Inspection Reports for Woodridge Village
17650 GENERATIONS DR, SOUTH BEND, IN, 46635
Back to Facility ProfileInspection Report Summary
The most recent inspection on July 2, 2025, identified multiple deficiencies across areas including resident rights postings, personnel records, medication administration, food sanitation, emergency preparedness, mental health care, and infection control documentation. Earlier inspections showed a pattern of similar issues, such as medication management, incomplete care plans, inadequate staff training and certification, fire drill deficiencies, and infection control concerns. Complaint investigations were mostly unsubstantiated, with the exception of a few substantiated complaints related to medication administration, resident rights, and staffing that resulted in cited deficiencies but no fines or enforcement actions were listed in the available reports. Prior reports noted ongoing challenges with maintaining proper documentation, staff qualifications, and facility safety measures, including failure to conduct required fire drills and secure medications. The inspection history indicates persistent regulatory issues without clear improvement over time, as deficiencies have recurred in multiple areas across inspections.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
19.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
364% worse than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
24
18
12
6
0
Census
Latest occupancy rate
55 residents
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 55
Deficiencies: 17
Date: Jul 2, 2025
Visit Reason
This visit was for a State Residential Licensure Survey conducted on July 1 and 2, 2025, to assess compliance with state regulations.
Findings
The facility was found noncompliant in multiple areas including residents' rights postings, availability of annual survey results, lack of written policies, personnel records deficiencies, incomplete resident evaluations and care plans, medication administration issues, food storage and sanitation problems, medication security, emergency binder completeness, mental health screenings and care planning, and infection control documentation.
Deficiencies (17)
Failed to ensure posted information regarding local and state agency addresses and phone numbers was complete.
Failed to ensure a copy of the most recent annual survey results was available and notice posted.
Failed to implement a written policy manual to ensure resident care and facility objectives were attained.
Failed to ensure criminal background checks were completed for new hires.
Failed to ensure professional licenses were current for working staff.
Failed to complete employee health screens for new hires.
Failed to ensure employee records included signed job descriptions.
Failed to ensure resident weights were completed on admission and self-administration medication assessments were complete and timely.
Failed to document services provided in a Service Plan and ensure plans were signed by residents or representatives.
Failed to ensure nurse's permission was obtained prior to QMA administration of PRN medications.
Failed to ensure foods were stored, prepared and served in a sanitary manner in the kitchen and dining room.
Failed to ensure medications were secured appropriately in a resident's room for self-administration.
Failed to ensure emergency binder information was complete for residents.
Failed to obtain Mental Health assessments prior to admission for residents with major mental illness.
Failed to ensure a Comprehensive Care Plan was developed in coordination with a Mental Health Provider for residents with major mental illness.
Failed to ensure resident records included annual health statements.
Failed to complete first and second step tuberculosis tests for residents.
Report Facts
Residents affected: 55
Employees reviewed: 5
Residents reviewed: 7
Dates of survey: 2025-07-01 to 2025-07-02
Deficiency completion date: Aug 5, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Richard Kennedy | Executive Director | Signed the report and mentioned in interview regarding postings |
| LPN 2 | Employee lacking criminal background check and health screen | |
| CNA 5 | Employee with expired professional license | |
| Dietary Aide 4 | Employee lacking signed job description and health screen | |
| Director of Nursing | Director of Nursing | Interviewed multiple times regarding policies, deficiencies, and corrective actions |
| CNA 6 | Observed improperly handling glassware during dining service | |
| QMA 3 | Administered PRN medications without nurse approval | |
| QMA 7 | Administered PRN medications without nurse approval | |
| QMA 8 | Administered PRN medications without nurse approval |
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 0
Date: Apr 17, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00451336.
Complaint Details
Complaint IN00451336 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Inspection Report
Complaint Investigation
Census: 60
Deficiencies: 0
Date: Sep 9, 2024
Visit Reason
This visit was conducted for the Investigation of Complaint IN00440956 and included a Residential COVID-19 Quality Assurance Walk Through.
Complaint Details
Complaint IN00440956 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations regarding the complaint and COVID-19 quality assurance.
