Oakwood Court.

“Staff member made a resident feel ashamed about having a sexual relationship with another resident, and the resident feared discharge if they continued the relationship. This violated the requirement to treat residents with dignity and respect.”

“Three staff members (Staff Person B, Contract Staff Member C, and Contract Staff Member D) did not receive required first-day fire safety and emergency preparedness orientation covering evacuation procedures, staff duties, designated meeting places, smoking safety, fire extinguisher use, smoke detectors, and emergency notification procedures. This was a repeated violation from 5/29/2024.”

“Sanitary conditions were not maintained: ice bins in two refrigerators/freezers were overflowing, one freezer had dirt and debris present, and clean underwear was found on a bedroom railing outside the building.”

“A tool kit containing screwdrivers, scissors, tack hammer, wire, nails, screws, and straight pins was left unlocked and unattended in the secured dementia care unit, posing a risk of injury to residents.”

“Two resident bedrooms (bedrooms 8 and 12) in the secured dementia care unit were locked, denying residents access without staff assistance, in violation of the requirement that residents have access to their bedrooms at all times.”

“Resident 3 did not have access to an operable source of light that could be turned on/off at bedside; the bedside lamp was unplugged and unable to function.”

“An unlabeled and undated item was found, in violation of the requirement that outdated or spoiled food and dented cans may not be used.”

“Resident bathroom medicine cabinet was unlocked and poisonous materials including toothpaste with poison control warning label were accessible on the sink. Not all residents were assessed as capable of safely recognizing and using poisonous materials.”