St. Mary's Villa Residence

A medication error involving Novolog was not reported to the Northeast Regional Office within the required 24-hour timeframe.

Resident confidentiality was compromised by an unattended medication cart with accessible administration records and discharged resident records left in an unlocked cabinet.

The facility failed to file an incident report for a medication error and the report submission exceeded the 24-hour requirement.

Required emergency telephone numbers were not posted by the telephone located in the kitchen.

Prepared food items in the kitchen refrigerator, including potato salad and ham salad, were not labeled with preparation dates.

A resident's refund was not issued within 30 days of discharge.

The administrator did not complete the required 24 hours of annual training for 2022.

An ancillary staff person did not receive required orientation regarding emergency medical plans and incident reporting within their first 40 working hours.

A direct care staff member completed only 8 of the required 12 annual training hours in 2022.

A direct care staff member did not receive training in several required topics, including dementia care, infection control, and safe management techniques.

A medication error and a resident fall were not reported to the department within the required 24-hour timeframe.

A resident's refund was not issued within the required 30-day period following discharge.

The emergency exit doorframe in the dining room had peeling paint.

A resident in room 202 did not have an operable lamp within reach of their bed.

A dented #10 can of cranberry sauce was found in the kitchen dry storage area.

An emergency exit was obstructed by a walker, and the door required excessive force to open.