Suites at Rouse.

“There are no emergency telephone numbers to include the nearest hospital and fire department on or by the telephone in the A and B hallway's nurses stations.”

“The enabler bar was unsecured, moving back and forth approximately 2 to 3 inches, on the bed in bedroom #127.”

“The home did not have an inspection certificate for the stair glide located in the stairwell in Hallway C.”

“There was no bedside light next to the bed in bedroom #93.”

“The home's emergency procedures are not posted in a conspicuous and public place in the home.”

“The home does not use alternate exit routes during fire drills.”

“Resident #1's initial medical evaluation, dated [date not provided], Section 2 – Medical Diagnoses Physical/Mental, indicates "see print out". However, there is no attached printed list of diagnoses.”

“Only the current week's menu, from 10/19/25 through 10/25/25, was posted in the secured memory care unit.”

“Resident #2's glucometer is not calibrated to date and time. Glucometer indicates blood glucose reading of 111 on 2/23/25 at 3:09 a.m., however the resident's October 2025 MAR indicates blood glucose of 111 on 10/22/25 at 7:00 a.m. Resident #2's October Medication Administration Record (MAR) indicates a blood glucose of 289 on 10/15/25 at 4:00 p.m., however the resident's glucometer indicates blood glucose of 269. This is a repeat violation from 10/22/24.”

“A resident self-administered multiple insulin and injection medications without full compliance with prescriber's orders, including self-administering an additional insulin dose based on a blood glucose reading without documented prescriber authorization for this modification.”

“A ¼ inch gap was found between double fire doors located next to a resident room in the North A hall, with the left fire door's top latch failing to seat correctly.”

“The B Hall medication cart was left unlocked, granting access to medications of approximately 20 residents.”

“A resident was prescribed insulin subcutaneously twice daily, but the medication's instructions indicated a discard date that had passed, meaning expired medication was kept in the home.”

“A resident's medication label indicated a dose of 4 grams every other day, but the resident was prescribed 17 grams by mouth every other day and as needed, creating a discrepancy between the pharmacy label and physician orders.”

“A resident was prescribed a unit of medication subcutaneously one time a day at 9:00 a.m., but the medication was not present in the home.”

“A resident's medication record failed to indicate the pro re nata (as needed) dose for a medication prescribed subcutaneously twice daily at 7:00 a.m. and 8:00 p.m.”

“Two dented cans of salmon were observed in the home's food storage area at 10:36 a.m. Dented cans may not be used.”

“An opened, undated container of sour cream was found in the bar room kitchen refrigerator at 11:01 a.m. Leftover food must be labeled and dated.”

“Facility had 54-55 residents present but lacked required staff certified in first aid, CPR, and obstructed airway techniques during multiple time periods. Requirement is at least one certified staff person for every 50 residents present at all times.”

“Exterior dumpster lid was found open at 10:45 a.m., failing to prevent penetration of insects and rodents.”

“In the Secure Dementia Care Unit, the left side kitchen window had no screen at 10:40 a.m.”

“Evacuation drill on 4/21/23 at 6:00 a.m. exceeded safe evacuation time: 10 staff persons evacuated 60 residents in 15 minutes 26 seconds.”

“Facility routinely held sleeping hour fire drills at approximately the same time of day (6:00 a.m., 6:20 a.m., 5:45 a.m., 6:30 a.m., 6:15 a.m. on various dates), failing to conduct drills at different times and days.”

“Resident #1's medications had discrepancies between physician orders and pharmacy labels: eye drops labeled for left eye only when prescribed for both eyes; pain patches labeled for daily use with specific restrictions when prescribed as needed up to 3 patches daily.”

“Resident #1's support plan did not document home health services the resident was receiving. Resident #2's annual support plan incorrectly indicated inability to self-administer medications when the resident was actively self-administering medications.”