Lutheran Home at Kane/residential Care Center

The medication administration record contained a discrepancy in the sliding scale instructions compared to the original physician order.

The resident had not been educated on their right to question or refuse medication if they believe a medication error has occurred.

The carbon monoxide alarm was located approximately 6 feet from gas hot water tanks, violating the requirement for a minimum 15-foot distance.

An administrator candidate had not successfully completed a Department-approved orientation program.

Direct care staff did not receive required annual training regarding care for residents with mental illness or intellectual disabilities.

A resident was subjected to inappropriate physical contact and verbal comments by another resident, causing discomfort.

The resident's support plan failed to properly document necessary medical, dental, vision, hearing, or mental health services or referrals.

A hired staff person did not complete the required fire safety and emergency preparedness orientation topics prior to their first work day.

A hired staff person did not complete orientation regarding the emergency medical plan and mandatory reporting of abuse and neglect within 40 scheduled working hours.

Approximately 6 inches of the cove base next to the dining area fire exit door was detached, with visible water damage to the wall.

Food was found improperly stored, including uncovered pie tarts in the walk-in cooler, an unsealed bag of pastries in the freezer, and uncovered/unlabeled ice cream.

An uncovered and unlabeled/undated bowl of chocolate ice cream was found in the kitchenette freezer.

The fire exit door from the dining area to the gazebo was stuck shut and would not open, with rust present on the door and jamb.

Resident #1's support plan failed to document the need for a Wanderguard or the plan for managing this safety need.