Country Meadows of West Shore.

“A resident's medical evaluation was not updated when the resident's medical condition significantly changed. The resident was discharged from the hospital, placed on hospice, had increased mobility needs (from oral assistance to full physical assistance), and received a new diagnosis of Atrial Fibrillation, but no new or updated medical evaluation was completed.”

“A resident's assessment was not updated when the resident's condition significantly changed. The resident had no documented behavioral needs related to aggression in the assessment, but was physically aggressive toward residents and staff on several occasions, resulting in recommendations for a private duty aide and bedroom transfer.”

“Accumulation of lint was found in the lint trap of a first-floor dryer, creating a fire hazard. Lint must be removed from dryer lint traps after each use to reduce fire risks.”

“Fire drill records beginning January 2025 document only residents evacuated from the simulated fire area rather than total residents evacuated from the entire facility. Records must include the total number of residents evacuated, which should equal the total number of residents present during the drill.”

“Support plans for two residents using bed canes or halo-style devices do not document the risks of using these devices or the residents' ability to use them safely. Medical/behavioral care needs and associated risks must be documented in resident support plans.”

“A bottle of Ferrous Gluconate 324MG Elemental Iron in the 2nd Floor Connections medication cart was identified as belonging to Resident #3 but did not include the resident's name on the medication bottle label.”

“Resident #1 pushed Resident #2, causing the resident to lose balance, fall to the floor, and suffer a large bump on the left rear of the head.”

“A green round pill (Ferrous Gluconate 324MG Elemental Iron) belonging to Resident #3 was observed loose in the 2nd floor Connections medication cart, not properly stored in its original container.”

“Morphine Sulf Soln 20MG/ML prescribed to Resident #4 had approximately 1.25 ML unaccounted for between the documented amount on 8/12/24 at 5:06pm (17.25ML remaining) and the actual amount observed in the bottle on 8/14/24 (approximately 16.00ML), indicating a discrepancy in medication administration records.”

“The home's licensing inspection summary dated 6/9/2022 was not posted in a conspicuous and public place in the home.”

“Three small bottles of mouthwash and 11 bottles of deodorant with poison control warning labels were unlocked and accessible in the utility/supply room. A 121 fluid ounce container of bleach and two containers of bleach wipes with poison control warnings were unlocked and accessible in the ice cream parlor. Not all residents, including Resident 1, were assessed as capable of safely handling poisonous materials. This was a repeated violation from 11/29/2021.”

“Two small trash cans were full and unattended in the third-floor activity room. A large recycling bin full of trash with no lid was in the third-floor kitchenette. Trash cans in the second-floor and first-floor kitchenettes had no lids.”

“A layer of lint was found in the lint trap of a small dryer in the third-floor laundry room and in dryers #1 and #2 in the first-floor laundry room, despite no clothes being in these dryers.”

“Four outdoor chairs blocked egress from the first-floor exit to the patio in the courtyard.”