The Hillside Senior Living Community.

“Staff Person A administered prescription medications to a resident at 8:15 a.m., including eight 8:00 a.m. medications, despite not being trained to administer medications.”

“Two residents' glucometers were not calibrated correctly at 3:13 p.m. and 2:36 p.m., indicating improper storage procedures and security for medical equipment.”

“A resident in the Secure Dementia Care unit was struck by staff person B, who then grabbed the resident's wrists and verbally threatened physical aggression. Staff person B jokingly took a boxing stance while redirecting the resident, which escalated the situation.”

“Staff person A pointed in the face of residents, shouted at them, and physically guided them away from hallway work during nighttime flooring installation. The staff member also shouted 'get in your room' and closed a resident's door to keep them confined.”

“A resident preadmission screening form did not have Part III or Part IV completed. The preadmission screening must be completed in collaboration with a physician or geriatric assessment team within 72 hours prior to admission to a secured dementia care unit.”

“A resident's support plan did not address the resident's behaviors of aggression or agitation towards other residents and staff. The support plan must identify the resident's physical, medical, social, cognitive and safety needs.”

“A resident interfered with resident care by pushing another resident with a rollator walker faster than they could ambulate, risking a fall. When staff intervened, the resident shoved the direct care staff person. On a subsequent date, the same resident entered another resident's room without permission, leading to pushing between residents, with a third resident attempting to stop the altercation and a fourth resident being pushed in the melee.”

“The home failed to update resident support plans (RASP) to document a developing romantic relationship between two residents in the Secure Dementia Care Unit and did not indicate how staff would assess the residents' ability to consent or monitor the relationship, despite both residents having cognitive impairments.”

“The exit door located near the kitchen and rear basement steps did not open properly, opening only halfway and preventing immediate egress from the facility.”

“The facility's boiler certificate had expired (6/28/21) and although the boiler was re-inspected on 8/25/21, no updated inspection certificate could be provided at the time of inspection.”

“Direct care staff person A was hired and provided unsupervised direct care services to residents before completing the required Department-approved Direct Care Competency Course.”

“Staff Person B did not receive required annual training in 2023 on the topics of Medication Self-Administration, Meeting the needs of residents using the RASP/DME, and Infection Control.”

“Leftover food stored in the freezer (peas in a plastic container and cinnamon buns in a clear plastic bag) were not labeled or dated as required.”

“Food stored in the kitchen was not properly contained: bran cereal was found in an open plastic container without a lid, and granola cereal was in a torn plastic bag with cereal spilled on the cart.”

“Medication administration staff were not trained on administration of oral, topical, eye/nose/ear drop medications, insulin injections, and epinephrine injections for allergies, and no documentation of such training was maintained.”

“Resident #1's contract was not signed by the administrator or designee, the resident, and the payer, and was not cosigned by the resident's designated person as required.”

“Residents #1 and #2 did not sign acknowledgment of receipt of resident rights and complaint procedures upon admission, and documentation of efforts to obtain signatures was not maintained.”

“Hot water temperatures exceeded the allowable maximum of 120°F: room #101 measured 130°F and room #106 measured 124°F.”