Luther Ridge at Seiders Hill

The residence failed to report a resident's hospital transfer to the Department in a timely manner.

An unlocked, unattended narcotics binder was found on a medication cart, and a resident's empty pill blister pack was visible in an open trash can.

The resident-residence contract failed to include a fee schedule listing the actual charges for each available service.

The resident-residence contract did not specify the party responsible for payment.

Bathrooms in several rooms (including 104, 111, 110, and others) lacked an operable window or ventilation fan.

Resident #1 did not have access to an operable lamp or light source that could be turned on at their bedside.

The facility's written emergency procedures had not been updated and submitted to the local emergency management agency.

A resident was admitted without a dated resident-residence contract, making it impossible to verify timely signature.

Staffing levels during the 11:00 p.m. to 7:00 a.m. shift were insufficient to ensure safe evacuation of all residents during an emergency.

The dumpster lid was found open while containing garbage, potentially allowing access to insects and rodents.

The small lobby elevator was inoperable and had ongoing operational issues that had not been successfully repaired.

OTC medications belonging to residents were not properly identified with the residents' names.

Resident #1's contract was not signed by a second witness or legal representative as required by the home's policy.

Staffing levels did not meet the needs of residents requiring two-person assistance for mobility.

A resident with a significant fall history sustained multiple injuries, including closed head injuries and a hip fracture, because the facility failed to provide required 24-hour direct supervision.

Staff failed to initial the Medication Administration Record (MAR) for a narcotic administration and administered a duplicate dose of medication to a resident without proper documentation.

The facility failed to follow prescriber orders when a staff member administered a second dose of a medication in error one hour after the initial dose.

Staff person filmed residents in a common area and posted footage to social media without reporting the incident as required by the Older Adult Protective Services Act.

A resident required physical assistance with incontinence care, but briefs were found soaked through to clothing on several occasions due to inadequate checks.