Orion Personal Care

Staff administered medication after the prescribed time and electronically altered medication administration records to reflect the correct time.

Annual resident assessments failed to include documented dementia with behavioral disturbance information found in medical evaluations.

Staff failed to administer prescribed medication at the required time or within the allowed window of one hour before or after the prescribed time.

A resident's support plan was missing the required resident signature and date.

Annual medical evaluations were incomplete, missing resident weight, immunization status, and failure to indicate dementia diagnosis or special dietary needs.

Multiple instances of resident-to-resident abuse, including biting and physical grabbing, occurred within the home.

Several instances of resident-to-resident abuse were not reported to the Department within the required 24 hours.

A resident's medical evaluation was not completed within 60 days prior to admission as required for the secured dementia care unit.

A direct care staff member had not received required annual training in several specified areas.

Multiple resident bathroom door locks were inoperable, compromising resident privacy.

A hired staff person did not have a completed criminal background check.

The AA batteries in the basement carbon monoxide detector were outdated.

The facility only had 10 gallons of emergency drinking water on site, which was insufficient for the 3-day supply requirement for 19 residents.

The batteries in the carbon monoxide detector were outdated, having last been changed in October 2021.

Fire extinguishers near bedroom #13 and the courtyard door lacked tags indicating annual inspection by a fire safety expert.

A resident's designated person did not receive a refund for previously paid charges within the required timeframe following the resident's death.

A mattress was leaning against the outside of exit door #5, blocking the egress route.

A strong odor of urine was present near the front door of the home on the mornings of the inspection.

A prescription medication label for Resident #1 contained an incorrect dosage instruction.

A direct care staff person did not receive required fire safety and emergency preparedness orientation prior to or on their first day of work.

The resident's annual support plan was not updated to reflect changes in care and supports following the start of hospice services.