Allied Services Meade Street Residence

A resident from the Secured Dementia Care Unit eloped from the facility and was found seven blocks away during an outing.

The resident's support plan failed to ensure necessary supervision during outings, resulting in an elopement incident.

A resident did not have access to an operable lamp or lighting source at their bedside.

A staff member dropped a pill on an unsanitary medication cart and placed it back into the bottle.

A resident self-administering medication did not have a lock box for storage and did not lock their door.

A resident entered another resident's room and smashed a television, violating the right to privacy and possessions.

Four chairs were found blocking an egress route from the home's courtyard entrance.

Two residents on the secure dementia unit were able to manipulate their way out of the home and walk to a nearby residence before being located.

A staff member did not receive required annual training regarding Resident Rights and the Older Adult Protective Services Act.

Carbon monoxide monitors in the lobby and Terrace level were not labeled with their installation dates.

Poisonous materials, including anti-fungal powder and antiperspirant, were found in an unlocked and propped-open shower room.

The refrigerator in the 2nd floor kitchenette area lacked a thermometer to monitor temperature.

A staff member accepted cash and a check as gifts from a resident, violating the facility's no-gift policy.

The home failed to complete the Statement of Objection form for Resident #1's admission to the SDCU.

Resident #7 was placed in the SDCU activity area without proper admission paperwork and waivers, and could not independently operate the exit door code.

Resident #1 was admitted to the SDCU without the required medical evaluation/DME signed by a physician prior to admission.

An uncovered bedside mobility device was observed with an opening in the enabler bar that posed a potential injury risk.

The resident's support plan lacked required details regarding the use, risks, and safety of the resident's bedside mobility device.

Training logs did not document the actual specific dates staff members were trained, only indicating training was completed by a certain date.