Juniper Village at Louisville

A revisit survey was completed on 9/4/24 for the previous deficiencies cited on 9/7/23. A deficiency was cited. The regulations governing Assisted Living Residences were revised, and the new regulations were implemented on 7/1/24. Based on observation, interview, and record review the residence failed to detail in each resident' s care plan the individualized approach necessary to address fall risk, affecting two of three sample residents (#20 and #21). Chapter 7 regulations governing assisted living residences, requires in part 12.15 that "The assisted living residence shall develop policies and procedures to establish a fall management program. The program shall include the following: B) Detailing in each resident ' s care plan the individualized approach necessary to address fall risk related to deficits in strength, balance, and eyesight, or effects of medication as identified during the comprehensive resident assessment ..." Specifically, from 8/25/24 through 8/30/24, Resident #21 experienced five falls in six days in which the residence failed to update the care plan for Resident #21 to include individualized approaches necessary to address fall risks. On 8/26/24 Resident #21 had a fall which resulted in a skin tear to the left elbow. On 8/30/24 Resident #21 had a fall which resulted in a closed fracture of multiple ribs on the left side and fracture of the right ulna.Specifically, from 8/30/24 through 9/4/24, Resident #20 experienced four falls in which the residence failed to update the care plan for Resident #20 to include individualized approaches necessary to address fall risks. Additio.. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A licensure complaint revisit was completed on 9/4/24 for the previous deficiencies cited on 9/7/23. A deficiency was cited. The regulations governing Assisted Living Residences were revised, and the new regulations were implemented on 7/1/24. Based on observation, interview, and record review the residence failed to detail in each resident' s care plan the individualized approach necessary to address fall risk, affecting two of three sample residents (#20 and #21). Chapter 7 regulations governing assisted living residences, requires in part 12.15 that "The assisted living residence shall develop policies and procedures to establish a fall management program. The program shall include the following: B) Detailing in each resident ' s care plan the individualized approach necessary to address fall risk related to deficits in strength, balance, and eyesight, or effects of medication as identified during the comprehensive resident assessment ..." Specifically, from 8/25/24 through 8/30/24, Resident #21 experienced five falls in six days in which the residence failed to update the care plan for Resident #21 to include individualized approaches necessary to address fall risks. On 8/26/24 Resident #21 had a fall which resulted in a skin tear to the left elbow. On 8/30/24 Resident #21 had a fall which resulted in a closed fracture of multiple ribs on the left side and fracture of the right ulna.Specifically, from 8/30/24 through 9/4/24, Resident #20 experienced four falls in which the residence failed to update the care plan for Resident #20 to include individualized approaches necessary to address fall risks. Additio.. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally