Teays Valley Center

Inspectors wroteBased on observation, and staff interviews, the facility failed to maintain an effective pest control program relating to ants in room [ROOM NUMBER]. This was a random opportunity for discovery. Resident identifier: #59. Facility Census: 115.

Inspectors wroteBased on record review and staff interview, the facility failed to have a Registered Nurse on duty for eight (8) hours a day, seven (7) days a week full time. This was found to be true for one (1) of 19 days reviewed during the long term care survey process. Facility census: 120.

Inspectors wroteBased on record review and staff interview the facility failed to ensure they had verification that a bed hold policy/notice had been given to one (1) residents and/or their legal representative at the time they were transferred from the facility. Resident identifier: #50. Facility census: 120. a) Resident #50 This resident was on hospital leave from 08/22/25 until 08/27/25. The resident had capacity to make his/her own medical decisions. On 08/22/25, the resident was transferred to an acute care facility for shortness or breath with hypoxemia. A review of the medical record found no bed hold notice. This was requested from the facility on 02/17/26 at 8:45 AM. On 02/17/26 at 10:50 AM, the bed hold notice was provided by the Nursing Home Administrator (NHA), but it was not signed by the resident. [...]

Inspectors wroteBased on record review and staff interview, the facility failed to develop or implement the care plan for residents care. This was true for three (3) care plans reviewed during this survey. Resident Identifiers: #3, #9 and #63. Facility Census: 120 Findings Included: a) Resident #3 On 02/17/26 at 12:30 PM a record review of medical diagnosis for Resident #3 shows there is a diagnosis of Bipolar. A review of the care plan found no diagnosis of Bipolar under the Focus of impaired/decline in cognitive function in impaired thought processes nor any where on the care plan. On 02/17/26 at 1:00 PM the above was confirmed with the Administrator that the diagnosis of Bipolar was not developed on the care plan. b) Resident #9 On 02/17/26 at 2:40 PM record review of Resident #9s care plan shows his preference as having a shower as he is dependent with all care based on his medical diagnoses. [...]

Inspectors wroteBased on record review and staff interview the facility failed to administer Activities of Daily Living assistance with residents. This was true for three (3) of five (5) records reviewed. Resident Identifiers: #9, 57, 59. Facility Census:120 . a) Resident #59 02/17/26 1:43 PM a review of Resident #59's hygiene tasks did not indicate the resident refused care, instead it stated the care was not applicable. This made it appear that no attempt was made to provide oral care to resident. This was discussed with nursing home administrator on 02/17/26 at 1:40 PM. b) Resident #57 02/16/26 9:54 AM an observation revealed the resident had severe plaque build up on teeth. The care plan called for teeth brushing twice a day.02/17/2026 12:28 PM during an interview with the DON at 11:48 AM the DON confirmed staff was not checking resident refused and instead checking not applicable. [...]

Inspectors wroteBased on observation and staff interview facility failed to ensure food is stored, prepared and served in a sanitary manner, and cleaning of the kitchen is kept at facility policy standards. This observation was from the annual Long Term Care Facility Survey process. This deficient practice had the potential to affect more than a minimal number of residents who received nutrition from the kitchen. Facility census: 120.

Inspectors wroteBased on record review and staff interview the facility failed to educate, offer and obtain declination or consent or administered for the COVID-19 2024-2025 and/or COVID-19 2025-2026 immunizations. This was true for five (5) of seven (7) Residents screened for immunizations. Resident Identifiers: #37, #49, #70, #89 and #91. Facility Census: 120. Findings Included: a) Resident #37 On 02/18/26 at 9:30 AM record review shows Resident #37 was admitted on [DATE]. Further record review showed the resident had not been administered nor consented/declination of COVID-19 vaccinations for the 2024-2025 or the 2025-2026 COVID-19 boosters. On 02/18/26 at 10:00 AM the above was confirmed with the Director of Nursing. b) Resident #49 On 02/17/26 at 9:02 AM record review of COVID-19 immunizations for Resident #49 showed this resident had received every vaccination offered to her. [...]

Inspectors wroteBased on observation, staff interview and resident interview, facility failed to ensure an effective pest control program is in place. This was found during the Annual Long Term Care Facility Survey process. Facility census 120. Resident identifiers: #8, #21, #40, #70, #104 and #99.

