The Village House

Only one staff member was present during the overnight shift, failing to meet the resident's need for two-person assistance during transfers.

The weekly menu posted in the hallway did not include the specific dates for the meals.

An ancillary staff member was transporting residents in the home vehicle without having completed the required initial direct care staff training.

The first aid kit in the home's transport van was missing adhesive bandages and tweezers.

A staff person had not received required annual fire safety training.

An uncovered, unattended trash can was found in the Woodlands kitchen.

The temperature in the upright freezer in the shared skilled nursing facility was 11 degrees Fahrenheit.

Undated bags of broccoli and boxes of popsicles were found in the freezers.

An egress door was equipped with a magnetic coded locking system without required written approval or variance.

Fire drills only utilized the dining room and laundry room hallway exits, failing to use alternate exit routes.

A staff member yelled at a resident during lunch service, failing to treat the resident with dignity and respect.

Continuous air draw ventilation was not functioning in the private bathrooms of resident rooms #12 and #21.

The bedside lamp for resident #2 was not operational because the light bulb was partially unscrewed.

Resident #1's support plan did not include the name, address, and telephone number for all of the resident's sources of health care.

Quality management meetings conducted in 2021 did not include the review and evaluation of staff person training.

There was no thermometer located in the freezer section of the refrigerator/freezer in the Nutrition room.

Fire drill records from several dates in 2022 failed to include the number of residents in the home or the number of residents evacuated.

Evacuation times during certain fire drills exceeded the maximum safe evacuation time of 8 minutes and 59 seconds.

An allegation of resident abuse involving staff pinching a resident was not reported to the Area Agency on Aging.

The home failed to immediately implement a plan of supervision or suspend the staff person involved in the alleged abuse incident.