Emmanuel Home

The facility's Quality Management Plan failed to address required elements including reportable incidents, complaint procedures, and staff training.

The home failed to report a medication error involving an incorrect insulin dose to the Department within the required 24-hour timeframe.

A resident's support plan was not updated to reflect their need for two-person assistance for safe transfers and wheelchair use.

Fire drills were not conducted using only the regularly scheduled 3rd shift staff, as additional staff members were present during recent drills.

A resident's Resident Assessment and Support Plan was incomplete, specifically with the Behavioral & Cognitive Section left blank.

A previous inspection summary was posted with attached privacy codes that revealed resident names.

A medication error for a resident was not reported to the Department within the required 24 hours.

A direct care staff member had not received required annual training on topics including medication self-administration and dementia care.

An uncovered enabler bar on a resident's bed presented a potential hazard.

The resident support plan was not revised within 30 days of the annual assessment or change in needs.

The Resident Assessment of Resident Plan (RASP) failed to indicate the use of a chair alarm due to frequent falls.

The resident did not have the required annual additional assessment completed.

The License Inspection Summary dated 03/30/2021 was not posted in the home as required.

Multiple staff members (Staff A, B, and C) had not completed their required annual medication technician training practicums for 2021.

The home failed to complete a fire drill supervised by a fire safety expert by 12/31/21.

Batteries for the carbon monoxide monitor in the kitchen were not dated when installed.