The Heritage at St. Paul Homes.

“Residents #2, #4, and #5 participated in the development of their support plans but did not sign them, and there was no notation indicating the residents were unable or unwilling to sign.”

“The initial support plans for residents #2, #4, and #5 admitted to the Secured Dementia Care Unit were not dated, making it impossible to determine if they were developed within 72 hours of admission as required.”

“An unsecured enabler bar was attached to the bed in bedroom #427 with approximately a 3-inch gap between the post and mattress, and the post moved approximately 5 inches back and forth. This is a repeat violation from 4/21/23.”

“An unsealed plastic bag containing 5 hash browns and 9 cookies was found in the walk-in freezer.”

“An unlabeled and undated plastic bag containing 5 hash browns and 9 cookies was found in the walk-in freezer, making it impossible to determine if the food was outdated or spoiled.”

“Resident #1's medications were not stored with pharmacy labels attached. Resident #2's medication label did not accurately reflect the prescribed dosage and administration instructions for insulin administration.”

“Resident #3's glucometer was not calibrated to the correct date/time. Resident #1's glucometer readings did not match the values recorded on the medication administration record. This is a repeat violation from 4/21/23.”

“Resident #4's medication label indicated an incorrect dose compared to the physician's prescription for a medication prescribed to be taken by mouth once a day.”

“Resident #1's medication administration record did not match the prescribed dosage based on blood glucose readings. Resident #4 received a medication dose that did not match the prescriber's orders.”