Artman Lutheran Home.

“One or more residents admitted did not have a resident-home contract completed prior to admission or within 24 hours after admission as required.”

“The home failed to refund the remainder of previously paid charges to a deceased resident's estate within 30 days from the date the room was cleared of the resident's personal property, as required by the regulation.”

“Expired prescription medications were found still stored in the home's medication cart, and a resident's blister card was observed punctured in multiple locations, indicating improper storage conditions and handling.”

“A resident's medication pharmacy label contained different administration instructions than what was recorded in the resident's medication administration record, with the label specifying 2 drops and the MAR specifying 5 drops, requiring a direction change sticker.”

“A laptop with an electronic medication administration record was left unlocked, unattended, and accessible in the Forest medication room, violating confidentiality requirements for resident records.”

“Three residents did not have resident-home contracts completed within 24 hours of admission as required by regulation.”

“A resident-home contract was not signed by the resident as required by regulation.”

“A refund following a resident's death was not issued within 30 days from the date the resident's personal property was cleared from the room as required.”

“During assistance with activities of daily living, a staff person used disrespectful language toward a resident who was resisting care and in distress, violating the requirement to treat residents with dignity and respect.”

“A resident who participated in the development of their support plan did not sign and date the support plan as required.”

“A bathroom closet door fell off its pins and struck a resident on the head, causing a laceration requiring staples and fractured ribs. Additionally, a resident's pendant alert button was non-functional for 4 days and the resident was directed to use an emergency pull cord instead of having the device repaired or replaced.”

“A resident's written initial assessment was not completed within 15 days of admission as required by regulation.”

“Emergency telephone numbers including the nearest hospital and fire department were not posted on or by the telephone in a bedroom.”

“Resident records were unlocked, unattended, and accessible in the medication room, violating confidentiality requirements.”

“A secured dementia care unit resident eloped through doors that were not fully closed by a visitor and was found two blocks away in a neighbor's home. The resident had total hearing loss, no communication board, and was exposed to outdoor temperatures of approximately 83 degrees Fahrenheit.”

“An ancillary staff person hired as a housekeeper began providing unsupervised ADL services (pushing a resident in a wheelchair) without completing the Department-approved direct care training course and competency test.”

“There was a strong smell of urine in the bathroom in bedroom, indicating unsanitary conditions.”

“Staff person B did not have a background check completed prior to their first day of work. The background check was completed after the hire date. This was a repeat violation.”

“Staff persons B, C, D, E, F, and G did not receive training on fire safety completed by a fire safety expert or by a staff person trained by a fire safety expert during training year 2022.”

“The home's staff training plan does not include the names, positions, and duties of each direct care staff person; the required training courses for each staff person; or the dates, times, and locations of scheduled training for the upcoming year.”

“A bar of soap and a tube of DermaRite antifungal cream with a manufacturer's label indicating poison control warnings were unlocked, unattended, and accessible in Resident 3's bathroom cabinet. Not all residents have been assessed as capable of safely recognizing and using poisons.”

“Multiple sanitary violations were observed: old sticky juice spills on the Stonebridge dining hall refrigerator at 9:20 am; white substance appearing to be mold in the Stonebridge kitchen icemaker at 9:30 am; and feces around the toilet bowl with unflushed toilet paper in Resident 4's bathroom at 10:55 am.”

“A full, uncovered, unattended trash can was observed in the Stonebridge dining hall at 9:30 am.”

“A large, round, yellow water stain was present on the ceiling of the Stonebridge hallway at approximately 9:30 am.”

“Hot water temperatures in eight resident rooms exceeded the maximum allowable temperature of 120°F, ranging from 122.5°F to 125.8°F across rooms 170, 157, 167, 164, 160, 159, 155, and 153.”