The Laurels

Residents and staff reported that during fire drills, they do not exit the building or go to an area of refuge due to lack of space in stairwell towers.

A resident's blood glucose reading was documented incorrectly on the Medication Administration Record (MAR).

A staff member's file lacked documentation regarding a completed criminal background check.

Staffing levels were insufficient to meet resident needs and safety requirements during a specific shift on 1/7/24.

Only one staff person certified in CPR and First Aid was present between 11:30pm and 3am on 1/7/24, despite a census of 81 residents.

The facility had no verification of a high school diploma, GED, or CNA registry status for a direct care staff member.

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

The facility failed to report suspected resident abuse/bruising to the Area Agency on Aging as required.

Staff person B's personnel record lacked documentation of the required Department-approved direct care competency test.

A resident was subjected to undue stress and bruising during a shower, failing to be treated with dignity and respect.

The facility failed to report an incident involving resident bruising and staff combativeness to the Department's regional office within 24 hours.

A direct care staff member was employed with an online diploma that is not accredited by the Department of Education.

First aid kits throughout the home were secured with zip ties, making them difficult to access in an emergency.

The home failed to conduct unannounced fire drills during January, April, July, and October of 2022, using mock drills instead.

The written notice to the fire department contained outdated resident mobility data.

A bottle of Murphy's oil soap on a cleaning cart was missing its original manufacturer's label.

The home failed to submit an incident report to the Department regarding a medication error involving fluticasone nasal spray.

The resident's RASP was not updated to reflect the commencement of hospice services.

A staff member providing transport failed to have completed required direct care training and competency testing, resulting in a resident fall and hospitalization.

There was no verification that Staff Member A received required training in safe management techniques, IADLs, and ADLs within their first 40 hours of employment.