Silver Springs at East Norriton.

“Staff person B did not receive required annual training in 2025 in emergency preparedness procedures, recognition and response to crises and emergency situations, resident rights, and the Older Adult Protective Services Act.”

“The Wellness Director's office containing resident records was unlocked, unattended, and accessible to anyone. Additionally, a computer with access to the home's resident record system was unlocked and unattended in the same office.”

“A staff person hired did not have a criminal background check completed prior to their hire date, in violation of criminal history check requirements.”

“Direct care staff persons B, C, and D did not receive required annual training in 2025. Staff B missed medication self-administration, dementia care, personal care needs, and safe management techniques. Staff C missed dementia care training. Staff D missed personal care needs, safe management techniques, and dementia care training.”

“A resident's medical evaluation was not completed within 60 days prior to admission or within 30 days after admission, as required.”

“The facility failed to report a physical altercation incident between two residents to the Department within 24 hours; the report was also incomplete, missing the incident date, submission date, and time. This was a repeat violation.”

“A wellness office on the first floor containing resident assessments and support plans was unlocked, unattended, and accessible to all residents and visitors, violating resident record confidentiality requirements.”

“The home's 1st floor Wellness office was unlocked and residents' charts were unattended and accessible on shelves against the wall, violating resident record confidentiality requirements.”

“Staff A and Staff B were audibly complaining about a resident's bed during incontinence care, handling the resident in a hasty and rough manner, and Staff A stated to Staff B that the resident was 'giving me a hard road to travel,' violating the resident's right to be treated with dignity and respect. This is a repeat violation.”

“Staff Person B, whose first day of work was on an unspecified date, did not receive orientation on fire safety and emergency preparedness topics including evacuation procedures, staff duties during emergencies, designated meeting place, smoking safety, fire extinguisher location and use, smoke detectors and fire alarms, and telephone use for emergency services.”

“A resident's bed was equipped with an uncovered bedside mobility device with openings measuring 7 inches x 7 inches on both vertical and horizontal axes, exceeding the FDA guideline of 4 3/4 inches.”

“The home's 1st floor C hallway leading to the exit at the back of the building had a strong and pungent odor of urine, indicating unsanitary conditions.”

“A resident-home contract was not signed by the administrator or administrator designee, in violation of contract signature requirements.”

“The home failed to report an incident to the Department within 24 hours. Staff person A spoke unprofessionally to a resident about a shower schedule change and threw down a shower sign. Although a third-party physical therapist and staff members witnessed the incident, it was not reported to management or the Department.”

“A resident was not treated with dignity and respect. Staff person A spoke rudely to the resident about a shower schedule change and threw down the resident's shower sign, causing emotional distress.”

“The administrator's staff list did not include staff persons in training, as they were not added until receiving their first paycheck, in violation of requirements to maintain a current list of all staff persons.”

“A training record for direct care staff titled 'POC Education for Director of Wellness and Nurse' did not include the length of training, in violation of record-keeping requirements.”

“Poisonous materials (Crest pro-health toothpaste and Crest whitening toothpaste with poison control warnings) were unlocked, unattended, and accessible to residents in a Secure Dementia Care Unit bathroom with doors wide open, and not all residents had been assessed as capable of safely using or avoiding these materials.”

“A staff member suspected of theft from three residents was not immediately suspended or had a supervision plan implemented. The staff member remained in unsupervised contact with residents from 4/21/25 until termination, despite multiple theft allegations involving residents on 4/16/25, 4/21/25-4/25/25.”

“An incident on 2/23/25 involving resident-to-resident physical abuse (hitting to head) was not reported to the Department within 24 hours; the home reported on 2/26/25 instead of 2/24/25.”

“Resident #4 was observed hitting Resident #5 on the head on 2/23/25 in the secured dementia care unit, resulting in a skin tear on Resident #4's hand. The incident with injury was not properly reported to DHS by the required timeline.”

“Resident-home contracts were not signed by residents at the time of admission. Multiple residents' contracts lacked required resident signatures.”

“Resident records did not contain statements signed by residents acknowledging receipt of resident rights and complaint procedures information.”

“Resident medical evaluation did not include medication regimen, contraindicated medications, and medication side effects as required by the regulation.”

“A blood sugar reading was recorded on a resident's medication administration record at 10:05 P.M. but there was no corresponding reading on the resident's glucometer for that date and time, indicating a discrepancy in medication administration documentation.”

“Medication administration records for diabetic residents did not indicate blood sugar readings from required checks performed multiple times daily, and did not document insulin amounts and injection site locations as ordered.”

“No smoking sign was not posted in the home. The Clean Indoor Air Act requires posting of either a "No Smoking" sign or the international "No Smoking" symbol in personal care homes. A designated smoking area sign was missing from the required location at the front porch of the home.”

“The resident did not have access to an operable light source at the bedside that could be turned on/off. The bedside lamp was placed near the foot of the bed rather than within the resident's reach at the bedside.”

“The bedroom window coverings (shades/drapes/blinds/curtains/shutters) were damaged, with approximately 1/5 of the bottom slats of the blind missing or broken. Window coverings must be in good repair, clean, and provide privacy while covering the entire window when drawn.”

“Staff Member B forcibly led Resident #1 by the arm to the dining room, struck the resident in the chest with their arm hard enough to cause the resident to exhale and fold forward after the resident removed their arm and said "don't hit me." This constituted physical abuse of the resident.”

“Staff Member B did not use positive interventions when escorting a combative Resident #1 to the dining room. Instead, Staff Member B positioned themselves at eye level, pointed their finger at the resident, and struck the resident forcibly in the chest, rather than employing de-escalation techniques, redirection, or conflict resolution.”

“Resident #1's record did not include a reportable incident report for the abuse incident that occurred on the date of the inspection.”

“Staff member made disrespectful comments to a resident during care provision, saying "you bet not get that on me I swear" and "I get paid for this, you don't" while assisting with a colostomy bag change. This violated the requirement to treat residents with dignity and respect.”

“A resident without a primary diagnosis of Alzheimer's disease or other dementia was residing in the Secured Dementia Care Unit but was unable to use the magnetic lock code to come and go freely due to a cognitive condition. Individuals without dementia may reside in the unit only if they can freely use the access code.”

“The facility failed to report an incident of potential neglect to the Department within 24 hours as required. Staff refused to assist a resident with toileting and transferring, telling the resident to urinate in their incontinence product. The home was aware of the incident the morning it occurred but did not report it to the department until later.”

“Staff person A refused to provide required assistance with transferring, toileting, and bladder management to a resident whose support plan indicated need for this assistance, resulting in the resident wetting themselves and their chair.”

“Staff person A treated a resident without dignity and respect by refusing assistance with toileting and transferring due to back pain, telling the resident to urinate on themselves. This resulted in the resident wetting their clothing and chair despite having a support plan requiring staff assistance for these activities.”