Sayre Memory Care Residence.

“The home's Licensing Inspection Summary dated 2/26/25 was not posted in a conspicuous and public place in the home.”

“Staff persons A and B were hired without criminal background checks being requested prior to the start of employment, as required by the Older Adult Protective Services Act.”

“Staff persons A and C did not receive annual fire safety training completed by a fire safety expert or by a staff person trained by a fire safety expert during the training year June 1st, 2024 through May 31st, 2025.”

“A rectangular shaped section of carpet was missing from the floor in the hallway, creating a possible trip hazard for residents using assistive devices for ambulation.”

“There was no thermometer in the combination refrigerator and freezer located in the middle of the home's kitchen.”

“The panic bar for the exit door in the activity room required excessive force to push the door open. This was a repeat violation from 2/26/25.”

“The home's menu for the week of 3/15/26 to 3/21/26 was not posted in a conspicuous and public place, as required by regulation.”

“A prescription medication's pharmacy label was not properly labeled with the prescribed dosage and instructions for administration.”

“Resident had an order for compression stockings to be placed on legs/feet daily at 8 am, but stockings were placed on the resident several hours later when staff noted the resident was not wearing them.”

“A direct care staff member pinned a resident's hands down on the resident's chest, preventing the resident's movement, which constitutes a manual restraint. This occurred when the resident became combative and was flailing hands and arms.”

“The support plan for a resident dated 10-10-24 did not include documentation of increased depression, a 15-minute watch order, or expressed suicidal ideation, despite physician communication from 2-29-24 noting suicidal ideation and nursing notes from 3-4-24 and 3-5-24 documenting increased depression.”

“Incomplete violation entry - smoking area guidelines requirement is cited but description and plan of correction are not fully provided in the document.”

“The exit door located at the loading dock would not open without excessive force, preventing immediate egress in the event of an emergency.”

“The K-rated fire extinguisher located in the kitchen had a pressure gauge indicating it was outside the operable range.”

“Resident records were left accessible during initial walk-through due to an unlocked nurse's station door. The hot file chart was located on the nursing station with the gate unlocked.”

“The required influenza information poster, in accordance with the Influenza Awareness Act, was not posted in the home.”

“Resident #1's record did not contain the home's refund policy. Page 2 of the contract, which addresses refund policy, was missing from the resident chart.”

“The administrator does not have the required 24 hours of annual training relating to job duties. Only 11.25 hours of training could be verified for the training year September 2022 – August 2023.”

“Dermasil Cocoa Butter lotion was located in an unlocked, unattended storage closet in the activities room. The lotion's label indicated that accidental ingestion requires professional assistance or poison control contact. All residents have been assessed as incapable of recognizing and using poisons safely.”

“The dryer's lint hose in the staff break area was obstructed due to the dryer pressing on the hose where it attaches to the wall, creating a fire hazard.”

“Two bags of garbage were sitting outside the dining room door blocking egress. A laundry cart was sitting in front of the exit door in the dual-use break room/laundry room, blocking egress.”