Simpson Meadows.

“A resident in the secure dementia care unit was not treated with dignity and respect. Staff member used harsh language ('Get the in there.') when directing the resident to shower, causing the resident distress.”

“Direct Care Staff Person A does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.”

“Staff Person A did not receive orientation on first day of work covering evacuation procedures, staff duties and responsibilities during fire drills and emergency evacuation, designated meeting place in event of fire, smoking safety procedures and home's smoking policy, location and use of fire extinguishers, smoke detectors and fire alarms, and telephone use and notification of emergency services.”

“Staff Person A did not complete required orientation training within 40 scheduled working hours covering resident rights, emergency medical plan, mandatory reporting of abuse and neglect, reporting of reportable incidents and conditions, safe management techniques, and core competency training in person-centered care, communication/problem solving/relationship skills, and nutritional support.”

“Staff Person B did not receive annual training in resident rights and the Older Adult Protective Services Act during the training year January 1, 2024 to December 31, 2024.”

“The residence's staff training plan for training year January 1, 2025 to December 31, 2025 does not include dates, times, and locations of scheduled training for each staff person.”

“Peri Guard Skin Protectant was unlocked, unattended, and accessible to residents in a resident bedroom in the special care unit. The product's label indicates it requires contact with a physician or Poison Control in case of accidental ingestion, and not all residents have been assessed as capable of safely recognizing and using poisonous materials.”

“Staff member was physically rough and verbally aggressive towards a resident. The residence failed to report this incident to the Department within the required 24 hours.”

“A resident was admitted but the required medical evaluation was not completed within the specified timeframe (60 days prior to admission or within 15 days after admission under qualifying conditions).”

“Staff member A yelled at a resident in an angry tone, appeared frustrated, and handled the resident roughly during a transfer by grabbing the resident's arms, resulting in bilateral bruising (3-4 cm diameter on each forearm). The resident reported experiencing pain from the grabbing.”

“Two containers of Swiffer WetJet cleaning solution were left unlocked, unattended, and accessible to residents, including residents in the special care unit (McKendree Gardens) who have not been assessed as capable of safely using or avoiding poisonous materials.”

“A stack of six blue chairs blocked the emergency exit door from the private dining room, preventing the door from being opened from the inside and obstructing an egress route.”

“A resident admitted to the facility was not provided a written initial assessment on the Department's assessment form within 30 days prior to admission. The resident requires medication administration.”

“The residence annual staff training plan for 2024 does not include instructions on meeting the needs of the residents as described in the preadmission screening form, assessment tool, medical evaluation, and support plan.”

“The residence annual staff training plan for 2024 does not include training on the Older Adult Protective Services Act (35 P.S. §§ 10225.101—10225.708), falls and accident prevention, and new population groups being served at the home that were not previously served.”

“Two ceiling tiles are missing on the second floor near room 239, and numerous other ceiling tiles have water stains on them.”

“The medical evaluation for resident #1 does not include immunizations, tuberculosis testing, and mobility assessment. The medical evaluation for resident #2 does not include information about whether the resident can self-administer medications.”

“Resident #3's medical condition changed and the resident was admitted to Hospice, but the home failed to have a medical evaluation conducted prior to the annual medical evaluation to document the declining medical status.”

“The residence's current license inspection summary issued by the Department and a copy of this chapter were not posted in a conspicuous and public place in the residence.”

“At 9:22 a.m., the residents' records in the memory care unit medication room were unlocked, unattended, and accessible to all residents, violating confidentiality requirements.”

“A deceased resident's personal belongings were removed from the room, but the residence did not refund the remainder of previously paid charges to the resident's estate within 30 days from the date the room was cleared.”

“A discharged resident did not receive a refund of previously paid charges within 30 days from the date the room was cleared of the resident's personal property.”

“Video monitoring signage was present but the resident contract did not state that residents were being recorded in common areas. Signage indicated "video monitoring" rather than "video recording."”

“A staff member was hired on a certain date, but their criminal background check was not completed until 4/4/2024, indicating the background check was not completed prior to or timely with the hire date.”

“Medical evaluation for resident is incomplete and does not include the date completed, medical information pertinent to diagnosis and treatment in case of emergency, medication regimen, contraindicated medications, medication side effects, or ability to self-administer medications.”

“Resident's final support plan was not dated within 30 days after admission to the residence.”

“Resident's final support plan was not revised following a change in the resident's needs documented in the medical evaluation, specifically a no-concentrated sweets diet.”

“Resident participated in development of support plan but did not sign and date the support plan.”

“Resident did not sign the support plan and the residence did not make a notation regarding the resident's inability or refusal to sign.”

“Resident admitted to special care unit but written cognitive pre-admission screening was not dated.”