Nazareth House

FACILITY EVALUATION REPORT

The unannounced visit conducted on May 7, 2025, was generally positive. The analyst observed the facility's physical environment, including bedrooms, bathrooms, and food storage areas, to be in good condition. No deficiencies were cited during this visit, indicating compliance with observed standards.

The facility underwent an unannounced annual comprehensive inspection on 03/27/2025. The inspector noted that the facility was clean, sanitary, and appropriately furnished during the tour. Overall, no deficiencies were cited during the visit.

The report details a complaint investigation concerning a questionable death and allegations of unqualified staff care. The investigation found no preponderance of evidence to substantiate the allegations regarding the questionable death or the lack of proper dementia care protocols. The final narrative explicitly states that no deficiencies were observed or cited during the visit.

The facility underwent an unannounced annual required visit. The inspector noted that the facility was clean, sanitary, and appropriately furnished, and that storage areas for personal hygiene were adequate. Crucially, the report explicitly states that no deficiencies were observed, and therefore, no citations were issued.

This complaint investigation report found the allegation that the facility is retaining residents with higher levels of care needs to be substantiated. The primary deficiencies cited relate to the facility's failure to properly document and plan for the care of residents with dementia. Corrective action is required to update the plan of operation and ensure appropriate care standards are met.

The facility underwent an unannounced required annual visit on 05/12/2023. The inspection found the facility to be in good order across all reviewed areas, including physical plant, bedrooms, bathrooms, and common areas. No deficiencies were cited during this visit.

COMPLAINT INVESTIGATION REPORT