Dresher Estates.

“The home submitted an incident report with incorrect date, time, and circumstances. The report was also not submitted within 24 hours of the incident occurrence as required.”

“The Narcotic Count book containing resident personal information was left unlocked, unattended, and accessible on top of the second floor medication cart.”

“A resident was sent to the hospital and transferred to extended care, but the home issued a 30-day discharge notice with an improper effective date and threatened to discard belongings. When the family retrieved belongings, they found a new resident in the room and the resident's belongings had been discarded, causing undue mental anguish and deprivation of possessions.”

“A resident admitted on a certain date was transported to the hospital. A 30-day discharge notice was issued, and before the resident could retrieve belongings, the room was reassigned to a new resident and the previous resident's personal belongings were discarded without consent.”

“There was no toilet paper for the toilet in the bathroom by the dining room.”

“The home failed to observe a resident ingest their medications. The resident had been assessed as unable to self-administer medications.”

“The home failed to submit an incident report to the Department within 24 hours when a resident reported being yelled at and screamed by a staff member alleging they had been attacked.”

“An unlabeled, undated, and uncovered bowl of sherbet ice cream was found in the memory care kitchenette refrigerator, violating requirements that leftover food be labeled and dated.”

“A resident unable to sign their support plan was not provided with documented notation of their inability to sign the support plan as required.”

“A resident admitted to the Secured Dementia Care Unit did not have an initial support plan developed and completed within 72 hours of admission as required.”

“Criminal background check for staff person A was not completed on or before the staff person's date of hire.”

“Direct care staff persons B and C did not receive required training in 2024 on meeting the needs of residents as described in the preadmission screening form, assessment tool, medical evaluation and support plan, and on care for residents with mental illness or an intellectual disability.”

“Staff person B did not receive required annual training in falls and accident prevention during the 2024 training year.”

“An unlocked, unattended sandbag with a manufacturer's label indicating to get medical attention if breathed in was found accessible to residents in the memory care courtyard at 10am. Residents in the secured dementia care unit were not capable of recognizing and using poisons safely.”

“Feces were observed in resident bathrooms at 10:30 am during initial walk-through. Additionally, ice cream lids in the freezer had ice-cream smeared substance on top and lids were not closing properly, leaving ice cream tubs unsealed.”

“Bathrooms in resident rooms did not have an operable, outside window or ventilation fan for required exhaust ventilation.”

“A sign on a resident's door warned of video monitoring in the resident's living space, violating the resident's right to privacy of self and possessions. The camera was installed in response to resident accusations of unauthorized entry.”

“Required medications (PRN medications) were not available in the home at the time they were needed for a resident. The facility failed to maintain proper storage, access, and security procedures for medications.”

“A resident's medication record did not accurately reflect the prescribed medication dosage. The resident was prescribed medication at a specific dose, but the medication administration record and the bottle provided contained a different dosage (extended release versus the ordered formulation).”