint investigations at the assisted living facility.

Inspection Report

Re-Inspection
Deficiencies: 0 Date: Nov 14, 2023

Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-10-23.

Findings
All deficiencies have been corrected as of the compliance date of 2023-11-08, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Oct 19, 2023

Visit Reason
The document is a Plan of Correction for an Assisted Living Facility following a Re-Licensure Survey with complaint investigations conducted on 10/19/2023 and 10/23/2023.

Findings
The Plan of Correction addresses findings from a Re-Licensure Survey combined with multiple complaint investigations at the facility.

Inspection Report

Renewal
Census: 36 Deficiencies: 12 Date: Oct 19, 2023

Visit Reason
The inspection was a Re-Licensure Survey combined with complaint investigations for an assisted living facility conducted on 10/19/2023 and 10/23/2023.

Complaint Details
The survey included complaint investigations numbered 177515, 177684, 178420, 178688, 179652, and 181502.
Findings
The survey identified multiple deficiencies including inaccurate functional capacity screening, incomplete negotiated service agreements, failure to coordinate necessary health care services, improper medication assessments and administration, inadequate medication storage, incomplete incident documentation, lack of emergency preparedness reviews, failure to post required electronic monitoring notices, and unsafe food preparation and serving temperatures.

Deficiencies (12)
K.A.R 26-41-201(d) Functional Capacity Screen was inaccurate for one resident, failing to reflect socially inappropriate behaviors.
K.A.R 26-41-202(a)(2) Negotiated Service Agreement did not include service descriptions or providers related to inappropriate behaviors for one resident.
K.A.R 26-41-204(a) Health Care Services were not provided or coordinated to address inappropriate behaviors for one resident.
K.A.R 26-41-205(a)(1) A licensed nurse failed to assess a resident's ability to self-inject insulin safely before self-administration.
K.A.R 26-41-205(b) The Negotiated Service Agreement did not identify responsibility for administration and management of selected medications for one resident.
K.A.R 26-41-205(g)(4)(D)(E) Sample medication receipt was not documented properly and medication containers lacked required labeling information.
K.A.R 26-41-205(h) Medications, including liquid Morphine Sulfate, were stored improperly in refrigeration contrary to manufacturer recommendations.
K.A.R 26-41-105(f)(11) Resident records lacked documentation of incidents, symptoms, actions taken, and results related to inappropriate sexual behaviors.
K.A.R 26-41-104(d)(3) The facility failed to conduct quarterly reviews of the emergency management plan with all residents and employees.
K.A.R 26-41-206(c)(1) Weekly menu plans were not available to residents as required.
K.A.R 26-41-206(d) Food was not prepared or served at proper temperatures, with food held in unsafe temperature ranges.
Kansas Statute 39-981(i) Required notices of electronic monitoring were not posted at the facility entrance or all resident rooms.
Report Facts
Resident census: 36 Complaint investigations: 6

Employees mentioned
NameTitleContext
Licensed Nurse AAdministrative Licensed NurseReported on Functional Capacity Screen and Negotiated Service Agreement documentation
Certified Medication Aide ICertified Medication AideReported resident behaviors related to inappropriate sexual conduct
Certified Medication Aide JCertified Medication AideReported observations of resident sexual comments
Administrative Staff AAdministrative StaffProvided emergency management plan records and acknowledged posting deficiencies
Licensed Nurse EAdministrative Licensed NurseAcknowledged need for service plan interventions related to inappropriate behaviors
Certified Medication Aide DCertified Medication AideObserved assisting resident with insulin self-injection
Certified Medication Aide FCertified Medication AideObserved handling sample medications without proper documentation
Administrative Staff BAdministrative StaffAcknowledged lack of sample medication logs and labeling
Dietary Staff GDietary StaffReported on food temperature monitoring and acknowledged deficiencies
Certified Medication Aide HCertified Medication AideReported on food temperature practices on Memory Care unit

Inspection Report

Re-Inspection
Deficiencies: 0 Date: Jan 23, 2023

Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2022-12-29.

