Beechwood Center 4

There was no record of cash being received by residents after 19 check withdrawals were cashed, and no receipts were provided to account for how the money was spent.

Residents have not received an itemized quarterly account of financial transactions since April 2024.

Staff member A filled out four check requisition forms for multiple residents for personal spending, which were approved by Staff Member B.

An allegation of resident abuse involving a resident grabbing another by the arm was not reported to the Area Agency on Aging.

The home failed to report an incident of physical aggression between residents to the Department within 24 hours.

A resident's medical evaluation did not include necessary documentation regarding body positioning and movement.

No additional assessments were completed despite the resident exhibiting significant changes in behavior, including physical and verbal aggression.

The home lacked a certificate on file showing a direct care staff person completed the required Department-approved training and competency test.

The Jack & Jill bathroom shared by residents in rooms #9 and #10 had a strong smell of urine.

The Jack & Jill bathroom between resident rooms #2 and #3 lacked a window and the ventilation fan was non-functional.

An unannounced fire drill was not conducted during the month of March 2022.

The home did not have a fire drill observed by a fire safety expert documented for the year 2021.

Resident #1 has not received a quarterly account of financial transactions since March 2021.

The home's administrator has not successfully completed the Department-approved and administered orientation program.

Two direct care staff members were providing unsupervised ADL services without completing the required Department-approved training course and competency test.

Resident #1 does not have access to an operable lamp or bedside lighting source.

A used towel was found in a shared bathroom shower, and there were no sanitary means of hand drying available.

The shared bathroom of Resident #1 had a very strong odor of urine.

Resident #2 self-administers medications without a recent assessment by a physician or qualified practitioner regarding their ability to do so.

There was an error in the medication administration record where a dose was indicated as AM when it should have been PM.

Staff failed to properly supervise a resident who fell asleep at the dining table, violating policy regarding supervision and safety management.

An unlabeled, undated, and uncovered container of ice cream was found in the kitchen freezer.

The refrigerator temperature was measured at 42 degrees Fahrenheit, which exceeds the required 40 degrees Fahrenheit.

Two insulin pens for a resident were found in the medication cart without required open dates listed.