Divinity Manor

Feces were present in the bottom of a toilet bowl in a third-floor bathroom.

The facility had an insufficient ratio of wall mirrors to users, with only 2 mirrors for 18 users.

Toilet paper was not provided for the toilet in the third-floor bathroom.

Failure to properly implement procedures for monitoring and documenting blood glucose checks for a resident.

Medication administration records lacked the initials of the staff person who administered medication.

Staff could not provide access to resident bank statements, support plans, or medical evaluations because the administrator was unavailable and records were inaccessible.

The first aid kit in the medication room was missing a thermometer, scissors, and a face shield.

Room 12 lacked sufficient clothing storage, providing only one dresser for the residents occupying the room.

An unlabeled and undated package of French toast sticks was found in the main kitchen freezer.

Medication storage issues included a punctured blister pack, an open medication bottle without an opening date, and eye drops without an opening date.

Support plans were not accessible to direct care staff because they were kept in a locked area accessible only by the administrator.

The administrator was unable to provide immediate access to resident bank statements managed by the home upon request.

The home failed to submit an incident report to the Department regarding a resident who went missing.

Financial records incorrectly documented forward balances as new weekly deposits.

The home could not provide documentation proving that resident funds were kept separate from home funds.

Medical evaluations for Resident 1 and Resident 2 lacked pertinent medical information for emergency treatment and/or special health or dietary needs.

Staff lacked documentation for insulin administration training, and there was inconsistency in whether residents or staff were administering insulin.

A staff person refused to provide Department agents access to the home and records until several hours later.

Direct care staff person B received only 6 hours of required annual training in 2022.

Staff persons B and C did not receive required training in several topics, including medication self-administration and infection control.

The home did not have sufficient hot water to sanitize dishes, with kitchen faucet temperatures measuring between 85 and 90 degrees Fahrenheit.

The home's written emergency procedures do not include contact information for each resident's designated person.

Resident #1's medication administration record does not indicate the diagnosis or purpose for the prescribed medications.

Resident #2's medication administration record lacks the initials of the staff person who administered medication on 9/26/22.

The resident records for Resident #1 and Resident #2 do not include an inventory of their personal property.