Garden View Manor

The facility failed to report a police welfare check and a resident's unexplained 24-hour absence to the Department within the required 24-hour timeframe.

Numerous resident records and medication administration records were found unlocked, unattended, and accessible in the basement medical record room.

A card swipe locking mechanism on the emergency exit door from the ground floor chapel required excessive force to open.

Staff failed to document wound monitoring and care for a resident with worsening leg wounds, and staff refused to assist a resident in locating a necessary oxygen cannula during the night.

A resident's medication was administered using an injector pen belonging to another resident rather than following prescriber directions.

A prescribed PRN medication was not available on the medication cart or in the home at the time of inspection.

The home failed to report a medication error (omission of Furosemide) to the Department within the required 24-hour timeframe.

Posted weekly menus failed to state specific foods, using vague descriptions such as 'composed salads' instead of identifying specific ingredients.

During fire drills, one resident was not evacuated to a public thoroughfare or designated safe area, representing a repeat violation.

Fire drill records were inconsistent, noting resident refusals to evacuate without documenting problems encountered or providing necessary explanations.

A resident-home contract incorrectly identified the party responsible for payment.

The facility failed to provide requested staff lists, resident records, and criminal history checks to the Department agent in a timely manner.

A newly hired staff member did not complete required training on reporting reportable incidents and conditions within 40 scheduled working hours.

A staff member failed to identify the correct resident prior to administering medication; this was noted as a repeat violation.