Caswell House

The facility failed to ensure furniture was safe and functional, specifically evidenced by a wardrobe in a resident room in the special care unit having a door that had broken off its hinges. Although the Maintenance Director had identified the need for repair during a recent inspection, the repair had not been completed due to other prioritized emergency tasks.

The facility failed to ensure that furniture was safe and functional. Specifically, a wardrobe in resident room 313 in the special care unit had a door that had broken off its hinges, causing the door to rest awkwardly inside an open drawer.

The facility failed to maintain floors in good repair, specifically regarding buckled and torn flooring in the Assisted Living hallway and missing or chipped flooring in the Special Care Unit day room. These floor defects created uneven surfaces and potential fall hazards for residents.

The facility failed to maintain floors in good repair, specifically involving buckled and torn sheet vinyl in the Assisted Living hallway and chipped/peeled laminate flooring in the Special Care Unit day room. These floor defects created uneven surfaces and edges that posed a fall hazard to residents.

The facility failed to provide the required aide hours to meet the needs of residents in the Assisted Living unit for 5 of 12 sampled shifts. Specifically, staff timecard reviews showed significant shortages in aide hours across various shifts between May and July 2024.

The facility failed to serve therapeutic diets as ordered by the resident's physician. Specifically, for one resident on a mechanical soft/chopped diet, breakfast bacon was not substituted with ground sausage, and during lunch, the hamburger was not cut into bite-sized pieces and the biscuit was not moistened as required.

The facility failed to maintain a clean and hazard-free environment due to unsecured oxygen tanks in a resident's room and uncleaned bathroom exhaust vents and PTAC units. Specifically, large and small oxygen tanks were observed sitting unsecured on the floor, which violates safety protocols regarding the secure storage of oxygen.

The facility failed to maintain a clean and hazard-free environment. Specifically, oxygen tanks were found unsecured on the floor near a heater and in a shared area, and there were issues with the cleanliness of air-conditioner/heater units and bathroom exhaust vents.