Vineyard Park at Queen Anne Manor

The facility failed to provide a written policy on accepting Medicaid as a payment source, obtain a date and signature of the resident, and keep the signed policy in their record for 2 of 4 residents reviewed.

The facility failed to ensure medications were available in the facility, placing residents at risk for health issues due to missed medications.

The facility reduced and then eliminated registered nurse hours (from 40 hours per week to effectively 0 in practice) without providing the required 30-day written notice to residents and their representatives.

Facility failed to include preferences for hobbies and activities in the assessments for 11 residents on the Memory Care Unit, risking the lack of a tailored activity program.

Facility failed to develop or provide a Disclosure of Services form, resulting in residents being unaware of available care and services.

Facility could not provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months; multiple drills missing for all shifts.

Fire/smoke damper inspection documentation was not provided.

Documentation for annual report, sensitivity testing, and monthly single/multiple station alarms test was not provided.

Annual 90-minute power test had not been performed and documented.

Missing cover on receptacle found in Memory Care #1 nurses desk.

Stairwell door by room 226 and double doors by the second-floor elevator will not latch.

Sensitivity testing documentation was not provided.

Missing annual service report, log of weekly inspections, monthly 30-minute full load test, and diesel fuel testing.

A power strip was found plugged into another power strip in the wellness office.

Missing documentation for annual report, 5-year internal pipe testing, 3-year dry system test, annual trip test, annual fire pump test, 5-year FDC hydro test, and quarterly inspections. Missing escutcheon in basement.

Carbon monoxide alarms and detectors need to be tested, maintained, and documented on a monthly schedule.

Facility failed to identify and establish a schedule for annual inspection of fire doors.

Documentation for first and second semi-annual hood cleaning was not provided.

Documentation for first and second semi-annual fire-extinguishing system servicing was not provided.

Monthly 30-second activation testing has not been performed and documented.