Called 2 Care Family Care Home INC.

The facility failed to properly administer and document insulin for Resident #1. Specifically, there was no documentation of blood sugar readings or insulin administration for the entire months of June and July 2025. Additionally, the medication logs lacked scheduled administration times and failed to record the insulin units administered for several recorded blood sugar readings.

The facility failed to ensure that medication used to treat high blood sugars was administered as ordered for one resident. Specifically, review of medication administration records showed no documentation of the administration of Humalog insulin as prescribed.

The facility failed to ensure that all exit doors had continuously sounding devices that are audible throughout the facility for residents assessed as disoriented. Specifically, three of three exit doors were observed to have no working alarms, and the front entrance was found unlocked without an audible alert when opened.

The facility failed to ensure 3 of 3 exit doors accessible to residents who were assessed to be disoriented had working alarms of sufficient volume. Upon arrival on 05/20/25, the front entrance/exit door was found unlocked and no audible sound was heard when the door was opened.

The facility failed to ensure that Resident #2 had a required tuberculosis skin test completed since their admission. While a previous test from 12/13/24 was on record, no additional TB testing had been performed, and the Administrator was unaware that a new test was required.

The facility failed to ensure Resident #2 had an updated medical examination (FL2) completed. The resident's last updated FL2 was dated 07/28/22, making it overdue for its annual update.

The facility failed to ensure that resident care plans were completed annually for 1 of 3 sampled residents. Specifically, Resident #2's care plan had not been updated since 07/28/22.

The facility failed to maintain hot water temperatures between 100 and 116 degrees Fahrenheit at four different fixtures. Observations of sinks and showers in resident bathrooms revealed temperatures as low as 93.7 degrees F and as high as 131.2 degrees F. Additionally, the facility's water temperature logs did not specify which fixtures were being tested.

The facility failed to maintain hot water temperatures between 100 and 116 degrees Fahrenheit at four different fixtures. Observations revealed temperatures as low as 93.7 degrees Fahrenheit and as high as 131.2 degrees Fahrenheit. Additionally, the facility's water temperature log failed to identify which specific fixtures were being tested.

The facility failed to maintain accurate medication administration records (MAR). Specifically, there was no documentation of the administration of levetiracetam for a resident during the 8:00 PM dose from May 1, 2021, to May 31, 2021.