Inspectors wroteBased on medical record review and staff interview the facility failed to ensure they gave a resident the right to have their food preferences honored. Resident identifier: #105. Facility census: 120. a) Resident #105 The resident was first admitted to the facility on [DATE]. Resident #105 was on hospital leave on two occasions, 11/24/25 - 12/7/25 and 01/07/26 - 02/05/26. During an interview with the resident on 02/16/26 at 11:07 AM, when asked about the food at the facility, the resident stated the facility gives her oatmeal and eggs every day, and she does not want these. She further stated she was lactose intolerant. When asked if the facility had asked her about her food preferences, she stated no. Surveyor requested from Dietary Manager #31 on 02/16/26 at approximately 1:50 PM, to see this resident's dietary preferences. [...]

Inspectors wroteBased upon observation, resident interview and staff interviews, the facility failed to maintain a safe, clean, comfortable homelike environment for residents. This was found to be true for four (4) of 46 residents reviewed during the long term care process. Resident identifiers: #39, #93, #17, #33. Facility census: 120.

Inspectors wroteBased on record review and staff interview the facility to administer the Respiratory Syncytial Virus (RSV) vaccine as set forth by the Centers of Disease Control and Prevention (CDC) and facility Procedure and Policy #IC605. This was true for two (2) of five (5) RSV immunization records reviewed. Resident Identifiers: #89 and 91. Facility Census: 120 Findings Included: a) Resident #89 On 02/17/26 at 9:10 AM record review of facility immunizations found that Resident #89 had not been administered a Respiratory Syncytial Virus (RSV) vaccine. According to the facility policy #IC605, Respiratory Syncytial Virus (RSV) Vaccinations provided by the Director of Nursing: .The Center will provide the opportunity for patients to receive the Respiratory Syncytial Virus (RSV) immunization based on shared clinical decision making between the patient/representative and the provider. [...]

Inspectors wroteBased on record review and staff interview the facility failed to ensure one (1) resident had orthotics in place for a contracture and range of motion. This was true for one (1) of three (3) residents reviewed for limited range of motion. Resident identifier: #103. Facility Census: 120. a) Resident #103 02/17/2026 3:20 PM a medical record review revealed Resident #103 was supposed to have a Left Resting Hand Splint applied daily as tolerated. The staff were supposed to attempt to get at least 2 fingers under the straps. In the care plan, it stated the resident would refuse the heel protectors but there was no mention of the resting hand splint. In a review of tasks in the care plan,there was no documentation of staff attempting to don the heel protectors. [...]

Inspectors wroteBased on record review and staff interview the facility failed to ensure the environment is free from accident hazards over which it has control. This was a random opportunity for discovery. Resident Identifier: #63 Facility Census: 120 Findings Included: a) Resident #63 On 02/16/26 at 11:48 AM while walking through the 500 hall it was observed that Resident #63 was absent from his room and his bed mattress did not have a sheet on it. At that time is was observed the mattress was a standard mattress. Upon stopping Registered Nurse (RN) #93 and asking what type of mattress she would describe on the bed, she stated, a standard mattress. The surveyor ask her if a resident is ordered a defined perimeter mattress, would it look like this? She stated, No, they are built up a little on the edges to assist in prevention of the resident falling out of the bed. [...]

Inspectors wroteBased on observations, staff and resident interviews the facility failed to maintain food items in their personal refrigerators to ensure safe and sanitary storage, handling, and consumption. This was true for five (5) of six (6) personal refrigerators observed. Resident Identifiers: #29, #46, #52, #75, #98. Facility Census: 120 Findings Include:On 02/15/26 at 11:00 AM observation of the following personal refrigerators found the temperatures had not been performed on a daily basis. Upon further observation it was found that the refrigerators were dirty, had unlabeled food items in them as well as expired food items, making them unsafe. According to the Food and Nutrition Services Refrigerator/Freezer Temperature Log that is placed on the front of each personal refrigerator in their room Resident #29's refrigerator had not had the temperature checked daily as required. [...]

Inspectors wroteBased upon record review and staff interview, the facility failed to ensure an accurate and complete medical record related to informing the resident or resident's representative in advance, of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options and to choose the alternative or option he or she prefers. This was found to be true for one (1) of one (1) resident reviewed during the long term care survey process. Resident identifier: #50. Facility census: 120.

