Veranda Assisted Living LLC.

“Based on observation, record review, and interview, the manager failed to ensure a written service plan was completed no later than 14 calendar days after the resident's date of acceptance for one of two residents reviewed. The deficient practice posed a risk as there was no service plan to direct services to be provided to a resident. Findings Include: 1. A review of R1's medical record revealed no documentation of a service plan. Based on R1's date of admission, this documentation was required. 2. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on interview and record review, the manager did not ensure a caregiver or assistant caregiver provided assistance with activities of daily living according to the resident's service plan. Findings include: 1 . During an environmental inspection, the Compliance Officer observed R2 had a catheter with a catheter bag hanging from the end of the bed. 2 . In an interview, R2 reported personnel empty the catheter bag two times per day. However, R2 reported the catheter bag had not been emptied since the day prior. 3 . A review of R2's medical record revealed a service plan from October 2025. However, no documentation of the amount, type, or frequency of catheter needs was included in the service plan. A review of R2's "ADL Sheet" revealed R2 was to receive catheter services. However, no documentation of catheter services provided was available for review.”

“Based on record review and interview, the manager did not ensure that a service plan for a resident receiving personal care services included skin maintenance to prevent and treat bruises, injuries, pressure sores, and infections for one of two residents reviewed. Findings include: 1 . A review of R1's medical record revealed R1 was expected to receive personal level of care services. A further review of R1's medical record revealed no service plan documentation was available for review. 2 . In an interview, E3 reported R1 was personal level of care. The findings were reviewed with E3, no additional information was provided.”

“Based on record review and interview, the manger did not ensure a medication administered to a resident was administered in compliance with a medication order for two of two residents sampled. The deficient practice posed a risk if the resident experienced a change in condition due to improper administration of medication. Findings include: 1. A review of R1's medical record revealed a medication administration record (MAR). The document revealed R1 was administered the following medication from January 1, 2026 to January 31, 2026: Simvastatin 20 milligram (MG) - One tab by mouth (PO) at bedtime; Lorazepam - 2 MG/milliliter (ML) - Give one ML by mouth at bedtime; Morphine Sulf ER 30MG - Take one tab PO three times a day; Lidocaine 4% Patch - Two patches, transdermal, every twenty four hours, on for twelve hours, off for twelve hours in any 24 hour period; Diclofenac (Voltaren) - Two gram transdermal two times daily to left knee; Trazadone 100MG Tablet - Take one half tab PO at bedtime; and Cetrizine 10 MG tablet - One tab PO at bedtime. However, the record included the following verbal orders received without signed confirmation from a medical practitioner: A discontinue order from January 23, 2026 to discontinue "Morphine Sulf ER 30MG - Take one tab PO three times a day"; and A medication order to start "Morphine Sulfate ER Capsule Extended Release twenty four hour 50MG - Administer one capsule extended release twenty four hour oral three times daily". A further review of R1's medical record revealed medication orders dated December 13, 2025. However, no orders signed by a medical practitioner were available for review. 2. A review of R2's medical record revealed a MAR for February 2026. The MAR documented R1 received the following medication February 1, 2026 through February 4, 2026: Aspririn 81MG Chew Tablet - Chew 1 tablet by mouth and swallow once daily; Cetirizine HCL 10 MG Tabl - Take one tablet PO once daily; Finasteride 5 MG Tablet - Take one tablet PO once daily; Januvia 25 MG Tab - Take one tablet PO once daily; Levothyroxine 75 MCG Tabl - Take one tablet PO every morning; Tamsulosin HCL 0.4MG Cap - Take one capsule PO once daily; Carvedilol 25MG Tablet - Take one tablet PO twice daily with food; and Hydralazine 50MG Tablet - Take one tablet PO twice daily with food. However, no medication orders signed by a medical practitioner were available for review. 3 . In an exit interview, the findings were reviewed with E3, and no additional information was provided.”

“Based on observation and interview, the manager did not ensure the sleeping area, not furnished by a resident, contained clean linen, including a mattress pad, and sheets large enough to tuck under the mattress. Findings include: 1 . During an environmental inspection, the Compliance Officer observed R1's bed did not contain clean linen, a mattress pad, or sheets large enough to tuck under the mattress. 2 . In an interview, R2 reported the facility provided the furnishings. 3 . In an interview, E3 acknowledged R2's sleeping area was furnished by the facility. The findings were reviewed with E3, and no additional information was provided.”