Fleischman Residence

Resident's A, B, and C had assistive devices affixed to bed frames that were not listed on Resident A's service plan.

Staff had not been using temperature test strips for the previous seven days to ensure the dish machine was properly sanitizing dishes.

Employee files for Employees 1, 2, 3, and 4 lacked proof of medication administration training.

Improper food storage in the commercial kitchen: perishable items (grape salad, sweet potatoes fries, onion rings, vegetable patties, and waffles) were unsealed, uncovered, or lacked labels/dates.

Multiple medication administration errors: Resident D (amoxicillin), Resident E (albuterol), Resident F (januvia and escitalopram), and Resident G (valacyclovir and vitamin D) all had missed doses that were not documented with a reason on the MAR.

Thermometers were missing from freezers in resident rooms 1008, 1040, 2019, 2015, and 2035.

Failure to follow safety rounding requirements: Resident A was not checked every 30 minutes as required by the service plan, resulting in the resident being found unresponsive five hours after the last check.

Physical abuse and unauthorized restraint: An employee was observed hitting a resident on the hand and pushing them back into a chair to prevent them from getting up.