Findings
All deficiencies have been corrected as of the compliance date of 2023-01-23, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

Inspection Report

Re-Inspection
Census: 38 Deficiencies: 4 Date: Dec 29, 2022

Visit Reason
The inspection was a resurvey with attached complaints to assess compliance with regulatory requirements at the assisted living facility Homestead of Crestview.

Findings
The facility failed to complete required Functional Capacity Screens for residents following significant changes or annually, did not ensure negotiated service agreements described all services for residents, failed to label over-the-counter medications with residents' full names, and lacked evidence of tuberculosis testing for a resident.

Deficiencies (4)
KAR 26-41-201(c)(1)(2) Functional Capacity Screen was not completed for Resident 127 following a significant change and for Resident 131 every 365 days as required.
KAR 26-41-202(a)(1) Negotiated Service Agreements for Residents 127 and 128 lacked descriptions of all services they would receive, including feeding, bladder incontinence, falls, impaired vision, communication, and others.
KAR 26-41-205(g)(3) Over-the-counter medications were not labeled with residents' full names on four medication packages.
KAR 26-41-207(c) The facility failed to ensure compliance with tuberculosis guidelines; Resident 127's record lacked evidence of required two-step TB testing.
Report Facts
Census: 38 Over-the-counter medication packages missing resident names: 4 Days since last Functional Capacity Screen for Resident 131: 410

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Dec 28, 2022

Visit Reason
This document is a plan of correction submitted in response to a resurvey with attached complaints conducted at an assisted living facility on December 28 and 29, 2022.

Findings
The plan of correction addresses findings from a resurvey and multiple attached complaints identified during the inspection.

Inspection Report

Re-Inspection
Deficiencies: 0 Date: Jun 10, 2021

Visit Reason
This is a revisit inspection to verify that previously reported deficiencies have been corrected and to document the dates when corrective actions were completed.

Findings
All previously cited deficiencies listed with regulation numbers were corrected as of the revisit date. The report confirms completion of corrective actions for each deficiency.

Inspection Report

Re-Inspection
Census: 28 Deficiencies: 5 Date: May 4, 2021

Visit Reason
The inspection was a resurvey and complaint investigation conducted over multiple days to assess compliance with medication administration, medication storage, staff training on dementia, and facility safety.

Complaint Details
The inspection included complaint investigations identified by numbers #149472, #152893, #154377, #154544, #154991, #155584, #156283, #159283, and #159346 conducted on multiple dates in late April and early May 2021.
Findings
The facility had deficiencies in medication management including failure to document self-administration agreements, improper labeling of over-the-counter medications, failure to date insulin pens, lack of dementia-specific staff training upon hire, and unsecured hazardous chemicals posing safety risks.

Deficiencies (5)
KAR 26-41-205 (b) The facility failed to ensure the negotiated service agreement reflected resident self-administration of some medications and did not identify responsible parties for medication management for one resident.
KAR 26-41-205 (g) (3) The facility failed to ensure licensed staff labeled over-the-counter medications with the resident's full name for six residents.
KAR 26-41-205 (h) (4) The facility failed to ensure staff dated insulin pens once opened and did not prevent administration beyond expiration for two residents and an opened tuberculosis testing solution.
KAR 26-41-103 (c) The facility failed to provide staff orientation and in-service education on dementia treatment and appropriate responses to behaviors for new hires working in the dementia care unit.
KAR 28-39-254 (a) The facility failed to maintain a safe environment by leaving hazardous chemicals unsecured and accessible to residents and staff.
Report Facts
Census: 28 Residents managed for medications: 26 Residents on dementia unit: 6 Direct care staff hired since last dementia training: 43 Residents with unlabeled OTC medications: 6 Residents with insulin pens not dated: 2

Inspection Report

Plan of Correction
Deficiencies: 0 Date: May 4, 2021

Visit Reason
This document is a plan of correction related to deficiencies identified in a prior inspection report dated 05.04.2021 for the facility Homestead of Crestview.

