Fountain Court Assisted Living

Facility failed to ensure 3 of 6 staff members were screened for tuberculosis within 3 days of employment.

Facility failed to maintain current vaccination and health exam records for 3 of 3 pets residing in the facility.

Facility failed to document resident consent, duration, and quarterly review for electronic monitoring for 1 resident.

Facility failed to update Negotiated Service Agreements (NSA) for 3 of 7 sampled residents, including lack of guidance for CGM, hospice, and insulin administration.

Facility failed to monitor food temperatures for cold-holding items to ensure they remained at or below 41°F.

Facility failed to post a current, valid assisted living facility license.

Failed to document that Resident 3 was assessed to safely use a medical device (bed rail).

Facility failed to ensure garbage was completely disposed of in dumpsters; cleaned up during inspection.

Facility failed to ensure 3 of 3 sampled staff had medical evaluation and N95 fit testing per facility policy.

Facility failed to provide a private location for residents to make phone calls, violating privacy.

Facility maintained an outdated disaster manual and failed to store adequate emergency water.

Facility failed to provide nutritious snacks as promised in the resident handbook; storage area was empty.

Facility failed to ensure 9 of 32 sampled staff obtained valid food worker cards.

Failed to provide lockable storage for 3 of 8 sampled residents (Resident 3, 6, and 8).

Failed to report a flooding incident involving two residents to the Department.

Exhaust air vent in a housekeeping/chemical room was not functioning; repaired during inspection.

Failed to ensure a family medication assistance agreement was obtained and documented for one resident.

Failed to ensure two staff completed all required training to perform job duties.

Failed to ensure four staff were screened for Tuberculosis as required.

Failed to maintain current veterinarian pet records for four pets in the facility.

Failed to provide reasonable access for all residents to a telephone where calls could be made without being overheard.

Missing 3rd quarter sprinkler report.

Front reception desk has a power strip plugged into another power strip.

Facility unable to provide record of annual fire wall inspection and/or repairs.

Facility unable to provide inventory record of annual inspection and/or repairs for fire-resistant doors.

Doors #46/47 (Wellness Center) and Laundry door #4 did not close/latch properly when tested.

Facility unable to provide documentation for last fire/smoke damper testing.

Facility has two Class K extinguishers; needs proper signage if both are kept. One was replaced without clear reason.

Exit sign by the PPE storage did not illuminate when battery was tested.

Loaded sprinkler heads in room 109 bathroom and dining room; missing escutcheon ring in kitchen freezer; painted sprinkler head in room 121 closet.

Unable to provide documentation showing CO detector testing in the past 12 months.

Generator remote emergency manual stop button not installed per NFPA 110 requirements.

Elevator door (1st floor) and Cross corridor #28 did not close/latch properly when tested.

The fire alarm circuit breaker in the fire alarm panel room is missing the required lock device.

Resident room 123 has an unapproved multi plug adapter in use.

Break room has storage within 18 inches of the sprinkler head (2nd floor); chemical room has a painted sprinkler head (2nd floor); dining room has a dirty sprinkler head by the kitchen door.

Second floor housekeeping room had items within 18 inches of sprinkler head.

Second floor nurses station had broken outlet cover.

Main electrical room containing generator transfer switch lacked emergency lighting.

Second floor housekeeping room and resident laundry had items blocking electrical panels.

Room 209 had microwave on extension cord and power strips plugged into each other; Room 124 had extension cord in use.

Facility unable to provide documentation for annual/semi-annual kitchen hood cleaning for the last 12 months.

Facility unable to provide documentation of annual inspection of fire-resistance rated construction.

Multiple unsealed wall penetrations found in second floor activities area, nurses station, and laundry, plus ceiling penetration in sprinkler riser room.

Fire/smoke doors in second floor laundry and spa room were propped open with wedges.

Library fire doors would not latch; second floor activities fire door blocked by racking.

Both sprinkler rooms had items blocking or piled near risers, valves, and gauges.

Private dining room had missing sprinkler escutcheon; multiple escutcheons throughout facility were painted.

Facility failed to provide documentation for 5-year pipe testing, annual trip test, annual forward flow test, and 5-year FDC hydro testing.

Facility unable to provide documentation for semi-annual kitchen hood servicing.

Kitchen hood suppression system nozzle grease caps missing.

Facility unable to provide documentation for annual fire extinguisher servicing.

Resident laundry extinguisher blocked by garbage can; kitchen class K extinguisher sign confusing.

Office supply room fire extinguisher mounted above 60 inches.

Facility unable to provide documentation for monthly smoke detector testing.

Facility unable to provide documentation for monthly CO alarm testing.

Exit signs in all stairwell landings were not illuminated.

Facility unable to provide documentation for 30-second monthly emergency lighting activation test.

Facility unable to provide documentation for 90-minute annual emergency lighting power test.

Unsecured oxygen tank found in room 126.

Missing documentation for 4th Qtr 2024 and 1st Qtr 2025 fire drills.