Inspectors wroteBased on record review and staff interview the facility failed to administer the Influenza vaccine in a timely manner in order to prevent the spread of influenza and its complication. The facility failed to follow the current recommendation from the Center for Disease Prevention and Control (CDC) guidance for the Influenza vaccine. This was true for one (1) of five (5) Influenza immunization records reviewed. Resident Identifiers: #91. Facility Census: 120 Findings Included: a) Resident #91 On 02/17/26 at 9:30 AM record review for Resident #91 immunizations shows the resident was not administered an influenza immunization. [...]

Inspectors wroteBased on record review and staff interview, the facility failed to ensure resident had a person-centered comprehensive care plan, developed and implemented, with specific interventions of care to address the resident's medical, physical, mental, and psychosocial needs for (one) 1 of (thirteen) 13 sampled residents reviewed. Resident #120's care plan failed to address resident being assessed as high fall risk. Census: 115Findings Included: a) Resident #120On 10/21/25 a review of document titled Fall Risk Evaluation completed upon admission [DATE], effective 09/21/24 revealed the following: Resident #120 upon admission had a history of falls (past 3 months): (one)1- (two)2 falls in past (three) 3 months. Level of consciousness / mental status: Disoriented x (three) 3 at all times. Resident is chairbound / continent. Predisposing disease: 1-2 present. [...]

Inspectors wroteBased on observation, record review, staff interview and resident review, the facility failed to provide liquids in the correct consistency to meet the resident's individual needs. This was true for five (5) of five (5) residents that were ordered nectar thickened liquids. This created an immediate jeopardy situation as residents could be physically harmed and suffer possible complications such as aspiration pneumonia by not receiving their liquids in the correct consistency. Resident identifiers: #73, #1, #12, #14, #62. Facility Census:

Inspectors wroteBased on observation, resident Interview and Record review the facility failed to ensure the resident environment was clean and in good repair. This was true for three (3) resident rooms on the 400 and 500 halls. Room identifiers: #404, #407, and #500. Facility census: 115. Findings Include: a) Resident Rooms During and initial tour of the facility on 12/09/24 the following issues were identified in resident rooms: room [ROOM NUMBER] - The blind had brown stains on it. The floor had a pink substance which was not able to be wiped up. The top of the toilet tank did not fit the tank appropriately and the sink was not affixed to the wall completely. room [ROOM NUMBER]- The light fixture in the bathroom was dislodged from the ceiling and was hanging down. The light fixture was also covered in dust. [...]

Inspectors wroteBased on record review, staff interview, resident interview and observation, the facility failed to provide an accurate Minimum Data Set (MDS) for five (5) of 34 residents. MDS issues were found with Resident #10's hearing assessment, Resident #99's intravenous (IV) access, a cancer diagnosis for Resident #93, the use of insulin for Resident #79 and Resident #56's dental status. Resident Identifiers: #10, #99, #93, #79 and #56. Facility Census: 115.

Inspectors wroteBased on record review and interviews the facility failed to develop and implement comprehensive care plans. This was found true for 12 of 34 residents' care plans reviewed. Resident identifiers: #48, #26, #366, #61, #103, #70, #102, #12, #99, #93, #65, and #98. Facility census:115.

Inspectors wroteBased on record review and staff interview, the facility failed to revise the care plan for five (5) of 34 residents reviewed during the survey process. Care plan revisions were notdone for Resident #31's actual fall, a house supplement for Resident #266, an incorrect diagnosis for Resident #79 and psychiatric diagnoses for Resident #55. Resident Identifiers: #31, #266, #79 and #55. Facility Census: 115. Findings Include: a) Resident #31 On 12/14/24 at 2:08 PM, a record review was completed for Resident #31. The review found the care plan focus of at risk for falls: decreased mobility. However, the resident did have an actual fall on 12/09/24. On 12/16/24 at 12:19 PM, the Administrator was notified and confirmed the care plan had not been revised regarding the actual fall. b) Resident #266 On 12/14/24 at 3:30 PM, a record review was completed for Resident #266. [...]

Inspectors wroteBased on record review and staff interview the facility failed to ensure Resident #97 who is dependent on staff for showering received at least two showers per week as scheduled. This was true for one (1) of four (4) residents reviewed for the care area of Activities of Daily Living (ADLS) during the long term care survey process. Resident Identifier: 97. Facility Census: 115. Findings Include: a) Resident #97 A review of Resident #97's medical record on 12/11/24 at 1:11 PM, found Resident #97 was scheduled to receive a shower twice a week on Monday and Thursday. From 09/01/24 through 12/11/24 the resident should have received 29 showers. She only received 10 showers; she refused one shower on 12/02/24. She received a shower on the following dates: 09/02/24 09/09/24 10/03/24 10/07/24 10/24/24 10/25/24 11/04/24 11/07/24 11/21/24 and 11/25/24. [...]

