Vincentian Home.

“A fire drill during sleeping hours was not conducted within the required 6-month interval. The last sleeping hours fire drill was on 10/2/25, but the previous one was on 3/21/25, exceeding the 6-month requirement.”

“Four residents' written initial assessments did not include all diagnoses documented in their medical evaluations. Resident #1 was missing glaucoma, Resident #2 was missing shortness of breath, pain, and hypercholesterolemia, Resident #3 was missing atrial fibrillation, hyperlipidemia, and edema, and Resident #4 was missing glaucoma, anxiety, and nausea.”

“Two residents' additional assessments did not include all diagnoses documented in their medical evaluations. Resident #5 was missing hypothyroidism, GERD, and prostatic hyperplasia, and Resident #6 was missing deep vein thrombosis and neuropathy.”

“Directions for operating the key-locking mechanism were not conspicuously posted near two emergency exit doors in the Memory Lane secured dementia care unit: one in the dining room exiting to the courtyard and one leading to the outside walkway.”

“The ADA push-button post in the courtyard outside The Orchard portion did not activate the automatic door opening mechanism, no code was posted on the device, and the button could not be activated without staff assistance with a magnetic key card.”

“The egress routes from The Orchard's main common area and the 160 and 130 numbered room sides were obstructed by a keypad locked gate leading to the parking lot. The posted code was incorrect and the gate could not be opened without staff assistance.”

“A resident's credit card was taken from their bedroom without knowledge or consent and used to make unauthorized charges. This constitutes neglect and financial abuse of the resident.”

“Staff person A took resident #1's debit card without consent and used it to make unauthorized charges at numerous businesses between specified dates, totaling approximately an unspecified amount. This constitutes theft and financial abuse of the resident.”