Regularly there are only 2-3 sandwiches available to residents who wake up during the night for a snack. The manager is not concern regarding a resident's safety. A resident named Betty Whitaker is a fall risk and should not walk, however the resident was observed walking with her wheelchair. Wanda observed the resident walking but did not stop talking to assist the resident she informed a caregiver to "get Betty." Residents have access to sharp knives in the dining area. The medication staff have been observed administering medications with pudding without a doctors order. Wanda overheard making inappropriate statement to a new hire stating she didn't want to pick up another residents from the dirt in reference to a recent suicide of a resident who threw himself from the second floor. The comment was made in the presence of residents. The RP disclosed caregivers do not complete their rounds to check on resident resulting in residents sitting in there incontinence briefs for 6-8 hours. Resident Marlene has a colostomy this is not emptied. The colostomy bag is observed full and hanging from the resident's
Regularly there are only 2-3 sandwiches available to residents who wake up during the night for a snack. The manager is not concern regarding a resident's safety. A resident named Betty Whitaker is a fall risk and should not walk, however the resident was observed walking with her wheelchair. Wanda observed the resident walking but did not stop talking to assist the resident she informed a caregiver to "get Betty." Residents have access to sharp knives in the dining area. The medication staff have been observed administering medications with pudding without a doctors order. Wanda overheard making inappropriate statement to a new hire stating she didn't want to pick up another residents from the dirt in reference to a recent suicide of a resident who threw himself from the second floor. The comment was made in the presence of residents. The RP disclosed caregivers do not complete their rounds to check on resident resulting in residents sitting in there incontinence briefs for 6-8 hours. Resident Marlene has a colostomy this is not emptied. The colostomy bag is observed full and hanging from the resident's