The Villa Personal Care LLC

An unlocked and unattended prescription medication (Hydrophilic Cream) was found accessible in room #315.

A resident with dementia had an enabler bar installed on their bed that they were cognitively unable to use safely.

The refrigerator/freezer in the break room used for resident bread lacked a thermometer.

A fire drill conducted on 6/5/23 failed to evacuate all 37 residents present.

Wanderguard devices caused the front door to lock when residents were near the door, obstructing egress.

Fire drills were conducted during shift changes when additional staff were present, rather than at varying times.

Bed enabler bars in rooms 208 and 210 posed an entrapment risk due to uncovered openings.

Documentation of Medical Evaluation for Resident #1 was not completed within 30 days after admission.

Prescribed medications, including glucose tabs, SSD cream, and eye drops, were not available in the home for three residents.

Acetaminophen for Resident #2 was found in the medication cart despite having expired on 1/6/23.

A medicine cup containing paste was observed unlocked, unattended, and accessible at the front desk.

Medication administration records for residents failed to include required date, time, or staff initials for certain doses.

A direct care staff person did not have a high school diploma, GED, or active nurse aide registry status on file.

A resident's preadmission screening form did not include a determination that the home could meet the resident's needs.

Emergency telephone numbers for the nearest hospital and fire department were not posted by telephones in Resident Rooms #104, #207, and #303.