Zerbe Sisters Nursing Center

Staff Member B, who is not a licensed professional and lacks the required waiver, administered Ozempic subcutaneous injections to Resident #1.

Unlabeled food was found in both the activity kitchen and dining room refrigerators, including a cooked cheeseburger without a preparation date.

The facility failed to meet the 6-minute maximum evacuation time during a fire drill held on 10/20/23, taking 6 minutes and 38 seconds.

A fire drill during sleeping hours was not conducted at least once every 6 months, as 7 months had passed between the drills on 03/27/23 and 10/20/23.

The resident-home contract for Resident #1 was not signed by the designated person indicated in the contract.

Five of the seven exterior steps leading from the exit door to the grass lack a non-skid surface.

Medication administration training records for two staff members did not include documentation of successful completion of a Department-approved course and competency test.

The resident's support plan failed to document how a specific medical need identified in a physician's order would be met.

Resident #1 did not have a new assessment completed to address a significant change in condition regarding incontinence and toileting assistance.

A resident's new diagnosis of Macular Degeneration on 11/27/2017 was not documented or assessed for needs in the current assessment.

The trash can next to the dishwashing station did not have a lid and was full of trash.

Seven boxes of ice cream cups were stored directly on the floor of the walk-in freezer.

Medical Administration Records (MAR) contained inaccurate blood glucose measurements that did not match the readings stored in the residents' glucometers.