Oak Leaf Manor Personal Care Retirement Home

The administrator failed to report an incident of alleged neglect involving a resident not receiving prescribed pain medication to the Department within 24 hours.

A staff member administered medications without having completed the required annual medication administration training/competency updates.

Medications were found in a resident's room for a resident who is not cleared to self-administer medications.

An uncovered trash can containing waste was found in a public bathroom within the Secure Dementia Care Unit.

A bottle containing carpet stain cleaner was improperly labeled as glass cleaner.

Residents and/or their POAs had not completed new written contracts following a change in the facility's legal entity.

A direct care staff person was documented as having only 11.70 hours of annual training for the 2023 training year.

Poisonous materials, including tube ii and surface cleaners, were left unlocked and accessible in the hallway bathroom and kitchenette of the secured dementia care unit.

An uncovered enabler bar in Resident Room #B13 had an opening greater than 4.5 inches, posing an entrapment hazard.

The home failed to follow prescriber orders regarding the discontinuation dates for Alprazolam and Clonazepam.

A resident was involved in multiple incidents of physical and verbal aggression, including elopement and physical altercations with other residents.

An unsecured tube of Lidocaine Cream 4% was found lying on a resident's dresser in an unoccupied bedroom.

The facility was in possession of expired medications, specifically a Ventolin inhaler and a Symbicourt inhaler.

The facility failed to maintain a 3-day supply of emergency drinking water for its 62 residents.