Morningside House of Collegeville.

“Hot water temperature in resident bathrooms exceeded the 120°F maximum. Room 214 measured 127°F at 10:30 am and 121°F at 1:58 pm; Room 04 A/B measured 124.5°F at 10:50 am and 122°F at 1:58 pm.”

“Approximately 1 inch accumulation of lint was found in the lint trap of the inner compartment of the dryer located on the 2nd floor, creating a fire hazard.”

“A large trash can was observed on the landing of the stairwell, which serves as an emergency exit and fire safe area. The trash can prevented the door from being fully opened, obstructing egress.”

“Fire drills held on 12/17/24 and 1/21/25 were announced in advance to residents during council meetings, violating the requirement for unannounced monthly fire drills. Residents were informed of the specific dates and times in advance.”

“Resident #3's medication record did not include a current list of self-administered medications. Five medications were missing from the list: Bacitracin, Fluticasone nasal spray, Motrin 250mg, Vitamin D3, and Voltaran.”

“Resident #4's Lorazepam 0.5mg blister pack had a torn back that was taped over on slot #15, creating improper storage conditions. This was a repeated violation from 11/18/2024.”

“Resident #5's prescribed Albuterol Sulfate HFA 90 mcg inhaler was not available in the home, indicating a failure in medication storage procedures and access.”

“Prescription medications and OTC medications were stored in the medication cart that did not meet manufacturer's storage requirements. An opened medication was stored without a discard after date and should have been discarded 28 days after opening per manufacturer's instructions.”

“A Lantus insulin pen prescribed for a resident had no pharmacy label on it, missing required information including resident name, medication name, date issued, dosage, administration instructions, and prescriber information.”

“Medication administration was not properly documented. A medication signed out 26 times had only 20 staff initials on the medication administration record. Additionally, staff administered a lidocaine patch without documentation on the MAR, and medication administration was documented under the wrong staff member's name.”

“A resident who was unable to sign the support plan did not have a notation documenting the resident's inability to sign the plan.”

“The controlled medication log had blurred entries in the date and time column for several medication administration entries, making the record illegible and not meeting requirements for permanent, legible, dated and signed entries.”

“The home did not have sufficient hot water to the kitchen on the date of inspection.”

“Hot water temperature at the 2nd floor bistro measured 123.6 degrees Fahrenheit, exceeding the maximum allowable temperature of 120°F.”

“The kitchen hot water heater became inoperable, preventing kitchen cook, servers, and dishwasher from washing their hands using hot water prior to working in kitchen areas and after using the bathroom.”

“Kitchen staff were unable to wash their hands in hot water while working in the kitchen due to an inoperable hot water heater, affecting sanitary practices.”

“The facility failed to report an incident of alleged abuse to the Department within 24 hours. Staff member B spoke to a resident in an unkind manner, refusing coffee and making demeaning statements. The incident was not reported to the Department until 07/11/23, well beyond the required timeframe.”

“A resident was not treated with dignity and respect. Staff member B spoke to the resident in an unkind manner, refused the resident coffee with demeaning statements, and made dismissive comments about the resident's family.”

“A resident who participated in the development of support plans on 07/21 and 07/22 did not sign the support plans. This is a repeat violation from 09/15/22.”