The Villa St Elizabeth

The facility failed to follow a resident's diet order change from a mechanical soft diet to a regular diet.

The annual fire safety inspection and supervised fire drill was conducted more than one year and 15 days after the previous one.

The medication cart located in the dining room was found to be unlocked and unattended.

The window in room #1 did not have a window covering, such as shades, drapes, blinds, or shutters.

A staff member was observed checking a resident's blood sugar and administering insulin at the lunch table in view of other residents.

The weekly menu for the week following 09/01/24 was not posted in a conspicuous place.

The main exit/entrance door on the 1st floor was obstructed by a velvet rope and metal stands spanning the entire width of the door.

Two first aid kits were missing required supplies, including thermometers, eye coverings, scissors, and gauze.

Two garbage cans in the kitchen were observed without lids while containing food waste.

Towels were placed across the threshold of a stairwell exit door, creating a tripping hazard and obstructing egress.

Resident #1's support plan was not updated to reflect behaviors regarding hoarding, package monitoring, and the need to coordinate care with physicians.