Heritage Springs Memory Care.

“A rock salt spreader was blocking egress from the dining room door, obstructing an emergency exit route from the home.”

“A staff member continued to perform care on a resident who was refusing, resulting in two skin tears to the resident's left wrist and upper arm. The staff member held the resident's hand/arm while performing care despite the resident's refusal.”

“Combustible materials were found in the laundry room with an undergarment on the floor behind the dryer, posing a fire hazard near a heat source.”

“During a fire drill, residents who were quarantined due to COVID-19 did not evacuate to the designated meeting place as required.”

“Two residents in a secure dementia care unit engaged in inappropriate physical contact, with Resident #1 touching Resident #2's breast. Staff Member A instructed them to cease contact but did not separate the residents, leaving them seated together on the couch.”

“Resident #3's assessment and support plan did not include documentation of necessary care changes following a fall, specifically that the resident required 2-person assist for transfers, full physical assistance with ADLs, and use of a wheelchair for ambulation.”

“Staff person yelled at a resident and called them derogatory names when the resident became upset during care. This violated the requirement that residents be treated with dignity and respect.”

“A staff member took a video/picture that included a bulletin board displaying resident pictures and posted it to Snapchat social media, violating resident privacy rights.”

“A resident kicked another resident without warning or provocation. The resident had a prior history of striking a different resident and being aggressive to other residents on multiple occasions.”

“The support plan for Resident #4 was not signed by the resident or their responsible party as required.”

“The Pre-Admission Screening Form for Resident #3 does not indicate the date of admission or the resident's date of birth.”

“Medication belonging to resident #1 was stored in the medication cart in a plastic bag with no pharmacy label attached containing required information.”

“The home did not have the License inspection summary report posted in the home as required.”

“The batteries installed in the carbon monoxide monitors located near the home's gas fireplaces were not replaced annually as required by the Care Facility Carbon Monoxide Monitoring Act.”

“A bag of frozen pie crusts was found in the main kitchen's freezer with no label to identify the food and the date they were stored in the freezer.”

“A plastic bag of frozen blueberries was found in the Serenity Street activity area freezer that was outdated.”

“The home conducted sleeping hour fire drills during times when additional staff were present to participate in the drills, rather than during normal staffing levels as required.”

“Resident #2 had a medication order to hold the medication if systolic blood pressure was less than 110, but the medication was administered when the SBP reading was below that threshold.”

“A support plan for Resident #4 completed for a significant change does not indicate the resident's increased suicidal thoughts or suicide attempts.”

“Staff member used vulgar language while providing care to a resident after the resident pulled their fingers, violating the resident's right to be treated with dignity and respect.”