The Landings of Mills River

The facility failed to serve therapeutic diets as ordered by the physician for 4 out of 5 sampled residents. Specifically, residents were not provided with required textures such as chopped meat, finger foods, or mechanical soft ground meats as prescribed.

The facility failed to provide a room and board refund to the Estate Administrator of a deceased resident within the required 30-day timeframe. Specifically, for Resident #4, the refund for the month of October 2024 was not processed according to the resident agreement and state regulations following the resident's hospital transfer and subsequent death.

The facility failed to provide a room and board refund to the estate administrator of a deceased resident within the required 30-day timeframe. While the resident passed away in October 2024, the refund was not received by the administrator until well after January 2025.

The facility failed to ensure that a care coordinator was on duty in the Special Care Unit (SCU) for the required eight hours a day, five days a week. Observations and reviews indicated the required staffing levels for the unit were not being met.

The facility failed to provide adequate supervision based on a resident's current symptoms and care plan. Specifically, a resident with a diagnosis of dementia and a history of wandering eloped to the parking lot without staff knowledge. Staff failed to monitor the resident effectively to prevent exit-seeking behaviors.

The facility failed to provide supervision based on current symptoms for a resident with dementia and a history of wandering. This resulted in the resident eloping from the facility without staff knowledge.

The facility failed to implement a physician's order to keep a resident with dementia inside the facility. This failure resulted in the resident being found outside for an undetermined amount of time and subsequently being hospitalized for dehydration and heat exhaustion.

The facility failed to implement a physician's order to keep a dementia resident inside the facility. This resulted in the resident being found outside for an undetermined amount of time, leading to hospitalization for dehydration and heat exhaustion.