Mercer Hill at Doylestown.

“A resident-home contract was not signed by the resident as required.”

“Resident medication packaging with names and medication information was left unattended and accessible in a trash bag hanging from a medication cart monitor, violating resident record confidentiality requirements.”

“A resident's initial medical evaluation did not include documentation of the resident's ability to self-administer medications, a required component of the evaluation.”

“A resident's status change medical evaluation for admission to the secured dementia care unit indicated 'none' for special health or dietary needs, which was inappropriate given the resident's pending transfer to that specialized unit.”

“A discontinued medication (Lorazepam) was found in the home's medication cart after the prescription was discontinued, violating the requirement that only current medications be kept in the home.”

“Two controlled medications were initiated on medication administration records by agency staff but were not properly signed out on the controlled inventory sheet, violating medication storage and access procedures.”

“Prescription eye drops were not stored in accordance with manufacturer's instructions. The drops were opened and remained in the medication cart beyond the 28-day discard requirement.”

“Multiple prescribed medications were not administered as directed by prescriber orders, including a cognitive impairment medication and a dry mouth medication that were not given at their prescribed bedtime administration times.”

“OTC medications belonging to resident were in the medication cart and were not labeled with the resident's name.”

“Staff assisted resident to bathroom but then left the resident on the toilet for approximately 25 minutes without assistance, failing to provide required help with toileting as indicated in the resident's support plan.”

“Resident-home contract was not signed by the resident as required.”

“Resident record did not contain a statement signed by the resident acknowledging receipt of resident rights and complaint procedures.”

“Staff member was observed in resident bathroom talking on phone in native language while resident was in distress, making loud statements and grunting noises, and staff then stood in doorway while resident struggled. This treatment failed to maintain resident dignity and respect.”

“Resident's annual medical evaluation form does not include the required section (9) Health Status/Cognitive Functioning, which was left blank.”

“Staff failed to properly document controlled medication administration by not writing the date on the Controlled Inventory Sheet when administering controlled medications to resident on multiple dates, violating the home's policy and safe storage/distribution procedures.”

“A resident's access to their bedroom was impeded by a banner with a "Do Not Enter" sign hung across the bedroom entry. Staff indicated the resident had to wait outside until staff removed the banner.”

“A resident's blister pack of medication had tape covering sections for pills 27-29, with pill 29 punctured and still in the package. This is a repeat violation from 6/10/24.”

“Two tubes of medication were open and not labeled with a resident's name in the medication cart.”

“A staff person did not record the date, time of administration, or controlled substance count when a resident was administered medication at 11:00 AM.”

“The facility did not have a system in place to safeguard the money or property of its 78 residents.”

“A criminal background check was not located in the employee file for Staff Person A, as required by the Older Adult Protective Services Act and 6 PA Code Chapter 15.”

“On the inspection date, 78 residents were in the home with 29 residents having mobility needs requiring a minimum of 107 hours of direct care service, but only 101 hours of direct care staffing was provided.”

“Of the 107 required hours of direct care, only 71.5 hours (67 percent) were provided during waking hours, failing to meet the requirement that at least 75% of personal care service hours be available during waking hours.”

“A resident requiring total assistance with transferring did not receive proper hands-on assistance as specified in their support plan. Staff member grabbed and transferred the resident against their will, demanded they get out of bed, attempted to make the bed while resident was sitting on it, and told the resident not to use their call bell.”

“A resident requiring two-person assist for transfers was subjected to verbal abuse and intimidation by staff person A, who demanded the resident get up, grabbed the resident against their will, made chastising comments, and told the resident to summon themselves rather than accept help. The resident became upset and shaken, and subsequently struck and bit another resident, resulting in hospitalization.”

“Medication administration records did not include the initials of the staff person who administered medication on two occasions at 9:00 pm on 7-18-24 and 9:00 am on 7-21-24.”

“Records for three residents (#1, #2, #3) did not contain a statement signed by the resident acknowledging receipt of resident rights and complaint procedures information.”

