Linden Village.

“The home failed to report incidents of alleged neglect to the Department within 24 hours. Staff discovered a resident with heavily-soiled brief, linens, and feces on skin on two separate occasions (2/22/26 and 2/24/26), but the home did not report these incidents of alleged neglect to the Department.”

“Staff Member A took photographs of a resident with a personal cell phone, violating the resident's right to privacy. This occurred on two separate dates during the inspection period.”

“A resident's most recent medical evaluation was not completed within the required annual timeframe, indicating non-compliance with the annual medical evaluation requirement.”

“A resident's Medication Administration Record for February 2026 did not indicate the diagnosis or purpose for multiple prescribed medications, including missing documentation for reasons the medications were prescribed.”

“Multiple residents' Medication Administration Records for January and February 2026 did not include staff initials for wound care and medication administration provided at documented times, in violation of the requirement to record medication/treatment information at the time of administration. This is a repeated violation.”

“A resident refused scheduled wound care on multiple dates, and the home did not report these refusals to the prescriber within 24 hours as required. The home also failed to document and report a medication refusal within the required timeframe.”

“Resident #1 struck Resident #2 in the face, causing a cut to the upper lip and loss of a tooth. The facility failed to prevent this incident of resident-to-resident abuse.”

“Narcotic count discrepancy for Resident #6's Morphine .25 mg: 43 doses available but count sheet reflected 44 doses. A .25 mg dose administered at 10:30 AM was documented on the MAR but not on the narcotic count sheet. Staff Person A confirmed failure to document the medication use on the count sheet. This is a repeated violation.”

“Medication administration documentation was completed before medications were administered. Staff Person A documented that Resident #3 received Albuterol inhaler and Acetaminophen capsules prior to the resident actually taking them, violating the requirement to record medication administration at the time it occurs.”

“The facility failed to install an approved carbon monoxide alarm in close proximity to (not less than 15 feet from) a fossil fuel-burning device. A gas stove in the main kitchen had no nearby carbon monoxide alarm as required by the Care Facility Carbon Monoxide Standards Act.”

“A bottle of mouthwash, tube of crest baking soda toothpaste, and dove deodorant with poison control warnings were unlocked, unattended, and accessible to Resident 3 in the secured dementia care unit. Residents in the SDCU have been assessed as incapable of recognizing and using poisons safely.”

“A pungent odor of urine was detected in the family room near bedrooms 1-8 of the Mt. Hope cottage, indicating failure to maintain sanitary conditions.”

“An unlabeled, undated container of individually wrapped chocolate chip and sugar cookies was found in the bottom kitchenette cabinet in the Tabor cottage, violating requirements that leftover food be labeled and dated.”

“During multiple fire drills (12/28/23, 11/28/23, 10/12/23, and 09/28/23), residents in various cottages (200, 300, 400, and 500) did not evacuate to a designated meeting place away from the building or within the fire-safe area as required.”

“Expired PRN medications prescribed for Resident 6 were found in the home's medication cart and had expired, violating the requirement that only current prescription, OTC, sample and CAM medications may be kept in the home.”