Celebration Villa of Lakemont Farms.

“Uncovered grey wash basin with loose powdered laundry detergent not stored in original labeled container was found in the cupboard above the washer in the 2nd floor laundry.”

“A nasal spray medication was stored beyond its manufacturer-recommended 120 actuation limit and should have been discarded.”

“The home did not have adequate procedures for safe storage, access, security, distribution and use of medications and medical equipment by trained staff persons, as evidenced by violations in medication management and storage practices.”

“Sanitary conditions were not maintained: a nickel-sized piece of feces was on the outside of a toilet bowl in room 240, no hand towel or means to dry hands was available in that bathroom, and black crud buildup was present in a kitchenette sink drain.”

“Snow and ice obstructions were not removed from emergency exit routes and sidewalks during active snowfall with heavy accumulation.”

“Two residents did not have operable lamps or other lighting sources that could be turned on at bedside: one room had no bedside lamp, and another had a bedside lamp positioned three feet away with a chair blocking access.”

“Prescription medications no longer ordered by the Director of Nursing were not removed from the medication cart.”

“The home did not have adequate procedures for safe storage, access, security, distribution and use of medications and medical equipment by trained staff persons, as evidenced by violations in medication management and storage practices.”

“Uncovered grey wash basin with loose powdered laundry detergent not stored in original labeled container was found in the cupboard above the washer in the 2nd floor laundry.”

“Sanitary conditions were not maintained: a nickel-sized piece of feces was on the outside of a toilet bowl in room 240, no hand towel or means to dry hands was available in that bathroom, and black crud buildup was present in a kitchenette sink drain.”

“Snow and ice obstructions were not removed from emergency exit routes and sidewalks during active snowfall with heavy accumulation.”

“Two residents did not have operable lamps or other lighting sources that could be turned on at bedside: one room had no bedside lamp, and another had a bedside lamp positioned three feet away with a chair blocking access.”

“Prescription medications no longer ordered by the Director of Nursing were not removed from the medication cart.”

“A nasal spray medication was stored beyond its manufacturer-recommended 120 actuation limit and should have been discarded.”

“A pungent smell of urine was permeating throughout a resident's room, indicating failure to maintain sanitary conditions.”

“Staff Persons A and B engaged in physical and emotional abuse of Resident #1 for at least 12 minutes. Staff Person A struck the resident on the face twice, grabbed and shook the resident's hand, made antagonizing lunging movements, and aggressively removed clothing items. Staff Person B grabbed the resident's wrists, dragged the resident across the floor, punched at the air while standing over the resident, and forcibly placed the resident in a wheelchair.”

“Staff Persons A and B subjected Resident #1 to continuous abuse intended to provoke anxiety, fear, and physical compliance through aversive conditioning. Staff Person A repeatedly restrained the resident's arms, while Staff Person B dragged the resident off a couch, across a carpeted floor, and forced the resident into a wheelchair for a period of at least 12 minutes.”

“A resident was being provided direct care services including ambulation, toileting, and transferring without having completed required direct care training and without being a qualified substitute personnel or trained volunteer.”

“A resident required assistance with toileting and nighttime incontinence checks per their support plan, but was found on the bathroom floor with their emergency notification system activated for approximately four hours before being discovered, indicating failure to provide required ADL assistance and routine monitoring.”

“A direct care staff person failed to count narcotics or exchange medication cart keys with the incoming staff member, and the keys were placed in the wellness office without being exchanged with or accepted by a qualified staff person, violating the home's medication safety procedures.”

“A resident diagnosed with behavioral issues and residing on a secured dementia care unit engaged in repeated sexual aggression towards other residents and a visitor on at least 5 instances since September 23, 2024. Staff failed to adequately supervise the resident to protect other residents and visitors from these repeated sexual behaviors. This is a repeat violation from prior incidents on 7/22/24 and 4/25/24.”

“Four incidents of resident-to-resident abuse (physical choking/punching, pushing to floor, hitting with purse, and alleged sexual abuse) were not immediately reported to the Department of Aging as required by the Older Adults Protective Services Act. Reports were delayed by several hours to overnight.”

“Four incidents of resident-to-resident abuse were not reported to the Department's personal care home regional office or complaint hotline within 24 hours as required. Reports were delayed until the next day or later.”

“Resident was physically abused by another resident who choked her with a purse strap and punched her in the face and head, knocking her to the ground. This constitutes physical abuse in violation of the requirement that residents may not be physically abused or mistreated.”

“Carbon monoxide detector located near the kitchen gas stove had batteries labeled with installation date of 4/2021, which had not been replaced within the required annual timeframe as mandated by the Care Facility Carbon Monoxide Alarms Standards Act.”

“Staff person A manually restrained resident #1 by grabbing the resident's wrists and crossing arms around chest, restricting movement while forcibly walking for over 60 seconds, and spoke to the resident in a raised voice stating 'I'm not going to let you hit me again.' This constitutes physical abuse and mistreatment of a resident. This was a repeat violation from 12/12/2022.”

“Direct care staff persons B, C, and D did not receive annual training regarding instruction on meeting the needs of residents as described in the preadmission screening form, assessment tool, medical evaluation, and support plan during training year 2023.”

“Carbon monoxide detector located near the kitchen gas stove had batteries labeled with installation date of 4/2021, which had not been replaced within the required annual timeframe as mandated by the Care Facility Carbon Monoxide Alarms Standards Act.”

“Staff person A manually restrained resident #1 by grabbing the resident's wrists and crossing arms around chest, restricting movement while forcibly walking for over 60 seconds, and spoke to the resident in a raised voice stating 'I'm not going to let you hit me again.' This constitutes physical abuse and mistreatment of a resident. This was a repeat violation from 12/12/2022.”

“Direct care staff persons B, C, and D did not receive annual training regarding instruction on meeting the needs of residents as described in the preadmission screening form, assessment tool, medical evaluation, and support plan during training year 2023.”

“A direct care staff member spoke disrespectfully to a resident using profane language when the resident asked for a donut, and spoke dismissively to dietary staff about following meal plans. The resident overheard the profanity and became upset, feeling disrespected.”