Whitehall Manor.

“Three resident enabler bars (bed canes) were not covered, creating a hazard to residents.”

“Two specimen cups along with a medical order for a resident were unlocked, unattended, and accessible on top of the A side medication cart, violating resident record confidentiality requirements.”

“A staff person on their first day of work did not receive orientation on telephone use and notification of emergency services.”

“The home's record of direct care staff training does not include the name of the trainer who conducted fire safety training.”

“The steam table in the memory care dining room was on and unattended, creating a potential burn hazard.”

“An unlabeled and undated package of waffles was found in the upper C dining room refrigerator, and partially used undated packages of frozen meatballs and frozen chicken Kiev were found in the freezer.”

“Two dented cans of chili con carne were observed in the pantry of the home.”

“The home's menus were not posted one week in advance as required. Menus must be prepared for one week in advance and posted in a conspicuous and public place.”

“A resident's prescription medication label contained an incorrect dosage. The pharmacy label did not accurately reflect the prescribed dosage and instructions for administration.”

“A resident's PRN medication (Senna 8.6 mg tablets) was not in the medication cart at the time of inspection, indicating failure to develop and implement proper procedures for safe storage, access, and security of medications.”

“A resident's medication was administered in error with an incorrect dosage instead of the dosage prescribed by the prescriber. The home failed to follow the prescriber's directions.”

“Resident #1, who requires supervision in unfamiliar places per their support plan, wandered away from staff during a casino trip on 5/1/24 and was found at the bar unsupervised.”

“Former employee A took Resident #2's debit card and made unauthorized withdrawals. Employee was terminated immediately, incident reported to Aging and the Department on 5/16/24, and all funds were restored by 5/20/24.”

“Staff B used disrespectful language, telling an intoxicated Resident #1 to "get in the damn car" during a restaurant outing, failing to treat the resident with dignity and respect.”

“A resident made an allegation of abuse regarding a direct care staff member, but the home did not immediately report this allegation to the local area agency on aging as required.”

“The home did not immediately submit to the Department's personal care home regional office a plan of supervision or notice of suspension for the staff member involved in the alleged abuse.”

“An allegation of abuse was not reported to the Department within 24 hours; the report was not submitted until approximately 2:30pm on a later date.”

“Resident bedroom did not have a working light next to the bed. A battery-operated night light on the wall was inoperable. This was a repeat violation from 9/27/23.”

“A medication bottle for a resident contained less solution than the electronic audit system indicated it should have contained, indicating a discrepancy in medication storage and security procedures. This was a repeat violation from 9/27/23.”

“Room C34 did not have a working light next to the resident's bed. A battery-operated night light was placed on the wall but was inoperable. This was a repeat violation from 9/27/23.”

“A medication bottle for resident #1 contained less solution than indicated by the electronic Narcotic audit system. This was a repeat violation from 9/27/23.”

“Resident #6 did not receive a prescribed Vitamin D medication on 9/25/23 because it was not on hand. The home failed to report this medication error to the Department within 24 hours as required.”

“Electronic medication administration records (EMAR) were unlocked and accessible on a computer on top of the medication cart near Room #18. A binder labeled A side and clipboard containing resident confidential information were left on top of the medication cart near Room #12. The upper C wellness office was unlocked and accessible, containing resident confidential information.”

“Administrator F completed only 20 of the required 24 hours of annual training related to job duties in 2022, as two courses were repeated and did not count toward the requirement.”

“Direct care staff member A, hired on an unspecified date in 2017, completed only 3.75 hours of the mandatory 12 hours of annual training required for 2022.”