The Villages of Midtown Oaks.

“Resident #1 reported missing money from their bank account. Investigation revealed that Staff Member C made unauthorized transactions totaling $400.00 ($300.00 on July 25, 2025 and $100.00 on July 27, 2025) using Resident #1's bank card via Cash App, and two additional unauthorized transactions (Walmart.com and Door Dash) were made. The incident was reported to local police and an active investigation is ongoing.”

“The residence failed to report a resident death to the Department within 24 hours as required. A resident became unresponsive, EMS was called and CPR was initiated, and the resident was transported to the hospital where they passed away, but this incident was not reported to the Department.”

“The first aid kits located on each resident floor did not include all required items: thermometers, breathing shields, and eye coverings were missing.”

“The fire drill record for the drill conducted on 7/6/24 did not include the number of residents in the residence at the time of the drill or the number of residents evacuated, as required.”

“Resident #1 participated in the development of their support plan but did not sign and date the support plan as required. Additionally, two residents had initial support plans that were not signed.”

“A direct care staff person hired to work in the special care unit for residents with Alzheimer's disease or dementia did not complete the required 8 hours of initial dementia-related training within the first 30 days of hire.”

“The controlled substances logbook was unlocked, unattended, and accessible on the fourth-floor medication cart for six minutes, and a computer terminal on the fifth floor was left open and unattended, providing access to resident names, medications, and diagnoses. Staff did not know how to lock the medication administration program.”

“Indoor temperature in the activity room on the fourth floor was 62.6 degrees Fahrenheit when residents were present, below the required minimum of 70°F.”

“An unlabeled glucometer found on the fifth floor medication cart contained multiple blood sugar readings and posed a sanitation and infection control risk due to being shared among residents.”

“Blood sugar readings recorded on Resident 4's medication administration record (MAR) differed from those stored in the glucometer, with discrepancies on multiple dates including readings that appeared on the MAR but not on the device or vice versa.”

“Medication administration records for four residents were missing required diagnosis or purpose information for multiple medications, including Depakote, Aspirin, Ceftriaxone, Duloxetine, Furosemide, Levothyroxine, and various topical medications.”