Providence Place of Dover.

“Two incidents of suspected resident abuse were not reported to the Local Area Agency on Aging as required. First incident involved a physical altercation between residents; second incident involved a staff member making threatening statements to a resident. The second incident was reported late (more than 12 hours after occurrence).”

“Two incidents of abuse were not reported to the Department within 24 hours as required. First incident involved a physical altercation between residents with no report to Department. Second incident involved threatening statements by staff and was reported late (more than 12 hours after occurrence).”

“Multiple incidents of resident abuse and neglect including: resident-on-resident physical altercations resulting in skin tears and emergency department visit; resident punching another resident in the chest; and resident grabbing and pushing another resident into a wall. This is a repeated violation.”

“Discontinued and expired medications were found in the home's medication cart, including medications that had been discontinued by physicians and supplements with expired use-by dates.”

“Staff Member A, certified in Medication Administration, did not complete the required Annual Practicum within the past year. Only 1 Medication Administration Record review and 1 observation were completed instead of the required number. Staff administered medications despite this deficiency.”

“Hot water temperature in areas accessible to residents exceeded the maximum of 120°F. Three measurements were taken: 122.5°F in common bathroom by dining room, 123.1°F in kitchenette sink by resident rooms, and 123.4°F in resident room bathroom sink.”

“A container of medications was found unlocked, unattended, and accessible in a resident room. The resident cannot self-administer medications per their Assessment and Support Plan and medical evaluation.”

“Medications were improperly stored in punctured blister packs. Previously punctured tablets were placed back into blister packs and taped, violating proper storage conditions.”

“A prescribed medication (puffs every 4 hours as needed) was not available in the home for a resident. This is a repeated violation from 12/27/2023.”

“Assessment and Support Plans for two residents were not updated to reflect significant changes in their diets ordered by physicians. One resident had a change to mechanical soft diet and another had a downgrade from mechanical soft to puree diet.”

“A resident's current Assessment and Support Plan does not reflect the special diet needs documented in their medical evaluation. The medical evaluation indicates a mechanical soft diet with chopped meats, but this is not reflected in the assessment.”

“Residents were neglected and abused. One resident did not receive prescribed cellulitis medication timely, resulting in medical decline and hospitalization; another resident was pushed and hit their head on a dining table; a third resident was pushed and fell with a skin tear; and a fourth resident sustained a large bruise to the forearm after being grabbed by another resident.”

“Medical evaluations for residents were incomplete and missing required elements including diagnosis of diabetes, mobility needs assessment, medication regimen, contraindicated medications, medication side effects, and medical professional signatures, dates, and professional license numbers.”

“The residence failed to secure preventive care ordered by physicians, including a CT scan of the chest recommended for one resident and podiatry services for another resident with overgrown toenails.”

“Resident 2 and Resident 5 were not tested for tuberculosis within 15 days of their respective admissions as required by regulation.”

“Staff was informed by a resident's family of suspected physical abuse on a weekend, but the residence did not report the suspected abuse to the local Area Agency on Aging office. This was a repeated violation from 03/16/2023.”

“Staff was informed by a resident's family of suspected physical abuse on a weekend, but the residence did not report the suspected abuse to the Department within 24 hours. This was a repeated violation from 03/16/2023.”

“A bottle of 90% isopropyl alcohol was located behind a cabinet door with a child lock in the activity kitchen of the Secure Care Unit. The child lock could be easily opened, and not all residents, including Resident 1, have been assessed as capable of recognizing and using poisons safely.”

“Accumulations of lint were found in the lint traps of three dryers (Roper, Whirlpool, and Amana) located in different laundry areas. Lint traps were not cleaned after use, creating fire hazards.”

“Staff member was observed treating a resident harshly and with disrespect in the special care dining room, including speaking loudly with rude verbiage, name calling, and an aggressive tone. The staff member also held the resident's wrists and denied a restroom request while awaiting lunch.”