Inspection Report
Complaint Investigation
Census: 62
Deficiencies: 19
Date: Jul 18, 2024
Visit Reason
This visit was for a State Residential Licensure Survey including the investigation of complaints IN00435348, IN00436750, and IN00438385.
Complaint Details
Complaint IN00435348 - No deficiencies related to the allegations are cited. Complaint IN00436750 - State deficiency related to the allegations is cited at R0247. Complaint IN00438385 - No deficiencies related to the allegations are cited.
Findings
The facility was found deficient in multiple areas including failure to report an allegation of abuse, failure to conduct fire drills with the local fire department, lack of CPR certified staff on all shifts, incomplete dementia training for staff, incomplete employee orientation and TB testing, building maintenance issues, improper food storage and sanitation, incomplete resident evaluations and service plans, failure to notify physicians of abnormal blood glucose levels, lack of diet orders for some residents, unsecured medications for self-administering residents, and inadequate infection control program and documentation.
Deficiencies (19)
Failed to report an allegation of abuse to the Indiana Department of Health for 1 of 1 allegations reviewed.
Failed to conduct fire drills every six months in conjunction with the local fire department.
Failed to ensure at least one awake staff member certified in CPR and First Aid for 4 of 9 nursing shifts reviewed.
Failed to ensure staff received annual dementia education/training for 2 of 5 employee files reviewed.
Failed to ensure second step tuberculin testing was completed for new employees for 3 of 5 employee records reviewed.
Failed to ensure employee records included general and specific orientation documentation for 3 of 3 employee records reviewed.
Failed to maintain building in a clean and safe manner related to walls, ceilings, vents, handrails, ceiling tiles, and other maintenance issues.
Failed to ensure food and dishes were appropriately stored and protected from contaminants in the kitchen.
Failed to ensure semiannual evaluations were completed for 5 of 7 residents reviewed.
Failed to ensure residents had an evaluation prior to admission for 2 of 7 residents reviewed.
Failed to ensure self-administration of medication assessment was completed timely for 1 of 7 residents, failed to obtain semiannual weights for 2 of 7 residents, and failed to ensure a weight was obtained upon admission for 1 of 7 residents.
Failed to ensure Service Plans were provided, updated, and signed by the resident and/or their representative for 7 of 7 residents reviewed.
Failed to notify a Physician about a resident's high blood glucose levels for 1 of 1 resident reviewed for insulin use.
Failed to serve and prepare food under sanitary conditions related to hair nets not being worn and meat not defrosted appropriately.
Failed to ensure residents had a Physician's diet order for 2 of 7 residents reviewed.
Failed to ensure medications for residents who self-administer were stored secured from other residents.
Failed to establish an infection control program that included a system to analyze patterns of known infection symptoms and ongoing surveillance.
Failed to ensure annual health statements were obtained for 7 of 7 residents reviewed.
Failed to ensure residents had 1st and 2nd step tuberculosis tests upon admission for 2 of 7 residents reviewed.
Report Facts
Residents present: 62
Survey dates: July 16, 17 & 18, 2024
Deficiencies cited: 19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Richard Kennedy | Executive Director | Named as Executive Director and interviewed regarding abuse allegation and facility policies |
| DON | Director of Nursing | Interviewed multiple times regarding nursing staff certifications, resident evaluations, medication assessments, and infection control |
| Dietary Manager | Interviewed regarding food storage, sanitation, and dietary staff practices | |
| Infection Prevention Nurse | Interviewed regarding infection control program and surveillance |
Inspection Report
Complaint Investigation
Census: 51
Deficiencies: 0
Date: Apr 25, 2024
Visit Reason
This visit was for the Investigation of Complaint IN00431636.
Complaint Details
Complaint IN00431636- No deficiencies related to the allegations are cited.
Findings
No deficiencies related to the allegations are cited. Woodridge Village was found to be in compliance with 410 IAC 16.2-5 in regard to the Investigation of Complaint IN00431636.
