Legacy Place Cottages

Trash receptacles in the memory care common area bathroom and room 203 bathroom were missing lids or covers.

The water temperature in the bathroom sink located in room 11 measured 111 degrees Fahrenheit, which is within limits, but the report notes a violation context regarding temperature monitoring.

Orange juice bottles and a flat of eggs in the memory care refrigerator were not labeled with contents or dates.

Poisonous materials, including bleach, air freshener, and zinc oxide, were found unlocked and accessible to residents in the laundry and storage rooms.

The home was administering nasal saline spray instead of the prescribed nasal gel.

The Medication Administration Record (MAR) lacked staff initials to indicate medication was administered as scheduled.

A partially used bag of frozen corn in the freezer was not labeled with the date it was opened.

A medication cart contained an ointment for a resident that had been discontinued.

A resident's nasal spray label contained incorrect administration instructions and lacked the required PRN order information.

A staffing agency employee used a resident's credit card for unauthorized gas purchases.

The freezer located in the kitchen of the Personal Care Home did not contain a thermometer.

Weekly menus were not posted one week in advance.

An undated white frozen beverage in an Arby's cup was found in the kitchen freezer.

A discontinued Guggul Extract supplement was still available in a resident's medication cart.

The medication administration record (MAR) for Resident #1 was incorrect regarding the dosage instructions for a specific medication.

Medication for Resident #2 was incorrectly withheld due to a failure to follow the prescriber's orders.

The provider failed to submit a final incident report regarding a resident's hospitalization and subsequent rehabilitation discharge and return dates.

The resident's support plan was not updated to reflect changes in condition and care needs following a hospital evaluation and subsequent rehabilitation stay.

A blood glucose monitor strap had dried red material that appeared to be blood, creating unsanitary conditions.

The narcotic count sheet was not signed by the required incoming and outgoing staff during several shifts.

Edits were made to a resident's medical evaluation form after it had been signed by unauthorized staff members.