The Anchor at Rolling Hills

Non-compliance cited at a monitoring visit : 340:110-3-157(j)(7) Floors, walls, ceilings, doors, and windows are in good condition.

Dorm 2, Room 6 has damage to the wall where sheetrock is broken.

Non-compliance cited at a monitoring visit : 340:110-3-157(j)(7) Floors, walls, ceilings, doors, and windows are in good condition.

One window on Unit III has been broken, facility has covered it temporarily with wood while awaiting the replacement glass to arrive and be installed.

Non-compliance cited at a monitoring visit : 340:110-3-153.1(g)(1) References. The program obtains three references for personnel prior to employment. Copies are maintained in the ...

Current references not available for one new personnel.

Non-compliance cited at a monitoring visit : 340:110-3-153.1(l) Orientation. Personnel receive orientation after employment date and within 30-calendar days of employment.

Orientation not completed within the required time frame for one new personnel.

Non-compliance cited at a monitoring visit : 340:110-3-157(j)(7) Floors, walls, ceilings, doors, and windows are in good condition.

Bathroom 5 in dorm I has an area where the wall has peeling paint, where the sheetrock is exposed.

Substantiated complaint : 340:110-3-153.2(a) The program employs an adequate number of child care personnel meeting resident's needs, considering residents' ages ...

Ratios and Supervision- Residents were unsupervised while in the bathroom.

Non-compliance, numerous, repeated or serious : 340:110-3-153.1(h) Background investigations - general.

One staff was employed on 9/23 prior to background check being completed. Background check was not completed until 9/30

Non-compliance cited at a monitoring visit : 340:110-3-153.1(m)(3)(E) When residents are in care on the facility premises or on a program-sponsored field trip, at least one personnel is ...

One new staff did not have documentation of first aid training within required time frame.

Non-compliance cited at a monitoring visit : 340:110-3-157(j)(7) Floors, walls, ceilings, doors, and windows are in good condition.

Dorm I had 2 bathrooms that had an area where the sheetrock was damaged. Dorm II had a small area where the paint was peeled to the sheetrock. One bathroom had an area on the wall near the toilet that was missing some caulking and was allowing moisture to collect.

Substantiated complaint : 340:110-3-157(j)(1) Harmful substances and objects not essential to facility operation are prohibited on the premises. Other poisonous ...

Facility: Razors were left unlocked in the supply closet, allowing residents to have access and self-harm.

Found during a substantiated complaint investigation : 340:110-3-153.1(b)(4) Child care personnel. Child care personnel are responsible for meeting residents' needs, taking in account the ...

Additional Non-Compliance Found During Investigation: Personnel: Staff left resident alone for a period of time after finding the resident was self-harming, allowing her to further self-harm.

Found during a substantiated complaint investigation : 340:110-3-152(f)(1)(F) a serious resident injury requiring emergency medical treatment by a licensed health care professional; or

Additional Non-Compliance Found During Investigation: Notifications: The program did not notify Licensing of a resident injury requiring emergency medical treatment.

Non-compliance cited at a monitoring visit : 340:110-3-157(h) Bathrooms. Bathrooms are maintained in a clean and sanitary condition with adequate ventilation.

Dorm III- bathroom 19 has a strong odor of urine.

Non-compliance cited at a monitoring visit : 340:110-3-157(j) Sanitation and safety. All areas are clean, sanitary, and hazard-free.

Dorm I Resident Room 705 has a small dishpan sitting beside bed with a dried substance in the bottom, staff reports that it is from when resident was sick and has not yet been disposed of.

Non-compliance, numerous, repeated or serious : 340:110-3-154.3(e)(2)(C) the dosage, date and time given, and signature of the person who administered it;

MARS medication charts were reviewed at 10:30am. One resident's meds listed one medication has been given at 2 pm on this date. When asked why it was documented prior to the time listed, nurse stated that medication has not yet been given, but he went ahead and filled the form out as being given in case he gets busy later so he doesn't forget to complete the form.

Non-compliance cited at a monitoring visit : 340:110-3-154(b)(1)(B)(vi) names and dated signatures of those participating in service plan development.

No resident signature for resident on the service plan.

Non-compliance cited at a monitoring visit : 340:110-3-163(7) Windows. Effective July 1, 2009, any new construction or existing space not previously licensed as resident's sleeping ...

Resident room 506 continues to have a window that is boarded up (previously documented as a broken window in need of repair on 11/29/23, and was to be corrected by 12/29/23).

Non-compliance cited at a monitoring visit : 340:110-3-153.1(g)(3) Performance evaluation. A written performance evaluation is updated at least annually and maintained in the employee's ...

No documentation of performance evaluation for 2023 for 2 staff.

Non-compliance cited at a monitoring visit : 340:110-3-153.1(m)(3)(E) When residents are in care on the facility premises or on a program-sponsored field trip, at least one personnel is ...

5 personnel do not have documentation of current CPR.

Substantiated complaint : 340:110-3-154.2(b)(2) threatening, harsh, humiliating, cruel, abusive, or degrading language;

Behavior Management: Staff member used degrading language toward and in the presence of residents.

Non-compliance cited at a monitoring visit : 340:110-3-157(h)(1) At least one flush toilet, hand sink, and bathtub or shower in good working condition is available for every six ...

One toilet on Unit III is not flushing and appears to be clogged.

Non-compliance cited at a monitoring visit : 340:110-3-157(j)(7) Floors, walls, ceilings, doors, and windows are in good condition.

Resident Rooms 500 and 506 both have a broken window in each room that has been boarded up while awaiting repairs.

Non-compliance, numerous, repeated or serious : 340:110-3-153.1(h) Background investigations - general.

4 personnel were employed prior to preliminary or completed background checks being completed.