Salisbury Behavioral Health LLC

Between 12:00 am and 8:00 am, there were zero staff members present in the home certified in CPR/First aid.

A staff member obtained CPR/First Aid certification from a training source not recognized as being certified by a hospital or health care organization.

The fire extinguisher located in the vehicle had not been inspected and approved annually by a fire safety expert.

The staff training plan lacked required details including staff names, positions, duties, required courses, and scheduled training dates/locations.

The office door was equipped with a keypad requiring a code that was not posted, obstructing egress from the second floor.

A resident's initial medical evaluation was completed on the incorrect standardized form for a personal care home.

Physical altercations involving residents on 4/17/2025 and 5/2/2025 were not reported in accordance with the Older Adult Protective Services Act.

Fire drill records between September 2023 and October 2024 inaccurately reflected evacuation times by rounding them to 2.5 or 3.0 minutes.

Staff person A did not receive training in the Older Adult Protective Services Act during the 2023 training year.

The administrator does not have a copy of, and is not familiar with, the local municipality's emergency preparedness plan.

Tree branches were covering the railing leading to the second-floor fire escape exit.

A staff member administered medications without having successfully completed the Department-approved medication administration course.

Financial records for resident #1 did not include the amount of allowance or resident signatures for withdrawals for July, August, and September 2023.

The home failed to ensure the availability of prescribed medication, as resident #1's prescribed Ibuprofen was not available during the inspection.

The home failed to keep a detailed and accurate record of financial transactions for resident #1, including dates, amounts, and balances.

The home held resident funds exceeding $200 for more than two consecutive months without notifying the resident or offering assistance in establishing an interest-bearing account.

The home did not provide an accurate itemized account of financial transactions made on the resident's behalf on a quarterly basis.

The hot water temperature in the first floor bathroom was measured at 124.1 degrees Fahrenheit, exceeding the 120°F limit.

Two residents did not have access to an operable lamp or bedside light source in their bedrooms.

The home failed to provide a required refund to a resident within 30 days of their discharge.

Staff members who had not successfully completed the Department-approved medication administration course were found to be administering medications.

Hot water temperatures in bathrooms were measured above the 120°F limit.

Outdated food items, including crackers and canned goods, were found in the dried good cabinet.