Simpson House.

“A resident's current medical evaluation was not present in the medical record. The initial medical evaluation was completed but no annual update was documented.”

“A glucometer belonging to a resident was found in the home's medication cart; however, the resident was away from the home at the time of inspection, making the equipment current unnecessary.”

“A bottle of Vitamin D belonging to a resident in the home's medication cart was not labeled with the resident's name.”

“A resident prescribed blood sugar checks three times per week had discrepancies between glucometer readings and documentation in the log, indicating improper medication administration record procedures and documentation practices.”

“The resident-home contract for Resident #2 was not signed by the administrator or designee and was not signed by the resident.”

“The home did not report the unexpected passing of Resident #1 to the Department within 24 hours as required for reportable incidents.”

“The home did not report the unexpected passing of Resident #1 to the Department within 24 hours as required for reportable incidents.”

“The resident-home contract for Resident #2 was not signed by the administrator or designee and was not signed by the resident.”

“Resident #2's record did not contain a statement signed by the resident acknowledging receipt of a copy of the resident rights and complaint procedures.”

“The home's staff training plan does not include times for scheduled trainings, only projected dates of December 31, 2025. This is a repeat violation from 11/7/24.”

“On 10/2/25 at 10:10am, there was no thermometer in the Carson freezer. Food requiring refrigeration must be stored at or below 40°F and frozen food at or below 0°F, with thermometers required in refrigerators and freezers.”

“On 10/2/25, there was approximately 1 inch accumulation of lint in the Wesley Commons third floor laundry room dryer lint trap and approximately 1/2 inch accumulation in the Carson second floor laundry room dryer lint trap. Lint must be removed from lint traps after each use to reduce fire hazards.”

“Resident #3's most recent medical evaluation was not completed as required annually. This is a repeat violation from 11/7/24.”

“Resident #2's record did not contain a statement signed by the resident acknowledging receipt of a copy of the resident rights and complaint procedures.”

“The home's staff training plan does not include times for scheduled trainings, only projected dates of December 31, 2025. This is a repeat violation from 11/7/24.”

“On 10/2/25 at 10:10am, there was no thermometer in the Carson freezer. Food requiring refrigeration must be stored at or below 40°F and frozen food at or below 0°F, with thermometers required in refrigerators and freezers.”

“On 10/2/25, there was approximately 1 inch accumulation of lint in the Wesley Commons third floor laundry room dryer lint trap and approximately 1/2 inch accumulation in the Carson second floor laundry room dryer lint trap. Lint must be removed from lint traps after each use to reduce fire hazards.”

“Stairway Tower #4 connecting the second and first floors has a damaged step at the edge that poses a tripping hazard.”

“A cloth STOP sign covering a resident room door blocked egress from the room while the resident was present inside, obstructing the egress route.”

“Resident medical evaluation did not include temperature at time of evaluation, medication regimen, contraindicated medications, medication side effects, ability to self-administer medications, or body positioning and movement stimulation information.”

“Staff person A did not receive orientation on fire safety and emergency preparedness topics on their first work day, including evacuation procedures, staff duties during emergencies, designated meeting places, smoking safety procedures, fire extinguisher location and use, smoke detectors and fire alarms, and emergency services notification.”

“Staff person A did not complete required 40-hour orientation training in resident rights, emergency medical plan, mandatory reporting of abuse and neglect under the Older Adult Protective Services Act, and reporting of reportable incidents and conditions.”

“Direct care staff person B did not receive training in instruction on meeting resident needs as described in preadmission screening form, assessment tool, medical evaluation and support plan during training year 2022.”

“Staff person B did not receive annual training in fire safety completed by a fire safety expert or by a staff person trained by a fire safety expert during training year January 2022 to December 2022.”

“The home does not have a staff training plan for 2023.”

“The facility's written emergency procedures were submitted to incorrect personnel at the emergency management agency on 6/16/23. When the home lost power on 8/7/23, the emergency management agency could not provide assistance because they did not have the correct emergency preparedness procedures.”