Wellington House

The facility failed to ensure hazardous products were stored in a locked area, leaving aerosols, hand sanitizer, and personal care items unattended and accessible to residents in the Special Care Unit. Specifically, unlocked cabinets in shared bathrooms of rooms #53 and #54 contained accessible items.

The facility failed to ensure hazardous products were stored in a locked area, leaving items such as aerosols, hand sanitizer, and personal care products unattended and accessible to residents in the Special Care Unit. Specifically, unlocked cabinets and bathroom counters in rooms #53, #54, and #74 contained various lotions, hair products, and cleaning agents that could be accidentally ingested or handled by residents.

The facility failed to ensure residents were free from physical abuse by staff, as evidenced by a staff member hitting a resident with a shower head and hairbrush and other staff throwing ice at residents. Additionally, the facility failed to properly document and report significant bruising observed on a resident's face, eyes, and limbs.

The facility failed to ensure three residents were free from physical abuse by staff. Specifically, a staff member was observed hitting a resident with a shower head and hairbrush, and five other staff members were observed throwing ice at residents.

The facility failed to provide adequate supervision for a resident with dementia and a known history of wandering behaviors. This failure resulted in the resident eloping from the facility through a propped-open back door and being found 4.2 miles away.

The facility failed to provide adequate supervision for a resident with dementia and a history of wandering, resulting in the resident eloping from the facility. The investigation revealed a back door had been propped open, allowing the resident to wander 4.2 miles away before being located by police.

The facility failed to ensure that residents in the Special Care Unit (SCU) were treated with dignity and respect. Specifically, five out of nine sampled residents were not dressed in a timely manner, remaining in only shirts and briefs despite care plans indicating total dependency for dressing.

The facility failed to ensure that residents in the Special Care Unit (SCU) were treated with dignity and respect. Specifically, five sampled residents were not dressed in a timely manner, appearing in only shirts and briefs. Staff attributed the lack of dressing to COVID-19 protocols requiring residents to remain in their rooms.