Rose Tree Place

The home's current violation report, dated 12/04/23, was not posted in a conspicuous and public place.

Refunds to the estates of deceased residents were not processed within the required timeframe after personal belongings were removed.

Resident-home contracts for three residents were not signed by the residents.

Resident 1's record was missing race, hair/eye color, and incident reports. Resident 2's record was missing race and incident reports.

An unannounced fire drill was not held during the month of January.

Toothpaste and disinfectant wipes with poison warnings were left unlocked and accessible in a resident room.

Written emergency procedures were not submitted to the local emergency management agency for 2021 and 2022.

An unlabeled and undated food item was found in the pathways refrigerator.

The temperature in the ice cream freezer was recorded above the required freezing temperature.

No carbon monoxide detectors were located in the kitchen area near the gas-operated stove.

An uncovered ice cream tub was found in the ice cream freezer.

The facility failed to use positive interventions, such as de-escalation or communication, to manage a resident's behavior.

A staff person physically abused a resident by forcefully pulling them up and pulling their hair while they were sleeping on a sofa.

The home failed to submit a plan of supervision or notice of suspension for a staff person who restrained a resident and pulled their hair.

A resident was subjected to a restraint when a staff person held them in a hugging position to force them to move.

The exit door keypad code at Southeast Stairwell #1 was not posted in a conspicuous location, hindering easy egress.

Glucometers for two residents were not calibrated to the correct date and time.

Two direct care staff members were providing unsupervised ADL services without completing the required Department-approved training and competency test.

Resident #1's assessment was not updated despite significant changes in condition, specifically frequent falls and use of a walker.

The preadmission screening form for Resident #1 was not dated.

Resident #17's prescribed medication (Zithromax 500 mg) was not administered according to the prescriber's directions.

Resident #1's medication administration record did not indicate the diagnosis or purpose for the prescribed Zithromax 500 mg.