Cypress Assisted Living INC

The facility failed to notify the identified emergency contact when a resident had a significant change in condition and was transferred to the hospital, resulting in the family being unaware of the hospitalization.

Facility staff attempted to transfer a resident with a mechanical Hoyer lift without a required second person, resulting in a head injury to the resident that required hospitalization.

The licensee failed to maintain the cleanliness of one resident room. This was a recurring issue, previously cited on April 9, 2025, and June 24, 2025.

Power adapter plugged into another power strip in the activities director's office.

Cross corridor fire doors near room 111 and the ice room would not close and latch from the fully open position.

Wiring attached to sprinkler piping in the activities director's office and hallway near 309.

No documentation for annual generator service; generator for the north part of the building is non-operational.

Spliced wires found outside of a junction box in the activities director's office.

Multiple resident room fire doors (108, 106, 101, 309, 305) were blocked open, preventing closing and latching.

Fire extinguisher near 101 missing the tamper seal.

Facility failed to notify the physician of medication refusals for 2 residents (Residents 1 and 6), preventing informed clinical oversight.

Facility failed to ensure staff completed required training in Orientation/Safety, Dementia/Mental Health, Developmental Disability, CPR/First Aid, and annual continuing education.

Failed to ensure two-step TB skin testing within required timeframes for Staff C and D, and failed to ensure second step for Staff C.

Failed to maintain preadmission assessment documentation for Resident 6.

Failed to have a written menu for general diabetic diets for 4 weeks of menus.

Facility failed to have a written menu for the general diabetic diet for 4 specific weeks of menus, leaving residents unable to make choices for alternate meals.

Facility failed to ensure 1 resident pet had documentation of current examinations and vaccinations.

Facility failed to obtain prescribed medications in a timely manner for 2 residents (Residents 1 and 6), resulting in 16 and 66 missed doses respectively, placing residents at risk.

Facility failed to ensure Resident 2 received insulin as prescribed; staff allowed the resident to determine their own insulin dosage, failing to contact the provider when blood sugars or doses were outside parameters.

Failed to ensure required training (Orientation/Safety, Basic, Specialty, CPR/First Aid, Continuing Education) for multiple staff members.

Failed to ensure TB test results were read within 48-72 hours for Staff B and C.

Failed to obtain annual signatures on Negotiated Service Agreements for 5 of 5 residents sampled.

Facility failed to provide a safe environment, including peeling drywall on ceiling/pipes, missing fan covers, missing light covers, and improper storage of wet mop in sink.

Vinyl floor planks at the front entrance, hallway, and dining room were loose and lifting, creating a tripping hazard; staff and one resident reported tripping on these areas.

Facility failed to ensure timely background checks and character, competence, and suitability (CCS) reviews were completed for 2 of 3 staff members (Staff A and D). This is a recurring deficiency.

Facility is unable to provide documentation for the 5 year internal piping inspection.

Extension cords utilized as permanent wiring in the Executive Directors office and room #304.

Ten oxygen cylinders in the oxygen storeroom and one oxygen cylinder in room #304 are not secured to prevent falling.