St John's Herr Estate

An unlabeled, used bar of soap was found in the spa room.

An unlocked, unattended 'lab book' containing resident names and lab test orders was left accessible at the front desk.

Two uncovered and unattended trash cans were found in the kitchen.

A resident's medical evaluation was missing a general physical examination, specifically blood pressure and temperature.

A resident was self-administering medications without a required assessment by a physician or qualified practitioner regarding their ability to do so.

A package of Enema ready (PRN) was found in the medication cart despite the medication having been discontinued.

Packages of frozen hamburger patties, sweet potato fries, and a large pizza were observed to be opened and unsealed in the kitchen freezer.

A discrepancy was noted between a resident's glucometer blood sugar reading and the reading recorded in the medication administration record.

During fire drills on 9/9/2019 and 11/26/2019, one resident failed to evacuate to the designated meeting place.

A direct care staff person did not receive required annual training in fire safety and emergency preparedness procedures during the 2019 calendar year.

The resident's most recent assessment was outdated, having been completed on 12/1/18.

Staff engaged in a verbal confrontation with a resident and physically grabbed the resident's arm, resulting in visible bruising.

Glucometer readings for Resident #2 did not correspond with the recordings documented on the Medication Administration Record (MAR).

Resident #1's preadmission screening form failed to include a determination that the resident's needs could be met by the home's services.