Paramount Senior Living at Bethel Park.

“The resident-home contracts stated the facility was smoke-free with smoking only permitted in vehicles or off property, but the home's smoking policy actually permitted smoking in designated outdoor locations by the front turnaround, creating a discrepancy between contractual terms and actual facility rules.”

“The 3rd floor lobby stairwell fire door did not securely close into the door frame, creating a hazard in a designated fire-safe area.”

“Hot water temperatures in resident-accessible areas exceeded the 120°F maximum: common bathroom sink (122.3°F), 2nd floor common bathroom sink (122.5°F), resident #1's private bathroom (131.3°F), and resident #2's private bathroom (123.2°F).”

“Emergency telephone numbers were not posted on or by the telephone on the nightstand in resident #2's bedroom.”

“Resident #6 had no operable lamp or lighting source within reach of the bed; resident #5's lamp was approximately 3 feet away and could not be turned on/off from bedside.”

“An open and unsealed box of frozen hamburger patties (approximately 3/4 full) was present in the main kitchen walk-in freezer.”

“Resident #6's medical evaluation contained duplicate pages with two different dates, creating confusion about when the evaluation was actually completed, though verification with the medical professional confirmed the correct date.”

“Resident #5's medical evaluation contained conflicting dates—the examination date on the form differed by one day from the medical professional's signature date, creating documentation discrepancy.”

“Medication administration records (MAR) for October and November 2025 do not include the initials of staff persons who administered numerous medications on multiple dates and times, and several medications were not documented as administered at specified times.”

“Refrigerator in kitchen prep area measured 48 degrees Fahrenheit, exceeding the required maximum of 40°F for food requiring refrigeration.”

“Approximately 1/8 inch accumulation of blue lint was found in the lint trap of the dryer in the 2nd floor laundry room, creating a fire hazard.”

“Medication cart in the second-floor hallway across from the nurse's station was unlocked, unattended, and accessible to residents and visitors.”

“Resident #1's unopened Lantus Solostar Pen 100u/ml injectable prefilled syringe lacked a pharmacy label with required information including resident's name, medication name, prescription issue date, dosage, administration instructions, and prescriber information.”

“Resident #1's glucometer was not calibrated to the correct date or time. Multiple residents' glucometers contained readings that did not match blood glucose readings recorded on medication administration records, indicating improper storage, access, security, or use procedures for medical equipment by trained staff.”

“Resident's bracelet and hoop earrings were missing from bedroom. Staff person A was found wearing resident's bracelet without permission, violating resident's right to privacy of possessions.”

“Resident's medical evaluation is incomplete and missing required sections: height, weight, pulse rate, blood pressure, temperature, medical diagnoses, body positioning, and type of medical evaluation completed.”

“Resident prescribed 2 liters of continuous oxygen via nasal cannula was found without oxygen for approximately 20 minutes after staff forgot to reapply the nasal cannula following a bed pan transfer. Resident was in distress stating 'help me, help me. I am having trouble breathing.'”

“Resident assessments do not reflect diagnoses documented in medical evaluations (pain, dry eyes, constipation, fungal infection, gout, anxiety) and behavioral/cognitive needs (tearfulness, flat affect, sadness, self-harm behaviors) documented in medical evaluation and progress notes.”

“Resident's support plan for oxygen care (prescribed 2 liters continuous oxygen via nasal cannula) contains only vague instruction to 'administer O2 per MD orders' without detailed oxygen management instructions or parameters.”

“Resident billing invoice from July 2024 included a charge for "Healthful Living 1-Care & Supplies" but no corresponding fee schedule was present in the resident-home contract outlining this charge.”

“A contract addendum changing resident charges was signed by staff but not by the resident, and no documentation was provided showing the resident received at least 30 days advance written notice of the contract changes before billing at the new rates commenced.”

“A resident passed away and their belongings were removed from the home, but a refund to the resident's estate was not issued within the required 30-day timeframe, contrary to the Elder Care Payment Restitution Act.”

“A resident in the secured dementia care unit requiring extensive supervision and documented as unable to leave unattended went missing from the unit at approximately 5:00 PM and was found unattended walking along a road at 10:00 PM, indicating inadequate supervision and neglect.”

“A staff member treated a resident disrespectfully by telling the resident to shut up and appearing angry when the resident asked for careful handling due to a recent leg injury. This violated the requirement that residents be treated with dignity and respect.”