Harvard Hope House

Type of visit: Required - 1 Year

On 02/19/26 Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced annual required visit to the above facility. LPA met with Administrator, Amber Coxom and explained the purpose of the visit. LPA was granted access to the facility. Facility is approved for six (6) residents of which four (4) may be non-ambulatory and two (2) may be bedridden. Facility has an approved hospice waiver for six (6) hospice residents. Currently there are six (6) residents in the facility. The facility is a single-story home located in a residential neighborhood. The facility consists of four (4) bedrooms, two (2) bathrooms, kitchen, laundry area, living room, dining room, and an office/check in area. In the back yard there is a seating area with tables, chairs, and an umbrella for shade. There is also an additional building on the property with its own address and is not part of the facility. LPA and Amber Coxsom, Director toured the inside and outside grounds of the facility. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place. The water temperature measured between 105.0 F and 120.0 F in both bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. A comfortable temperature was maintained in the facility. The kitchen was inspected and observed to be within Title 22 regulations. Sufficient perishable and non-perishable food supply was maintained adequately. All sharps, toxins, cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Continued on LIC809-C A review of Medication Administration Records was maintained in order and accurate. The facility has a landline telephone on-site in working condition. Medications were centrally stored and properly locked. Smoke detectors and carbon monoxide detectors were operational and working properly. LPA observed two (2) fully charged fire extinguishers. LPA observed a stocked First Aid kit along with manual locked and inaccessible to residents. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents. There are sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The facility has an approved CCLD Mitigation Plan. During this inspection LPA did not observe any deficiencies, therefore no citations were issued at this time. An exit interview was conducted, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Feb 19, 2026

Type of visit: Case Management - Health Checks

On 04/11/2025 LPA Watson conducted a case management health check and met with Administrator Amber Coxsom. The purpose of the visit was explained and the LPA was granted entry. A tour of the facility was conducted with the administrator. No deficiencies were sited during the visit. An exit interview was conducted with the administrator Amber Coxsom and a copy of this report was given.the state’s words, verbatim · CDSS document, Apr 11, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one-year inspection. LPA met with Amber Coxsom, Administrator and the purpose of the visit was discussed. Facility is licensed to 6 residents of which 4 may be non- ambulatory and 2 maybe bedridden residents age 60 and over . The facility has an approved hospice waiver for 6. Two residents are currently receiving hospice care services and none are receiving home health services at this time. The facility does not handle any of the residents’ money. This home is a single story home consisting of: (4) resident bedrooms, (2) Full bathroom, living room, kitchen , dining area, laundry washer and dryer in kitchen and an outdoor shaded patio area. LPA toured the Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured between 107.1F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. During todays visit LPA did not observe any deficiencies. Exit interview conducted with Administrator Amber Coxsomthe state’s words, verbatim · CDSS document, Mar 20, 2025

Type of visit: Required - 1 Year

On 01/31/24 Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced annual required visit to the above facility. LPA met with Marcia Williams Coxsom and the purpose of the visit was discussed. LPA was granted access to the facility. Administrator Amber Coxom arrived at the facility shortly after and joined LPA for the visit. Facility is approved for six (6) residents of which four (4) may be non-ambulatory and two (2) may be bedridden. Facility has an approved hospice waiver for six (6) hospice residents. The facility is a single-story home located in a residential neighborhood. The facility consists of four (4) bedrooms, two (2) bathrooms, kitchen, laundry area, living room, dining room, and an office/check in area. In the back yard there is a seating area with tables, chairs, and an umbrella for shade. There is also an additional building on the property with its own address and is not part of the facility. LPA and Amber Coxsom, Director toured the inside and outside grounds of the facility. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place. The water temperature measured between 105.0 F and 120.0 F in both bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. A comfortable temperature was maintained in the facility. The kitchen was checked and observed to be within Title 22 regulations. Sufficient perishable and non-perishable food supply was maintained adequately. All sharps, toxins, cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Continued on LIC-809-C A review of Medication Administration Records was maintained in order and accurate. The facility has a landline telephone on-site in working condition. Medications were centrally stored and properly locked. Smoke detectors and carbon monoxide detectors were operational and working properly. LPA observed two (2) fully charged fire extinguishers. LPA observed a stocked First Aid kit along with manual locked and inaccessible to residents. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents. There are sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The facility has an approved CCLD Mitigation Plan. During this inspection LPA did not observe any deficiencies, therefore no citations were issued at this time. An exit interview was conducted, and a copy of the Report and Appeal Rights was provided to Amber Coxsom, Director.the state’s words, verbatim · CDSS document, Jan 31, 2024

Allegation investigated: Facility forced resident into choosing another agency.

On 10/01/2023, Licensing Program Analyst (LPA) Antonine Richard conducted a subsequent complaint visit to deliver findings regarding the above allegation. LPA Richard met with Administrator Coxsom Amber and explained the reason for the visit. LPA and Licensee toured the facility. The investigation consisted of the following: On 09/21/2023, LPA Richard and Coxsom conducted a tour of facility grounds, and interviewed Administrator, Staff (S1) and Resident (R1) LPA Richard requested and obtained a Resident roster, staff roster, a Resident Notice of Proposed Transfer and Discharge, Admission Agreement, Patient Profile, Change Of Designated Hospice Provider, and Identification and Emergency Information. LPA Richard requested and reviewed R1 records, staff and client's records. Report Continues, See LIC9099C. Unsubstantiated Allegation: Facility forced resident into choosing another hospice agency. On 09/31/2023 at 3:26 PM, LPA Antonine Richard interviewed Brian Peters, ( W1) son of the alleged Victim/Resident: Regina Wright Peters DOB: 07/14/1944. Peters stated that on 09/09/23, he replaced All in one Hospice Care with Faith and Hope Hospice Care, because All in one Hospice Care didn't show up at Harvard Hope House on the day of admission. All in One Hospice didn't send a nurse to help his mother moving into the facility. On 10/02/2023, LPA interviewed the Licensee (S1), who said she called All in One Hospice Care on 09/05/2023, to let them know the resident was at the facility. They told her they would send a nurse tomorrow. Then on 09/09/2023, Peters decided to call Faith and Hope Hospice to come and help his mother move and sign the documents to Harvard Hope house. During file review, LPA found that Resident 1 (R1) was admitted to Harvard Hope House on 09/05/2023, waiting for All in One Hospice Care to come at the facility. During file review, LPA Richard found facility sign- in sheet and noted that on 09/6/2023 and 09/11/2023, All in one Hospice Care Nurse (LVN) sign in at Harvard Hope House to review medications only. The Licensee stated that All in One Hospice care didn't leave any binders with the plan of care or written orders for the patient. LVN stated the facility has to wait for the Registered Nurse (RN) to help with sign-in. Peters stated they were mad because we switched them to Faith and Hope Hospice Care, we were happy about doing it my mother needed help immediately. The Harvard Hope House was a great help to my mother. They didn't force my family to switch to another Hospice Care. Based on interviews with staff, witness, and records reviewed from investigation there is insufficient evidence to support the allegation: Facility force resident into choosing another hospice agency. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Based on the information gathered, records reviewed and interviews conducted, the Department found no evidence to support the allegation mentioned in the complaint. An exit interview was conducted with Licensee Coxsom Amber and a copy of the report was provided.the state’s words, verbatim · CDSS document, Oct 2, 2023 · control 11-AS-20230915095946