Johnson's Personal Care Home

The resident's support plan failed to document how identified mental health needs would be met.

An unlicensed staff person administered medication to a resident without the required medication administration training.

The home failed to report multiple instances of a resident refusing prescribed insulin to the prescriber.

The home failed to follow the prescriber's sliding scale orders, administering 5 units of insulin instead of the required 10 units for a specific blood sugar reading.

No carbon monoxide detector was found in the basement near the furnace, and plug-in CO detectors lacked records of annual battery changes.

The resident-home contract for Resident #1 was not signed by the payor.

A staff member's criminal background check was not completed until after their hire date.

A direct care staff member was providing unsupervised ADL services without documented completion of the required training course and competency test.

The home lacked documentation of an annual furnace inspection and did not have a trained maintenance person on staff.

The resident-home contract for Resident #1 was not signed by the payer.