Eagle's Pointe

The facility failed to maintain clean floors in resident rooms, bathrooms, and the Jackson Hall dayroom. Observations revealed sticky films, unswept floors, and the presence of red and black particles in resident areas. Additionally, staff failed to perform regular trash removal and cleaning duties for certain residents.

The facility failed to ensure floors were kept clean in residents' rooms, bathrooms, and the Jackson Hall dayroom. Observations revealed sticky floors, unswept surfaces, and the presence of debris and particles in resident rooms. Additionally, staff failed to perform regular cleaning and trash removal as required.

The facility failed to provide adequate supervision for two residents. Resident #6, who was known to wander, eloped from the facility without staff knowledge for 1 to 4 hours, and Resident #2, who had a history of falls, experienced a head injury and laceration during a fire alarm evacuation.

The facility failed to provide adequate supervision for residents according to their assessed needs and care plans. Specifically, one resident wandered and eloped from the facility for several hours, and another resident experienced frequent falls resulting in head injuries and ER evaluations.

The facility failed to provide adequate supervision for two residents, resulting in serious physical injuries including a subdural hematoma and a head laceration. Specifically, the care plan for one resident did not accurately reflect their non-ambulatory status and increased confusion, leading to an unmonitored fall from bed.

The facility failed to provide adequate supervision for two residents, resulting in multiple falls that caused serious physical injuries. These injuries included a subdural hematoma requiring hospitalization and a head laceration requiring staples.

The facility failed to meet minimum aide duty hour requirements for certain shifts. Based on interviews and record reviews, the facility did not provide the required amount of aide hours on 08/10/19 and 08/11/19 for 2 out of 15 shifts sampled.

The facility failed to maintain the minimum required aide duty hours on certain shifts. Specifically, based on a census of 88 residents, the facility failed to meet required staffing levels on 08/10/19 and 08/11/19 for 2 of 15 sampled shifts. Staff reported instances of working alone on the locked unit and having insufficient personnel to assist with two-person transfers.