Lindsay Gardens Nursing & Rehabilitation

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure one of 33 sampled residents (Resident 5) received treatment and services to bilateral feet. This failure resulted in Resident 5 having dry, flaky skin around toes, and feet, and long thickened untrimmed toenails and had the potential to cause skin breakdown and infection.Findings:During a review of Resident 5's admission Record (AR), dated 1/8/26, the AR indicated Resident 5 was admitted on [DATE].During a concurrent observation and interview on 1/6/26 at 9:06 a.m. with Resident 5 and Certified Nursing Assistant (CNA) 2, in Resident 5's room, Resident 5's feet were exposed and had dry flakey skin around toes and the top and bottom of both feet. Resident 5's toenails were long, thick and untrimmed, Resident 5 stated she had not seen a podiatrist and no one has taken care of her feet. CNA 2 stated Resident 5's toenails were very thick and yellow and green with dry scaly skin around toes and feet. CNA 2 stated the nurses take care of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to ensure one of two sampled resident (Resident 68) head of bed (HOB) was elevated during G-tube feeding (gastrostomy tube, a small flexible tube surgical inserted through the abdomen and placed into the stomach to deliver nutrition, fluids, and medication directly into stomach). This failure had the potential to cause aspiration (liquid or food enters into the lungs instead of the stomach) for Resident 68. Findings:During an observation on 1/6/26 at 9:01 a.m. in Resident 68's room, Resident 68 was laying in bed with Jevity 1.5 (formula) running at 60 ml (milliliters) per hour. Resident 68's HOB was positioned below a 30-degree angle (approximate 15 degrees). Resident 68's bed did not have a device to indicate the angle of the HOB.During a concurrent observation and interview on 1/6/26 at 9:05 a.m. with Certified Nursing Assistant (CNA) 1 in Resident 68's room, Resident 68's HOB was below a 30-degree angle while tube feeding was running at 60 ml/hour. CNA 1 stated Resident 68's HOB should have been elevated to…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure its policy and procedure (P&P) titled, Foods Brought by Family/Visitors provided sufficient guidance on safe refrigerated food storage and was followed for labeling resident's outside food brought into the facility. These failures had the potential to place residents storing outside food in the employees' breakroom refrigerator at risk of foodborne illness.Findings:During an interview on 1/5/26 at 10:30 a.m. with Licensed Vocational Nurse (LVN) 9, LVN 9 stated residents food brought in from the outside was stored in the employee's refrigerator in the employee breakroom. During a concurrent observation and interview on 1/5/26 at 10:31 a.m. with LVN 9 in the employee's breakroom, inside the refrigerator a white plastic bag that was tied with a container inside, and had 101A noted on the outside of the white plastic bag. LVN 9 stated outside food was stored in the white plastic bag for the resident in room [ROOM NUMBER]A. LVN 9 stated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review the facility failed to develop a base line care for one of four sample resident (Resident 1) who was admitted with a left arm cast (a medical treatment used to support bone during healing process). This failure has the potential for Resident 1's left-ham cast to develop complications without staff awareness and unmet care needs. Findings:During a review of Resident 1's Progress Notes (PN), dated 10/22/25, the PN indicated, Resident 1 was admitted with a left arm cast.During a concurrent interview and record review on 12/15/25 at 12:15 p.m. with Director of Nurses (DON), Resident 1's clinical record was reviewed. DON confirmed Resident 1 was admitted with a left arm cast. DON was unable to find a care plan for Resident 1's left arm cast. During a review of the facility's policy and procedure (P&P) titled, Care Plans-Baseline, dated 3/22, the P&P indicated, A baseline plan of care to meet the resident's immediate health and safety needs is developed for each resident within forty-eight (48) hours of admission.

