Fleischman Residence

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.

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

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

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.

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

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

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.