Country Meadows of Forks.

“Resident #1's uncovered bedside mobility device had an opening measuring approximately 6.5 inches by 10 inches, posing a risk of entrapment or injury. The device was not firmly attached to the bed and moved freely from side to side.”

“On 7/24/25 at 9:45 a.m., the boiler room had blocked egress from the residence preventing evacuation. This was a repeat violation from 9/26/24.”

“The residence routinely held sleeping hours fire drills at the beginning or end of 3rd shift, as evidenced by drills on 12/15/24 at 5:53 a.m., 4/8/25 at 5:03 a.m., and 6/5/25 at 12:04 a.m., rather than at varied days and times as required.”

“On 7/24/25, Rosuvastatin 10 mg prescribed for resident #2 was found in the resident's bin in the medication cart; however, the medication was discontinued prior to 7/1/25 as it did not appear on the 7/2025 Medication Administration Record.”

“Resident #1's assessment did not contain information regarding the resident using a bedside mobility device to get in and out of bed.”

“Resident #3 was admitted to the special care unit; however, the resident's record does not include documentation that the resident agreed to admission to the special care unit.”

“At approximately 9:30 a.m., the directions for operating the residence's locking mechanism were not posted near the exit door by room 17 in the special care unit.”

“The Destroyed Record Log does not include a resident record number for disposed records.”

“Resident #1 engaged in multiple unprovoked incidents of physical abuse toward other residents including slapping Resident #2 in the back of the head, kicking Resident #3 in the leg, slapping Resident #4 in the face, and grabbing Resident #5's forearm causing a skin tear.”

“Resident #4's initial assessment was not completed within 15 days after admission as required.”

“Resident #1's and #5's Assisted Support Plans did not indicate what level of assistance the resident requires for hydration encouragement and social/leisure activity participation. Resident #5's support plan lacked required documentation for bed cane use including specific need, intended use, risks, safety ability, specific device details, and FDA cover requirements.”