The Gardens of Trent

The facility failed to ensure medications were administered as ordered by a licensed prescribing practitioner for a resident receiving seizure medication. Specifically, there was a discrepancy between hospital orders for Depakote 500 MG twice daily and the resident's facility records, resulting in undocumented administration of the medication for a period in February 2025.

The facility failed to ensure medications were administered as ordered by a licensed prescribing practitioner for one resident. Specifically, there was a discrepancy between hospital discharge orders for Depakote and the resident's medication administration record, leading to periods where the medication was not documented as administered.

The facility failed to ensure that the Estate Administrators for four residents received owed refunds within 30 days after the resident's death. Specifically, for Resident #7, a refund requested in January was not issued until May, and for Resident #8, a refund requested in February was not issued until May.

The facility failed to ensure that the Estate Administrators for four residents received required refunds within 30 days after the residents' deaths. Specifically, for one resident who passed away in January, the refund was not issued until May.

The facility failed to provide adequate supervision for a resident with dementia in the special care unit, resulting in an elopement incident on 04/16/23. The resident wandered from the facility and was found by a neighbor near a busy highway, posing a significant safety risk.

The facility failed to provide adequate supervision for a resident with dementia and mobility issues, resulting in an elopement on 10/25/2022. Malfunctioning magnetic locks left doors unlocked for 13-15 hours, and staff failed to monitor all exits or notify law enforcement when the resident was unaccounted for.

The facility failed to provide adequate supervision for a resident with dementia, resulting in an elopement from the facility on 10/25/2022. Due to malfunctioning mag locks, doors were left unlocked, and staff failed to monitor all exits as required by training. The resident was found at a local business after having to cross a street without a sidewalk.

The facility failed to provide necessary referral and follow-up care for a resident exhibiting multiple aggressive behaviors. Although clinical notes documented physical aggression, delusions, and increased anxiety, the resident's care plan did not reflect these behavioral disturbances.