Clarke Personal Care Home

The first-floor bathroom near resident room #1 lacked an operable window or ventilation fan.

Bedroom 5 was occupied by two residents but only contained one chair.

A staff person failed to render assistance/CPR to an unresponsive resident in accordance with their training.

Seven residents were left abandoned without staff present for 43 minutes, during which time a resident required self-administration of medication.

Resident records were found unlocked, unattended, and accessible in the home's office without staff present.

Evidence of bed bugs was present on the mattress of resident #2.

The home failed to serve coleslaw as listed on the menu and provided no notice of the change or an alternative to residents.

The outer surface of the glucometer for resident #1 was stained with a red circular shaped smear.

The medication administration record for resident #3 did not indicate the diagnosis or purpose for the prescribed Tradjenta 5mg tablets.

The home lacked carbon monoxide detectors despite using natural gas for several appliances.

Staffing levels were insufficient to meet resident needs, as evidenced by a schedule with only one staff member present for most of the week.

The staff person present was unable to fulfill the duties of the Administrator's designee, including documentation retrieval.

Staff was unable to provide immediate access to resident and staff records to the Department agent upon request.

Resident 1's medical evaluation was missing immunization history and information regarding health status and cognitive functioning.

The resident-home contract for resident #2 was not signed by both the administrator and the resident.

A staff member failed to treat a resident with dignity by criticizing their clothing in a common area in front of others.

The home held resident funds exceeding $200 for more than two consecutive months without offering to establish an interest-bearing account.

The quality management plan review failed to address required elements such as incident reporting, complaint procedures, and staff training.

For a 48-hour period, no staff members present in the home were certified in first aid, obstructed airway techniques, or CPR.

An unlabeled washcloth was found in the second floor rear bathroom tub.

Resident #1 did not have access to an operable bedside lamp.

Undated bags of salad mix and breakfast sausage were found in the refrigerator and freezer.

Broken pavement at the side and back exits posed tripping hazards.

Hot water temperatures at sinks in the second floor bathrooms measured above 120°F.

The inside of the bathtub in the second floor front bathroom was covered with black grime.

The annual written emergency procedures plan was submitted to the emergency management agency outside of the permitted timeframe.

Staff completed an online CPR/First Aid course from a source not certified by a hospital or recognized health care organization.

The menu for the following week was not posted in a conspicuous and public place one week in advance.

The home's emergency procedures lack instructions for implementation during smoke detector or fire alarm inoperability.

There was no thermometer present in the basement freezer.