The Atrium of Allentown.

“A resident's bathroom call bell was inoperable and did not signal for assistance when needed. The resident remained in the bathroom for approximately two hours without being able to request help.”

“A resident's support plan was finalized without the involvement of the resident or their designated person in the development of the plan.”

“The public restroom in the lobby area across from the dining area did not have paper towels or a means to dry hands from 9:25 a.m. to 2:30 p.m.”

“A resident's medication label indicated 2 mg, take ½ to 1 tablet daily as needed, but the prescription order specified different dosages for different days of the week (1 mg on certain days, 2 mg on others at 8:00 p.m.), creating a mismatch between the label and the actual prescription.”

“A resident refused prescribed medication on multiple occasions (at 8:00 a.m. and 12:00 p.m. on different dates), but the prescriber was not notified of the refusals within 24 hours as required.”

“A resident's Resident Assessment and Support Plan was not updated to reflect behavioral issues involving an inappropriate incident with another resident, despite staff confirming this behavior was not abnormal for the resident. This was a repeat violation.”

“A resident's credit cards and bank card went missing, and fraudulent charges were made at a Walmart in Easton, PA. Local law enforcement identified staff person B from surveillance video as the individual who made the fraudulent purchases. Staff person B had worked overnight shifts prior to the cards going missing and charges being made.”

“A resident in the secure dementia unit was found on another resident's bed attempting to kiss them. The home failed to immediately report the suspected abuse to the Area Agency on Aging as required by the Older Adult Protective Services Act.”

“A resident in the secure dementia unit was found on another resident's bed attempting to kiss them. The home failed to report this incident to the Department's regional office within 24 hours as required.”

“A resident in the secure dementia unit made inappropriate sexual comments and was yelled at to shut up by staff. In another incident, the resident woke up yelling and punched a staff member, resulting in two staff members attempting to restrain the resident's hands. Positive interventions and de-escalation techniques were not used in either incident.”

“The annual support plan was not updated to reflect a mechanical soft diet order or to include documented behaviors such as combativeness during care, inappropriate sexual remarks, and masturbating in common areas.”

“The wellness office door was left wide open with resident records unlocked, unattended, and accessible, failing to maintain records in a confidential manner and prevent unauthorized access.”

“Resident #1 did not receive multiple prescribed medications on various dates because they were not available on site. Some incidents were not reported to the Department within 24 hours as required.”

“Resident #1's medications were not available on site until 7:09 p.m. despite returning from the hospital at 6:00 p.m. Additionally, nursing staff failed to properly sign narcotic count sheets at shift changes, with multiple instances where both incoming and outgoing staff did not initial the narcotic log to verify accuracy.”

“Resident #1's medication record inaccurately indicates the resident refused multiple prescribed medications when in fact the medications were not available on site.”

“OTC medications (Melatonin, D-3, and Bayer) belonging to residents were in the medication cart but were not labeled with the resident's name.”

“Resident narcotic control sheets were unlocked, unattended, and accessible on top of medication carts, violating record confidentiality requirements.”

“Lidocaine medication was unlocked, unattended, and accessible in a resident's room; the resident was not assessed to self-administer medication.”

“A medication error occurred where insulin was documented on the MAR at a glucose reading that did not meet the sliding scale order criteria; staff confirmed the reading and that no insulin was actually administered.”

“A resident's support plan did not document whether an enabler bar required for the resident was to be covered to meet FDA guidelines, despite the assessment indicating the resident's need for the device.”

“A resident admitted to the Secured Dementia Care Unit had a medical evaluation that contained contradictory documentation in section (14) regarding special care needs, indicating both that the resident needs secured dementia care and does not need secured dementia care.”

“Staff person E had their criminal background check started but began working before the background check was completed. This is a repeat violation.”

“Resident #1's bedside mobility device was not securely attached to the bed and could be moved 4-5 inches in any direction. This is a repeat violation.”

“Packages of melatonin (resident #8), Aspirin (resident #9), and AlgaeCal (resident #10) were found in the medication cart and were not labeled with the resident's name.”

“A bottle of wound cleaner was stored unlocked in the side bin of the medication cart in the secured dementia unit. The product label indicates to call poison control if swallowed, and residents in the unit are not assessed to be safely around poisons.”

“A bottle of morphine belonging to a discharged resident (#7) was found in the medication cart on 9/17/25. Only current prescriptions and medications should be kept in the home. This is a repeat violation.”

“Multiple medication administration and narcotic record discrepancies: Resident #13 had blood glucose readings incorrectly transcribed in the MAR (363 recorded as 373, 208 as 209, 104 as 102). Residents #14, #15, and #16 had narcotic count discrepancies between pharmacy records and actual counts (4, 1, and 1 dose missing respectively). This is a repeat violation.”