Based on interview and record review the facility failed to ensure a follow-up visit with orthopedic doctor (treats injuries and disease affecting bones, muscle, and etc.) was made for one for four sampled residents (Resident 1). This failure resulted in Resident 1 not being seen by an orthopedic doctor and potential for increased risk of complications, prolonged recovery, and worsening pain.Findings:During a review of Resident 1's Interdisciplinary Team (IDT) note, dated 10/23/25, the IDT indicated, She [Resident 1] does have a cast (a medical treatment used to support bone during healing process) in place to left arm. She will need ortho follow up. During a concurrent interview and record review on 12/15/25, at 1:27 p.m. with Licensed Vocational Nurse (LVN), LVN stated Resident 1 was admitted with a left arm cast. LVN stated Resident 1 had insurance issues and had difficulty looking for an orthopedic doctor. LVN stated Social Service Designee (SSD) was aware of the situation and did not do anything else to ensure Resident 1 had a follow-up appointment with an orthopedic…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to follow their policy and procedure when restraint removal was not documented every 2 hours for one of three sampled residents (Resident 1). This failure had the potential for Resident 1 ' s motion and exercise to be limited. Findings: During an observation on 8/23/24 at 11:30 a.m. in the hallway, Resident 1 was sitting up in a Geri chair (reclining chair on wheels) with a lap tray in use. During a review of Resident 1's Informed Consent For Use Of Restraints (ICFUOR) dated 5/19/23, the ICFUOR indicated, Recommended restraint: Geri chair with lap tray.Purpose for recommended restraint: comfort and safety.Recommended time/duration/usage: Q (every) 2 hrs (hours). During a review of Resident 1 ' s Minimum Data Set (MDS-assessment tool), dated 8/17/24, the MDS indicated, Physical Restraints.2 (Used daily) .chair prevents rising. During an interview on 9/10/24 at 1:54 p.m. with Licensed Vocational Nurse (LVN) 1, LVN 1 stated Resident 1 utilized a Geri chair with a lap tray due to having multiple falls and a high…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, facility policy review, and review of manufacturer's information, the facility failed to ensure the medication error rate was less than 5 percent (%). Observation of medication administration revealed there were 2 errors out of 35 opportunities, which resulted in a medication error rate of 5.71 %, affecting 2 (Resident #46 and Resident #77) of 5 residents observed during medication administration. Findings included: A facility policy titled, Administering Medications, revised in 12/2012, revealed, Medications shall be administered in a safe and timely manner, and as prescribed. Manufacturer's Instructions for Use Humalog ([NAME]-ma-log) (insulin lispro) injection, for subcutaneous use 3 mL [milliliter] or 10 mL multiple-dose vial (100 units per mL, U [units]-100 revealed, Step 11: Push down on the Plunger to inject your dose. The needle should stay in your skin for at least 5 seconds to make sure you have injected all of your insulin dose. An admission Record…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and facility policy review, the facility failed to ensure a Minimum Data Set (MDS) assessment accurately reflected the status of 1 (Resident #57) of 21 sampled residents. Findings included: A facility policy titled, Certifying Accuracy of the Resident Assessment, revised 11/2019, indicated, 2. Any person who completes any portion of the MDS assessment, tracking form, or correction request form is required to sign the assessment certifying the accuracy of that portion of that assessment. 3. The information captured on the assessment reflects the status of the resident during the observation (look-back) period for that assessment. Different items on the MDS may have different observation periods. 4. The Resident Assessment Coordinator is responsible for ensuring that an MDS assessment has been completed for each resident. Each assessment is coordinated and certified as complete by the Resident Assessment Coordinator, who is a registered nurse. An admission Record revealed that…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview, record review, and facility policy review, the facility failed to ensure 1 (Resident #38) of 2 residents reviewed for Preadmission Screening and Resident Review (PASARR or PASRR) was referred for a Level II PASARR assessment when the resident was newly diagnosed with a serious mental illness. Findings included: A facility policy titled, admission Criteria PASARR, revised 03/2019, revealed, 9.b.(1) The admitting nurse notifies the social services department when a resident is identified as having a possible (or evident) MD [mental disorder], ID [intellectual disability] or RD [related disorders]. (2) The social worker is responsible for making referrals to the appropriate state-designated authority. c. Upon completion of the Level II evaluation, the State PASARR representative determines if the individual has a physical or mental condition, what specialized or rehabilitative services he or she needs, and whether placement in the facility is appropriate. An admission Record revealed the facility admitted Resident #38 on 12/29/2023. According to the admission…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and facility policy review, the facility failed to follow physician's orders for 2 (Resident #33 and Resident #84) of 5 residents reviewed for unnecessary medications. Specifically, the facility staff failed to administer insulin as ordered by the physician to Resident #33, and the facility failed to administer metoprolol and insulin as ordered by the physician to Resident #84. Findings included: A facility policy titled, Administering Medications, revised 12/2012, specified, 3. Medications must be administered in accordance with the orders, including any required time frame. 