Inspection Report
Follow-Up
Census: 51
Deficiencies: 1
Date: Mar 14, 2024
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Investigation of Complaints IN00427673 and IN00427621 completed on 2024-02-07, conducted in conjunction with the Investigation of Complaints IN00429663 and IN00429413.
Complaint Details
This visit was related to investigations of four complaints: IN00427673 and IN00427621 were corrected; IN00429663 had a state deficiency cited; IN00429413 had no deficiencies.
Findings
Complaints IN00427673 and IN00427621 were found to be corrected. Complaint IN00429663 resulted in a state deficiency cited at R0246. Complaint IN00429413 had no deficiencies related to the allegations.
Deficiencies (1)
State deficiency related to Complaint IN00429663 cited at R0246
Report Facts
Residential Census: 51
Inspection Report
Complaint Investigation
Census: 51
Deficiencies: 1
Date: Mar 12, 2024
Visit Reason
This visit was for the investigation of Complaints IN00429663 and IN00429413, in conjunction with a PSR to the investigation of Complaints IN00427673 and IN00427621 completed on 2/7/24.
Complaint Details
Complaint IN00429663 was substantiated with a state deficiency cited at R0246. Complaint IN00429413 had no deficiencies related to the allegations. Complaints IN00427673 and IN00427621 were corrected.
Findings
The facility failed to ensure that Qualified Medication Assistants (QMAs) received authorization from a licensed nurse prior to administering PRN narcotic or anti-anxiety medications for 3 of 3 residents reviewed. Documentation was lacking for nurse authorization before medication administration.
Deficiencies (1)
Failure to ensure a Qualified Medication Assistant received authorization from a licensed nurse prior to administering PRN narcotic or anti-anxiety medication for 3 of 3 residents reviewed.
Report Facts
Residential Census: 51
Dates of medication administration by QMA for Resident M: 22
Dates of medication administration by QMA for Resident L: 15
Inspection Report
Complaint Investigation
Census: 51
Deficiencies: 3
Date: Feb 7, 2024
Visit Reason
This visit was conducted for the investigation of complaints IN00427673, IN00427621, and IN00427280. Deficiencies related to complaints IN00427673 and IN00427621 were cited, while no deficiencies were related to complaint IN00427280.
Complaint Details
The investigation was triggered by complaints IN00427673, IN00427621, and IN00427280. Deficiencies were substantiated related to IN00427673 and IN00427621, while no deficiencies were related to IN00427280.
Findings
The facility failed to maintain sufficient licensed and/or certified staff to administer insulin to five insulin-dependent residents, resulting in missed insulin administrations and high blood sugar levels for three residents. Additionally, a Qualified Medication Aide (QMA) administered insulin without proper certification. Policies and procedures regarding insulin administration and staff scheduling were inadequate or not followed.
Deficiencies (3)
Administrator failed to maintain licensed and/or certified staff members available to administer insulin for 5 insulin dependent residents.
Facility failed to ensure 3 of 5 insulin dependent residents were administered insulin at prescribed times, resulting in high blood sugar levels.
Facility failed to ensure a Qualified Medication Aide had additional certification/education to administer insulin to 1 of 3 residents reviewed.
Report Facts
Residents requiring insulin: 5
Licensed and/or certified staff available for insulin administration: 4
Dates with no licensed/certified staff to administer insulin: 5
Insulin administration failures: 11
High blood sugar readings: 450
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amber Hardy | Administrator | Named in relation to findings on insulin administration and staffing. |
| QMA 2 | Qualified Medication Aide | Administered insulin without proper certification for Resident C. |
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 1
Date: Jan 17, 2024
Visit Reason
This visit was conducted for the investigation of Complaints IN00423116 and IN00426027. Complaint IN00423116 resulted in a state deficiency citation, while Complaint IN00426027 had no deficiencies related to the allegations.
Complaint Details
Complaint IN00423116 was substantiated with a state deficiency cited at R0092. Complaint IN00426027 was not substantiated with no deficiencies cited.
Findings
The facility failed to ensure that 12 fire and evacuation drills were completed throughout the year as required by facility policy, potentially affecting all 52 residents. Documentation showed missing fire drills for November and December 2023.
