Providence Point.

“A white binder labeled "Cedar Blvd. 24 hour shift report" containing resident names, room numbers, and shower schedules was found unlocked, unattended, and accessible on the front desk of the secured dementia care unit, violating resident record confidentiality requirements.”

“A resident admitted to the Cedar Boulevard secured dementia care unit did not have a signed or marked resident home agreement, failing to meet contract signature requirements.”

“On multiple dates and times, the facility failed to maintain the required staffing of at least one person trained in first aid and certified in obstructed airway techniques and CPR for every 50 residents. Multiple shifts had 60-61 residents with no certified staff or only one certified staff member present.”

“Three direct care staff members (C, D, and E) did not receive required general orientation in fire safety and emergency preparedness during their first work day, specifically lacking training on the location and use of fire extinguishers and telephone use for emergency services.”

“Staff member A entered a resident's room without permission and removed bracelets from the resident's dresser drawer, placing them in their pockets. This violated the resident's right to privacy of possessions.”

“Resident was prescribed one tablet by mouth twice daily as of 5/22/2025, but on multiple dates (5/23/25, 5/24/25, 5/25/25, and 5/27/25) was only administered one dose at approximately 9:00 a.m. and did not receive the second daily dose, contrary to prescriber's orders.”

“Administrator failed to provide immediate access to resident records upon request by Department agents. Records were delayed between 30 minutes to overnight, with resident #2's record not provided until the following morning.”

“Direct care staff person A was hired but had not successfully completed and passed the Department-approved direct care training course and competency test prior to providing unsupervised ADL services.”

“Direct care staff person B did not receive training on medication self-administration and infection control and general principles of cleanliness and hygiene and areas associated with immobility during the 2023 training year.”