Park Place

The facility failed to provide an appropriate written notice of discharge for 1 of 1 residents. The notice did not include the required name, address, and telephone number of the state long-term care ombuds.

Staff failed to follow proper hand sanitation guidelines between handling soiled equipment and clean utensils in the dishwasher.

Two laundry room ventilation systems did not operate correctly because the motor for the second-floor ventilation unit burned out. Facility staff cleaned the systems and replaced the motor, allowing the vents to operate correctly.

Facility failed to assess 2 of 2 sampled residents for their ability to safely use medical devices (transfer pole and bed rails).

Facility failed to update service plans for 3 residents regarding changes in medical equipment usage (CPAP usage and transfer pole).

Facility failed to ensure 1 of 6 sampled staff members was tested for TB as required upon hiring.

Facility failed a second state fire marshal inspection with multiple fire safety violations, failing to ensure a safe environment for all residents.

Exposed wire on dryer in 2nd floor laundry room.

No schedule or documentation provided for inspection of fire-rated construction.

Missing documentation for second semi-annual service.

Emergency lights not working at multiple locations (P236, P267, P272, P158) and missing 30-second activation test documentation.

Annual service report, log of weekly inspections, and monthly 30-minute full load test were not provided.

Open junction box in generator room.

Fire doors held open on 2nd floor and in kitchen.

Missing annual report, sensitivity testing, and monthly alarm testing documentation.

No documentation provided for required fire/smoke damper inspection.

Loose oxygen tanks were found in room 354, room 142, and the oxygen room.

Extension cord found in use under the front desk.

Multiple fire doors on 1st, 2nd, and 3rd floors will not latch.

Missing CO alarms in library (connected to fossil fuel appliance) and missing monthly testing schedule/documentation.

No documentation or schedule provided for annual fire door inspections.

Missing documentation for 12 planned and unannounced fire drills over the previous 12 months (specific shifts/quarters listed).

Missing documentation for first and second semi-annual hood cleaning.

Missing required sprinkler system annual reports, pipe testing, trip tests, flow tests, and quarterly inspections.

Emergency lighting in stairwells needs audit and repair.

Annual 90 minute power test for emergency lighting had not been performed and documented.

Facility needs to identify and establish a schedule for annual inspection of fire doors.

Fire/smoke damper inspection had not been performed and documented.

Facility failed to ensure Staff D (Caregiver) was screened for Tuberculosis within three days of hire (hired 07/22/2022).

Facility failed to complete a national fingerprint background check for the Administrator (Staff A) hired on 01/17/2023.

Facility failed to document appropriate Negotiated Service Agreements (NSA) for 4 of 6 sampled residents regarding physician-ordered medical treatments and safety plans for high-risk medications.

Penetrations found in electrical room by resident room 322 and resident room 164.

Carbon Monoxide Alarms and Detectors testing and maintenance paperwork not provided.

30-second monthly activation test and annual 90 minute power test paperwork not provided. Emergency light issues noted in resident rooms 143 and 247.

Quarterly inspection paperwork not provided.

Annual inspection of fire-resistance-rated construction paperwork not provided.

Annual report and monthly single/multiple station alarms test paperwork not provided.

Fire door annual inspection paperwork not provided.

Extension cords found in Therapy office and daisy chained power strips found in hallway outside of kitchen.

First semi-annual, second semi-annual, annual replacement of fusible links/sprinkler heads, and heat test paperwork not provided.

Fire/smoke damper 4-year inspection paperwork not provided.

Annual service, weekly inspection, and 4-hour load test log paperwork not provided.

Documentation for completion of twelve planned and unannounced fire drills in the previous 12 months not provided.

Latching hardware does not operate and secure the door when in the closed position.

Signage affixed to a door does not meet the requirements listed in 4.1.4.

Auxiliary hardware items that interfere or prohibit operation are installed on the door or frame.

Field modifications to the door assembly have been performed that void the label.

Meeting edge protection, gasketing, and edge seals are not present or do not meet requirements.