Deficiencies (1)
Failure to maintain required monthly fire and evacuation drills as per facility policy.
Report Facts
Residential Census: 52
Missing fire drills: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amber Hardy | Administrator | Interviewed regarding fire drill schedule and policy |
| Maintenance Director | Interviewed and provided Fire and Safety binder; noted missing fire drills | |
| Director of Nursing | Provided current fire drill policy |
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 2
Date: Nov 27, 2023
Visit Reason
This visit was conducted for the investigation of complaint IN00422153 regarding allegations related to residents' rights and medication self-administration.
Complaint Details
Complaint IN00422153 was substantiated with state deficiencies cited related to residents' rights and medication self-administration.
Findings
The facility failed to provide call pendants to 2 of 3 residents reviewed for call lights and failed to complete self-administration medication evaluations and obtain physician orders for 2 of 3 residents reviewed. Policies and corrective actions were implemented to address these deficiencies.
Deficiencies (2)
Failed to provide a device for recent admissions to contact staff for assistance for 2 out of 3 residents reviewed for call lights (Residents B & C).
Failed to ensure a self-administration evaluation was completed for 1 out of 3 charts reviewed and a physician order was obtained for self-administration of medications for 2 out of 3 charts reviewed (Residents B & D).
Report Facts
Residential Census: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amber Hardy | Administrator | Named as the Administrator providing interviews and policy information related to the findings. |
Inspection Report
Complaint Investigation
Census: 51
Deficiencies: 0
Date: Nov 14, 2023
Visit Reason
This visit was conducted for the investigation of two complaints, IN00419032 and IN00420096.
Complaint Details
Complaint IN00419032 and IN00420096 were investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in either complaint were cited. The facility was found to be in compliance with applicable regulations.
Inspection Report
Complaint Investigation
Census: 49
Deficiencies: 0
Date: Sep 21, 2023
Visit Reason
This visit was conducted for the Investigation of Complaint IN00417841.
Complaint Details
Investigation of Complaint IN00417841 found no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Inspection Report
Complaint Investigation
Census: 51
Deficiencies: 0
Date: Sep 14, 2023
Visit Reason
This visit was conducted for the Investigation of Complaint IN00417279.
Complaint Details
Investigation of Complaint IN00417279 found no deficiencies related to the allegations; facility was in compliance.
Findings
No deficiencies related to the allegations were cited. The facility was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Report Facts
Residential Census: 51
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 4
Date: Jun 30, 2023
Visit Reason
This visit was for a State Residential Licensure Survey including the Investigation of Complaints IN00407407, IN00402960, IN00400895, IN00400637, and IN00398282.
Complaint Details
Complaints IN00407407 and IN00398282 had no deficiencies related to allegations. Complaints IN00402960, IN00400895, and IN00400637 had state deficiencies cited related to allegations at R0052.
Findings
The facility was found deficient for failing to ensure residents were free from physical abuse and mental anguish related to marijuana use and inappropriate searches by a previous administrator. Additionally, the facility failed to conduct required fire and evacuation drills and document staff attendance, potentially affecting all residents.
Deficiencies (4)
Failed to ensure a resident was free from physical abuse when a previous administrator attempted to search a resident without permission.
Failed to ensure a resident was free from mental anguish causing an emergency room visit due to marijuana odor in the facility.
Failed to ensure 10 of 25 residents felt safe and free from mental anguish due to marijuana smoking in or on facility grounds.
Failed to complete 12 fire and evacuation drills annually, failed to attempt drills with local fire department every 6 months, and failed to document staff attendance and signatures for drills conducted.
