Warrior Run Heritage House

The telephone number for the local ombudsman was not posted in a conspicuous and public place.

A criminal background check was not requested for a newly hired staff person prior to them performing tasks.

A direct care staff person did not receive required training in care for residents with dementia and cognitive impairments.

Staff members did not receive required annual training in resident rights, the Older Adult Protective Services Act, and fire safety.

A cat was observed on the kitchen counter near food items, compromising sanitary conditions.

The medication administration record for resident 2 was incomplete regarding a specific medication stored in the medication cart.

The kitchen dishwasher was leaking, causing a puddle of water on the floor and affecting a shelf in the basement.

The home did not post a copy of the Department of Human Services Chapter 2600 Personal Care Homes regulation book in a conspicuous and public place.

There was no thermometer present in the kitchen refrigerator to monitor food temperature.

The home failed to report an incident to the Department's regional office involving a resident walking in the road and expressing suicidal ideation.

Staff failed to use positive interventions or adequate monitoring to ensure resident safety after the resident stated they wanted to 'play in traffic'.

The resident's support plan was not updated to reflect recent incidents of wandering into the road or expressed desires for self-harm.

A staff member was passing medications without having completed the required annual department-approved Medication Administration training.

The exit door in the common area near resident room #5 was difficult to open, potentially preventing immediate egress during an emergency.

A direct care staff member was hired without a high school diploma, GED, or active registry status.

The lint trap in the basement dryer contained a handful of lint, posing a fire hazard.

A grab assist bar on a resident's bed was not securely attached, posing a limb entrapment hazard.

A kitchen window was left open without a screen, allowing potential entry for insects and rodents.

A five-inch step down at the west exit did not have a handrail installed.

The west exit of the building lacked exterior lighting.