The Addison of Lowrie Place

The enabler bar attached to a resident's bed was not securely attached, creating a potential entrapment hazard.

A concrete landing outside a bedroom lacked a handrail, posing a fall hazard due to a 7-inch step down.

The #3 freezer in the kitchen was missing a required thermometer.

A resident's assessment failed to document the specific need, intended use, risks, and safety protocols for an enabler bar used for repositioning.

New resident-home contracts or addendums were not completed for two residents following a change in legal entity.

A window screen near the staff break room emergency exit had holes in the bottom corner and center.

Resident #1 did not have an operable lamp or lighting source available at their bedside.

Staff failed to administer prescribed Morphine Sulfate to a resident in pain and the home failed to submit a plan of supervision or notice of staff suspension to the Department.

Ten 550ml spray bottles containing cleaning liquids were found in the housekeeping storage room without their original manufacturer labels.

A resident prescribed a mechanical soft diet was served food items, including green beans and meatloaf, that were not cut to the required texture specifications.

A resident's medication administration record (MAR) contained an incorrect dosage strength for Morphine Sulfate Solution.

The facility failed to immediately report a suspected resident abuse incident to the Area Agency on Aging, reporting it four days after the occurrence.

The home failed to immediately implement a plan of supervision or suspend the staff person involved in an alleged abuse incident.