Dubois Village.

“Direct care staff became frustrated while providing continence care to a resident, raised their voice using a stern tone, and physically restrained the resident by hooking their arm under the resident's arm to prevent sitting and direct them to the bathroom, causing the resident to cry and ask why staff was being mean.”

“Direct care staff physically restrained a resident by hooking their arm under the resident's arm to prevent sitting and direct them to the bathroom while using a stern, loud tone of voice, which is a prohibited procedure under the regulations.”

“The facility failed to follow prescriber's medication orders for Resident #3 who did not receive Gabapentin on 1/4/23 and 1/5/23, Propranolol on 1/5/23 and 1/8/23, and Pantoprazole on multiple dates including 1/10/23-1/14/23 and 1/29/23 because the resident had voluntarily left the facility.”

“A carbon monoxide detector was installed approximately 7 feet from a gas-operated dryer in the Dogwood resident laundry room, violating the Care Facility Carbon Monoxide Alarms Standards Act requirement that alarms be at least 15 feet from any fossil-fuel burning device or appliance.”

“The facility served 74 residents requiring 224 gallons of emergency drinking water but had only 185 gallons on hand, failing to maintain the required 3-day supply of nonperishable drinking water. The facility also did not have a contract with a local bottled water supplier.”

“The facility failed to notify prescribing physicians of multiple medication refusals within 24 hours as required. Resident #2 refused Senna multiple times between 1/21/23-1/27/23 without notification. Resident #3 refused Gabapentin on 1/8/23 and Propranolol on 1/21/23 without prescriber notification.”

“The facility failed to accurately document medical care in resident support plans. Resident #4's support plan did not reflect that the resident required assistance from multiple staff members (up to three persons) on various occasions, but documented only one staff member assistance. Resident #5's support plan did not document the use of an enabler bar that was ordered on 1/11/23.”