Celebration Villa of Mid Valley.

“Resident assessment did not include documentation of the resident's habit of approaching other residents and touching them, the required 15-minute checks to monitor this behavior, or the resident's frequent behavior of taking other residents' cups during meal times.”

“A resident pushed another resident who fell backwards and struck their head on a chair, resulting in injuries requiring two staples. Staff witnessed the incident in the common area.”

“A resident's annual medical evaluation was not completed by the required due date. The evaluation was overdue at the time of inspection.”

“A resident's support plan was not completed annually as required. The annual support plan revision was overdue at the time of inspection. This was a repeat violation.”

“The home did not have the code posted conspicuously at or near the keypad used to operate the door that exits the secure dementia unit into the lobby.”

“The home did not update the support plan to address the resident's combative behaviors towards staff and did not reflect three falls with head lacerations requiring sutures.”

“The resident's support plan was not revised to reflect current changes in the resident's condition, specifically the initiation of PT/OT services and implementation of 15-minute safety checks following a recent fall.”

“Residents in the secure care unit were not protected from abuse and mistreatment. One resident exhibited aggressive behaviors and assaulted another resident, resulting in a femoral fracture requiring surgery. Staff failed to adequately supervise and separate residents with known aggressive behaviors.”

“Poisonous materials were not kept locked and inaccessible to residents. An unlocked housekeeping cart in a public bathroom near the Cove contained various chemicals including Viking Pure Cleaner, Viking Pure Disinfectant, and Ecolab Bio-Enzymatic Odor Eliminator.”

“Emergency telephone numbers were not posted on or near the landline telephone in the kitchenette near the Cove. This is a repeat violation from 08/29/2023.”

“A window screen in the dining room was in poor repair with a cracked frame and visibly broken screen, creating a potential safety hazard.”

“The refrigerator and freezer in the kitchenette near the Cove did not have thermometers to monitor proper food storage temperatures.”

“A fire extinguisher located in the hallway near the kitchenette did not have an inspection tag documenting annual inspection by a fire safety expert.”

“The fire drill log did not accurately document the exact time in minutes and seconds required to evacuate the building. The log only recorded the time of day rather than the duration of the evacuation.”

“A staff member placed hands on a resident and forced the resident into a dining room chair during dinner service in the presence of other residents, failing to treat the resident with dignity and respect.”

“A glucometer belonging to Resident #1 was used to measure blood glucose of Resident #2, violating sanitary conditions requirements. The glucometers were immediately removed and replaced with new ones labeled with resident names.”

“Resident #3 received an incorrect medication dose since 11/16/2023 that did not match the prescriber's orders. The incorrect medication was immediately removed from the medication cart on 12/01/2023 and corrected with the proper prescription from the pharmacy.”

“Resident #1 punched resident #2 in the face two times, resulting in resident #2 falling to the floor. Both residents were medically evaluated after the altercation. Resident #2 sustained bruising to left eye and laceration under left eyebrow.”

“The door exiting the secured outside patio to the parking lot was unable to be opened from the keypad, preventing immediate egress.”

“The most recent annual License Inspection Summary from 6/7/2022 was not posted in the home at the time of inspection.”

“There was a strong odor of urine near the main entry door to the secured dementia unit from the carpet, and a garbage can on the outdoor patio was overflowing with garbage.”

“Weatherstripping of the courtyard door in Hallway A was hanging from the door frame, creating a hazard in the doorway.”

“There were no emergency numbers posted near the landline phone on the table outside of the medication room.”

“There were 10-15 cigarette butts observed in the mulch in the front of the home, constituting combustible materials near the building.”

“There were 10-15 cigarette butts observed in the mulch in the front of the home, indicating the designated smoking area at the rear of the building was not being used.”

“Resident 1 had a discontinued prescription that was still available on the medication cart.”

“Resident 2's glucometer reading was documented incorrectly on the MAR. Resident 3 had PRN medication orders that were not available if needed. This is a repeat violation from 6/7/2022.”

“Resident 1 had a PRN order for medication that had not been added to the Medication Administration Record (MAR).”