Findings
No specific findings or deficiencies are detailed in this document. It serves as a record of the plan of correction submission and modification dates.

Inspection Report

Abbreviated Survey
Deficiencies: 0 Date: Jul 7, 2020

Visit Reason
The special infection control survey for COVID-19 was conducted at the facility on July 7, 2020.

Findings
The survey resulted in findings of no deficiency citations.

Inspection Report

Follow-Up
Deficiencies: 5 Date: Oct 3, 2019

Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.

Findings
All previously cited deficiencies listed with regulation numbers were corrected as of the revisit date. The report confirms completion of corrective actions for each deficiency.

Deficiencies (5)
26-41-205 (g) (3): Previously cited deficiency corrected as of 10/03/2019.
26-41-102 (d): Previously cited deficiency corrected as of 10/03/2019.
26-41-104 (a): Previously cited deficiency corrected as of 10/03/2019.
26-41-206 (d): Previously cited deficiency corrected as of 10/03/2019.
28-39-254: Previously cited deficiency corrected as of 10/03/2019.

Inspection Report

Complaint Investigation
Census: 24 Deficiencies: 5 Date: Aug 14, 2019

Visit Reason
The inspection was conducted as a licensure resurvey and complaint investigations (#140287, #141475, and #143423) for the assisted living facility Homestead of Crestview.

Complaint Details
The inspection included complaint investigations #140287, #141475, and #143423 as part of the licensure resurvey.
Findings
The facility was found deficient in multiple areas including improper labeling of over-the-counter medications, lack of verification of staff licensure and registry, inadequate emergency evacuation drills, unsafe food preparation and storage practices, and unsecured hazardous chemicals posing risks to cognitively impaired residents.

Deficiencies (5)
KAR 26-41-205 (g)(3) The facility failed to ensure licensed staff labeled over-the-counter medications with the resident's full name for 3 residents.
KAR 26-41-102 (d) The facility failed to have evidence of verifying nursing licenses and nurse aide registry for certain employees prior to employment.
KAR 26-41-104 (a) The facility failed to conduct an emergency evacuation drill with sufficient staff to assist residents requiring help to a secure location.
KAR 26-41-206 (d)(1) The facility failed to ensure food was stored and prepared safely, including proper sealing, dating, temperature monitoring, hairnet use, and kitchen cleanliness.
KAR 28-39-254 (a) The facility failed to secure all chemicals to maintain safety of cognitively impaired residents, with unlocked cabinets containing hazardous cleaning products.
Report Facts
Resident census: 24 Residents with cognitive impairment: 8 Residents managed medications: 23 Deficiencies cited: 5

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Sep 18, 2018

Visit Reason
This document is a Plan of Correction submitted in response to deficiencies identified in a prior inspection.

Findings
No deficiencies or findings are detailed in this document; it only references the Plan of Correction status and contact information for assistance.

Inspection Report

Follow-Up
Deficiencies: 0 Date: Sep 11, 2018

Visit Reason
This revisit inspection was conducted to verify that previously cited deficiencies have been corrected by the facility.

Findings
All previously reported deficiencies identified by regulation numbers 26-41-202(i), 26-41-204(g)(h), and 26-41-205(g)(4) were corrected as of the revisit date.

Inspection Report

Complaint Investigation
Census: 19 Deficiencies: 3 Date: Aug 16, 2018

Visit Reason
The inspection was a resurvey with investigation of complaints #121569, #126491, and #131330 at the assisted living facility Homestead of Crestview on 8/13/18, 8/14/18, and 8/16/18.

Complaint Details
The visit was triggered by complaints #121569, #126491, and #131330. The investigation substantiated failures in service provision and documentation.
Findings
The facility failed to ensure residents received services according to their negotiated service agreements, including housekeeping and skilled nursing care documentation. Additionally, the facility did not follow proper procedures for sample and indigent medications, including documentation and labeling requirements.

