Barnabas Court at Brevillier Village.

“Resident was admitted to the home but did not sign the resident-home contract within 24 hours of admission as required.”

“Ancillary staff person was hired and worked in the home but did not receive training on reporting of reportable incidents, mandatory reporting of abuse and neglect under the Older Adult Protective Service Act prior to completion of the first 40 hours of work.”

“The first aid kit in the van used to transport residents did not include a breathing shield as specified in regulation.”

“Pharmacy label on resident's prescribed medication indicated dosage instructions of every 6 hours as needed, but the actual prescription was every 8 hours for anxiety.”

“Resident assessment does not address the resident's care need for an enabler bar attached to the resident's bed.”

“Resident assessment of care needs completed did not have a support plan to address the resident care need for hospice services including medication management, nursing services, care aide, and chaplain. Additionally, the support plan was not updated when the resident's medication administration needs changed from unable to self-administer to self-administering medications at bedside.”

“Resident's anxiety medication was discontinued by physician on an unspecified date after a fall. Despite the resident's repeated requests from 1/3/24 to 1/22/24 for another anxiety medication, staff failed to contact the physician. On an unspecified date, staff found the resident in distress, and the resident subsequently ingested a half bottle of medication found in the bedroom, stating they did not want to live because staff and doctor were not helping. The resident was sent to the emergency room. Following hospitalization, the resident was placed in the secure dementia care unit despite not having a dementia diagnosis and despite the resident's stated objection to this placement.”

“From 1/24/24 to 1/27/24, a resident was denied access to their bedroom in the PCH section of the home. The resident was placed in the secure dementia care unit after hospitalization but stated they did not want to live in the SDCU and was not permitted to return to their original bedroom until they 'got better,' despite not having a dementia diagnosis.”

“For approximately 1 year, staff removed a resident's prescription medications from their original labeled containers and provided them in a cup at 8:00 a.m. for the resident to self-administer independently throughout the day. Medical evaluations dated 11/2/23 and 1/26/23 indicate the resident cannot self-administer medications.”

“Prescription medications, OTC medications, CAM and syringes were not kept in an area or container that is secure (violation description cut off in source document).”

“The lint trap in the left commercial dryer was full, violating requirements to remove lint from the lint trap and drum after each use to reduce fire hazards.”

“An unannounced fire drill was not held during the month of April 2023.”

“Direct care staff person hired after April 24, 2006 did not complete and pass the Department-approved direct care training course and competency test before providing unsupervised ADL services.”

“Seven full bags of garbage were found on the ground next to the home's exterior dumpster rather than in covered receptacles that prevent penetration of insects and rodents.”

“The bathrooms in bedrooms #304 and #409 do not have operable ventilation fans.”

“Resident #1 does not have access to a source of light that can be turned on/off at bedside.”

“Resident #2's status change medical evaluation did not include height, weight, pulse rate, blood pressure and temperature.”

“The first aid kit in the home's van used to transport residents does not include a breathing shield.”