Kadie Glen Assisted Living

The facility was unable to provide documentation of the annual forward flow testing on the fire sprinkler system within the past twelve months. (Corrected)

The facility was unable to provide documentation of the fire sprinkler system quarterly inspection for the third quarter within the past twelve months. (Corrected)

Deficiency regarding portable space heaters previously cited was corrected.

Facility failed to ensure safe medication services for a resident assessed as unable to safely manage medications, resulting in the resident intentionally overdosing on stimulants and pain medication, leading to hospitalization.

Combustibles (oven mits) stored behind the oven and hood system.

Combustible storage within 24 inches of the ceiling in multiple locations.

Multiple electrical hazards observed: fridge/microwave on power strip, freezer on multi-plug adapter, multi-plug adaptor in use.

Open junction box on the ceiling with exposed wiring.

Electrical panel in the kitchen was blocked by a kitchen cart.

Unable to provide fire-resistance rated construction inspection documentation and wall penetration observed.

Unable to provide fire and smoke damper inspection documentation.

Missing documentation for annual maintenance, 5-year internal pipe testing, annual forward flow testing, and 5-year FDC hydro testing.

Missing documentation for second semi-annual kitchen hood service inspection.

Missing documentation for annual fire alarm system service.

Exit door in the kitchen blocked by a kitchen cart.

Facility failed to protect the privacy and confidentiality of personal records for 1 of 5 residents, resulting in the release of personal information to an unauthorized individual.

Facility failed to implement policy to supervise and account for residents leaving premises for 1 of 1 resident (Resident 3), resulting in a delay in search and potential risk for harm.

Facility failed to document plans to address individualized health risks (Resident 1 and 3) or safe unsupervised leave policies, leading to untreated malnutrition and resident risk.

Facility failed to adhere to discharge requirements for 3 residents (Resident 1, 2, and 3) by not appropriately assessing them for return or providing sufficient notice.

The facility failed to identify, evaluate, monitor, and take appropriate actions for patterns of hypoglycemia and weight loss for Resident 1, leading to their hospitalization and discharge.