Petersen Farms Assisted Living and Memory Care

May 29, 2025 · Follow-Up, Additional Follow-Up Inspection

No citations from this inspection.

April 30, 2025 · Complaint, Investigation Inspection, Follow-Up Inspection

• Low Written schedule for maintenance(R432-270-25(1))

  The Licensee was out of compliance with R432-270-25(1) by not ensuring maintenance, including preventive maintenance, was conducted according to a written schedule, to ensure facility equipment was operable, in good repair, and in compliance with Rule R432-6. During the inspection, the facility phones were not found to be operable and in good repair.

  How was this corrected? On May 29, 2025, the licensor ensured that maintenance was conducted and the licensees phones were functioning and working properly, as stated in rule.

  Corrected on May 29, 2025, verified by the state.

March 10, 2025 · Complaint, Investigation Inspection

• Moderate Type II Hospice Patients(R432-270-11(10)(a)-(c))

  The provider was out of compliance with R432-270-11(10)(c)(i) by not ensuring all conditions of accepting and retaining a hospice patient resident were met. During the inspection, 1 hospice patient resident’s evacuation plan was reviewed and it was not accurate.

  How was this corrected? On April 30, 2025, the licensor verified that 1 hospice patients evacuation plan was accurate, as stated in rule.

  Corrected on April 30, 2025, verified by the state.

• Moderate Critical incidents reporting requirements(R380-600-7(16)(a)-(d))

  The provider was out of compliance with R380-600-7-16(a) by not ensuring the reporting of critical incidents was happening within 1 business day of the critical incident occurrence. During the inspection, the licensor reviewed a sample of incident reports and the corresponding critical incident report was not found in the department’s system.

  How was this corrected? On April 30, 2025, the licensor verified that critical incident reporting requirements were met, as stated in rule.

  Corrected on April 30, 2025, verified by the state.

• High Qualified direct care personnel(R432-270-9(1)(a)-(e))

  The provider was out of compliance with R432-270-9(1) by not ensuring qualified direct-care staff were on the premises 24 hours a day to meet residents’ needs. During the inspection, the licensor reviewed incident reports, the staffing schedule, and a resident’s assessment; as well as conducted interviews with staff and residents. The licensor determined that, based on the information that was uncovered in the inspection, 1 resident’s needs were not being met due to inadequate staffing

  How was this corrected? On April 30, 2025, the licensor verified that the Administrator ensured qualified direct-care staff were on the premises 24 hours a day to meet residents’ needs, as stated in rule.

  Corrected on April 30, 2025, verified by the state. · $200 penalty

• Moderate Critical incidents reporting requirements(R380-600-7(16)(a)-(d))

  The provider was out of compliance with R380-600-7-16(a) by not ensuring the reporting of critical incidents was happening within 1 business day of the critical incident occurrence. During the inspection, the licensor reviewed a sample of incident reports and the corresponding critical incident report was not found in the department’s system.

  How was this corrected? On April 30, 2025, the licensor verified that critical incident reporting requirements were met, as stated in rule.

  Corrected on April 30, 2025, verified by the state.

• Moderate Critical incidents reporting requirements(R380-600-7(16)(a)-(d))

  The provider was out of compliance with R380-600-7-16(a) by not ensuring the reporting of critical incidents was happening within 1 business day of the critical incident occurrence. During the inspection, the licensor reviewed a sample of incident reports and the corresponding critical incident report was not found in the department’s system.

  How was this corrected? On April 30, 2025, the licensor verified that critical incident reporting requirements were met, as stated in rule.

  Corrected on April 30, 2025, verified by the state.

December 5, 2024 · Follow-Up, Additional Follow-Up Inspection

No citations from this inspection.

November 25, 2024 · Follow-Up, Additional Follow-Up Inspection

No citations from this inspection.

