Asbury Health Center.

“A resident was punched on the arm by staff person A after the resident punched the staff member in the hallway of the Secured Dementia Care Unit. This constitutes physical abuse of a resident in violation of the requirement that residents may not be physically abused or mistreated.”

“Allegations of verbal abuse against a resident were not immediately reported to the Department of Aging as required. The incident was reported approximately 6.5 hours late at 2:24 p.m. instead of immediately after discovery at approximately 7:45 p.m.”

“Direct care staff person A was not immediately suspended or placed on a plan of supervision following an allegation of verbal abuse at approximately 7:45 p.m. The staff person continued to provide unsupervised direct care services until the end of shift at 11:00 p.m., returned to work the next day, and was not suspended until approximately 1:00 p.m. when another allegation was reported.”

“A resident requiring assistance with eating per their support plan was served cheese quiche that had not been cut up as specified in the plan, which indicated that quiche should be cut up before being served.”

“A resident's annual medical evaluation form was incomplete, with the height field left blank.”

“A resident's status change medical evaluation form was incomplete with multiple blank fields including weight, body positioning and movement, and health status and cognitive functioning. Additionally, the medication addendum referenced an attached medication list that was not present in the chart.”

“A resident with a prescriber's order to wear a sling on the left arm at all times with specific positioning requirements was observed with the arm loosely hanging from the sling. Direct care staff person A refused to reposition the resident's arm in accordance with the prescriber's order and prevented another staff member from repositioning it correctly.”

“The lock on the common bathroom door in the 6th floor hallway near bedroom #4627 was inoperable, preventing residents from having privacy while using the restroom.”

“Emergency telephone numbers were not posted on or near the telephone in bedroom #4531.”

“Food was not stored in closed or sealed containers. An open and unsealed bag of french fries (approximately 1/2 full) was found in the 4th floor main kitchen's Delfield commercial freezer, and an open and unsealed 15.62 lb. box of french toast (approximately 3/4 full) was found in the 3rd floor kitchen walk-in freezer.”