Waverly Heights

Fire drill records failed to include the number of residents in the home and the number of residents evacuated at the time of the drills.

A resident's medication record was inaccurate, including a medication (Folic Acid) that the resident had stopped taking.

Medications were found unlocked, unattended, and accessible in a shared resident room.

The home failed to report incidents of missed medications to the department within the required 24-hour timeframe.

A controlled substance log containing confidential resident information was left unlocked, unattended, and accessible on top of a medication cart.

Sanitary conditions were compromised when blood was found on the back of resident prescription bubble packs.

A resident did not have access to an operable lamp or light source at their bedside.

A resident had not received a required annual medical evaluation.

The resident-home contract dated 6/29/24 was not signed by the resident.

The resident's record did not contain a signed statement acknowledging receipt of resident rights and complaint procedures.

The resident had not been educated on their right to question or refuse medication in the event of a suspected error.

A resident did not have a medical evaluation by a physician, physician's assistant, or certified registered nurse practitioner documented on the required Department form.

A resident was admitted to the home without a completed preadmission screening form on the Department's required form.

The home had two boilers with expired certificates that had expired on 2/3/22.

Emergency telephone numbers for the nearest hospital and fire department were not posted by the telephone in bedroom W231.

Multiple items in dry food storage and the walk-in freezer were past their use-by or best-by dates.

Loose white oval and circular brownish pills were found on the Windsor and Devonshire medication carts.

The home failed to submit an incident report to the Department within 24 hours regarding a resident missing multivitamins on April 24 and 25, 2021.

A resident's medical evaluation did not include their health status.

The home failed to place a medication change label on a prescription bottle following a new doctor's order.

The home failed to follow prescriber's orders as a resident's multivitamin was unavailable for administration on April 24 and 25, 2021.