The Arbors at St. Barnabas.

“The private bathroom in bedroom does not have an operable window or ventilation fan.”

“Direct care staff person A did not receive training in any of the required training topics (medication self-administration, meeting resident needs, dementia care, infection control, personal care services, safe management techniques, or care for residents with mental illness/intellectual disability) during the training year.”

“Staff person A did not receive training in any of the required annual training topics including fire safety, emergency preparedness, resident rights, Older Adult Protective Services Act, falls and accident prevention, and new population groups. Staff person did not receive fire safety training by a fire safety expert or trained staff person during the training year.”

“Large, stained areas were present in the carpet in a bedroom at 2:55 PM, indicating surfaces that were not clean or free of hazards.”

“Resident glucometer was not set to the current date and time. A resident prescribed medication was not available in the home on the specified date, indicating failure to develop and implement safe storage, access, security, and distribution procedures for medications. This is a repeat violation.”

“Resident prescribed insulin per sliding scale had a blood glucose reading requiring medical doctor notification per orders, but there was no documentation that the medical doctor was called or of the doctor's response. This is a repeat violation of the requirement to follow prescriber's orders.”

“Documentation of staff person B's annual medication observation and medication administration record practicum does not indicate whether the staff person requalified or failed to requalify, nor does it contain the trainer's signature or date.”

“When allegations of abuse involving staff members were reported, the facility failed to immediately develop and implement a plan of supervision or suspend the staff members involved. Staff member A and staff member B continued to work multiple shifts after abuse allegations were made.”

“The home suspected staff member C of falsifying narcotic log documentation for a resident's pain medication but failed to notify the Department within 24 hours as required.”

“A resident who fell in the hallway was physically abused during transport to their room when staff members A and B hooked their arms under the resident's arms and pulled backwards with the resident's feet dragging, causing the resident to cry out in pain. The resident subsequently fell free onto the bed and was later admitted to the hospital with a compression fracture. Both staff members were arrested and charged with neglect of a care dependent person.”

“The support plan for resident #1 did not include hospice name and contact information under formal supports, despite hospice being mentioned in the plan.”