Viva Memory Care at Dresher.

“A resident requested to use a telephone but staff were not aware of a private phone available for resident use, only a corded landline behind the nursing station desk.”

“During a physical altercation between two residents, staff member B physically restrained resident by grabbing both arms while the resident struggled to get free, violating the requirement that residents be free from restraints.”

“Staff person E notated in the resident narcotic log that resident's tablets were wasted without indication that another employee supervised the medication destruction, violating the home's narcotic destruction procedures requiring one designated authorized employee and one supervisor-level employee to witness destruction.”

“Medication administration record for resident did not indicate the correct name and initials of the staff person administering medication at 5:00 PM. Staff person E initialed as the administrator, but resident notes indicated the resident tossed the medication into staff person E's face and staff person F subsequently administered it at 5:48 PM.”

“Resident was prescribed medication 1 tablet orally 4 times a day for 7 days but did not receive the 7 PM dose on the prescribed date, failing to follow the prescriber's orders.”

“Resident was admitted to the Secure Dementia Care Unit on 3/5/25, but the medical evaluation was completed prior to the 60-day window required before admission and included a virtual health visit rather than an in-person evaluation.”

“Strong urine smell detected in various parts of the home including hallways and resident rooms during inspection on 2/27/2025.”

“Trash items including plastic water bottle, rubber gloves, and cardboard package found on ground near dumpster outside facility on 2/27/2025 at 9:34am.”

“Yellow stain on carpet outside resident room (2-3 feet long) caused by bleach and cleaning chemicals was observed on 2/27/2025 at 9:26am.”

“Emergency telephone numbers were not posted on or by resident #1's rotary telephone in room 24 on 2/27/2025, except for an obsolete ambulance number.”

“Resident records were not kept confidential. At least five different medications for a deceased resident were found unlocked, unattended, and accessible in a bin behind the concierge desk.”

“A container of Dove Original Clean Antiperspirant/Deodorant Stick with poison control warning was found unlocked, unattended, and accessible to residents in a room. Not all residents have been assessed as capable of safely recognizing and using poisonous materials.”

“A resident did not have access to a source of light that can be turned on or off at bedside.”

“A green medication delivery bin containing at least five different medications was found behind the concierge desk unlocked and unattended, indicating procedures for safe storage, access, security, distribution and use of medications were not being followed.”

“The home did not have ePatch criminal background checks for staff B and staff C. The background check for staff D was dated 02/28/2024 but the staff member's first day on site was 02/27/2024, meaning the check was not completed prior to employment.”

“Violation related to compliance deficiency classified as Class II.”

“Violation related to compliance deficiency classified as Class III.”

“The home failed to retain copies of reportable incidents or conditions between November 2023 and January 2024.”

“The home did not comply with the PA Department of Agriculture Food Employee Certification Act, which requires one employee per licensed food facility to obtain a nationally recognized food manager certification. The cook's ServSafe certificate had expired and no staff member was currently certified.”

“The home has only three staff members trained in first aid and certified in CPR. With 36 residents, the home is required to have at least one staff person trained in first aid and certified in obstructed airway techniques and CPR present at all times, and appears to lack adequate staffing coverage.”

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

“Direct care staff person A began providing unsupervised ADL services but did not complete and pass the Department-approved direct care training course and pass the competency test.”

“Resident prescription Eucerin topical cream was located in an unlocked drawer in their bathroom.”

“Two residents participated in the development of their support plans but did not sign them.”

“A resident participated in the development of the support plan but did not sign it, and the home did not make a notation regarding the resident's failure to sign.”

“Trazodone 50 mg prescribed for resident #1 was in the medication cart but had been discontinued on 11/08/2023. This is a repeat violation from 07/12/2023.”

“The pharmacy label for resident #2's Quetiapine Fumarate 50 mg did not match the actual prescriber order regarding total dose, and resident #2's Tramadol 50 mg blister pack lacked a direction change sticker for the standing twice-daily dosing.”

“Resident #1 is prescribed Hyoscyamine 0.125 mg and Ondansetron 4 mg; however, these medications were not included on the resident's medication administration record (MAR).”

“Multiple residents had medication administration records missing staff initials or documenting administration when medications were not actually given. Resident #1's Lorazepam dose on 11/08/2023 lacked initials; Resident #2's Tramadol was documented as administered on dates when it was not given; Resident #3's Lorazepam doses on 10/17 and 10/20/2023 lacked initials; Resident #4's Lorazepam dose on 11/08/2023 lacked initials. Additionally, the eMAR system malfunctioned on 11/11/2023 in the evening.”

“Resident #2 was prescribed Tramadol 50 mg twice daily at 08:00 AM and 08:00 PM but was not administered the medication on 10/10, 10/11, and 10/30/2023 at 08:00 PM and on 11/01/2023 at 08:00 PM.”

“Resident 10 moved from the home in 2022 and was due $892.00 in refunds but the home failed to refund the balance within 30 days. Resident 11 moved in 2023 and was due $5,000 in refunds but the home failed to refund timely.”

“Resident contracts for residents 5, 6, 7, 8, and 9 do not include a fee schedule of actual amounts charged for available individual personal needs services.”

“Staff person A received a complaint of abuse from a family member regarding resident 1 at 2:50 p.m. on March 9, 2023, but the allegation was not reported immediately in accordance with the Older Adult Protective Services Act.”

“On March 9, 2023 at 2:50 p.m., the home received a complaint of abuse and neglect from resident 1 but did not report this incident to the department. Additionally, incidents on May 13, 2022 and February 10, 2023 were not reported to the department within 24 hours.”

“Resident 1, who is incontinent and requires assistance changing incontinence products, had three pairs of incontinence products on and was soiled on March 9, 2023. A family member discovered the resident smelled and was wet. The staff member responsible for assisting resident 1 failed to provide appropriate care and was terminated.”

“Colgate Toothpaste, Gold Bond Skin Lotion, Dove Deodorant, and Degree Deodorant with manufacturer's labels indicating "Keep out of reach of children" were unlocked, unattended, and accessible to residents 12, 13, and 14. Not all residents have been assessed as capable of safely recognizing and using poisonous materials.”