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Inspection visit

complaint

NORTHERNCARE FACILITYLicense 3427008052 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

time prescribed on the medication label and has used doses of the medication that was prescribed to a family member. R1’s skin treatment medication was also not recorded as centrally stored. As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed with Administrator . Copy of this report and appeal rights provided.

Citations

7 citations 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.

  • 87470(a)(4)(C)Type B

    Infection Control Requirements (a)(4)(C) Gloves shall be removed and discarded in the nearest appropriate waste receptacle with a tight-fitting cover immediately following the glove use as required.This requirement was not met based on observations and interviews. This posed an potential risk to residents health and safety.

  • 87211(a)Type B

    Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require. This requirement was not met based on interviews that Administrator failed to report incidents identified. This posed a potential risk to residents.

  • 87355(c)Type A

    Criminal Record Clearance (c) A licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed facility to another, or from Trust Line to a state licensed facility… This requirement was not met based on records review and interview that found S1 and S2 did not have verified clearance prior to living and working at the home 5/27/25- 5/28-25.

  • 87405(d)(2)Type B

    Administrator - Qualifications and Duties (d) (2) Knowledge of and ability toconform to the applicable laws, rules and regulations. Administrator failed to hiring, train, seek criminal record clearance of S1 and S2, meet reporting requirements, ensure fire safety, create initiate resident behavior plans, ensure infection control and to have been arguing with family in the presence of residents. This posed a potential risk to residents.

  • 87465(h)(6)Type B

    Incidental Medical and Dental Care (h)(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. There was not a recording of R1 skin treatment in the centrally stored medication record.

  • 87555(b)(8)Type B

    General Food Service Requirements (b)(8) All food shall be of good quality… Food in damaged containers shall not be accepted, used or retained. This requirement was not met based on observation. This posed a potential risk to residents.

  • 87465(e)Type A

    Incidental Medical and Dental Care (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. This requirement was not met based on records and statements that found R1's medications were not administered as ordered.This posed an immediate risk to resident.

FAQ · About this visit

Common questions about this visit

What happened during the January 22, 2026 inspection of NORTHERNCARE FACILITY?

This was a complaint inspection of NORTHERNCARE FACILITY on January 22, 2026. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to NORTHERNCARE FACILITY on January 22, 2026?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Infection Control Requirements (a)(4)(C) Gloves shall be removed and discarded in the nearest appropriate waste receptac..."

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.