The Cannon House

Facility failed to provide the paperwork from the 8/19/2025 fire alarm report.

Facility failed to provide documentation for a policy and procedure showing all steps needed for a disaster drill.

Facility failed to provide a written policy and procedure for fire watch.

Facility failed to provide documentation for a Policy and Procedure showing all steps needed to perform a disaster drill, including staff training.

Facility failed to provide the required paperwork from the 8/19/2025 fire alarm report.

Facility failed to provide a Policy and Procedure for fire watch.

Facility failed to ensure 1 of 5 sampled staff completed in-person CPR training.

Failed to deliver medications as prescribed (missed doses) and failed to monitor/review discharge orders resulting in inappropriate active orders for nicotine patches.

Facility failed to maintain outer surfaces of an icemaker and juice machine in a clean and sanitary condition.

Facility failed to ensure a resident's pet had a current health letter from a veterinarian and proof of up-to-date vaccinations.

Failed to complete annual assessments for 2 of 10 residents regarding updated chronic health conditions and medication management.

Failed to update Negotiated Service Agreements for 3 of 10 residents following changes in condition or newly identified chronic health issues.

Facility failed to ensure 3 of 3 resident washing machines reached 140 degrees F or had a sanitizing process, risking cross-contamination for 69 residents.

Facility failed to renew the Medical Testing Site Waiver/CLIA certificate by the deadline.

The facility failed to notify a resident's representative and physician when the resident had a change of condition and was transported to the hospital.

Facility failed to ensure residents received medications as prescribed. Specifically, Resident 5 missed seizure medication doses, resulting in hospitalization.

Facility failed to obtain physician's ordered medications in a timely manner for 5 of 12 sampled residents, leading to missed doses for conditions including mental illness, seizures, diabetes, and pain.

The facility failed to ensure Nurse Delegation (ND) was completed for Resident 1 before non-licensed staff administered injections or performed skilled treatments.

The licensee failed to ensure Nurse Delegation (ND) was completed for three residents before receiving skilled treatments from non-licensed staff, resulting in risk of harm.

The licensee failed to ensure Nurse Delegation (ND) was completed for one resident before receiving skilled treatments from non-licensed staff. This failure placed the resident at risk of harm. This is an uncorrected and recurring citation.

Annual forward flow test paperwork not provided; loaded sprinkler heads found in kitchen and dining room.

Vertical rolling door found at bottom of stairs on ground floor requires investigation into its purpose.

Paperwork for annual fire door inspections not provided; facility needs to establish an inspection schedule.