Seven Lakes Assisted Living

The facility failed to ensure that furniture in the special care unit (SCU) living room was clean and safe. Specifically, 7 of 15 chairs were observed to have various dark, circular, or white stains, and one chair had discolored, worn, and thinning fabric.

The facility failed to ensure that furniture in the Special Care Unit (SCU) living room was clean and safe. Observations revealed 7 of 15 chairs were soiled with various stains, including dark circular, white, and brown lumpy substances. Additionally, some furniture showed signs of wear, such as thinning fabric, and residents were observed sitting in these unclean chairs.

The facility failed to ensure that several medication aides had required documentation, including employment verification and state-approved 5-hour, 10-hour, or 15-hour medication administration training certificates. Specifically, 3 of 6 sampled aides lacked employment verification or required training documentation, and 1 additional aide lacked the required training certificate.

The facility failed to ensure that medication aides had proper employment verification or required documentation of state-approved medication administration training. Specifically, several sampled staff members lacked the necessary certificates for the 5-hour, 10-hour, or 15-hour training programs.

The facility failed to ensure safety and security on the Special Care Unit (SCU) because several windows were able to be opened easily, posing a risk to residents. Specifically, some newer windows had latches that were easily accessible to residents, allowing the windows to open beyond the safe limit of 4 inches. Additionally, some older windows were found to be difficult to operate, and certain windows opened to an unsecured area near the facility driveway and dumpsters.

The facility failed to maintain building equipment in a safe and operating condition, specifically regarding window security on the Special Care Unit. Investigators found several windows that were heavy, stuck, or difficult to open, and others that were easily unlocked and opened to an unsecured area near the driveway and dumpsters.

The facility failed to have modified diet service staff follow specific guidance for three residents who required a regular, pureed consistency diet. This lack of guidance for texture-modified diets poses a risk to residents with difficulty chewing or digesting food.

The facility failed to ensure timely physician referrals for a resident experiencing poor appetite, medication refusal, and wound care needs. This failure resulted in a continued decline in the resident's health and the worsening of a decubitus ulcer.