Paradise Manor

The facility's written emergency procedures had not been submitted to the local emergency management agency since January 22, 2025.

There was no means of hand-drying available in the common bathroom located in the hallway next to room 6.

A resident was observed smoking on the front porch where no smoking signs were posted and no fireproof receptacles were provided.

No ServSafe-certified staff person was present in the home for resident meals, as the only certified staff member had an expired certificate.

Resident records, including MAR and blood sugar records, were left accessible at the nurses' station and front entrance; narcotic and wellness books were unlocked and unattended.

A resident's medical evaluation form failed to include all required medical diagnoses.

A resident entered another resident's room uninvited, touched their bare thigh, and pulled down their pants.

Surveillance footage was being recorded in interior areas (hallways), which violates resident privacy rights.

An entry in a resident's RASP was not legible because staff wrote over the existing date.

A resident assessment failed to include behavioral, cognitive, and social/recreational needs, with several pages left blank.

A resident's medication was found on the cart past its discard date according to manufacturer instructions.

The communal ladies restroom lacked an electric hand dryer, towels, or paper towels for drying hands.

House rules allowed management to inspect and search personal items, packages, and bags at any time.

House rules required residents to obtain special permission from the administrator to have a car.

House rules stated residents were not permitted in other residents' rooms without permission.

The home failed to report multiple instances of a resident refusing blood sugar tests and insulin injections to the prescriber.

Medication administration records for Diazepam lacked the initials of the administering staff on several dates in January.

The home failed to report an incident where a resident physically pushed a staff member out of a room.

A bedside mobility device had an uncovered opening measuring 12 inches by 5 inches, posing a potential hazard.

The facility failed to follow prescriber directions, specifically regarding the administration of Aspercreme, Lotrimin, Fluphenazine, Tamsulosin, and Lidocaine patches.

Medication administration records for several residents failed to include prescribed medications (Divalproex Sodium, Mirtazapine, Lidocaine Patch) or contained incorrect dosages and administration times.