Eagleview Landing

A staff member denied a resident permission to attend an outdoor community activity and put them to bed earlier than normal.

Staff member used excessive force during toileting and dressing, resulting in bruising to a resident's armpit, breast, back, and elbow.

A resident was administered medication four times a day instead of the prescribed three times a day due to a pharmacy order delay.

The lockbox for personal hygiene items was open and accessible, containing items with suffocation and poisoning warnings.

The resident's most recent assessment was not updated following a significant change in condition/transfer.

The medication administration record (MAR) lacked staff initials for medication administered at 08:00 PM and 02:00 PM.

The Resident Task book for the Memory care unit was left unlocked, unattended, and accessible on top of the medication cart.

A staff member failed to complete required training regarding resident rights and mandatory reporting within 40 scheduled working hours.

Two staff members did not receive required fire safety and emergency preparedness orientation on their first day of work.

A direct care staff person provided unsupervised ADL services without completing the required Department-approved training or competency test.

A resident required assistance with ADLs and toileting but experienced long wait times for call bell responses, resulting in incontinence episodes.

Direct care staff persons A, B, and D did not complete the required 12 hours of annual training for the 2024 training year.

A staff member failed to treat a resident with dignity and respect by yelling at them during a care interaction.

A sign containing resident medication names and dosage instructions was taped to a resident's wall, violating record confidentiality.

The facility failed to report an incident involving a combative resident and staff verbal altercation to the Department within 24 hours.

Agency staff yelled and cursed at a resident and threw blankets on them while they were in bed.

A resident's verbal expression of suicidal ideation was not documented in their most recent RASP.

A prescribed X-ray for a resident had not been completed as ordered.

The certificates of operation from the Department of Labor and Industry for the facility's four elevators had expired on 07/31/24.

Resident-home contracts for two residents were not signed by the residents or did not indicate why they were not signed.

A resident reported being physically mistreated when a staff member yanked their arm from bed, causing bruising to the wrist.