Guy and Mary Felt Manor

The 2026 staff training plan did not include the projected month of training or the instructor.

Staff members were unable to locate the first aid kit during the inspection.

Fruit cups in the kitchenette refrigerator were found unlabeled and undated.

A resident's initial medical evaluation was incomplete, lacking information on safety and clinical eligibility.

Staff failed to complete documentation on the medication administration record after administering medications to a resident.

Staff person A did not complete required annual training in medication self-administration for the 2024 training year.

An accumulation of lint was found in the dryer lint trap.

The written notification to the local fire department was outdated, dated 7-30-24.

A fire drill record from 2-16-25 failed to indicate the amount of time it took to evacuate residents.

The medical evaluation for Resident #1 was not documented within the required timeframe relative to admission.

Medication prescribed for Resident #1 was not available at the time of inspection.

A cup of milk and a cup of juice were left uncovered in the warming kitchen refrigerator.

Found undated mint chocolate chip ice cream in the freezer and expired crescent rolls in the refrigerator.

The written notification to the fire department contained an incorrect resident census count.

A bag was observed stored behind the dryer near the exhaust hose, representing a combustible storage risk.

The facility had not completed a supervised fire drill by a fire safety expert since February 2022.

The home lacked a specified maximum safe evacuation time and exceeded the recorded time during a recent drill.

The home has not conducted a required quarterly quality management meeting since January 2020.

A resident's bed cane was uncovered, posing a potential safety hazard.

The last fire safety inspection and fire drill conducted by a fire safety expert was outdated, having last occurred in October 2020.

The home lacked a maximum safe evacuation time specified in writing by a fire safety expert within the past year.

Medications for a resident assessed to self-administer were found unlocked and accessible on a bedroom countertop.

Residents were observed not wearing personal protective masks while sitting in the common area.

A medication bottle for a resident was found in the medication cart without a label identifying the resident's name or directions for administration.

A resident's Assessment and Support Plan noted a significant change, but the specific new diagnosis was not identified on the first page of the plan.

A staff person lacked required annual training regarding meeting resident needs as described in preadmission screening and support plans.

During fire drills in cold weather, residents and staff gather at exit doors but do not evacuate to the designated outdoor meeting place.

An Aero Ellipta inhaler was not dated when opened, which is required to ensure disposal within 6 weeks per manufacturer instructions.