Concordia Lutheran Health and Human Care - Lund Building

The resident's annual assessment was not updated to include recently changed safety measures regarding supervised visitation requirements.

A staff member used a resident's personal cell phone to take a photo of the resident while they were bathing in a jacuzzi tub.

Direct care staff person A did not complete required annual training topics including medication self-administration and dementia care.

Ancillary staff person B did not complete annual training regarding the Older Adult Protective Services Act and falls prevention.

Residents in specific bedrooms did not have an operable lamp or light source that could be turned on from the bedside.

A medication that had been discontinued for the resident was still being kept in the medication cart.

Eye drops and other medications were found opened and undated, failing to meet manufacturer instructions for disposal after opening.

An allegation of resident abuse was not reported to the local Area Agency on Aging until 9/19/23.

An approved plan of supervision was not submitted to the Department following an allegation of abuse involving a staff person.

The facility failed to report an incident of alleged abuse to the Department within the required 24-hour timeframe.

The local Area Agency on Aging was not notified of allegations regarding a resident being left on a bedpan for an extended period until a delay had occurred.

An approved plan of supervision was not provided to the Department in a timely manner, and a staff person continued to provide direct care services before the plan was approved.

A resident was left on a bedpan for over an hour, resulting in a red indentation on the skin and causing the resident to feel fearful and in pain.

A direct care staff person lacks a high school diploma or GED, necessitating a waiver.