Steward Place

A staff person did not receive required orientation on fire safety and emergency preparedness topics during their first day of work.

The home did not have sufficient hot and cold water pressure to the bathroom sink in a resident room.

A medication found on the medication cart was discontinued and therefore should not have been kept in the home.

A resident did not receive required assistance with pulling up briefs and pants after using the bathroom as indicated in their support plan.

The resident-home contract was not signed by the resident, the payer, or the designated person.

The resident's record lacked a signed statement acknowledging receipt of the resident rights and complaint procedures.

A staff member failed to assist a resident with restroom needs, verbally telling the resident 'You can do it' and leaving them alone despite the resident's unsteady status.

Direct care staff members did not receive fire safety and emergency preparedness orientation on their first day of work.

Staff members did not complete training regarding the Emergency Medical Plan and Reporting Reportable Incidents within their first 40 hours of work.

The facility failed to accurately document the amount of narcotics available during shift changes, resulting in an accounting error in the narcotics log.

The home failed to immediately develop a plan of supervision or suspend a staff person following an allegation of resident abuse.

The home failed to report an incident of alleged abuse to the Department within the required 24-hour timeframe.

A medication that had been discontinued was found in the home's medication cart.

The home failed to report an unwitnessed fall involving a resident to the Department within the required 24-hour timeframe.

The administrator's hours worked were insufficient to meet the required presence for both the Assisted Living and Personal Care Home roles simultaneously.

Preadmission screening forms for two residents lacked the required determination that the home could meet the residents' needs.

A direct care staff person lacked a high school diploma, GED, or active registry status on file.

A direct care staff person was providing unsupervised ADL services without a completed and passed Department-approved training course on file.

A resident's most recent medical evaluation was not completed at least annually.

A resident's support plan failed to address the need for alternative sleeping arrangements (sleeping in a recliner).