Cedar Cove Assisted Living

The facility failed to maintain a safe environment by not properly storing oxygen cylinders in a storage rack. Multiple instances were observed where oxygen cylinders were left unsecured in hallways, resident rooms, and the recreation room, creating potential hazards.

The facility failed to maintain a safe environment by not properly storing oxygen cylinders in storage racks. Multiple observations revealed unsecured cylinders in hallways, resident rooms, and the recreation room, creating potential hazards.

The facility failed to maintain building equipment in a safe and operating condition. Specifically, the Executive Director was in the process of contacting vendors to secure a new handle for equipment.

The facility failed to ensure that exit doors accessible by residents were equipped with audible sounding devices that activate when opened. Multiple exit doors, including those leading to the courtyard, smoking area, and the front of the building, lacked functional alarms to alert staff of resident wandering.

The facility failed to ensure that exit doors accessible by residents were equipped with audible sounding devices to alert staff when opened. Multiple exit doors, including those leading to the smoking area, courtyard, and front of the building, lacked alarms. This deficiency posed a safety risk for residents known to be disoriented or wanderers.

The facility failed to maintain a safe and clean environment free of hazards. Specifically, bed bugs were identified on the special care unit (SCU) and cockroaches were found in the assisted living (AL) halls and the SCU, resulting in multiple residents developing visible rashes and intense itching.

The facility failed to ensure the environment was free of hazards, specifically bed bugs and roaches, on the assisted living halls and the special care unit (SCU). Observations revealed residents with visible rashes and frequent scratching, and records confirmed active bed bug treatments in resident rooms and common areas.

The facility failed to ensure that a medication aide (Staff E) had completed the required clinical skills competency validation checklist prior to administering medications. Personnel records showed the staff member had passed the written exam and training but lacked documentation of the necessary clinical skills validation.

The facility failed to ensure that one of five medication aides had completed the required clinical skills checklist prior to administering medications. During an observation, a medication aide was found administering medications independently without evidence of completed clinical skills validation.