Concordia at Villa St Joseph Personal Care

Resident support plans failed to accurately document and address medical, behavioral, and mobility needs, including failure to address suicidal ideation and assistance required for transfers.

An incident involving a staff member slapping a resident was not reported to the Department within the required 24 hours.

A resident was physically abused when a staff member slapped them in the face with an open hand.

Brown liquid was observed on the bottom of a refrigerator in the main kitchen and a freezer at the second-floor serving station.

The carbon monoxide detector was installed approximately 7 feet from the gas stove, failing to meet the required 15-foot minimum distance.

The freezer section of a refrigerator in memory care was measured at temperatures above the required 0°F.

A bed enabler was not secured to the bedframe, creating a potential entrapment hazard and fall risk.

Two direct care staff members did not receive the required 12 hours of annual training for the 2023 training year.

The facility failed to conduct the annual supervised fire drill and fire safety inspection within the required timeframe.

An uncovered trash can containing soiled briefs was found in a shared bathroom, causing a strong odor.

The resident's December 2023 MAR did not indicate a medication increase as prescribed.

The home failed to check the resident's blood glucose and administer prescribed medication as ordered.

The resident's December 2023 Medication Administration Record (MAR) indicated a medication dose was prescribed but did not record a check for the administration.

The MAR failed to record the administration or removal of a transdermal patch as required by the schedule.

The home failed to report an incident of alleged sexual assault to the Department within the required 24-hour timeframe.

The home failed to report an incident involving resident physical altercation to the Department's regional office or complaint hotline within 24 hours.

The home failed to report suspected resident abuse incidents to the local Area Agency on Aging in accordance with the Older Adult Protective Services Act.