Simpson House

A current medical evaluation was not present for a resident.

A glucometer belonging to an absent resident was found on the medication cart.

A bottle of Vitamin D in the medication cart was not labeled with the resident's name.

Discrepancies were noted between glucometer readings and the medication log.

A step on the stair tower connecting the first and second floors was damaged at the edge, creating a tripping hazard.

A cloth stop sign was covering a resident's door, obstructing the egress route.

A resident's medical evaluation was missing required information, including temperature, medication regimen, and body positioning needs.

Staff person A did not receive orientation on fire safety and emergency preparedness topics, including evacuation procedures and the use of fire extinguishers.

Staff person A failed to complete required training on resident rights, emergency medical plans, and mandatory reporting of abuse and neglect within 40 working hours.

Direct care staff person B did not receive training regarding meeting resident needs as described in preadmission screening, assessment tools, and medical evaluations.

The home's written emergency procedures were sent to the incorrect personnel at the local emergency management agency.

The home's current license was not posted in a conspicuous and public place.

The quality management review did not address reportable incidents, complaint procedures, staff training, licensing violations, or resident/family councils.

Direct care staff members did not receive required orientation on fire safety and emergency preparedness topics.

Staff members did not complete required training on resident rights, emergency medical plans, and mandatory reporting of abuse and neglect within 40 working hours.

The home failed to provide requested education materials, staff schedules, and a completed DHS census form in a timely manner.

The resident-home contract for one resident was not signed by the home's administrator or designee.

Medications were not available in the home as required, and there were discrepancies in glucometer reading documentation.

The medication administration record for a resident did not indicate the diagnosis or purpose for prescribed medications.

Resident records were found unlocked, unattended, and accessible in the administrator's office.

The resident-home contract for one resident was not signed by the resident.

The facility failed to issue a required refund of $1,224 to a resident within 30 days of discharge.

Three different unlabeled glucometers containing readings for a resident were found.

The home's current license was not posted in a conspicuous and public place; the posted license had expired on 06/14/2019.

The resident-home contract for resident #1, dated 04/02/2019, was not signed by the resident.

A refund check for resident #2, who was discharged on 05/01/2019, was not issued until 08/30/2019, exceeding the 30-day requirement.