Inge's Uniquely Warm Assisted Living Home.

“Based on record review and interview, the manager failed to ensure a caregiver documented the services provided in the resident's medical record, for one of three residents sampled. The deficient practice posed a risk as services could not be verified as provided against a service plan. Findings include: 1 . A review of R3's medical record revealed a service plan dated August 18, 2025. The service plan reported R3 bathed twice a week, oral care twice a day, and nail care before each bath. However, a review of R3's Activities of Daily Living (ADL) sheets for the month of March 2026 revealed no services documented as provided after March 19, 2026. 2 . In an exit interview, the findings were discussed with E1 and no additional information was provided.”

“Based on record review and interview, the manager failed to ensure medication administered to a resident was documented in the resident's medical record, for one of three residents sampled. The deficient practice posed a risk as medication could not be verified as administered against a medication order. Findings include: 1 . In an interview, E1 reported the residents received medication administration. 2 . A review of R3's medical record revealed a signed medication order list for the following: -Aspirin 81MG 1 tablet once a day; -Acetaminophen 325MG 2 tablets twice a day; -Synthroid 88MCG 1 tablet once a day; -Furosemide 20MG 2 tablets once a day; -Potassium Chloride ER 10MEQ 2 tablets once a day; -Senna 8.6MG 1 tablet twice a day; -Ipratropium-Albuterol 0.5MG-3MG/3ML twice a day; and -Trazadone 50 MG 1 tablet once a day. However, a review of R1's medication administration record (MAR) sheet for March 2026 revealed the above medications were not documented as administered from March 21, 2026 to March 30, 2026 . 3 . In an exit interview, the findings were discussed with E1 and no additional information was provided.”

“Based on record review and interview, the manager failed to ensure that a resident accepted by the assisted living facility submitted documentation signed by a medical practitioner or a registered nurse that stated whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints for one of four residents sampled. The deficient practice posed a risk if the facility was unable to meet a resident's needs.   Findings include:   1. A review of R1's medical record revealed no documentation that stated whether the resident required continuous medical services, continuous or intermittent nursing services, or restraints. Based on R1's acceptance date, this document was required.    2. In an interview, E1 acknowledged R1's medical record did not contain documentation signed by a medical practitioner or a registered nurse that stated whether the resident required continuous medical services, continuous or intermittent nursing services, or restraints.”

“Based on record review and interview, the manager failed to ensure a written service plan included a summary of the resident's medical or health problems, including physical, behavioral, cognitive, or functional conditions or impairments, for two of four residents sampled. The deficient practice posed a risk if medical or health problems were not addressed by the assisted living facility. Findings include: 1. A review of R1's medical record revealed a written service plan for personal care dated July 17, 2025. However, this service plan did not include documentation of R1's medical or health problems. 2. A review of R2's medical record revealed a written service plan for directed care dated July 10, 2025. However, this service plan did not include documentation of R2's medical or health problems. 3. In an interview, E1 acknowledged that R1's and R2's service plans did not include documentation of R1's and R2's medical or health problems.”

“A manager shall ensure that: 2. A documented report is submitted to the governing authority that includes: a. An identification of each concern about the delivery of services related to resident care, and b. Any change made or action taken as a result of the identification of a concern about the delivery of services related to resident care;”

“A. A manager shall ensure that: 8. A manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have more than eight hours per week of direct interaction with residents, provides evidence of freedom from infectious tuberculosis: a. On or before the date the individual begins providing services at or on behalf of the assisted living facility, and b. As specified in R9-10-113;”

“B. A manager of an assisted living facility authorized to provide directed care services shall not accept or retain a resident who, except as provided in R9-10-814(B)(2): 1. Is confined to a bed or chair because of an inability to ambulate even with assistance; or”

“A. A manager shall ensure that: 1. A food menu: e. Is maintained for at least 60 calendar days after the last day included in the food menu;”

“A. A manager shall ensure that: 4. A disaster drill for employees is conducted on each shift at least once every three months and documented;”

“A. A manager shall ensure that: 5. An evacuation drill for employees and residents: a. Is conducted at least once every six months; and”

“R9-10-113. Tuberculosis Screening A. If a health care institution is subject to the requirements of this Section, as specified in an Article in this Chapter, the health care institution's chief administrative officer shall ensure that the health care institution establishes, documents, and implements tuberculosis infection control activities that: 2. Include: d. Annually assessing the health care institution's risk of exposure to infectious tuberculosis;”