“Resident-home contracts for three residents (#1, #2, #3) were not signed by the residents as required.”

“Direct care staff person A does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry as required.”

“Resident #4's bedside mobility devices on both sides of the bed were not securely attached to the bed frame and could move easily, creating hazardous entrapment zones. The openings were larger than 4¾ inches and not covered.”

“The temperature in the stand-alone refrigerator in the main kitchen was 50 degrees Fahrenheit on 06/11/2024 at 10:30 AM, exceeding the required maximum of 40°F for food requiring refrigeration.”

“The fire extinguisher on the home's bus does not have a tag showing when it was last inspected by a fire safety expert.”

“An Insulin Lispro K 100 unit pen prescribed for resident #5 was found in the medication refrigerator but had been discontinued on 05/14/2024.”

“A blister card of Melatonin 3 mg with an expiration date of 05/19/2024 was found in the home's 2nd floor medication cart on 06/11/2024.”

“A resident's most recent medical evaluation was not completed within the required annual timeframe. The facility failed to ensure all residents received medical evaluations at least annually.”

“A narcotic medication was administered to a resident but was not properly signed off on the narcotics declining inventory log, creating a discrepancy in medication accountability and record-keeping.”

“A resident prescribed a narcotic medication to be taken every 6 hours missed three doses because the medication was not available in the facility, resulting in failure to follow the prescriber's orders.”

“A resident's support plan did not document the resident's vision needs (eyeglasses), which were noted on the preadmission screening form, failing to include necessary medical and behavioral care information in the care plan.”

“The home validated a financial exploitation incident affecting a resident by staff member A but failed to inform other residents who could potentially be harmed immediately following the conclusion of the investigation.”

“A resident requiring assistance with toileting, bladder management, bowel management, transferring, grooming and personal hygiene did not receive the required assistance on the evening of inspection because staff member B failed to provide this care.”

“A resident was financially exploited by staff member A, who obtained the resident's personal cell phone number while employed and remained in contact after termination. The staff member contacted the resident via text expressing financial distress and the resident provided credit card information. The staff member made unauthorized purchases of $900 and the resident has not received reimbursement.”

“Staff member responded to resident's call for bathroom assistance by hollering at the resident about locking the door, rolling their eyes when questioned, and causing the resident to become upset and reluctant to use the call system. This violated the requirement to treat residents with dignity and respect.”

“Staff member refused to assist resident with wheelchair access to dining room and failed to clean and change resident with feces and urine on their person. The facility did not report these incidents to the Department within 24 hours as required.”

“No ServSafe certified staff were present in the kitchen after 1:00 PM. The PA Department of Agriculture Food Employee Certification Act requires one employee per licensed food facility to obtain a nationally recognized food manager certification and be available during all hours of operation.”

“Multiple residents did not receive required assistance with activities of daily living (ADLs) as indicated in their assessment and support plans, including assistance with personal hygiene, bowel and bladder management, ambulating, toileting, dressing, and transferring.”

“Residents did not receive required assistance with instrumental activities of daily living (IADLs) as indicated in their assessment and support plans, including bedmaking, reminders of social and leisure activities, dressing, transferring, showering, TED hose assistance, and being escorted to meals and exercise classes.”

“The home does not have a copy of current vehicle registration for its Ford Eldorado van used to transport residents.”

“The home's quality management review dated 01/07/2023 did not address reportable incident and condition reporting procedures, complaint procedures, staff person training, and resident or family councils.”

“A bottle of Tilex and Crest Toothpaste with manufacturer's label indicating 'contact a Poison Control Center' was unlocked, unattended, and accessible in resident #1's room. Not all residents of the home, including resident #1, have been assessed capable of recognizing and using poisons safely.”

“There was an unlabeled, undated package of feta cheese and package of carrots in the refrigerator.”

“There were prepared beans in the refrigerator with an expiration date of 03/21/23.”