Inspectors wroteBased on record review, observation, resident interview and staff interview the facility failed to ensure residents were provided with the care and services to enable them to maintain and/or attain their highest practicable physical, mental and psychosocial well being. This was true for four (4) of 34 sampled residents. Resident identifiers: #98, #99, #89 and #26. Facility Census: 115. Findings Include: a) Resident #98 During an interview with Resident #98 on 12/09/24 at 12:36 PM, she stated she had a lot of trouble with being Compacted in her bowels and it causes her pain. She stated, I don't know why they can not just give me stool softeners or anything to help with it. [...]

Inspectors wroteBased on record review and staff interview, the facility failed to ensure nutritional maintanence was maintained for Resident #266, #102, #12, #65 and #98. This was true for five (5) of six (6) residents reviewed under the care area of nutrition. Resident Identifiers: #266, #102, #12, #65 and #98. Facility Census: 115. a) Resident #266 On 12/16/24 at 3:25 PM, a record review was completed for Resident #266. The record review found the resident was noted to have significant weight loss. The care plan focus area was at nutritional risk related to advanced age, therapeutic and mechanically altered diet and dysphagia. An intervention listed house supplement day as ordered. (Typed as written.) However, the resident was scheduled to receive the house supplement twice daily. [...]

Inspectors wroteBased on resident interview, staff interview and record review, the facility failed to ensure three (3) of four (4) resident's food allergies were acknowledged. food the Resident (#103) was allergic to was not served and the Resident #70 and #61 tray cards were accurate for documented food allergies. This was true for three (3) of four (4) residents with food allergies. Resident indentifiers: #103, #70, #61. Census: 115. a) Resident #103 Resident #103 reported she was served shrimp on 11/10/24 for the lunch meal. Documentation and patient report stated the resident was allergic to shellfish. On 12/16/ 24 3:08 PM the resident reported she had a severe reaction to shellfish. The resident reported her face swells, she gets puffy patches on skin and her skin is itchy. The resident stated, If severe, I have problems breathing. In the past, I had to go to the hospital. [...]

Inspectors wroteBased on observation, record review and staff interview, the facility failed to store and label food and store utensils and in accordance with professional standards for food service safety. This failed practice had the potential to affect more than a limited number of residents. Facility Census: 115 Findings confirmed by the Certified Dietary Manager (CDM) on 12/09/24 during the initial kitchen investigation initiated at 11:00 AM included: a) A Ziploc bag of soup was opened and not labeled or dated. b) An opened pie crust was not dated. c) A trash bag of French bread loaves tied in a knot that were not labeled or dated. d) Serving utensils were stored in a drawer in the dining room with handles all turned different ways. The CDM reported the cook likes to keep her serving utensils in the drawer. The CDM stated, She keeps this drawer. [...]

Inspectors wroteBased on observation, record review and staff interview, the facility failed to properly dispose of garbage in accordance with professional standards for food service safety and to ensure garbage was not hanging out of the trash can and onto clean pots and pans in the surrounding area. This failed practice had the potential to affect more than a limited number of residents. Facility Census:

Inspectors wroteBased on record review and staff interview the facility failed to ensure the resident record was complete and accurate for four (4) of 34 sampled residents reviewed during the long term care survey. Resident identifiers: #99, #56, #14 and #55. Facility Census: 115. Findings Include: a) Resident #56 During an observation, of Resident #56, on 12/09/24 at 2:30 PM, during the initial phase of the Long term care survey process it was noted Resident #56 had multiple missing teeth and the teeth remaining were in poor repair. An observation completed with the Director of Nursing (DON) on 12/11/24 at 3:00 PM found the resident had multiple missing teeth but did have some teeth remaining. Review of the residents record found a dental consultation dated 04/19/24. This consult indicated the resident had the following missing teeth 1, 2, 7-10, 13-19, 21-32. [...]

Inspectors wroteBased on record review and staff interview the facility to provide a notice and/or an accurate notice of the discharge to the resident, resident family and/or the receiving facility to ensure a safe and orderly continuance of care. This was true for Resident #99 on two (2) of three (3) of her transfers to an acute care facility. Resident identifier: #99. Facility Census: 115.