Deficiencies (3)
KAR 26-41-202(i) The operator failed to ensure each resident received services according to their negotiated service agreement, including housekeeping and laundry services.
KAR 26-41-204(g)(2) The licensed nurse providing insulin injections failed to document the service and outcome in the resident's record.
KAR 26-41-205(g)(4)(D)(E)(F) The facility failed to properly document receipt, labeling, verification, and resident notification for sample medications as required by policy.
Report Facts
Census: 19 Complaint numbers: 3

Inspection Report

Re-Inspection
Deficiencies: 0 Date: Dec 29, 2016

Visit Reason
The licensure resurvey was conducted with an investigation of complaint #105188 at the assisted living facility.

Complaint Details
Complaint #105188 was investigated and found to have no deficiencies.
Findings
The investigation and resurvey on 12/28/16 and 12/29/16 resulted in no deficiency citations.

Inspection Report

Follow-Up
Deficiencies: 1 Date: Jun 15, 2015

Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.

Findings
The report confirms that the previously cited deficiency under regulation 26-41-207 (a) (b) with ID prefix S3305 was corrected as of 06/15/2015. No other deficiencies or issues are noted.

Deficiencies (1)
Regulation 26-41-207 (a) (b) deficiency was corrected as of 06/15/2015.

Inspection Report

Complaint Investigation
Census: 34 Deficiencies: 3 Date: May 14, 2015

Visit Reason
The inspection was a resurvey with complaints #81431 and #CSGS11 conducted on multiple dates in May 2015 to investigate concerns related to health care services and infection control at the facility.

Complaint Details
The visit was complaint-related, investigating complaints #81431 and #CSGS11 concerning falls and infection control issues at the facility.
Findings
The facility failed to ensure licensed nurses provided or coordinated necessary health care services for cognitively impaired residents who experienced multiple falls. The facility also failed to provide a safe, sanitary environment by not implementing appropriate infection control policies and procedures for a resident with Clostridium difficile. Additionally, the facility did not secure chemicals, posing a risk to a cognitively impaired resident.

Deficiencies (3)
KAR 26-41-204(a) The operator failed to ensure licensed nurses provided or coordinated necessary health care services for cognitively impaired residents who experienced multiple falls, including inadequate supervision and interventions.
KAR 26-41-207(a)(b) The operator failed to ensure a safe, sanitary environment by not implementing infection control policies per CDC guidelines, lacking personal protective equipment availability, and insufficient staff education related to Clostridium difficile care.
KAR 26-41-254(a) The operator failed to protect the health and safety of a cognitively impaired resident by not securing chemicals, allowing access to Clorox 4 in 1 disinfectant spray.
Report Facts
Resident census: 34 Falls recorded for resident #100: 13 Positive C-diff cultures: 6

Inspection Report

Re-Inspection
Deficiencies: 0 Date: Oct 16, 2014

Visit Reason
This visit was a follow-up to verify correction of previously reported deficiencies at Lakepoint Assisted Living at Crestview.

Findings
All previously reported deficiencies identified by regulation or Life Safety Code provisions were corrected by the revisit date.

Inspection Report

Complaint Investigation
Deficiencies: 6 Date: Oct 16, 2014

Visit Reason
The inspection was conducted as a complaint investigation to assess compliance with regulations regarding staff treatment of residents, functional capacity screening, negotiated service agreements, health care services, resident record documentation, and infection control policies.

Complaint Details
The visit was complaint-related focusing on allegations of abuse, neglect, and regulatory compliance in resident care and facility operations. Specific substantiation status is not stated.
Findings
Multiple deficiencies were identified related to failure to report and investigate allegations of abuse, incomplete functional capacity reassessments, lack of negotiated service agreements, inadequate health care services coordination, insufficient documentation of incidents, and noncompliance with infection control policies including tuberculosis guidelines.

