Sugar Valley Lodge (whispering Pines Building)

The home did not have hot water under pressure in any bathroom, kitchen, or laundry area.

Resident #1's financial management sheet contained an accounting error regarding a deposit and balance calculation.

Quarterly itemized financial statements for residents #2, #3, #4, and #5 were not up to date.

Resident #5 did not have an operable bedside light source due to a burnt-out bulb.

Emergency procedures were kept in the nurses' office rather than being posted in a conspicuous and public place.

The home failed to post the most recent renewal licensing inspection summaries in a conspicuous and public place.

An allegation of resident abuse involving physical contact was not reported to the local Area Agency on Aging until five days after the incident.

Resident #1 was not receiving required assistance with hygiene, shaving, and nail care as indicated in their support plan.

Resident #2's assessment failed to include assessments or plans for documented behaviors including inappropriate sexual comments, aggression, agitation, and irritability.

There was no current physician's order for two oxygen tanks stored in a resident's bedroom.

At least 15 residents were present in the home during a time when no staff person 21 years of age or older was present to serve as the designee.

There were instances where no staff person trained in first aid and certified in CPR/obstructed airway techniques was present in the home.

The January 2023 medication administration record (MAR) for multiple residents failed to include the initials of the staff person who administered medications at the required times.