Legend at Silver Creek

The home failed to immediately develop a plan of supervision or suspend a staff person following an allegation of resident abuse.

An incident involving a resident fall resulting in a fracture was not reported to the Department within the required 24 hours.

The home failed to provide the resident with the required frequency of physical assistance with showers as indicated in their support plan.

Current violation reports dated 4/30/24, 5/21/24, and 7/11/24 were not posted in a conspicuous and public place.

During overnight shifts on 11/8/24 and 11/13/24, only one staff member was present with First Aid and CPR certification for 96 residents.

Two staff members hired in 2024 had not received required orientation on fire safety and emergency preparedness topics.

A pink pill was found on the floor in the first-floor medication room, and two loose pills were observed in a medication cart.

Prescribed medications (Modafinil and Basaglar) were unavailable in the home, resulting in missed doses for residents.

The Medication Administration Record (MAR) failed to list the diagnosis or purpose for several prescribed medications.

Complete records requested by inspectors were not provided until 2:05pm, despite requests made earlier in the day.

The home failed to report incidents to the Department within 24 hours, including an incident involving a resident injury and an incident involving inappropriate staff comments.

A resident requiring 1:1 supervision was left unattended, resulting in an observed sexual encounter between residents.

The facility failed to provide the required 2 hours of daily personal care services for residents with mobility needs on multiple dates in April 2024.

At least 75% of required personal care service hours were not available during waking hours on several dates in April 2024.

On 4/30/24, an issue was identified regarding medications or syringes not being kept in a locked area or container.

Food debris was observed on several surfaces in the kitchen and floor, including pushcarts, storage containers, steam tables, and the fryer area.

An approximate 1-inch accumulation of lint was found in the lint trap of a dryer on the second floor.

Initial medical evaluations for residents were not completed within the required timeframe relative to their admission dates.

A clear spray bottle containing a blue liquid was found in a housekeeping closet without a manufacturer's label.

A steam table in the Secured Dementia Care Unit kitchen lacked protective guards to prevent resident contact.

The cinema refrigerator temperature was recorded between 44 and 48 degrees Fahrenheit, exceeding the required 40 degrees Fahrenheit.