The Springs of Ballentine

The facility failed to ensure a medication order was clarified with a physician for a medication used to treat seizures or manage bipolar disorder. Specifically, Divalproex 250mg was being administered to a resident despite the absence of a signed physician's order for that specific dosage and timing.

The facility failed to ensure physician orders were clear and complete regarding medication administration. Specifically, for Resident #4, there was a discrepancy where Divalproex 250mg was being administered according to the eMAR, but the medication was not listed on the physician's signed orders dated 09/22/25.

The facility failed to ensure therapeutic diets were served as ordered for a resident requiring a pureed diet with nectar-thickened liquids. Observations showed the resident was served thin water and thin iced tea instead of thickened liquids, and the facility lacked instructions on how to modify the consistency of ice cream.

The facility failed to ensure therapeutic diets were served as ordered for a resident requiring a pureed diet with nectar-thickened liquids. Specifically, the resident was served thin water, thin iced tea, and regular consistency ice cream instead of the physician-ordered thickened liquids and modified textures.

The facility failed to ensure that walls, ceilings, and floors or floor coverings were kept clean and in good repair. Specifically, rust was observed on a heater and missing paint was noted on a wall in a common bathroom, with similar maintenance issues identified across multiple resident rooms and bathrooms on both the North and South Halls.

The facility failed to maintain walls, ceilings, and floors in a clean and good state of repair. Specific issues included rust on heaters and floors, chipped plaster, missing floor tiles, and dust accumulation on ceiling vents in multiple common bathrooms and resident rooms.

The facility failed to maintain the cleanliness and safety of furnishings and floor surfaces. Specifically, floors in the resident hall were found to be soiled with dirt and debris, and a bathroom door frame was noted as damaged.

The facility failed to maintain clean and well-repaired walls, floors, and fixtures in the men's hall and common bathrooms. Specific issues included broken tiles, rotted door frames, and damaged paper towel/toilet paper holders. Additionally, urine stains, dirt, and grime buildup were observed on floors and baseboards in resident rooms and common areas.