SUSAN HOME CARE INC

2025 · 26 cited

1. The facility failed to correct a site or building condition that was a fire, health, or physical hazard.

   Life Safety CodeCited Oct 18, 2025Corrected —

2. The facility failed to have a complete fire safety plan for the protection of everyone in the facility in the event of a fire.

   Life Safety CodeCited Oct 18, 2025Corrected —

3. The facility failed to maintain outdoor areas in good condition and to keep outdoor areas free of fire or health hazards.

   Life Safety CodeCited Oct 18, 2025Corrected —

4. The facility failed to obtain an inspection by the fire marshal every year and to keep documentation showing the outcome of the last inspection.

   Life Safety CodeCited Oct 18, 2025Corrected —

5. The facility failed to conduct required fire drills and document fire drills on the required form.

   Life Safety CodeCited Oct 18, 2025Corrected —

6. The facility failed to inspect, test, and maintain fire sprinkler system components.

   Life Safety CodeCited Oct 18, 2025Corrected —

7. The facility failed to keep documentation about the fire sprinkler system onsite at the facility.

   Life Safety CodeCited Oct 18, 2025Corrected —

8. The facility failed to keep walls and ceilings in good condition.

   Life Safety CodeCited Oct 18, 2025Corrected —

9. The facility failed to ensure the building electrical system met the referenced codes and standards.

   Life Safety CodeCited Oct 18, 2025Corrected —

10. The facility failed to provide the minimum levels of illumination required in the facility.

    Life Safety CodeCited Oct 18, 2025Corrected —

11. The facility's plan failed to include the location of a current list of the facility's resident population.

    Life Safety CodeCited Oct 18, 2025Corrected —

12. The facility failed to maintain a current printed copy of the plan in a location accessible to all staff, residents, and residents legally authorized representatives

    Life Safety CodeCited Oct 18, 2025Corrected —

13. The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.

    Life Safety CodeCited Oct 18, 2025Corrected —

14. The facility failed to include a section addressing warning in the emergency preparedness and response plan.

    Life Safety CodeCited Oct 18, 2025Corrected —

15. The facility failed to include a section addressing communication in the emergency preparedness and response plan.

    Life Safety CodeCited Oct 18, 2025Corrected —

16. The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.

    Life Safety CodeCited Oct 18, 2025Corrected —

17. The facility failed to provide the required emergency preparedness and response plan training and conduct drills.

    Life Safety CodeCited Oct 18, 2025Corrected —

18. The facility failed to provide furnishings for a resident who did not provide their own furnishings.

    Life Safety CodeCited Oct 18, 2025Corrected —

19. The facility failed to ensure resident room doors in a building that has fire sprinklers would latch in their frames.

    Life Safety CodeCited Oct 18, 2025Corrected —

20. The facility failed to provide the minimum required number of bathtubs or showers.

    Life Safety CodeCited Oct 18, 2025Corrected —

21. The facility failed to keep current and complete personnel records.

    Health VisitCited Oct 18, 2025Corrected —

22. The facility failed to provide a locked area for all medications.

    Health VisitCited Oct 18, 2025Corrected —

23. The facility failed to keep discontinued medications separate from current medications or failed to meet requirements for appropriate disposal of discontinued medications.

    Health VisitCited Oct 18, 2025Corrected —

24. The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.

    Health VisitCited Oct 18, 2025Corrected —

25. The facility failed to ensure each resident was free from abuse, neglect, and exploitation.

    Health VisitCited Oct 18, 2025Corrected —

26. The facility failed to ensure effective hair restraints were worn to prevent food contamination.

    Health VisitCited Oct 18, 2025Corrected —