Report Facts
Residents present: 50
Residents attending Resident Council meeting: 25
Residents reporting anxiety and feeling unsafe: 10
Fire drills required annually: 12
Fire drills missing documentation: 2
Fire drills conducted quarterly on each shift: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephen Sokolow | ED | Signed report as Laboratory Director or Provider/Supplier Representative |
| Previous Administrator 4 | Involved in inappropriate search of resident leading to physical abuse finding | |
| Employee 2 | Provided incident reports and grievances related to complaints | |
| Administrator | Interviewed regarding fire drill deficiencies and facility policies | |
| Marketing Director | Provided Fire and Safety binder and interviewed about fire drill documentation |
Inspection Report
Re-Inspection
Census: 54
Deficiencies: 0
Date: Dec 20, 2022
Visit Reason
This visit was a Post Survey Revisit (PSR) to a previous Post Survey Revisit completed on 11/2/22 for the Recertification and State Residential Licensure Survey and to investigate complaints IN00387635, IN00382840, and IN00380236.
Complaint Details
Complaints IN00387635, IN00382840, and IN00380236 were investigated and found to be corrected.
Findings
Woodridge Village was found to be in compliance with 410 IAC 16.2-5 in regard to the PSR to the State Residential Licensure Survey. All three complaints investigated were corrected.
Report Facts
Residential Census: 54
Inspection Report
Re-Inspection
Census: 53
Deficiencies: 3
Date: Nov 2, 2022
Visit Reason
This visit was a Post Survey Revisit (PSR) to the Recertification and State Residential Licensure Survey and to the Investigation of Complaints IN00387635, IN00382840, IN00380236, and IN00393551, to verify correction of previously cited deficiencies.
Complaint Details
Complaints IN00387635, IN00382840, and IN00380236 were not corrected as of this revisit. The visit was also in conjunction with investigation of Complaint IN00393551.
Findings
The facility failed to notify physicians when medications were not administered to residents and failed to ensure medications were administered per physician orders for 2 of 5 residents reviewed. Additionally, PRN medications administered by Qualified Medication Aides were not properly authorized or documented by licensed nurses. The facility failed to implement systemic plans of correction to prevent recurrence of these deficiencies.
Deficiencies (3)
Failed to notify physician when medications were not administered to residents (Resident D and Resident H).
Failed to ensure physician ordered medications were administered per order for Resident D and Resident H.
Failed to ensure PRN medications administered by QMA were signed off by a licensed nurse and properly authorized for Resident D.
Report Facts
Residents reviewed for medication administration: 5
Dates of missed medication administration for Resident D: 1
Dates of missed medication administration for Resident H: 1
PRN medication administration dates lacking authorization: 11
Residential Census: 53
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident D's physician | Interviewed and indicated facility was not notifying her of missed medication administrations. | |
| Licensed Practical Nurse | LPN | Interviewed regarding medication administration and documentation issues for Resident D and PRN medication authorization. |
| Administrator | Provided facility policies and confirmed deficiencies and systemic plan failures. |
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 0
Date: Nov 2, 2022
Visit Reason
This visit was for the Investigation of Complaint IN000393551 and was conducted in conjunction with a Post Survey Revisit to the Recertification and State Licensure Survey completed on 11/2/22.
Complaint Details
Complaint IN00393551 - Substantiated. No State Residential Findings related to the allegations were cited.
Findings
Complaint IN00393551 was substantiated; however, no State Residential Findings related to the allegations were cited. Woodridge Village was found to be in compliance with 410 IAC 16.2-5 regarding the complaint investigation.
Report Facts
Residential Census: 53
Inspection Report
Complaint Investigation
Census: 34
Capacity: 34
Deficiencies: 4
Date: Sep 27, 2022
Visit Reason
This visit was for the investigation of Complaints IN00390886 and IN00388916, and included a COVID-19 Focused Infection Control Survey.
Complaint Details
Complaint IN00390886 was substantiated with deficiencies cited at F580, F689, and F880 related to notification of changes, accident hazards, and infection control. Complaint IN00388916 was substantiated with deficiency cited at F727 related to RN staffing.
Findings
The facility was found to have multiple deficiencies including failure to notify family of an unwitnessed fall, failure to complete neurological assessments after a fall, failure to have a registered nurse on site for 8 hours a day for 60 of 63 days, and failure to ensure staff wore face masks appropriately to prevent infection spread.
Deficiencies (4)
Failed to notify the responsible party of an unwitnessed fall for 1 of 3 residents reviewed.
