Fremont Hills

FACILITY EVALUATION REPORT

The unannounced Case Management visit on 03/16/2026 was conducted to follow up on incident reports. The primary finding was a technical violation related to reporting requirements, as the facility did not follow proper reporting procedures for two past incidents. No other deficiencies were cited during the visit.

The unannounced Case Management visit on 03/16/2026 was conducted to follow up on incident reports. The primary finding was a technical violation related to reporting requirements, as the facility did not follow proper reporting procedures for two past incidents. No other deficiencies were cited during the visit.

The facility underwent an unannounced Case Management visit following a self-reported death. The Licensing Program Analyst reviewed various records, including incident and death reports. No deficiencies were cited during this inspection visit.

The inspection identified multiple deficiencies across several areas, including immediate safety hazards from unsecured chemicals and tools (Type A). Additionally, there were several Type B deficiencies noted concerning facility maintenance, expired food supplies, and failure to maintain required liability insurance. Immediate corrective action is required for the Type A citation, while all cited deficiencies require a formal Plan of Correction.

The unannounced Case Management visit on 10/22/2025 was conducted regarding a self-reported medication error that occurred on 10/09/2025. The facility was cited for two Type B deficiencies related to resident rights and medication administration. The facility must complete medication in-service training and submit proof of completion by the Plan of Correction due date of 10/30/2025.

The unannounced Case Management visit on 10/22/2025 was conducted regarding a self-reported medication error that occurred on 10/09/2025. The facility was cited for two Type B deficiencies related to resident rights and medication administration. The facility must complete medication in-service training and submit proof of completion by the Plan of Correction due date of 10/30/2025.

The inspection was conducted following a priority 1 complaint. The facility was cited for two Type A deficiencies related to the improper storage and supervision of medications and cleaning supplies. Immediate corrective action is required to ensure the safety of residents.