Providence Place of Dover

Failure to immediately report suspected resident abuse to the Local Area Agency on Aging following a physical altercation and a verbal threat by staff.

Failure to report incidents of physical altercation and staff verbal threats to the Department's assisted living residence office within 24 hours.

Residents were subjected to physical and verbal abuse, including incidents resulting in skin tears and a fall requiring emergency department evaluation.

Hot water temperatures in the common bathroom, kitchenette, and resident room bathroom exceeded the 120°F limit.

An unlocked and unattended medication container was found in a resident's room for a resident who cannot self-administer.

The medication cart contained discontinued medications, expired medications, and expired nutritional supplements.

Medications in punctured and taped blister packs were found, violating proper storage and sanitation requirements.

Required prescribed medication was not available in the home for a resident.

Resident experienced neglect involving delayed medical intervention for cellulitis and multiple incidents of resident-to-resident physical abuse resulting in injuries.

The facility failed to ensure proper medical evaluation documentation as required by regulations.

The residence failed to report suspected physical abuse of a resident to the local Area Agency on Aging office.

The residence failed to report suspected physical abuse to the Department within the required timeframe.

A bottle of 90% isopropyl alcohol was found in an accessible cabinet with a child lock that could be easily opened.

A staff member was observed treating a resident with disrespect, using aggressive language, and physically restraining the resident's wrists while denying access to the restroom.

Resident #5's medical evaluation was not completed within the required timeframe following admission.

Contracts for Resident #5 and Resident #6 were signed by the payor or POA without indicating the resident's inability to sign.

The facility failed to have the required number of staff certified in first aid and CPR present for 112 residents.

Hot water temperature in a resident bathroom was measured at 125.2 degrees Fahrenheit, exceeding the 120°F limit.

Assistance with ADLs, including transfers and ambulation, was not provided as required by the resident's assessment and support plan, resulting in multiple falls.

Direct care staffing hours provided were below the minimum requirement of 2 hours per day for residents with mobility needs.

The percentage of personal care service hours available during waking hours fell below the required 75% threshold.