Bethany Village Retirement Center.

“Carbon monoxide alarm battery was not labeled with installation date and had not been replaced annually as required. Additionally, the CO alarm in the kitchen could not be heard from floors 1-3 where residents reside, violating the requirement for audible alarms on all occupied floors.”

“Poisonous materials including Skintegrity wound cleanser, providone-iodine swab sticks, Crest toothpaste, Kruder Kritter cleaner and degreaser, and paint cans were unlocked, unattended and accessible to residents in the Secure Care Unit. None of the SCU residents have been assessed as capable of safely recognizing and using poisons.”

“Sanitary conditions were not maintained in a resident room where the raised toilet seat, toilet, and cross bar were splattered with dried brown fecal matter.”

“Food was not protected from contamination while being stored. Five large trays of uncovered food including wild rice, chicken and gravy were stored in the kitchen freezer.”

“Egress routes were obstructed. The C17 doorway between the Secure Care Unit dining room and the enclosed courtyard was blocked with a large planting station, preventing the door from opening completely.”

“Multiple residents did not have tuberculin skin test or chest X-ray results documented within required timeframes. Some residents' initial medical evaluations did not include test results or documentation was missing entirely.”

“Residents' annual medical evaluations did not include results of tuberculin skin tests or documentation of when tests were completed.”

“Carbon monoxide detector battery was not replaced annually and was installed approximately 1 foot from a fossil-fuel burning stove, violating the requirement to install detectors at least 15 feet from such appliances.”

“Resident and payee did not sign and date the resident-residence contract. This is a repeated violation from 12/12/2023.”

“Direct Care Staff Member C did not receive training in medication self-administration during the 2023 training year.”

“The home's written emergency procedures have not been sent to the local emergency management agency annually.”

“Resident's medication was left unlocked, unattended, and accessible on a stand next to their recliner while resident was not present and bedroom door was unlocked. Additionally, a medication cart housing numerous residents' medications was left unlocked, accessible, and unattended in the hallway.”

“A staff person was alleged to have made an inappropriate statement in the presence of a resident, and a mandatory abuse reporting form was not submitted to the local Area Agency on Aging. Additionally, a staff person was alleged to have struck the face of another resident, and a mandatory abuse reporting form was not completed and submitted.”

“A resident's contract was not signed by the resident, and there was no documentation indicating that the resident was unwilling or unable to sign the contract.”

“A staff person was found to have verbally abused a resident by repeatedly telling the resident that nobody likes him/her.”

“The telephone number of the Ombudsman was not posted in large print in a conspicuous and public place in the residence.”

“Poisonous materials in the secure care unit were not properly secured. An open and unattended bathing room contained an aerosol disinfectant cleaner with a poison label, and an unlocked housekeeping closet contained multiple bottles of poisonous cleaning agents. Residents in the secure care unit have not been assessed as capable of safely recognizing and using poisonous materials.”