Five Acres at Leisure Town North

The inspection was conducted as a Case Management visit following an incident report concerning staff and a resident. The administrator provided details regarding the incident, which involved policy violations by staff. The report explicitly states that no deficiencies were cited during today's visit.

The facility underwent a required annual inspection and was generally found to be clean and in good repair. The inspector noted several positive observations regarding safety equipment, food storage, and record keeping. No deficiencies or citations were issued during this visit.

The facility was inspected unannounced following an incident report. The Licensing Program Analyst found the facility to be clean and well-maintained, and residents appeared well-cared for. No citations were issued during this inspection.

The facility underwent an unannounced Annual Required inspection. The general physical environment, safety equipment, and supplies were found to be satisfactory. The only deficiency noted was a technical violation regarding one resident's medical assessment needing an update.

The facility underwent a Case Management visit conducted by an LPA. The LPA reviewed employee files and confirmed that training records were in place and complete. No deficiencies were cited during this visit, and the administrator confirmed that all Plan of Correction requirements have been met.

The investigation found one deficiency related to personnel records, specifically the lack of documentation proving required staff training and orientation. This deficiency was classified as Type A due to the immediate risk it poses to the health and safety of the residents in care. All other allegations reviewed were unsubstantiated.

The unannounced Annual Required inspection found the facility generally clean with no immediate health risks observed. However, deficiencies were noted regarding the staff's training on the new electronic medication destruction system and the need for proper disposal of several medications. The administrator was required to submit action plans for training compliance and record reconciliation.

The facility underwent an Annual Required infection control inspection conducted unannounced. The inspector noted that the facility was clean, exits were unobstructed, and necessary supplies were available. No deficiencies or citations were issued during the inspection.