The Meadows at Shannondell

The home failed to report a choking incident involving a resident and a fall with injury to a resident's scalp to the Department within 24 hours.

Electronic medication records and resident assessment plans were found unlocked, unattended, and accessible on a medication cart and in a nursing office.

A resident's toilet was observed with feces smeared on the bottom, and dust and dirt had accumulated in the corner of a shower.

A laptop containing resident medication administration records was left unlocked, unattended, and accessible on a medication cart in a hallway.

The administrator did not maintain a current list of staff persons working in the personal care units.

Sanitary conditions were inadequate, including a bag of urine in a bathroom sink, a resident sitting in a stained chair, and a strong odor of feces in a bedroom.

A resident's bed blanket was stained with what appeared to be urine.

A bedroom floor was stained with a red substance identified as dried Jello.

The home failed to submit required incident reports to the Department following several resident incidents involving hospitalizations and injuries.

Resident assignment sheets containing sensitive care information were left unlocked, unattended, and accessible on a medication cart.

The facility failed to provide adequate assistance with ADLs, as evidenced by an unwitnessed fall and injury for a resident requiring toileting assistance.

A resident's medical evaluation did not include the medication regimen, contraindicated medications, or medication side effects.

A discontinued medication was found in the facility's narcotics locked box.

Medication cart and narcotics box keys were left unattended in an open drawer, and a controlled substance count was performed by a single nurse instead of two.

Insufficient number of staff members trained in first aid, CPR, and obstructed airway techniques were present during several shifts.

Medication carts were found unlocked, unattended, and accessible in the hallway and in front of resident bedrooms.

The facility failed to follow its narcotic policy by not documenting the time medication was removed from the narcotic inventory log.

Found loose pills in medication carts, expired medication labels, and punctured blister packs.

Inaccurate documentation of glucometer readings on MAR and failure to have certain prescribed medications available in the home.

Failure to follow prescriber's orders for scheduled glucose checks due to unavailable equipment.

The home's current license was not posted in a conspicuous and public place on the 4th floor of the 5000 building.

Staff initially refused access to the Secured Dementia Care Unit and failed to disclose the presence of a staff member available for an incident investigation interview.

Resident care plans, medication information, and communication logs were found unlocked, unattended, and accessible in various office and hallway areas.

A resident's medical evaluation incorrectly indicated they could safely avoid poisonous materials, contradicting their risk assessment.

Staff members were observed using physical positioning (feet and chairs) behind a resident's wheelchair to prevent them from moving.

The assessor failed to sign and date the support plan for a resident participating in the development process.