The Manor at Market Square

A prohibited portable space heater was found in use in the administration office.

Unlocked and unattended medications were found in the bedroom of a resident who is not assessed to self-administer medications.

The home failed to report a medication error involving a missed blood glucose check and administration to the Department within 24 hours.

Three residents did not have access to an operable bedside lamp that could be turned on/off within reach of their beds.

The facility administrator had not completed the required Department-approved orientation program and competency-based training test.

The home failed to report medication errors to the Department within 24 hours for two residents.

Sanitary conditions were inadequate due to a bathmat in a resident bathroom having orange stains and black substance on the underside.

The resident-home contract for Resident #4 was not signed by the resident.

The resident contract failed to specify the required 30 days' advance notice for the home's request to change the contract.

An allegation of resident abuse involving a bruise was not reported to the Area Agency on Aging immediately.

An allegation of abuse was not reported to the Department's regional office or complaint hotline within the required 24-hour timeframe.

The home failed to submit a plan of supervision or notice of suspension for a staff person to the regional office following an investigation.

The incidents of suspected abuse were not reported to the residents' designated persons.

The staff person involved in the alleged abuse remained working in the home until a later date without a developed plan of supervision.

Staff person was observed shaking a resident's chair and using a water gun on residents; these incidents were not reported to protective services immediately.

The facility failed to submit a plan of supervision or notice of suspension to the Department regarding the affected staff person.

A resident was physically assaulted by another resident, resulting in a fall and a required surgery.

An open bag of sausage links in the main kitchen freezer was not labeled or dated upon opening.

Staff members A, B, and C had not completed their annual fire safety training by a qualified expert for the 2023 training year.

Fire drill records from late 2023 indicated that more residents were in the home than were documented as evacuated, without explanation.

The telephone located in the main lobby area did not have the required emergency telephone numbers posted on or near the device.