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Inspection visit

complaint

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

***CONTINUE FROM 9099*** R1 was also prescribed a daily aspirin. LPA observed that the PRN medications were all signed off as administered by the hospice nurses. From 4/01/24 until the time of R1’s passing on 4/10/24 he was given a total of 22 PRN medications for pain, restlessness, and anxiety. LPA observed that the MARs for the PRN medications were filled out according to regulation. Allegation: staff did not inform residents responsible party of incidents in a timely manner The department interviewed W2. W2 stated that she visited R1 regularly at the facility. W2 had no complaints regarding facility staff stating staff took care of R1 and provided him with sufficient supervision. W2 further stated that staff always instructed R1 to be careful when walking and would check on R1 all the time. LPA was unable to reach the W1 or W2 for further investigation as which incidents weren’t reported in a timely manner. This agency and the department have investigated the complaints alleging staff did not administer medications as prescribed, and staff did not inform residents responsible party of incidents in a timely manner. We have found that the allegations were unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted, a copy of this report provided.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87463Type B

    (a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition... (b) The licensee shall immediately bring any such changes to the attention of the resident's physician and his family or responsible person.Based on observation the licensee did not comply with the section cited above. R1 had multiple falls over a 2-week period and the facility never updated his appraisal.

FAQ · About this visit

Common questions about this visit

What happened during the May 22, 2025 inspection of MERCY RETIREMENT & CARE CENTER?

This was a complaint inspection of MERCY RETIREMENT & CARE CENTER on May 22, 2025. The inspection found no deficiencies and no citations were issued.

Were any citations issued to MERCY RETIREMENT & CARE CENTER on May 22, 2025?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.