The Stayton at Museum Way

In the surveyor’s words

From the most serious findings on record at The Stayton at Museum Way, in the surveyor’s own words.

• Actual harm, isolatedF600Jan 2, 2025

  Based on interviews and record reviews the facility failed to ensure residents had the right to be free from abuse and neglect for 2 (Residents #1 and #2) of 7 residents reviewed for abuse and neglect. 1. CNA A neglected Resident #1 safety and well-being when he placed a skeleton in the resident's doorway, which startled the resident and caused her to fall sustaining a skin tear and bruising on her buttocks. 2. The facility neglected to put measures in place to monitor Resident #2 after the resident injested medications, Fioricet (a barbituate used for headaches), that belonged to a family member. This resulted in the resident being unresponsive and going to the hopsital where she received IV fluids. The family member continued to visit four more times after this incident. […]

• No harm, potential for more than minimal, patternF755Nov 24, 2025

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispending, and administering of all drugs and biologicals, to meet the needs of each resident for 1 medication cart (Hall B cart) and 1 medication room (Hall A) reviewed for pharmacy services. The facility failed to ensure expired multivitamin with zinc, with a date of 08/2025 in the Hall B nurse cart, and 2 bottles of expired multivitamin with an expiration date of 05/2025, 1 bottle of multivitamin with an expiration date of 08/2025, 3 bottles of niacin with an expiration date of 09/2025, and a box of bisacodyl suppositories with an expiration date of 06/2025 in the Hall A medication room were removed and… […]

• No harm, potential for more than minimal, patternF756Nov 24, 2025

  Based on observation, record review and interview, the facility failed to ensure any drug regimen irregularities reported by the Pharmacist Consultant were acted upon, for 1 of 5 residents (Resident #5) whose drug regimens were reviewed. The facility failed to act upon the Pharmacy Consultant's recommendations issued on 07/21/25, 08/19/25, and 09/22/25 to add a 14-day stop date for Resident #5's use of PRN Lorazepam, which is a psychotropic medication used for the treatment of anxiety disorders and severe agitation. This failure could place residents receiving medications at risk for adverse consequences and could cause a decline in their physical, mental, and psychosocial condition. […]

• No harm, potential for more than minimal, patternF757Nov 24, 2025

  Based on interview and record review, the facility failed to ensure the resident was not given a psychotropic drug unless the medication was necessary to treat a specific condition as diagnosed and documented in the clinical record for 1 of 5 residents (Resident #5) reviewed for unnecessary medications, in that: The facility failed to ensure Resident #5 was prescribed a psychotropic drug for anxiety no longer than 14 days PRN. Resident #5 was ordered PRN Lorazepam (a benzodiazepine medication used primarily to treat anxiety disorders and severe agitation) on 07/19/25 without a stop date. This failure could place residents at risk of receiving unnecessary psychotropic medications. […]

• No harm, potential for more than minimal, patternF690Oct 27, 2024

  Based on interview and record review, the facility failed to ensure that each resident who was incontinent of bladder received appropriate treatment and services for 1 of 2 residents (Resident #1) reviewed for incontinence care. The facility they failed to monitor and document signs and symptoms of bowel movements for Resident#1. This failure could place residents at risk of not having their individual needs met, not receiving necessary care and services, and a decreased quality of life. Findings included: Record review of Resident #1's admission record undated reflected the resident was an [AGE] year-old male, who initially admitted to the facility on [DATE] with a discharge date of [DATE]. […]