Spiritrust Lutheran - the Village at Sprenkle Drive.

“Resident #1's mobility device (enabler bar) had an uncovered opening measuring 4½ inches by 8½ inches, posing an entrapment hazard.”

“A spray bottle filled with yellow liquid labeled "Peroxide Multi-Surface Cleaner/Disinfectant" was unlocked, unattended, and accessible to residents in the Pin Oak SDCU. Additionally, Colgate Cavity Protection toothpaste tubes were located on Resident #2's sink; the manufacturer's label warns it should be kept out of reach of children under 6 years and states that if more than toothpaste-use amount is swallowed, medical help or Poison Control should be contacted.”

“The freezer in the kitchenette located near the Elm 2nd Dining Room did not have a thermometer required to monitor frozen food storage temperature.”

“The residence served 39 residents, requiring 117 gallons of emergency drinking water. Emergency drinking water was not observed in Residents #3, #4, and #5 rooms, and the residence did not have a contract with a local bottled water supplier.”

“Staff Member B, who is responsible for providing transportation for residents and has transported residents without other staff members present, has not successfully completed the initial new hire direct care staff person training and competency test as specified in § 2800.65.”

“Resident #4, prescribed a Dexcom G7 Sensor for Continuous Glucose Monitoring with blood sugar checks ordered in the AM and HS, did not have the residence's access to real-time blood glucose readings or any historical data.”

“Resident #4's ADME dated 4/23/24 documented total immobility requiring total oral or physical assistance, but the resident's assessment and support plan stated mobility needs as "Minimal" requiring minimal assistance, creating a discrepancy in care documentation.”