October 17, 2024 · Complaint, Investigation Inspection, Unannounced, Annual Inspection

• High Report disabled or elder abuse(R380-80-4(3))

  The provider was out of compliance with this rule by not ensuring that each individual who witnessed or suspected that a disabled or elder adult had been subjected to abuse, neglect, or exploitation immediately reported to the Adult Protective Services intake office in the Division of Aging and Adult Services or law enforcement. During the inspection, the providers abuse reports and investigations were reviewed. It was observed that the provider did not contact Adult Protective services immediately when it was suspected that 1 resident may have been subjected to abuse.

  How was this corrected? On 11/25/2024, the licensor verified that each individual who witnessed or suspected that a disabled or elder adult had been subjected to abuse, neglect, or exploitation, immediately reported to the Adult Protective Services intake office in the Division of Aging and Adult Services or law enforcement, as stated in rule.

  Corrected on November 25, 2024, verified by the state. · $200 penalty

July 30, 2024 · Conditional, Monitoring Inspection

No citations from this inspection.

July 17, 2024 · Conditional, Monitoring Inspection

No citations from this inspection.

June 19, 2024 · Conditional, Monitoring Inspection

No citations from this inspection.

June 6, 2024 · Conditional, Monitoring Inspection, Follow-Up, Additional Follow-Up Inspection

No citations from this inspection.

May 21, 2024 · Conditional, Monitoring Inspection, Follow-Up, Additional Follow-Up Inspection

No citations from this inspection.

April 29, 2024 · Complaint, Follow-Up Inspection, Focus Inspection

No citations from this inspection.

February 28, 2024 · Complaint, Investigation Inspection

• High One direct care staff in secure unit(R432-270-16(4))

  The provider was out of compliance with this rule by not ensuring that there was at least one direct care staff in the secured unit continuously. During the inspection, the licensee did not ensure that the secure unit had at least 1 direct care staff continuously.

  How was this corrected? On 4/29/2024, the licensor verified that there was at least one direct care staff in the secured unit continuously, as stated in rule.

  Corrected on April 29, 2024, verified by the state. · $200 penalty

• High Type II RN Nursing Services(R432-270-15(3)(a)-(c))

  The provider was out of compliance with this rule by not employing or contracting with a registered nurse to provide or supervise nursing services to include: general health monitoring on each resident and routine nursing tasks, including those that might be delegated to unlicensed assistive personnel in accordance with Section R156-31B-701. During the inspection, the licensee did not ensure that the contracted nurse provided nursing services.

  How was this corrected? On 6/6/2024, the licensor verified that the Nurse reviewed all resident assessments and a UA was collected for 1 resident and sent to the lab. Additionally, the licensor verified that 1 residents active medication list included all medications that were prescribed by the physician, as stated in rule.

  Corrected on June 6, 2024, verified by the state. · $200 penalty

• Low Significant change(R432-270-13(5))

  The provider was out of compliance with this rule by not ensuring each residents assessment was revised and updated when there was a significant change in the resident's cognitive, medical, physical, or social condition. During the inspection, the licensor observed 1 resident had a significant change that did not have a significant change assessment completed.

  How was this corrected? On 4/29/2024, the licensor verified that each residents assessment was revised and updated when there was a significant change in the resident's cognitive, medical, physical, or social condition, as stated in rule.

  Corrected on April 29, 2024, verified by the state.

• High Administrator Duties(R432-270-8(1)(a)-(p))

  The provider was out of compliance with this rule by not ensuring the administrator maintained a log indicating any significant change in resident's condition and the facility's action or response and did not complete an investigation or report to APS (Adult Protective Services) when there was reason to believe a resident was subjected to abuse, neglect, or exploitation. During the inspection, the licensor observed 1 resident had a significant change that was not documented on the significant change log with changes in resident's condition and facility's action or response. Additionally, the administrator did not complete and investigation or report to APS when a resident had been suspected to have been subjected to abuse or neglect.

  Corrected on May 21, 2024, verified by the state. · $200 penalty