Oakwood Court

A resident reported feeling ashamed and scared of discharge after a staff member made comments regarding their sexual relationship with another resident.

Multiple staff members and third-party contractors did not receive required fire safety and emergency preparedness orientation on their first day of work.

Ice bins in the great room and Serenata kitchenette were overflowing, and dirt and debris were found in the bottom of the Serenata freezer.

Poisonous materials, including toothpaste and toiletries, were accessible in an unlocked bathroom medicine cabinet.

A staff person failed to follow proper medication administration procedures, including failing to identify the correct resident and incorrectly administering resident 2's medication to resident 1.

Six loose medication pills were observed in the medication cart drawers of the Homestead medication cart.

A resident was administered multiple medications that were prescribed for and belonged to another resident.

The facility failed to follow prescriber orders as resident 7 received medications prescribed for resident 2 in error.

A resident was involved in incidents of physical and verbal aggression, including pushing another resident into a walker and inappropriate touching.

Prescribed medications, specifically Trazodone and Lorazepam, were not administered according to physician orders on multiple dates.