Sunrise Senior Living of Dresher.

“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 first-day orientation on fire safety and emergency preparedness, including evacuation procedures, staff duties during emergencies, designated meeting places, smoking safety procedures, fire extinguisher use, smoke detectors and fire alarms, and emergency service notification.”

“Staff person A did not complete required 40-hour orientation training on resident rights, emergency medical plan, mandatory reporting of abuse and neglect under the Older Adult Protective Services Act, and reporting of reportable incidents and conditions.”

“Direct care staff person A began providing unsupervised ADL services without completing the Department-approved direct care training course and passing the competency test.”

“A resident's medical evaluation was outside of the 380-day annual requirement timeframe.”

“The home failed to report an incident to the Department within 24 hours when a staff person turned off a resident's television, took the remote, and instructed the resident to go to bed because it was late.”

“A resident reported that a staff person came into the resident's bedroom upset, took the television remote, and told the resident to go to sleep because it was late, which may not have treated the resident with dignity and respect.”

“A door to the 2nd floor exit was broken and hanging from the hinge, creating a hazard and failing to maintain surfaces in good repair.”

“A resident's annual medical evaluation did not include documentation of special care needs as required.”

“The home issued a 30-day discharge notice to a resident based on a medical condition creating danger to health and safety, which is not one of the permitted grounds for discharge under regulation 228h.”

“A resident was admitted to the Secure Dementia Care Unit but the written cognitive preadmission screening was not completed within the required 72 hours prior to admission.”

“The home's emergency food was stored on the floor, violating the requirement that food shall be stored off the floor.”

“An uncovered trash can half-full of food waste was found unattended in the main kitchen, violating the requirement that trash in kitchens be kept in covered receptacles to prevent insect and rodent penetration.”

“A cat present on the home's 3rd floor did not have a current rabies vaccination certificate; the certificate on file had expired on 07/31/2024.”

“Stairwells A and C were the only exit routes used during fire drills held from April through June 2024, violating the requirement that alternate exit routes be used during fire drills.”

“Resident #1's expired Lorazepam 0.5 mg blister card with a discard-after date of 03/03/2025 was still in the medication cart. Additionally, a loose pink Lisinopril pill was found in the 3rd floor medication cart, violating proper medication storage requirements.”

“Resident #1's Lorazepam 0.5 mg was signed out on the medication administration record on 03/02/2025 at 07:02 PM but was not properly signed out in the controlled medication utilization record, violating procedures for safe storage and distribution of medications.”

“Resident 1 self-administers medications but three unlocked, unattended medication bottles were found on top of the bedroom dresser with the door unlocked, violating secure storage requirements.”

“Direct care staff person A did not receive required annual training in two topics during 2023: instruction on meeting resident needs as described in preadmission screening forms, assessment tools, medical evaluation and support plans; and safe management techniques.”

“Four residents had medication dosage or administration directions changed from original pharmacy labels (Residents 2, 3, and 4), but the changes were not indicated on the medication containers or blister packs, creating discrepancies between labels and the Medication Administration Record.”

“Three residents (5, 6, and 7) had bedside mobility devices present on their beds, but their assessment and support plans did not document the specific device, intended use, associated risks, resident's ability to safely use the device, or FDA cover requirements.”