Inspection Reports for Timberwood Court Specialty Care Community

Facility failed to maintain environment in clean and good repair with significant carpet stains and pervasive urine odor in memory care units. Administration compliance issues noted.

Facility failed to fully implement and update an Acuity-Based Staffing Tool (ABST), resulting in short staffing and failure to schedule adequate direct care staff for residents requiring multiple-person transfers.

Kitchen inspection revealed multiple sanitation and repair issues including food debris, damaged equipment, lack of temperature monitoring, and improper food handling. Some issues were corrected by revisit.

Kitchen sanitation and repair deficiencies noted including food debris, damaged equipment, inadequate temperature monitoring, and improper glove use. Administration compliance issues also noted. Some corrections made by revisit.

Facility failed to exercise reasonable precautions to protect residents including allowing an infant child in the medication room during shift. Incident was acknowledged and corrective actions taken.

Medication errors and failure to carry out medications as prescribed were identified. Facility failed to maintain signed provider orders and proper documentation.

Multiple deficiencies including failure to investigate and report abuse, incomplete and outdated service plans, failure to coordinate care, psychotropic medication documentation issues, environmental maintenance problems, and nutrition and hydration plan deficiencies. Some corrections made by revisit.