Luther Crest Retirement Community

Residents in room 621 did not have an operable bedside lamp or lighting source.

Required emergency telephone numbers were not posted by the phones in rooms 601, 605, and 621.

The home failed to follow prescriber orders as prescribed Tylenol 325mg was not available on hand for resident #3.

A bath mat in room 601 lacked non-skid backing, creating a potential slip or trip hazard.

The Daily Medical Evaluation for Resident 1 was incomplete, specifically the section regarding self-administering medications.

There was no lid on the garbage can located in the kitchen in the secured dementia unit.

The most recent License Inspection Summary from Winter 2023 was not posted conspicuously in the home.

A bottle of Centrum Men's Vitamins for Resident 2 was labeled with only a room number instead of the resident's name.

The Medication Administration Record (MAR) contained incorrect documentation regarding the units of insulin administered.

The facility failed to properly document a resident's refusal of prescribed medication.

The home failed to submit an incident report to the Department regarding medication errors involving insulin administration.

An unlicensed staff person took a verbal order to administer insulin, violating medication change protocols.

A bed enabler in a resident's room was not covered, presenting an entrapment hazard for limbs.

A resident's assessment and support plan failed to address the need for a bed enabler used for transfers.