Lakeview at Tel Hai Personal Care.

“The audible door alarm in the secured dementia care unit was not operable, allowing a resident to elope unnoticed.”

“Two residents' support plans did not document how identified needs would be met: one resident's need for suicide ideation supports and another resident's need for de-escalation and aggression supports were not addressed in their respective support plans.”

“An uncovered, unattended trash can was found in the Memory Care kitchenette, which violates requirements that trash in kitchens be kept in covered receptacles to prevent insect and rodent penetration.”

“Two bins of clothing were stored against electric circuit breaker boxes in the laundry room, violating the requirement that items be kept at least 36 inches away from electrical panels for safety.”

“Ice cream container lids in the freezer were opened and unsealed, violating the requirement that food be stored in closed or sealed containers.”

“A container of corned beef with an expired date was found in the walk-in refrigerator, violating the prohibition against using outdated or spoiled food.”

“A resident was admitted to the Secure Dementia Care Unit without the required written cognitive preadmission screening being completed within 72 hours prior to admission.”

“A resident's bedside lamp was not working and there was no other source of light that could be turned on/off at bedside.”

“Staff filled medication cups for two different residents simultaneously, and a resident inadvertently picked up and ingested medications prepared for another resident instead of their own. Staff failed to follow proper medication administration procedures.”

“An expired prescription medication blister card remained in the home's medication cart. This was a repeat violation.”

“A narcotic medication prescribed twice daily showed discrepancies between the medication administration record and narcotic control record. Four additional initials on the MAR indicated medication administrations on dates not documented in the narcotic log, and the home could not explain the discrepancy.”

“A resident ingested a medication cup prepared for another resident, consuming medications prescribed for and belonging to another resident.”

“Two medication administration errors were documented: one resident prescribed medication three times daily did not receive the 2:00 PM dose on one date, and another resident prescribed medication twice daily did not receive the 8:00 AM dose despite the MAR being documented as administered.”

“Tom's Toothpaste with a poison control warning label was unlocked, unattended, and accessible in Memory Care room 309. Not all residents have been assessed as capable of safely using or avoiding poisonous materials.”

“Allegations of resident-to-resident abuse were reported to the department but were not reported to the local area agency on aging as required.”

“A prescription medication was in the home's medication cart for a resident who does not have a current order for that medication.”

“A prescription medication with an open date of 2/17/24 was on the medication cart. According to manufacturer's instructions, this medication must be disposed of 6 weeks after opening.”

“An open bottle labeled only as "House" was in the medication cart and was not identified with any resident's name.”

“The home had not updated their written notification to the local fire department to include the addition of five new living units, total capacity, general layout including new bedroom locations, and assistance needed for emergency evacuation.”

“Two resident medical evaluations did not include medical information pertinent to diagnosis and treatment as required.”

“A resident record does not include a record of incident reports for the individual resident as required.”

“Empty cellophane pill packets containing resident names and medications were unlocked, unattended, and accessible on top of the medication cart in the hallway in an open clear plastic green container, violating resident record confidentiality.”

“Resident 4's contract dated 2/1/2023 was not signed by the resident despite the resident being able to sign; only the power of attorney signed with notation 'resident unable' without the resident being given the opportunity to sign.”

“On 8/29/2023 at approximately 6:12 am, staff person B was observed on a family camera taking resident 5's billfold containing approximately $100 from a bag attached to the resident's walker; the money was subsequently missing, constituting financial abuse/theft.”

“Staff person C did not know the location of the first aid kit.”

“An unlabeled, undated water dispenser containing oranges was located in the entrance lobby of the building, violating requirements that outdated or spoiled food may not be used.”

“Four cardboard boxes containing air filters were stored next to the propane-powered water heater in the water heater room, violating requirements that combustible and flammable materials may not be located near heat sources.”

“Resident 6's most recent medical evaluation was completed on 8/22/2023, but the previous medical evaluation was completed on 6/29/2022, exceeding the required annual evaluation timeframe.”

“Resident 7's medical equipment was not calibrated correctly and displayed an incorrect time.”