4. Medications must be administered within (1) hour of their prescribed time, unless otherwise specified (for example, before and after meal orders). 5. If a dosage is believed to be inappropriate or excessive for a resident, or a medication has been identified as having potential adverse consequences for the resident or is suspected of being associated with adverse consequences, the person preparing or…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and facility policy review, the facility failed to provide routine pharmaceutical services to ensure medications were available for administration for 1 (Resident #33) of 5 residents reviewed for unnecessary medications. Findings included: A facility policy titled, Medication Ordering and Receiving from Pharmacy, dated 2015, specified, 2. If not automatically refilled by the pharmacy, repeat medications (refills) are (written on a medication order form/ordered by peeling the top label from the physician order sheet and placing it in the appropriate area on the order form and provided by the pharmacy for that purpose and) ordered as follows: a. Reorder medication (three to four) days in advance of need to assure an adequate supply is on hand. b. The nurse who reorders the medication is responsible for notifying the pharmacy of changes in directions for use or previous labeling errors. c. The refill order is called in, faxed in, or otherwise transmitted to the pharmacy. An…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to follow its policy and procedure (P&P) for three of 26 sampled residents (Resident 50, Resident 27, and Resident 74) when: 1. Resident 50 was permitted to have cigarettes and lighter in his room and to smoke without supervision. 2. Resident 27 was permitted to have a cigarette lighter in her room and to smoke without supervision. 3. Resident 74 was permitted to have cigarettes and lighter. These failures had the potential to result in an avoidable smoking accident. Findings: 1. During a concurrent observation and interview on 6/8/21, at 10:15 AM, with Resident 50, in Resident 50's room, there was a cigarette on Resident 50's night stand. Resident 50 stated, he keeps cigarettes in his room and he has a cigarette lighter in his pocket. Resident 50 stated, no one is with him when he smokes. During a concurrent observation and interview on 6/9/21, at 8:39 AM, with Resident 50, in Resident 50's room, the resident pulled a cigarette lighter out of his pocket and demonstrated how he lights the lighter. Resident 50…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to ensure a distinct population was included in the facility assessment. This failure had the potential to lead to unmet care needs for the facility's smoking residents. Findings: During a concurrent interview and record review on 6/10/21, at 10:29 AM, with Administrator in Training (AIT), AIT confirmed the facility had a smoking population. AIT reviewed the Facility Assessment, dated 11/21/19. AIT confirmed, the smoking population was not addressed in the Facility Assessment, he stated it should have been.

Based on interview and record review, the facility failed to ensure one of three housekeepers (HK) 1 cleaned high touch surfaces according to the facility's COVID-19 (A highly contagious respiratory illness in humans that is spread from person to person when an infected person coughs, sneezes, or talks. It may also be spread by touching a surface with the virus on it and then touching one's nose, mouth, or eyes) mitigation plan. This failure had the potential to facilitate the spread of COVID-19 to residents, staff, and visitors. Findings: During an interview on 6/9/21, at 2:16 PM, with HK 1, HK 1 stated, handrails in hallways are cleaned every other day, and high touch surfaces are cleaned once a day. During an interview on 6/10/21, at 10:30 AM, with Infection Preventionist (IP), IP stated, Yes housekeeping should be following the facility's COVID-19 mitigation plan by cleaning handrails in hallways and high touch surface areas twice daily. IP stated she does not have a process to ensure the cleaning of high touch surfaces are being done according to the facility's mitigation plan.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to ensure a policy and procedure(P&P) was developed and implemented to ensure the residents had a safe smoking environment. This failure had the potential to result to an unsafe smoking area and possible exposure to second hand smoke for non-smoking residents. Findings: During an observation on 6/9/21, at 8:32 AM, two residents were observed smoking approximately eight feet from the smoking patio door. During a concurrent observation and interview on 6/9/21, at 8:46 AM, with Administrator in Training (AIT) on the smoking patio. AIT confirmed, two residents were smoking within eight foot of the smoking patio entrance door. He stated, he does not know how far the smoking area should be away from the smoking patio entrance. Requested a P&P for safe smoking area. During an interview on 6/9/21, at 3:36 PM, with AIT, AIT stated, the facility does not have a P&P for smoking area safety. The AIT was asked if eight feet was a safe enough distance to protect non-smoking residents from second hand smoke? He stated, it…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to ensure that one of 26 sampled residents (Resident 30) call light was within reach. This failure had the potential for Resident 30's needs to go unmet. Findings: During an observation on 6/8/21, at 11:09 AM, in Resident 30's room, Resident 30's call light was observed sitting on the nightstand not within easy reach. During an observation on 6/8/21, at 2 PM, in Resident 30's room, Resident 30's call light was observed sitting on the nightstand not within easy reach. During an observation on 6/8/21, at 2:48 PM, in Resident 30's room, Resident 