Springview-Cook Building

The facility failed to ensure that all accessible exit doors were equipped with a sounding device that activates when opened. Specifically, two doors—one at the end of a hallway and one exiting the resident living room—were found unlocked and without alarms, posing a risk to residents identified as disoriented or wanderers.

The facility failed to ensure that all accessible exit doors were equipped with a sounding device for residents known to be disoriented or wanderers. Specifically, a door at the end of a hallway and a door exiting from the resident living room were found to be neither alarmed nor locked. This deficiency put three identified disoriented residents at risk of exiting the facility undetected.

The facility failed to have a qualified activity director designated to the adult care home. The current activity director, who assumed the role in November 2020, had not completed the required basic activity course and did not hold a degree in recreation administration or therapeutic recreation.

The facility failed to ensure that menu substitutions were of equal nutritional value and properly documented to indicate the foods actually served to residents.

The facility failed to ensure all residents received a complete table service including a knife, fork, spoon, plate, and beverage container. Observations showed residents were served meals without knives, and staff did not offer them even when residents struggled to cut food.

The facility failed to provide complete table settings including a knife, spoon, and fork for all residents. Observations showed residents were served meals without knives, causing some residents to be unable to cut their food and forcing them to use their fingers. Additionally, staff failed to offer assistance or provide necessary utensils to residents with specific needs.