Garden Ridge

Based on documentation review and interview, the manager failed to ensure that for every eight residents, there was at least one working toilet that flushed and had a seat, and one sink with running water. The deficient practice posed a health and safety risk to the residents. Findings include: 1. A review of Department documentation revealed a complaint dated February 12, 2026, alleging the water had been shut off and residents were unable to wash their hands, flush toilets, or take a shower. 2. In an interview, R1 stated the water was not working in the morning and R1 had not been notified of the shutoff. R1 reported the water was functioning when checked again at approximately 4:00 PM. 3. In an interview, E11 confirmed the water was shut off at approximately 9:30 AM on February 12, 2026, due to an unexpected plumbing incident and was restored at approximately 2:56 PM. E11 reported the facility provided temporary hand-washing stations and bottled water for residents during the outage. 4. In an interview, E11 acknowledged that during the water outage, the facility did not have at least one operational toilet that flushed and one sink with running water for every eight residents, as required. 5. In an interview, the findings were reviewed with E2, and no additional information was provided.

Based on the documentation review and interview, the manager failed to ensure a resident was treated with dignity, respect, and consideration. The deficient practice posed a risk of physical and/or psychosocial harm. Findings include: 1. In an internal investigation during facility interviews, R1 reported that E4 was on E4's cell phone. R1 asked E4 to put the phone away so that E4 could concentrate. It was reported that E4 told R1, "I know what I am doing." The resident was described as being "shocked." 2. In an internal investigation, E5 was interviewed regarding E4. E5 reported that "residents have told E5 that E4 was rude, short, and mean. I don't want E4 to be with me because E4 was mean." 3. In an internal investigation, E6 sent an email to E3, reporting that R6 reported R6 asked E4 for help with collapsing the legs of the wheelchair to fit under the table. R6 reported that E4 ignored R6 and was rude. 4. In an interview, E1 and E2 reported that it was not witnessed; however, due to other write-ups, E4 was terminated. 5. In an exit interview, the findings were reviewed with E1, and no additional information was provided.