30's call light was observed on the floor not within easy reach. During a concurrent observation and interview on 6/8/21, at 2:50 PM, with Certified Nursing Assistant (CNA) 1, in Resident 30's room, CNA 1 verified Resident 30's call light was on the floor not within easy reach. CNA 1 stated, the call light is on the floor and should be within resident's reach and clipped to Resident 30's bed. During a review of the facility's policy and procedure (P&P) titled, Answering the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to ensure the SNFABN form (Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage, a form that provides information to the beneficiary so that she/he can decide whether or not to get the care that may not be paid for by Medicare and assume financial responsibility) was completed for one of three sampled residents (Resident 9). This failure resulted in Resident 9 not being informed of the three options available. Findings: During a concurrent interview and record review, on 6/9/21, at 2:06 PM, with Medical Records Director (MRD), SNFABN, dated 3/24/21, was reviewed. The SNFABN indicated, Options: Check only one box. We can't choose a box for you. Option 1, Option 2, and Option 3 checkboxes were left blank. MRD stated, the resident or representative who fills out the SNFABN picks option 1, option 2, or option 3. MRD stated, an option was not picked for Resident 9 and MRD was unaware it was left blank. MRD stated, I missed it. During a review of the facility's Form Instructions Skilled Nursing Facility Advanced…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to develop a care plan for two of 26 sampled residents (Resident 43 and Resident 28). This failure had the potential for unmet care needs and adverse outcomes for Resident 43 and Resident 28. Findings: During a review of Resident 43's physician orders (PO), dated 11/4/20, the PO indicated, Resident 43 may have 12 ounces (unit of measurement) can of beer as needed daily. During a concurrent interview and record review on 6/10/21, at 8:55 AM, with Licensed Vocational Nurse (LVN) 4, Resident 43's care plan (CP) was reviewed. LVN 4 was unable to locate a CP for beer as ordered by the physician. LVN 4 verified, that there was not a CP for beer and stated there should be a CP. During a review of Resident 28's admission Record (AR), dated 4/1/21, the AR indicated, Resident 28 had a diagnosis of chronic atrial fibrillation (A-fib is an irregular and often rapid heart rate that can increase your risk of strokes, heart failure and other heart-related complications). Resident 28's PO, dated 4/1/21, the PO indicated, Apixban (medication…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to revise one of 26 sampled residents (Resident 30) care plan timely. This failure had the potential for Resident 30's needs to go unmet. Findings: During a review of Resident 30's Minimum Data Set (MDS- an assessment of resident's needs), dated 4/9/21, at 11:17 AM, the MDS indicated, Resident 30 had an indwelling foley catheter (IFC- thin tube that is inserted into the bladder that drains urine). During an observation on 6/8/21, at 10:41 AM, in Resident 30's room, Resident 30 was observed without a IFC. During a review of Progress Notes (PN), dated 4/9/21, at 9:01 PM, the PN indicated that Resident 30 pulled the IFC out and refused to have it (IFC) reinserted. During a review of Resident 30's Care Plan (CP), initiated on 3/27/21, the CP indicated, Resident 30 had an IFC. During a concurrent interview and record review on 6/10/21, at 10:01 AM, with Licensed Vocational Nurse (LVN) 4, Resident 30's CP was reviewed. The CP indicated, Resident 30 had an IFC. LVN 4 stated, the CP for the IFC should have been removed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to ensure one of 26 sampled residents (Resident 38) continuous tube feeding (a liquid food mixture given through a tube into the stomach to provide nutrients to people who cannot eat or drink safely) container and tubing were changed according to manufacturer's guidelines. This failure had the potential to result in Resident 38's tube feeding becoming contaminated with harmful bacterial growth. Findings: During an observation on 6/7/21, at 10:17 AM, in Resident 38's room, Resident 38 was observed receiving continuous tube feeding. The label on the Jevity 1.5 CAL (tube feeding formula) feeding container had documentation administration began on 6/7/21 at 4:40 AM. The Covidien (manufacturer name) feeding set (tubing) had documentation administration began on 6/7/21 at 4:40 AM. During a concurrent observation and interview on 6/8/21, at 8:31 AM, with Licensed Vocational Nurse (LVN) 3, in Resident 38's room, Resident 38 continued to receive continuous feeding of Jevity 1.5 CAL formula that was started on 6/7/21 at…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to ensure medications and biologicals were labeled appropriately and expired medications were removed from active supply. These failures had the potential for the residents to receive ineffective medications. Findings: During an interview on 6/7/21, at 3:07 PM, with Vocational Nurse (LVN) 5, LVN 5 stated, We audit the medications routinely, to ensure open dates are written on all open bottles and pull any medications close to the expiration date. During a concurrent observation and interview on 6/7/21, at 3:26 PM, at a medication cart, with LVN 1. LVN 1 confirmed, one bottle of Melatonin (supplement used to treat insomnia and to help improving sleep) 5 milligrams (mg- unit of measure) and one bottle of alkums antacids (medication used to treat acid indigestion and heartburn) were open and undated. LVN 1 stated, they should have an open date written on them. During a concurrent observation and interview on 6/8/21, at 11:04 AM, in the south station medication room, with LVN 1. LVN 1 confirmed, two bottles of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.