Cypress Glen Retirement Community Memory Care Cottage

The facility failed to ensure that the Licensed Health Professional Skills assessment for Resident #2 was accurate. Upon review, the Memory Care Nurse Manager discovered the most recent assessment from the current quarter was inaccurate.

The facility failed to ensure one of three sampled residents had an updated FL-2 medical examination completed annually. Specifically, Resident #3 did not have an updated and signed FL-2 form since July 27, 2023.

The facility failed to ensure that one of three sampled residents had a required FL-2 medical examination completed annually. Specifically, Resident #3 had not received an updated and signed FL-2 since July 27, 2023.

The facility failed to ensure that medication administration records (MAR) were accurate for a resident with an order for limited alcohol consumption. Specifically, the physician's order for 5oz of wine per day was not documented on the MAR for March or April 2021, and there were no entries documenting the actual administration of the wine.

The facility failed to ensure medication administration records (MAR) were accurate for a resident. Specifically, a physician's order for the limited consumption of 5oz of wine per day was not documented on the MAR, and there were no entries recording the administration of the wine.

The facility failed to provide adequate supervision to a resident with a history of recent falls. Specifically, the resident's care plan required assistance with ambulation and monitoring due to disorientation and wandering behaviors, yet the facility failed to meet these assessed needs.