Inspectors wroteBased on record review and staff interview, the facility failed to ensure an accurate accounting of bed - hold days was provided to Resident #99's healthcare decision maker when the resident was discharged from the facility to an acute care hospital. This was true for three (3) of three (3) discharges reviewed. Resident identifier: #99. Facility Census: 115.

Inspectors wroteBased on record review and staff interview, the facility failed to identify diagnoses for two (2) of three (3) residents reviewed for the area of pre admission screening and resident review (PASARR). Resident identifiers: #55 and #18. Facility census: 115 a) Resident #18 A diagnosis of Bipolar Disorder and Post-Traumatic Stress Disorder (PTSD) were not identified on the most recent PASARR dated 11/14/23 for Resident #18. On 12/17/24 11:45 AM, the State Surveyor reviewed and confirmed the discrepancies with the orders, care plan and PASARR with the Director of Nursing. [...]

Inspectors wroteBased on resident interview record review and staff interview the facility failed to provide, based on the comprehensive assessment and care plan and the preferences of each resident, an ongoing program to support residents in their choice of activities by failing to identify religious preferences in the care plan. This failed practice was found to be true for one (1) of three (3) residents reviewed under the activities care area during the Long-Term care survey process. Facility census:115 Resident identifier:#48

Inspectors wroteBased on record review, staff interview, resident interview and observation, the facility failed to evaluate Resident #10's hearing impairment. This was true for one (1) of three (3) residents reviewed under the care area of activities of daily living. Resident identifier: #10. Facility Census: 115. Findings Include: a) Resident #10 On 12/10/24 at approximately 11:30 AM, the resident was interviewed and found to be hard of hearing. A record review found the care plan recognized impaired communication due to impaired hearing. The medical record was not found to have any information regarding a hearing test or an assessment for hearing aids. On 12/16/24 at 5:15 PM, the Director of Nursing (DON) confirmed the resident did have impaired hearing and a hearing assessment had not been performed since admission to the facility on [DATE] .

Inspectors wroteBased on observation, record review and staff interview, the facility failed to ensure residents receive proper treatment and care to maintain mobility and good foot health. This was true for one (1) of four (4) residents reviewed for activities of daily living during the long-term care survey process. Resident identifier: #97. Facility Census: 115.

Inspectors wroteBased on observation, record review and staff interview, the facility failed to wear proper personal protective equipment (PPE) with Resident #12 during activities of daily living (ADL) and wound care while in Enhanced-Barrier Precautions (EBP). This was a random opportunity for discovery. Resident identifier: #12. Facility Census: 115.

Inspectors wroteBased on observation and staff interview, the facility failed to provide a safe, sanitary, and homelike environment. Resident room walls were in disrepair. This was a random opportunity for discovery. Room identifier: #500, # 618 and #316. Facility census: 113.

Inspectors wroteBased on interview, record review and policy review the facility failed to make prompt efforts to resolve a grievance and to keep the resident notified of progress toward the resolution. This was true for four (4) of four (4) residents reviewed during the Long-Term Care Survey Process (LTCSP). Resident identifiers: #45, #6, #2 and #10. Facility census: 113. Findings Included: a) Facility Policy Record review of the facility's policy titled, Grievance / Concern, revision dated 07/19/23, showed: -Upon receipt of grievance/concern, the Grievance/Concern form will be initiated by the staff member receiving the concern. -Upon receipt of the Grievance/Concern Form, the Administrator or designee will document the grievance/concern on the Grievance/Concern Log. -Notify the person filing the grievance of the resolution in a timely manner. [...]

Inspectors wroteBased on observation and staff interview the facility failed to have the cabinet under the steam table cleaned and sanitized. This has the potential to affect all residents who receive their nutrition from the kitchen. Facility Census: 113.

Inspectors wroteBased on facility record review and interview the facility failed to explain the Binding Arbitration Agreement in a form and manner residents or Resident Representatives can understand. This has the potential to affect all residents or Residents Representatives that sign a Binding Arbitration Agreement. Facility Censes: 113.

Inspectors wroteBased on observation, record review, and staff interview, the facility failed to establish and maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections. The glucometer was not cleaned with a cleaning solution approved by the manufacturer. This deficient practice had the potential to affect residents residing in the unit who receive blood glucose monitoring by fingerstick. Resident identifiers: #324, #178, #179, #51. Facility census: 113.

