Rittenhouse Village at Lehigh Valley.

“The home's lounge in the Secured Dementia Care Unit did not have an operatable television available to residents.”

“Condiments were not available at the dining table or in a central location in the dining room, as required by regulation.”

“The home's License Inspection Summary report dated 7/2/24 was not posted in a conspicuous and public place in the home.”

“Criminal background checks were not requested for staff members at the time of hire, in violation of hiring policies and the Older Adult Protective Services Act.”

“A Zep spray bottle containing an unidentified yellow liquid was found in a closet on the 3rd floor. The spray bottle was not the original container and did not have a manufacturer's label identifying the contents.”

“Resident #1 self-administers medications stored in their room but does not have a lock box and does not lock their door when exiting, failing to keep medications in a locked, secure location.”

“Resident #2 has an order for Ondansetron 4mg to be given every 8 hours as needed, but the medication was not available in the home to administer if needed.”

“Resident #3's Midodrine 5mg was ordered to be given 3 times daily before meals with none after 6 p.m., but the medication was administered at 6:23 p.m. on 8/3/25 and at 7:33 p.m. on 8/12/25, contrary to the prescriber's orders.”

“Resident #4's assessment does not include special diet information. Resident #5's assessment does not document a significant change when switched from mechanical soft to pureed diet, and does not include information about the bedside mobility device including its specific need, use, risks, and FDA guidelines.”

“During a fire in the laundry room, staff extinguished the fire and evacuated residents but failed to activate the fire alarms as required by the home's emergency procedures. Staff did not follow established protocol which requires activation of fire alarms and calling 911 upon discovering a fire.”

“Three bottles of prescription medications were found unlocked and accessible in a resident's bedroom. The resident, who was not assessed to be able to self-administer medications, took a total of 11 doses from this unlocked supply.”

“A resident entered another resident's room and placed rolled-up blankets over the resident's face. Staff redirected the aggressor, but the affected resident woke up and was upset by the incident. This constitutes potential neglect or mistreatment.”

“A resident's support plan was not updated following admission despite documented behavioral changes including two window screen breaches, door breaking attempts to access the secure courtyard, and regular inappropriate urination in common areas.”

“The ice cream chest freezer in the main kitchen did not have a thermometer to monitor temperature compliance.”

“Toasted Oats Cereal was found on a kitchen shelf in an opened bag without a label or date.”

“A broom covered in dryer lint was found on the floor between the clothes dryer and wall, posing a fire hazard.”

“Resident #1 did not have a current annual medical evaluation on file.”

“The bathroom in room #306 lacked an operable outside window and had a non-functional exhaust fan for ventilation.”

“Resident #3's assessment indicated inability to self-administer medications, yet three eye drop medications were found in the resident's room. This was a repeat violation from 11/7/23.”

“Resident #3 had prescribed medications (Fluticosone Spray, Nystatin Powder, Triamcinolone ointment, and Estradiol Cream) not on hand. Resident #13 had an Epinephrine Injection prescribed with ability to keep one pen while traveling, but a second pen was not in the medication cart for emergency access.”

“Resident #2's Preadmission Screening form did not include the date when it was completed.”

“Resident #1's Assessment and Support Plan was not current; there was a gap in the timing of assessments.”

“A resident closed another resident's hand in a bedroom door, resulting in lacerations. The same resident had previously pushed this resident in August 2023 when the resident wandered into their bedroom.”

“The resident's Resident Assessment and Support Plan (RASP) did not document a sexual advance incident by the resident's spouse, the actions taken to ensure resident safety following the incident, or current safety measures during visits. Additionally, a second resident's RASP was not updated to reflect recent cognitive decline with increased anxiety, irritability, and verbal and physical aggression toward staff and residents.”

“A spray bottle of clear liquid identified as sanitizer was found in the kitchen without the original manufacturer's label on the bottle.”

“Three cups of ice cream in the ice cream freezer were without a cover, and three 3-gallon containers of ice cream did not have securely attached lids.”

“Resident #1 was self-administering Sinex nasal spray, but the resident's Documentation of Medical Evaluation indicated the resident cannot self-administer medications.”

“Resident #2's Novalog Flexpen medications did not have the initials of the person who opened them. Resident #3's prescription label stated to alternate every other day with 40 mg tablet, but the Medication Administration Record stated 20 mg tablet, with the pharmacy determining the label was incorrect.”

“Resident #7's Resident Assessment Support Plan (RASP) assessment portion was last completed on April 1, 2022, and had not been updated annually as required.”

“Resident #4's Documentation of Medical Evaluation had correction tape over dates and signatures on pages 1 and 2. Residents #5 and #6's contracts also had correction tape on dates throughout the documents.”

“Resident #1's Resident Assessment and Support Plan (RASP) was not timely updated to document increased supervision following an emergency hospitalization, and was not updated to reflect placement on 24/7 private duty home care. Updates were only completed after an incident investigation was initiated, with an incorrect effective date applied.”