Failed to complete neurological assessments after an unwitnessed fall for 1 of 3 residents reviewed.
Failed to ensure a Registered Nurse was on site for 8 hours a day for 60 of 63 days.
Failed to develop and implement written policies and procedures for infection control, including failure to ensure staff wore face masks appropriately.
Report Facts
Census: 34
Total Capacity: 34
Days RN coverage deficient: 60
Days in period: 63
Residents affected: 34
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 23
Date: Aug 23, 2022
Visit Reason
This visit was for a State Residential Licensure Survey including the Investigation of Complaints IN00387635, IN00382840, IN00380236 and IN00367315.
Complaint Details
Complaints IN00387635, IN00382840, IN00380236 were substantiated with multiple state residential findings cited. Complaint IN00367315 was substantiated but no findings were cited related to the allegations.
Findings
The facility was cited for multiple deficiencies including failure to notify physicians of resident changes, medication administration errors and omissions, lack of grievance process, inadequate administration and management oversight, failure to conduct fire drills, insufficient staff qualifications and training, incomplete clinical records, infection control issues, and environmental sanitation problems.
Deficiencies (23)
Failure to notify physician of resident changes regarding medication and treatment refusals, medication omission and laboratory results for 3 residents.
Failure to provide residents opportunity to file grievances and lack of grievance forms.
Administrator failed to assume full responsibility for facility operations including staff qualifications, fire drills, and documentation.
Failure to conduct required fire and evacuation drills since January 24, 2020.
Staff lacked current CPR and first aid certification; QMA referred to self as Nursing Director without qualifications.
Failure to provide staff orientation, job descriptions, and dementia training for multiple employees.
Failure to complete employee health screens including tuberculin skin testing for multiple staff.
Facility environment unclean and in disrepair including stained carpets, odors, soiled beauty shop, stained ceiling tiles, and missing light covers.
Plumbing in beauty shop did not comply with state codes; spray hose kinked and no anti-reflux valve.
Kitchen sanitation issues including uncovered trash barrels, uncovered scoops in food bins, expired dishwasher chemical strips, open door to outside, and dirty floors behind appliances.
Hot water temperatures exceeded safe limits in multiple rooms.
Preadmission assessments not completed or signed for 3 residents.
Semiannual evaluations not completed for 6 residents.
Service plans incomplete, unsigned, or not updated for multiple residents.
Physician ordered medications not administered per order for 13 of 14 residents reviewed.
PRN medications administered by QMA not signed off by licensed nurse for 1 resident.
Medication storage issues including unlabeled, undated, and improperly stored medications in medication carts.
Clinical records incomplete and inaccurate for all residents including missing evaluations, service plans, medication reviews, physician orders, and emergency information.
Diet orders missing or unsigned by physician for 5 residents.
Infection control failures including staff not wearing masks, lack of COVID-19 surveillance and incomplete TB testing documentation for all residents.
Chest x-ray not completed prior to admission for 1 resident.
Failure to complete tuberculin skin testing upon admission and annually for all residents.
Failure to wash hands during medication administration by QMA.
Report Facts
Residents reviewed: 23
Residents with incomplete emergency files: 53
Residents with missing semiannual evaluations: 6
Residents with medication administration errors: 13
Residents with missing pharmacist medication reviews: 10
Residents with missing diet orders: 5
Residents with missing or incomplete service plans: 8
Residents with missing or incomplete preadmission assessments: 3
Residents with missing tuberculin skin testing: 23
Residents with missing chest x-ray prior to admission: 1
Residents in facility: 53
Employees mentioned
| Name | Title | Context |
|---|---|---|
| QMA 2 | Qualified Medication Aide / Resident Care Coordinator | Named in multiple findings including medication administration, infection control, clinical records, and staff training deficiencies |
| QMA 5 | Qualified Medication Aide | Named in medication administration and infection control deficiencies including improper hand hygiene and medication handling |
| LPN 1 | Licensed Practical Nurse | Named in medication administration and infection control deficiencies |
| Administrator | Named in multiple findings related to facility management, infection control, and policy implementation |
Viewing
Loading inspection reports...