Deficiencies (6)
26-41-101 (f) (3) Staff Treatment of Residents Reporting: Allegations of abuse, neglect, or exploitation were not reported to the administrator or department within 24 hours as required.
26-41-201 (c) Functional Capacity Screen Reassessment: Facility staff failed to conduct required screenings at least annually, after significant condition changes, or quarterly for residents receiving eating assistance.
26-41-202 (a) Negotiated Service Agreement: Written negotiated service agreements were not developed for each resident based on functional capacity screening and service needs.
26-41-204 (c) Health Care Services: The facility did not ensure health care services were properly provided or coordinated by a licensed nurse as required.
26-41-105 (f) (11) Resident Record Documentation of Incidents: Documentation of incidents, symptoms, and actions taken was incomplete or missing required details.
26-41-207 (b) (5-6) (c) Infection Control Policies: The facility failed to prohibit employees with communicable diseases from contact with residents and did not provide required infection control education or comply with tuberculosis guidelines.

Inspection Report

Complaint Investigation
Census: 31 Deficiencies: 12 Date: Sep 22, 2014

Visit Reason
Resurvey with investigation of complaints #78289 and #79265 conducted on 9/15/14, 9/16/14, 9/17/14, 9/18/14, and 9/22/14.

Complaint Details
The inspection was a resurvey with investigation of complaints #78289 and #79265 conducted over multiple days in September 2014.
Findings
The facility failed to report and investigate a resident death timely, did not conduct required functional capacity screenings, lacked proper negotiated service agreements, failed to appropriately delegate nursing procedures, improperly stored medications, and lacked sufficient staff for emergency evacuations. Additional deficiencies included incomplete documentation of incidents and noncompliance with tuberculosis screening guidelines.

Deficiencies (12)
KAR 26-41-101(f)(3)(A) The operator failed to report to the department within 24 hours and failed to conduct an investigation when a certified staff member found resident #154 deceased on the floor between the bed and nightstand.
KAR 26-41-201(c)(1) The operator failed to ensure a licensed nurse conducted a functional capacity screening at least every 365 days for resident #152.
KAR 26-41-202(a)(1)(2)(3) The operator failed to develop a written negotiated service agreement for resident #153 that described services, providers, and payment responsibilities.
KAR 26-41-204(c)(1)(2)(3) The operator failed to ensure health care services included personal care by certified or licensed staff, gratuitous care, or supervised nursing care for resident #153.
KAR 26-41-204(e) The licensed nurse failed to appropriately delegate blood glucose testing to certified medication aides for residents #151, #156, #157, and #158.
KAR 26-41-205(d)(4) The licensed nurse failed to appropriately delegate insulin pen preparation and dose dialing to certified medication aides for residents #151 and #156.
KAR 26-41-205(g)(3) The operator failed to ensure a licensed nurse or pharmacist placed the full name of the resident on over-the-counter medication packages or bottles.
KAR 26-41-205(h)(1) The licensed nurse failed to store discontinued controlled medications in a locked compartment within a locked medication room, cabinet, or medication cart.
KAR 26-41-205(i)(1) The licensed nurse failed to maintain records documenting the destruction of discontinued controlled medications according to acceptable standards of practice.
KAR 26-41-105(f)(11) The licensed nurse failed to ensure resident #154's record contained documentation of a certified staff member finding the resident on the floor, including date, time, and action taken.
KAR 26-41-104(a) The operator failed to ensure a sufficient number of staff members on night shift to assist residents requiring help in an emergency or disaster evacuation.
KAR 26-41-207(c) The operator failed to ensure compliance with tuberculosis guidelines by not completing a symptom screen or chest x-ray within 7 days of employment for licensed nurse #B.
Report Facts
Resident census: 31 Number of residents sampled: 4 Focus review residents: 1 Number of discontinued controlled medications found: 8 Staffing pattern: 1 Staffing pattern: 1

Inspection Report

Abbreviated Survey
Census: 31 Deficiencies: 1 Date: Apr 8, 2014

Visit Reason
The visit was an abbreviated survey conducted on April 7-8, 2014, to assess compliance with adult care home regulations.

Findings
The facility failed to ensure that a resident was permitted to remain in the adult care home and was improperly discharged without meeting required conditions. Documentation lacked evidence that the resident's needs could not be met or that the safety of others was endangered.

