Delaware Plaza Retirement Inn

Failed to provide inventory and annual inspection of fire resistance rated construction and repairs.

Failed to provide 30 monthly emergency light inspection records (Oct, Nov, Dec).

Heater on second floor landing lacks required clearance.

Failed to provide semi-annual hood suppression system inspection.

Storage found too close to electrical panel in third floor electrical room.

Failed to conduct monthly fire extinguisher inspections in kitchen.

Failed to provide annual fire roll down door testing.

Failed to provide various required fire drill records for 2025 shifts.

Failed to provide 4-year fire damper inspection report; floor 3 damper 1 failed testing.

Failed to provide annual forward flow test, quarterly sprinkler inspection for Q2 2025, and drywall on sprinkler head in oxygen room.

The facility failed to update the Negotiated Service Agreement (NSA) for Resident 1 when their health declined, resulting in inaccurate assessments regarding assistance needed for feeding, dental care, laundry, and other care needs.

Facility failed to ensure the second step of two-step TB testing for 1 of 3 sampled staff (Staff D) was read within 48-72 hours of administration.

Facility failed to implement systems for safe medication services. 6 of 9 residents had medications missing without documentation, and some PRN orders lacked clear parameters. Medication carts contained items missing 'open' labels.

Facility failed to ensure the second step of two-step TB testing for 1 of 3 sampled staff (Staff D) was read within 48-72 hours of administration.

Facility failed to ensure the resident characteristics roster reflected all residents' current services and care needs.

Facility failed to ensure a registered nurse delegated, supervised, and evaluated a staff member administering insulin to a resident weekly for the first four weeks.

Facility failed to complete safety assessments for smoking and/or medical devices (side rails) for 6 residents (R2, R4, R6, R7, R9, R10).

Facility failed to obtain prescribed medications in a correct and timely manner for 2 residents (R9 and R11).

Facility failed to develop and implement systems for safe medication service for 2 residents (R10 and R11) who were self-administering medications despite receiving full/maximum assistance with medication management.

The facility failed to identify and meet changing care needs for 1 resident regarding safe transfers, placing the resident at risk for falls and injury. Staff were reported to be instructing the resident to soil their brief in bed due to perceived inadequate staffing for safe transfers.