Spring Mill Pointe

One of the home's dumpsters was open and debris was found on the ground next to it.

Lids on five ice-cream cartons in the kitchen freezer were not securely fastened.

The weekly menu for the week starting 8/11/25 was not posted on the bulletin board.

A pharmacy label for Acetaminophen contained incorrect administration instructions regarding the route.

The resident-home contracts for resident #1 and resident #2 were not signed by the residents.

Resident #2 did not have access to an operable lamp or light source at their bedside.

Medication cards for residents #3, #4, and #5 were observed with punctured blister foil while medication was still present.

A fire drill conducted on 10/25/22 took 7 minutes to evacuate, exceeding the maximum safe evacuation time of 6 minutes.

The medication label and controlled substance log for Resident 7 showed incorrect administration times compared to the prescription.

The controlled substance log for Resident 2 did not include the initials of the staff person who administered the medication on 05/24/23.

The initial assessment for Resident 3 was not completed within the required 15 days of admission.

The medical evaluation for Resident 3 did not include documentation regarding the need for the resident to be served in a secured dementia care unit.

The resident-home contract for resident #1 was not signed by the resident.

Resident #1's record lacked a signed statement acknowledging receipt of resident rights and complaint procedures.

A staff member proceeded with incontinence care despite the resident's active refusal, failing to treat the resident with dignity.

A bottle of cough syrup in the memory care medication cart was not labeled with a resident's name.

Resident #1 had not been educated on their right to question or refuse medication in the event of a suspected error.

A camera in room #144 for fall detection was found to violate resident privacy.

Five contractors were performing renovations in the building without criminal background checks.

An unlabeled bottle of cleaner was found unsecured on a housekeeping cart.

Disinfectant wipes with poison warnings were left unlocked and accessible to residents in the memory care unit.

Sanitary issues included sticky substances in a refrigerator, strong odors of incontinence/urine, and soiled clothing with gnats in a shower.

Resident rooms 144 and 151 lacked operable windows, fans, or air conditioning to ensure proper airflow.

Cameras in Cedar Grove and on the second floor were found without required signage indicating the area was being recorded.

A resident's glucometer was found to be non-functional due to a dead battery, and staff had been using an alternative device.

The temperature in the ice cream freezer was recorded at 22 degrees Fahrenheit, which is above the required limit.

The posted 'Spring Menu' did not accurately reflect the actual meals being served.