Deficiencies (1)
26-39-102 (d) Admission, Transfer, Discharge: The operator failed to ensure that a resident was not discharged unless the discharge was necessary for the resident's welfare, safety of others was endangered, or other regulatory conditions were met. The resident was discharged without proper justification or documentation.
Report Facts
Resident census: 31 Closed record review: 1

Employees mentioned
NameTitleContext
Licensed Staff ANamed in progress notes documenting resident behavior and hospital transport
Administrative StaffInterviewed regarding issuance of 30 day discharge notice and meetings with resident

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC A3X712

Visit Reason
This document is a Plan of Correction submitted in response to a prior inspection or deficiency report.

Findings
No specific deficiencies or findings are detailed in this document. It serves as a record of the Plan of Correction submission.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC BJZ311

Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.

Findings
No specific deficiencies or findings are detailed in this document. It serves as a record of the Plan of Correction status.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC BJZ312

Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as BJZ312 for facility State ID N087059.

Findings
No deficiency details or findings are included in this Plan of Correction document. It only references the related deficiency report with no records found.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC CSGS11

Visit Reason
This document is a Plan of Correction related to a prior inspection or deficiency report for the facility Lakepoint AL at Crestview.

Findings
No specific findings or deficiencies are detailed in this document. It serves as a corrective action plan reference linked to a previous deficiency report.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC CSGS12

Visit Reason
This document is a plan of correction related to a prior inspection event for the facility identified as ASPEN with State ID N087059 and Event ID CSGS12.

Findings
No deficiency details or findings are included in this document. It only references the plan of correction status and contact information for assistance.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC G21711

Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility Homestead of Crestview.

Findings
No specific findings or deficiencies are detailed in this document. It serves as a placeholder or administrative record for the Plan of Correction.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC IYBQ11

Visit Reason
This document is a plan of correction related to a prior deficiency report for the facility.

Findings
No specific findings or deficiencies are detailed in this document; it serves as a placeholder or reference to the plan of correction for the facility.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC IYBQ12

Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.

Findings
No deficiency details or findings are included in this document. It only references the Plan of Correction status and contact information for assistance.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC K01Q11

Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as K01Q11 for the facility with State ID N087059.

Findings
No deficiency details or findings are included in this document. It serves solely as a record of the Plan of Correction submission and modification timestamps.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC K8FK11

Visit Reason
This document is a Plan of Correction submitted in response to deficiencies cited in a prior inspection report for the facility Lakepoint AL Crestview.

Findings
No specific findings or deficiencies are detailed in this document. It serves solely as a record of the Plan of Correction submission.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC K8FK12

Visit Reason
This document is a Plan of Correction related to a prior inspection or deficiency report for the facility Lakepoint AL at Crestview.

Findings
No specific findings or deficiencies are detailed in this document. It serves as a placeholder or record for the Plan of Correction submission.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC QV7811

Visit Reason
This document is a Plan of Correction related to a complaint inspection at Lakepoint AL at Crestview.

Findings
No specific deficiencies or findings are detailed in this Plan of Correction document. It references a related deficiency report but contains no records or descriptions.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC YC0P11

Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.

Findings
No deficiency details or findings are included in this document. It only references the Plan of Correction status and contact information for assistance.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC 0TGK11

Visit Reason
This document is a plan of correction related to a previously identified deficiency report for the facility.

Findings
No specific findings or deficiencies are detailed in this document; it serves as a placeholder or administrative record for the plan of correction submission.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC 3U5I11

Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.

Findings
No deficiency details or findings are included in this document; it only references the Plan of Correction status and contact information for assistance.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC 885E11

Visit Reason
This document is a plan of correction related to a prior deficiency report for the facility.

Findings
No specific findings or deficiencies are detailed in this document. It references a linked deficiency report but contains no records or content itself.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N087059 POC YOH911

Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as YOH911 for the facility with State ID N087059.

Findings
No deficiency details or findings are included in this document. It only references the Plan of Correction status and contact information for assistance.

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