Ruan's Garden

Facility failed to ensure 2 staff (B and D) who declined a TB skin test had a TB blood test upon hire.

Facility failed to ensure 2 staff (B and D) met long-term care worker training requirements or obtained HCA certification within required timeframes.

Facility employed and allowed staff (Staff G) with a disqualifying criminal background to work in the facility unsupervised for 139 days.

Failed to check work references for 3 of 4 staff members hired since the last full inspection.

Failed to notify Construction Review Services (CRS) of significant modifications including sub-flooring, HVAC replacement, and appliance removal.

Facility failed to provide activities for residents, leading to reported boredom and lack of social interaction.

Negotiated Service Agreements (NSA) lacked necessary detail for nursing-delegated tasks, supplies, and resident-specific health monitoring.

Facility failed to ensure diet manual was approved and reviewed by a dietician.

Failed to document monitoring of events and changes of condition for residents following hospital visits.

Facility failed to ensure staff completed specialized training for developmental disabilities.

Failed to ensure two-step TB test was initiated within three days of hire for staff member.

Facility failed to maintain required liability insurance coverage of one million dollars per occurrence and two million dollars aggregate.

Failed to ensure initial TB test was performed upon hire for two staff members.