Heather Court

An unlocked laptop displaying a resident's Medication Administration Record (MAR) was observed on top of a medication cart, exposing confidential information.

Narcotic logbooks in the side slots of medication carts were observed unlocked and unattended.

A resident was observed performing a sexual act over a roommate's bed.

A resident was observed shoving a walker into other residents' legs and hitting a resident on the head.

Two staff members had not completed the required annual fire safety education for the 2023 training year.

An enabler bar attached to a bed was not securely attached, allowing it to move and creating a gap with the mattress.

The home failed to report an incident to the Department's regional office regarding a resident's fall and subsequent rib fractures.

A resident was physically mistreated when another resident hit them in the side of the head during an altercation.

A staff member mistakenly administered one resident's medications to a different resident due to being distracted.

The home failed to follow prescriber orders by administering incorrect medications during noon administration.

A required cognitive preadmission screening was not completed within 72 hours prior to a resident's admission to the secure dementia unit.

A staff member was observed grabbing a resident by the arm and yelling, resulting in bruising to the resident's arm.

Enabler bars for Resident 1 and Resident 3 were not securely attached to the bed frames, posing a hazard.

Laundry detergent was stored in clear Tupperware containers without the manufacturer's label.

A prescribed PRN medication for Resident 2 was not available at the time of inspection.

Resident 3's RASP was not signed by the resident or the assessor.

No support plan had been completed for Resident 4 following their admission to the SDU.

Resident 3's RASP was not updated to reflect the use of an enabler bar on their bed.

A staff person was observed being physically and verbally abusive to a resident by forcefully pulling them by the arm and pushing them down on the toilet.

A staff person was observed using a manual restraint by holding a resident's hands down while the resident was combative during care.

The home failed to report an incident of resident-to-resident abuse, involving a fall and fractures, to the Area Agency on Aging as required.

A resident was subjected to physical abuse when resident #1 pushed resident #2, causing a fall and resulting in fractures.