The Residence at Arrowood

Two ceiling tiles in the third-floor dining room were damaged by moisture and left exposed.

Medication administration records contained inaccuracies, including documenting medications as administered when they were missed and missing staff initials.

Medication errors occurring due to lack of qualified staff were not reported to the Department within the required 24 hours.

The home failed to follow prescriber orders because no qualified staff were available to administer medications during a specific morning period.

Staffing levels were inadequate to meet resident needs, resulting in several residents not receiving prescribed morning medications.

Multiple pieces of trash, including cigarette butts, plastic silverware, and plastic bags, were found in the grass and on the pavement outside the facility.

Sanitary conditions were poor, including standing water and bugs in an ice cream freezer, cigarette butts outside, and dirty surfaces in the kitchenette.

A spray can containing poisonous material warnings was stored in the same cabinet as food items.

Carbon monoxide detector batteries in the laundry room were not updated according to annual replacement standards.

Resident medication administration records and confidential information were found in an unlocked, unattended office and an accessible filing cabinet.

During a fire drill on 10/19/22, only 26 of the 27 residents present were evacuated.

The home failed to follow prescriber orders for Humalog insulin, administering incorrect units based on the resident's blood glucose levels on multiple occasions.

A pharmacy label for Ozempic did not include a 'directions changed' sticker despite a change in dosage instructions.

An Ozempic injection pen was found in a Ziploc bag without an open date recorded.