Grace Manor at North Park

A resident's medication tube did not contain a current pharmacy label and was stored with an incorrect label for topical rash application.

An insulin pen was found open and undated in the medication cart, and two vials of Methotrexate were present without required dating.

The facility administrator only received 9 hours of in-person training during the 2024 training year, failing to meet the 24-hour annual requirement.

Thirty tablets of a resident's prescribed medication went missing and were unaccounted for, and narcotic counts were not performed during several shift changes.

A resident did not receive a prescribed dose of medication until 9:00pm on 3/11/25.

Staff failed to perform required narcotic counts during shift change, and the narcotic count flow sheet for certain medications was missing.

The facility failed to report an allegation of financial abuse to the Department's regional office or complaint hotline within the required 24-hour period.

Following an allegation of financial abuse by a staff member, the facility failed to immediately suspend the staff person or implement an approved plan of supervision.

An incident involving a resident ceasing to breathe was not reported to the Department within the required 24-hour timeframe.

Medications were found unlocked, unattended, and accessible in residents' rooms.

Medication administration was not documented in the medication administration records at the time the medication was administered.