Brookdale Grandon Farms.

“The home failed to report an incident to the Department within 24 hours. A resident was found unattended on the floor, drooling and soiled, in an unlocked utility room, and was hospitalized with increased confusion and marks on the upper body described as brush burns and scratches, but the home did not report this incident to the Department.”

“A resident was found unattended on the floor, drooling and soiled, in an unlocked utility room labeled to be kept locked at all times. The home failed to keep the door secured and failed to provide supervision and prompting to use necessary assistance devices as described in the resident's care plan.”

“The dumpster outside the home was full of trash, open, and not actively being used at the time of inspection, failing to keep trash in covered receptacles that prevent the penetration of insects and rodents.”

“Staff failed to watch a resident ingest prescribed medications. An inspector observed the resident with two large white pills and one large pink pill at a table while staff's back was turned after medication administration.”

“Resident assessment and support plan does not include signatures from the staff member or resident indicating participation in the development of the support plan.”

“Resident was admitted to the Secure Dementia Care Unit (SDCU) but the written cognitive preadmission screening was not completed within 72 hours prior to admission as required.”

“A physical altercation occurred between Resident 4 and Resident 5, but this allegation of abuse was not reported to the local area agency on aging as required by the Older Adult Protective Services Act.”

“A physical altercation occurred between Resident 4 and Resident 5. The home did not report this incident to the department within 24 hours as required.”

“Two separate incidents of resident-to-resident physical abuse were documented: Resident 2 grabbed and held Resident 1's arm, causing a bruise, and Resident 4 grabbed and pulled Resident 5 by the arm, causing a bruise. Staff separated the residents in both incidents.”

“A tube of toothpaste bearing a poison control warning label was found unlocked, unattended, and accessible to residents in room 307 of the Secured Dementia Care Unit, where residents are assessed as incapable of safely recognizing and using poisons. This is a repeated violation from 2/22/23.”

“A full, uncovered, unattended trash can was observed in the main dining room, failing to prevent the penetration of insects and rodents.”