Spring Village at Pocono.

“A resident-home contract was not signed by the resident or notated that they were given an opportunity to sign, in violation of contract signature requirements.”

“The door to the North Hallway stairwell in the Secured Dementia Care Unit, which serves as an egress route and labeled exit, was equipped with a yellow strip banner and Stop Sign that caused confusion about whether the door could be used as an exit.”

“A resident admitted to the Secured Dementia Care Unit had no documentation that the resident and the resident's designated person have not objected to the admission or transfer.”

“Resident records were left unattended and accessible in common areas, including a treatment sheet on a table, a resident refill order form on a medication cart, a paper listing resident names with toileting and mobility needs on a hallway cart, and a blue binder with resident mobility needs in a common area.”

“Resident-home contracts were not properly signed. Resident #2's contract was not dated or signed by the resident. Resident #3's contract dated 7/15/25 was not signed by the resident.”

“The Attachment B, Schedule of resident Fees sheet for resident #2 does not include actual amounts charged for individual personal need services as required by the contract.”

“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 for direct care staff qualifications.”

“The door to the beauty shop in the secure dementia unit was unlocked and poisonous materials were unlocked, unattended, and accessible to residents, including a bottle of eyewash labeled to call poison control if swallowed, and bottles of Lime Away and bleach labeled as harmful if swallowed in an unlocked bathroom closet. This is a repeat violation from 3/4/25.”

“A full, uncovered, unattended trash can was found in the employee's 2nd floor bathroom, which does not prevent the penetration of insects and rodents as required.”

“Poisonous materials were found unlocked and accessible to residents in the memory care unit, including Lysol disinfecting wipes under a sink, Lysol aerosol disinfectant in an unlocked drawer, and an unattended cleaning cart with unlocked Lysol spray and air freshener.”

“The 3rd floor stairwell in the Secure Dementia Care Unit (3 West hallway) had unlit lighting fixtures that could only be turned on from another floor, creating a safety hazard for residents with vision impairments during evacuation.”

“The facility did not have verification that emergency procedures were reviewed annually or submitted to the local emergency management agency as required.”

“On the 2nd floor, in the country kitchen, there was an unidentifiable container of food in the freezer with no label or date.”

“Resident #2's contract was not signed by the administrator or designee of the facility.”

“Staff Person A and Staff Person B hired did not receive the required annual training in Medication Self-Administration for the year 2023.”

“Blood stains were noted on Resident #1's glucometer.”

“On the Secured Dementia floor, the linen room was found unlocked and the door propped open. This room has an open laundry chute that residents can potentially fall down.”

“Review of the home's fire drill logs indicate a sleeping hour drill was held on 12/21/23 at 4:00 am and 9 staff participated. Based on staff interviews, it was determined that only 5 staff are scheduled on the 11:00 pm to 7:00am shift.”

“The most recent fire safety inspection conducted by a fire safety expert was conducted 8/6/24. The last fire safety inspection was completed on 7/1/2022. Annual inspections were not being conducted as required.”

“The most recent sleeping hour fire drill was held on 12/21/2023 at 4:00am. A second sleeping hour drill was not conducted by 6/20/24 as required under this regulation.”

“An enabler bar was observed in residents' rooms on 8/6/24. The residents' support plans do not include risks associated with use of the bed enabler, the resident's ability to use the device safely for the purpose it was intended, identification of the specific device to be used, and whether a cover is required to meet FDA guidelines.”