Pleasant View Communities.

“Multiple residents were prescribed medications that were not administered per the prescriber's orders on specified dates and times.”

“An altercation occurred between staff and a resident resulting in bruising to the resident's arms. The allegation of abuse was not reported to the Area Agency on Aging by completing and submitting the mandatory ACT 13 form.”

“A medication omission error was not reported to the Department within 24 hours as required. Resident's evening medications were observed sitting in a cup on top of applesauce the following morning.”

“Staff Member A physically handled a resident during a behavioral incident, resulting in bruising on the resident's bilateral lower arms and upper left arm. The resident was pushed and grabbed during an altercation.”

“A resident's evening medications were not properly administered; they were found sitting in a cup on top of applesauce the following morning, indicating the resident did not receive the medication as ordered.”

“The controlled substance reconciliation binder labeled 'TG2 Narc Binder' was unlocked, unattended, and accessible on the medication cart on the second floor, containing resident names and prescribed medication information, violating resident record confidentiality requirements.”

“A physical altercation occurred between two residents, but the home did not report the incident to the local Area Agency on Aging (AAA) as required under the Older Adult Protective Services Act.”

“The Care Facility Carbon Monoxide Standards Act requires an approved carbon monoxide alarm to be installed within 15 feet of fossil fuel-burning devices. The home has a gas stove in the kitchen but no carbon monoxide alarm was installed nearby.”

“A resident's bed was equipped with an uncovered enabler bar attached to the right side, with an opening approximately 12 inches wide by 8 inches high, creating an entrapment hazard that posed a safety risk.”

“An undated and unlabeled plate of scrambled eggs and hashbrowns was observed in the refrigerator in the Secure Dementia Care Unit. Food served and returned from an individual's plate cannot be served again, and all leftover food must be labeled and dated.”

“The home's menu for the following week (3/10/24) was not posted one week in advance in a conspicuous and public place in the home, as required by regulations.”

“Pharmacy labels on individualized medication packets for multiple residents do not include the prescribed dosage and instructions for administration as required. Additionally, medication labels for some residents do not reflect dosage changes documented in their medication administration records.”