Graceful Living Assisted Living

The facility failed to ensure proper health care referral and follow-up for a resident following a neurology appointment. Specifically, the facility continued to administer the medication teriflunomide for several weeks despite a physician's order to discontinue it. This occurred because the facility did not receive or act upon updated medication orders following the resident's visit.

The facility failed to ensure medications were administered as ordered for 1 of 5 sampled residents. Specifically, an order for ketoconazole cream 2% for Resident #2 was not entered into the eMAR, resulting in the resident not receiving the prescribed topical treatment.

The facility failed to ensure health care by not following up on physician orders, specifically regarding referral and follow-up for a resident. A resident continued to receive teriflunomide for several months after a neurologist had ordered the medication to be discontinued in February 2025.

The facility failed to maintain hot water temperatures within the required range of 100 to 116 degrees Fahrenheit. Specifically, multiple fixtures in the 100 hall common spa and various resident bathrooms were observed to have temperatures as high as 124 or 128 degrees Fahrenheit.

The facility failed to maintain hot water temperatures at a minimum of 100 degrees Fahrenheit and a maximum of 116 degrees Fahrenheit. Observations revealed temperatures as high as 129 degrees Fahrenheit at various sink and tub fixtures in the common spa and resident rooms.

The facility failed to ensure that exit doors accessible by residents were equipped with functioning sounding devices. Specifically, an exit door for the smoking area did not emit an alarm when opened, and an exit door in the 300 hallway had an alarm that stopped sounding once the door was closed. Additionally, staff failed to respond to door alarms or monitor areas when doors were propped open by contractors.

The facility failed to maintain clean floors in multiple resident rooms, specifically involving debris, dust, and dead bugs. In room 110, significant water puddles from rain and an overflowing toilet were observed, along with soiled toilet paper. Additionally, room 310 contained dust, debris, and various items like soiled towels and cardboard on the floor.

The facility failed to keep floors clean and in good repair, specifically regarding debris, dust, and dead bugs. Observations in resident room 110 revealed large puddles of water, raw sewage/overflow from a toilet, and soiled toilet paper on the floors.

The facility failed to ensure that air vents on an air conditioner unit, the ice machine filter, and two fan blades were clean and free of contamination. Observations revealed thick layers of dust, lint, and trash on the fans and AC unit, which could blow over stored dishes and food preparation areas.