Camellia Gardens

The facility failed to ensure water was served to each resident at each meal in addition to other beverages. Observations during lunch and breakfast services showed that only a small number of residents were served water, while the majority were only provided other beverages. Interviews with residents and management confirmed that water was not consistently provided unless specifically requested.

The facility failed to ensure that 8 of 8 exit doors accessible to residents with disorientation or wandering tendencies were equipped with working alarms of sufficient volume. These alarms could not be heard by staff when activated, posing a safety risk to residents.

The facility failed to ensure that 8 of 8 exit doors accessible to residents with disorientation or wandering tendencies were equipped with working alarms of sufficient volume. Observations revealed multiple instances where doors were opened without an audible alarm sounding, including side doors, the dining room exit, and the loading dock door.

The facility failed to have a qualified activity director with documentation of completion of the required basic activity course or a comparable course. Observations and interviews revealed a lack of scheduled activities, no posted activity calendars in resident areas, and residents reporting a lack of social engagement and programming.

The facility failed to have a qualified activity director with documentation of completion of the required basic activity course or a comparable course. Observations showed insufficient scheduled activities and a lack of posted activity calendars in resident common areas.

The facility failed to ensure medications were stored safely and securely under the supervision of staff. Specifically, medications including expired hydrocortisone, expired Lotrimin, and eye drops were found unsecured on a resident's nightstand instead of being locked in the medication cart.

The facility failed to ensure medications were stored safely and under the supervision of staff. Specifically, medications including expired hydrocortisone ointment, Lotrimin Ultra, and various eye drops were observed unsecured on a resident's nightstand.

The facility failed to ensure the environment was free of hazards due to the unsafe storage of oxygen tanks. Six 14-inch oxygen tanks were found unracked and sitting upright beside a crate in resident room #1, where they had been stored for several months.

The facility failed to maintain an efficient heating system and failed to prevent the use of a prohibited portable electric heater. A portable electric heater was found plugged in and active in resident room #7 because the permanent heating unit had been blowing cold air for several weeks.