Inspectors wroteBased on record review and staff interview, the facility failed to document the correct discharge destination of Resident #123. This is true for one (1) of two (2) residents reviewed under the care area of hospitalization. Resident Identifier: #123. Facility Census: 113. Findings Included: a) Resident #123 On 10/31/23 at 1:00 PM, a record review was completed for Resident #123. The review found the Minimum Data Set (MDS) Discharge Return Not Anticipated dated 09/05/23 listed the discharge destination of acute hospital. However, the resident was discharged to home with family. The following progress note dated 09/05/23 at 5:07 PM states, Resident discharging home at this time via (Name of ambulance company). Daughter at bedside. Went over discharge paperwork including medication list, no questions concerns. No s/s (signs/symptoms) of acute distress prior to leaving. No complaints/needs. [...]

Inspectors wroteBased on record review and staff interview, the facility failed to coordinate with the appropriate, State-designated authority, to ensure individuals with a mental disorder, intellectual disability or a related condition receives care and services in the most integrated setting appropriate to their needs. This is true for one (1) of two (2) residents reviewed during the survey process. Resident Identifier: 12. Facility Census: 113. Findings Included: a) Resident #12 At approximately 2:40 PM on 10/31/23, a review of Resident #12's records were conducted. During this review, it was determined the resident was admitted to the facility on [DATE] with no diagnosis of a Level II mental illness. Record review indicated Resident #12 was diagnosed with Major Depressive Disorder on 3/13/17 and the PASARR was not revised to reflect this diagnosis. [...]

Inspectors wroteBased on record review and staff interview, the facility failed to develop a care plan regarding a wound infection and intravenous (IV) antibiotic therapy for Resident # 329. This is true for one (1) of 26 residents reviewed during the survey process. Resident #329. Facility Census: 113. Findings Included: a) Resident #329 On 11/01/23 at 12:30 PM, a record review was completed for Resident #329. The review found a care plan had not been developed regarding a wound infection and IV antibiotic therapy for Resident #329. The resident was admitted to the facility on [DATE]. The resident arrived to the facility with a physician's order for Ertapenem Sodium Injection Solution 1 (one) Gram use 500mg (milligram) IV every day through 11/17/23 for an infection which was chronic multifocal osteomyelitis of the left foot and ankle. [...]

Inspectors wroteBased on observation, record review, and staff interview, the facility failed to revise the comprehensive care plan when residents' needs and conditions changed. This deficient practice had the potential to affect two (2) of 26 residents reviewed in the long-term care center. Resident identifiers: #54 and #70. Facility census: 113.

Inspectors wroteBased on record review, resident interview, and staff interview, the facility failed to ensure residents receive proper treatment and assistive devices to maintain vision and hearing abilities, by failing to make appointments and arrange transportation to and from the office of the practitioner. This is true for one (1) of two (2) residents reviewed during the survey process. Resident Identifier: #424. Facility Census: 113. Findings Included: a) Resident #424 At approximately 12:55 PM on in 10/30/23, an interview with Resident #424 revealed they had been trying to obtain an appointment with an audiologist for almost a year. Resident #424 states they have hearing problems and it is critical they see an audiologist in a timely manner and they want to go outside of the facility to see the audiologist. [...]

Inspectors wroteBased on observation and staff interview, the facility failed to dispose of expired over-the-counter(OTC) medications appropriately and store medication in a safe and secure location. These were random opportunities for discovery. Facility Census: 113. Findings Included: a) Expired Medication On [DATE] at 8:13 AM, while observing medication administration, Licensed Practical Nurse (LPN) #79 needed an over-the-counter (OTC) medication from central supply. While in central supply, an observation found four (4) unopened bottles of Calcium Citrate which expired in July, 2023. On [DATE] at 8:15 AM, LPN #79 confirmed the OTC medication was expired. On [DATE] at 8:20 AM, the Interim Director of Nursing (IDON) was notified and confirmed the medication should have been disposed of upon expiration. [...]

Inspectors wroteBased on record review and staff interview, the facility failed to maintain a complete and accurate medical record for Resident #41. This is true for one (1) of two (2) residents reviewed under the care area of hospitalizations. Resident Identifier: #41. Facility Census: 113. Findings Included: a) Resident #41 On 10/31/23 at 1:00 PM, a record review was completed for Resident #41. The review found the resident had been transferred to an acute care facility multiple times. Upon reviewing the transfer forms, the following had an incorrect date and time of transfer: [...]