Kin on Assisted Living

Combustible storage was found under the stairwell on the 1st floor near the kitchen.

Facility could not provide documentation for 2025 annual sprinkler head inspection (deficiencies required) and 2025 annual forward flow (performed in PSI instead of GPM).

No documentation was provided for the maintenance of carbon monoxide alarms.

Three caregivers failed to maintain required CPR/First Aid certification or complete required specialty training and continuing education hours.

Facility failed to ensure one staff member completed a TB screening test within three days of hire.

Hot water temperatures in resident areas and public bathrooms exceeded 120°F (measured up to 135.9°F), posing scalding risks.

Facility failed to document a safety plan in the NSA for a resident on blood thinners regarding monitoring for side effects.

Facility failed to notify the physician or evaluate for negative outcomes following a resident's persistent pattern of refusing topical medication.

Non-licensed staff performed skilled tasks (insulin injections, blood sugar checks, medication crushing) without proper nurse delegation.

Staff were performing skilled tasks (blood sugar sensor replacement, insulin administration, and medication crushing) for Residents 6, 7, and 8 without proper nursing delegation.

The facility failed to include provisions for essential resident needs, specifically emergency food and water supplies, in their Emergency Operations Program and Plan Manual.

Licensee failed to ensure four staff members had valid CPR and first aid cards.

Licensee failed to follow required criteria for nurse delegation; non-licensed staff administered insulin and performed blood sugar testing without training or supervision.

The facility failed to ensure Nurse Delegation (ND) was in place for three residents requiring skilled tasks (blood sugar checks, injections, medication crushing), resulting in non-licensed staff performing skilled tasks without training.

Facility unable to provide documentation that the annual fire wall inspection has been completed.

Facility unable to provide documentation for the monthly 30 second activation test for the emergency lights.

Facility failed to document behavioral interventions in the Negotiated Service Agreement (NSA) for a resident with history of suicidal thoughts, hallucinations, and mental health decompensation.

Facility failed to document behavioral interventions for resident mental health needs.

Failed to assess a resident's ability to safely self-administer medication, leading to unnecessary nurse delegation services.

Failed to update NSA for a resident to reflect current needs and preferences regarding self-management of medications.

Failed to ensure proper and safe installation of a side bed rail for a resident.

The facility failed to ensure 4 of 4 sampled staff members received required orientation topics, specifically regarding resident rights.

Failed to implement systems for safe medication services, resulting in a resident missing doses of prescribed vitamin D and lack of blood pressure parameters for another resident.

The facility failed to ensure 1 of 4 sampled staff members received a TB skin test within three days of employment.

The facility failed to follow nurse delegation criteria for residents requiring blood sugar checks and insulin administration; non-licensed staff performed nursing tasks without proper credentials or delegation.

The facility failed to ensure a staff member with a positive TB test result received a chest X-ray within the required seven-day timeframe.

The facility failed to protect resident confidentiality by displaying a list of resident names in a public area.

The facility failed to secure toxic chemicals (bleach solution), leaving them accessible to residents.

Licensee failed to develop and document behavioral interventions in the Negotiated Service Agreement (NSA) for one resident, placing them at risk.