Woodbridge Place

A direct care staff person did not receive training in safe management techniques or care for residents with mental illness/intellectual disabilities.

Two staff members were hired without completed criminal background checks.

A direct care staff person received only 8 hours of required annual training.

A sign containing protected health information was posted on the outside of a resident's door.

The home failed to report incidents of suspected resident abuse, unauthorized use of a resident's debit card, and a resident's purse being found in a trash can to the local area agency on aging.

The home failed to develop a plan of supervision or suspend a staff person following an allegation of resident abuse.

The home failed to report incidents involving verbal abuse and found property to the Department's regional office or complaint hotline within 24 hours.

A resident's medical evaluation lacked necessary information regarding health status and medical information pertinent to emergency treatment.

A wood bed frame was observed obstructing the egress route at the Memory Care Unit's back door exit.

The home's administrator has not successfully completed a Department-approved orientation program.

The laundry room door in the Memory Care Unit was found unlocked and accessible to residents, posing a risk regarding poisonous materials.

The incident involving the resident was not reported to the Department's regional office or complaint hotline within 24 hours.

An allegation of abuse involving a staff member forcing a resident into a shower was not reported to the Older Adult Protective Services.

A resident's home contract was not signed by the resident.

The home failed to place the involved staff person on suspension or implement an approved supervision plan following the abuse allegation.

A bathroom used by residents lacked an operable window or ventilation fan.

Weekly menus for the upcoming week were not posted in the main kitchen dining area and Lilac Terrace.

Discontinued medications, including Nystatin, Glucagen, and Glutose 15 gel, were found in medication carts.

Poisonous materials, including body wash and antiperspirant, were left unlocked and accessible to residents.

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

The dumpster located at the back of the home was found uncovered.

A large carpet stain was observed outside a common bathroom, and a strong odor of urine was noted on the second floor.

Staff exposed a resident's back during medication administration in the dining area, and an unannounced Amazon Echo Dot was in use without privacy signage or policy.

The facility did not have a staff training plan developed for the year 2024.

A resident's bedroom door in the memory care unit was difficult to open, requiring force, which hindered wheelchair access.

A caregiver slapped a resident's hand during care, causing the resident to yell and appear scared.

A staff member was suspended and returned to work without an approved supervision plan being submitted to the Department.

Poisonous material (Colgate PreviDent 5000) was found unlocked, unattended, and accessible to a resident in their room.

The home failed to provide a required refund and itemized account of funds to Resident #1 within 30 days of discharge.