The Hickman

Three empty medication cards containing personal information were left unlocked and unattended on a medication cart.

The Department's resident rights poster was not posted in a conspicuous place within the dementia care unit.

Required contact telephone numbers for various agencies were not posted in a conspicuous place in the Darlington Neighborhood.

A refund for a deceased resident was not issued within the required timeframe after personal belongings were removed.

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

Resident medical evaluations were missing required components, including general physical examinations, emergency medical information, and dietary/positioning needs.

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

Cameras were observed throughout the facility without any signage or postings indicating that images are being recorded.

A staff person did not receive required annual training in fire safety, emergency preparedness, resident rights, or the Older Adult Protective Services Act.

A direct care staff person did not receive training in several required topics, including medication self-administration and infection control.

A direct care staff person received only 8.25 hours of required annual training for the 2022 training year.

Poisonous materials, including toothpaste and deodorant, were found in an unlocked cabinet in the dementia care unit.

Hot water temperature in bathroom J219 was measured at 125.2 degrees Fahrenheit, exceeding the 120°F limit.

The trash can in the Memory care kitchen did not have a lid.

The bedside lamp in bedroom J279 was inoperable.

Three elevators in the home did not have current certificates of operation.

Emergency telephone numbers for the hospital and fire department were missing from telephones in several areas.

Staff failed to compare the medication administration record with the pharmacy label, resulting in resident #1 receiving medication prescribed for resident #2.

The use of Lorazepam 0.5 mg gel for resident #1's agitation was identified in the context of prohibited procedures.

Resident #1 was administered Lorazepam 0.25 mg that was prescribed for and belonged to resident #2.

Staff failed to follow prescriber orders by administering incorrect medication and failed to perform required vital sign checks for resident #2 during an overnight shift.