“Residents #11 and #12 were prescribed medication labeled as 'FT PAIN RELIEVER' on the MAR, but the pharmacy label identified it as 'APAP ES,' causing a mismatch between the medication record and pharmacy label.”

“Residents #4 and #5 utilize bedside mobility devices, but their Support Plans do not document risks associated with the device or the resident's ability to use the device safely.”

“Two cigarette butts were observed lying in the mulch outside the rear exit door near room two, indicating failure to maintain proper safeguards and fire safety procedures in the designated smoking area.”

“The home failed to follow the resident's plan of supervision in the secured dementia care unit. The resident, who requires supervision in the home and attendance when outside, eloped from the SDCU on two occasions in February 2025 by entering the door code, and was not properly supervised despite the documented care plan requirements.”

“The designated smoking area was not properly maintained. At approximately 10:40 a.m., 10 cigarette butts were found in the grass to the right of the home's exit (where the designated area is not located), and 5 additional cigarette butts were found in the grassy area next to the designated smoking area.”

“Directions for operating the key-locking devices at the doors exiting the secured dementia care unit into the main area of the home were not conspicuously posted near the devices.”

“An annual medical evaluation for a resident did not include a medication list or the resident's body temperature at the time of evaluation.”

“A resident's annual assessment and support plan did not indicate their need for wound care or the name of the agency providing wound care treatment, despite the resident receiving treatment four days per week.”

“A resident's annual assessment and support plan was not signed by the resident, and no indication was provided as to why the resident did not sign it.”

“Resident preadmission screening form does not include a determination that the needs of the resident can be met by the services provided by the home.”

“A resident was observed pulling the hair of another resident following a verbal confrontation. The facility reported a prior incident between the same residents where one resident scratched the other on the face, causing visible injuries.”

“A resident's Assessment Support Plan was not updated following a resident-to-resident incident involving hair pulling or to reflect that the resident was placed on 15-minute checks after the incident.”

“A resident's Documentation of Medication Evaluation (DME) form did not have the Health Status and Cognitive Functioning information checked off as required.”

“A resident's support plan was not signed by the person who completed the support plan, as required.”

“A resident's support plan was not signed by the resident and there was no documentation indicating that the resident was unable to or refused to sign the support plan.”

“A resident's DME form did not indicate the need for secure dementia care, despite the resident being admitted to the home's secured dementia care unit.”

“An incident report was required to be reported to the Department's Bureau of Human Service Licensing (BHSL) within 24 hours but was not reported timely. The facility failed to meet the mandatory 24-hour reporting requirement.”

“Staff entered a resident's room without permission to eat lunch while the resident was not in the building, violating the resident's right to privacy of self and possessions. This was a repeat violation from 12/6/2023.”

“Outdated or spoiled food was found in the kitchen walk-in refrigerator. Six green bell peppers were wilted with dark spots and mold, and were not labeled or dated.”

“Lint ducts on the exterior of the building were not cleaned properly. The ground floor duct was caked with lint and the second floor duct had lint sprayed all over the siding, creating a fire hazard.”

“A resident had medications at bedside but was not evaluated as being able to self-administer medications. The resident should have been assessed by a physician, PA, or CRNP regarding self-administration ability.”

“A resident had unlocked and accessible medications in their bedroom at the time of inspection. Prescription medications, OTC medications, and syringes must be kept in locked containers.”

“The facility failed to follow the prescriber's orders for medication administration. A resident prescribed medication with parameters to hold if systolic blood pressure was under 120 had the medication held when the blood pressure reading indicated it should have been administered.”

“Staff failed to respond to resident's call bell in a timely manner for assistance to the bathroom. The resident had to call 911 for help when staff did not respond.”

“Resident #3 and Resident #6 did not sign a statement acknowledging receipt of the residents' rights and complaint procedures.”

“The door to the facility's Wellness Office containing residents' confidential records and private medical information was unlocked and unattended, leaving access to this information accessible to the public.”

“The batteries in the carbon monoxide detector in the kitchen were last changed 10/20/22 and had not been changed annually as required by The Care Facilities Carbon Monoxide Standards Act.”

“Resident #3's and Resident #6's contracts were not signed by the residents as required.”

“Resident #7's and Resident #8's contracts did not include a fee schedule listing the actual amount of allowable resident charges for each of the home's available services.”

“The home utilizes voice controlled listening devices throughout the facility for music but does not have a policy regarding the use of these devices and how resident privacy will be maintained.”