Heather Glen at Ardenwoods

The facility failed to prohibit the use of a portable electric heater in a resident's room. During an inspection, a portable electric radiator heater was found plugged into a wall outlet and actively producing heat.

The facility failed to ensure that resident care plans were properly completed and signed. Specifically, the care plans for two residents were found to be missing required physician signatures.

The facility failed to prohibit the use of a portable electric heater in a resident room. An inspection of room 208 revealed a portable electric radiator heater plugged in and actively producing heat.

The facility failed to properly develop and implement resident-centered care plans based on resident assessments. The care plans must include descriptions of services, supervision, and the frequency of tasks required to address identified resident needs.

The facility failed to provide proper notice of discharge to 8 out of 8 sampled residents following an incident of flooding. Records and interviews revealed that residents and their representatives were not notified that their residency was being terminated and their beds were no longer being held.

The facility failed to provide proper notice of discharge to 8 out of 8 sampled residents following a flooding incident. Residents were relocated or transferred due to the flood event without the required formal discharge notifications being issued to the residents or their representatives.

The facility failed to provide adequate supervision for two residents with frequent falls and injuries in accordance with their assessed needs and care plans. This failure resulted in the death of one resident and significant injuries to another, including a hospitalization for seizures and head bruising.

The facility failed to provide adequate supervision for two residents with frequent falls and injuries in accordance with their assessed needs and care plans. This failure resulted in the death of one resident and significant injuries to another, including head bruising and seizures requiring hospitalization.

The facility failed to ensure that 2 of 3 sampled staff members were tested for tuberculosis disease with a required two-step skin test. Specifically, one staff member lacked documentation of a second step within twelve months of hire, and another re-hired staff member was not re-tested upon their return to the facility.

The facility failed to ensure that 2 of 3 sampled staff members were tested for tuberculosis disease using a two-step skin test as required. Specifically, documentation for Staff A did not show a second step skin test completed within twelve months of hire.