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- Required ProgramsPrograms & admin
Inspectors found that the home did not consistently implement its falls prevention program. Specifically, a resident who had individualized fall prevention strategies documented in their care plan was not wearing the specified fall prevention garment when they fell and sustained an injury.
- Administration Of DrugsMedication
Inspectors found that a resident did not receive a prescribed medication at the times directed by the prescriber on multiple days in March 2026. The medication ran out and was not available when scheduled, and the home's emergency medication supply did not include this drug. A staff member acknowledged the medication should have been routinely delivered by the pharmacy.
- Drug Record (Ordering And Receiving)Medication
Inspectors found that the home did not maintain complete records documenting when a medication was received. A resident's prescribed medication ran out and was reordered; the home's electronic medication administration record indicated the drug had not yet been received, but staff then documented it as administered. The pharmacy confirmed filling the prescription, but the home's drug ordering records and resident notes did not document the date the medication actually arrived at the home.