Overlook Green

A direct care staff person did not receive training on the emergency medical plan, mandatory reporting of abuse, and reporting of incidents within 40 working hours.

A direct care staff person did not receive required orientation on fire safety topics, including meeting places, smoking procedures, and fire extinguisher use.

A resident was left in a soiled brief for several hours after staff failed to respond to numerous call bells for assistance with toileting.

An allegation of neglect involving direct care staff was not reported to the Department within the required 24-hour timeframe.

A resident was undressed in their bedroom and covered only with a sheet while being wheeled through common areas to access the shower room, violating dignity and respect requirements.

Blood glucose readings were not entered on the resident's medication administration record (MAR).

The January 2024 MAR for multiple residents was not initialed by staff for numerous medications at various dates and times.

A direct care staff person was providing unsupervised ADL services without completing the required Department-approved training or competency test.

Direct care staff members did not receive required annual training in topics including dementia care, infection control, and safe management techniques.

Insufficient staff trained in CPR and first aid were present or scheduled during several shifts in November 2023.

A white pill was found unlocked, unattended, and accessible in a pill cup in a resident's bedroom.

The home failed to report an incident involving a resident's allegation of theft and allegations of abuse/neglect from the Area Agency on Aging to the Department.

Staff failed to follow policy regarding narcotic discrepancies by not correcting the control record or notifying the Director of Resident Care after discovering an extra tablet.

Multiple residents did not have annual medical evaluations completed within the required timeframe.