Arden Courts (old Orchard).

“A resident sustained a fall on an unspecified date at approximately 11:29 p.m., was transported to St. Luke's hospital for evaluation, and returned with sutures in the right eyebrow. The home failed to report this incident to the Department within 24 hours as required. This was a repeated violation.”

“Three rocks the size of grapefruits were observed outside the door to the Berry Ridge courtyard at 9:17 a.m., blocking egress and preventing the door from opening freely. Additionally, a sign stating 'do not use' was observed at 9:25 a.m. on the door leading to the courtyard in the Cloverdale dining room, which may have deterred residents from using a viable emergency exit. This was a repeated violation.”

“A resident's most recent medical evaluation did not indicate whether the resident's needs can be met at the personal care home or if the resident would require care in a skilled nursing facility, as required by regulation.”

“A bottle of Nystatin powder was found in the Berry Neighborhood medication cart at 3:50 p.m. and was not labeled with a resident's name. Staff could not confirm who the medication belonged to.”

“A resident prescribed daily blood pressure checks at 10:00 a.m. and 9:00 p.m. prior to tablet administration had a blood pressure reading taken on an unspecified February date at 10:00 a.m. by staff person A, but this blood pressure reading was not documented on the resident's February medication administration record. This was a repeated violation.”

“A hole measuring approximately 4 inches by 2.5 inches was observed on the wall behind the door in a resident room. Floors, walls, ceilings, windows, doors and other surfaces must be clean, in good repair and free of hazards.”

“Medications for multiple residents were pre-poured into cups in the medication cart drawer at 10:32 a.m., though they were scheduled for administration between 8:00 a.m. and 9:00 a.m. This violated the requirement to identify the correct resident and remove medication from the original container at the time of administration.”

“At 10:32 a.m., medications scheduled for 8:00 a.m. administration were found pre-poured in cups on the medication cart, but the medication administration record was initialed indicating the medications had been administered at 8:00 a.m. This violated the requirement to record date/time information at the time medication is actually administered.”

“Multiple residents' medications prescribed for 8:00 a.m. and 9:00 a.m. administration were found pre-poured in cups at 10:32 a.m. and had not been administered at the times directed by the prescriber, violating the requirement to follow the prescriber's orders.”

“The home failed to report to the Department within 24 hours that medication (Allopurinol 100mg) was not administered to a resident on 3/16/25, 3/17/25, and 3/18/25 due to unavailability.”

“Two staff persons (A and B) did not receive required annual training in medication self-administration during the 2024 annual training year.”

“Two staff persons (A and C) did not receive required annual training in the Older Adult Protective Services Act during the 2024 annual training year.”

“A recycling container in the Clover Kitchenette was observed containing discarded food and was not covered with a lid at 9:45 a.m.”

“Required emergency telephone numbers were not posted at or near the phone in the Berry Ridge Kitchenette at 10:05 a.m.”

“A paper bag with containers of leftover food was observed in the Harvest Glen kitchenette refrigerator at 9:55 a.m. that was unlabeled and undated.”

“A resident who requires extensive supervision per their support plan eloped from the facility by reading and entering the gate code, traveling 3 miles to a local bowling alley where police located them. The resident was unsupervised during the elopement event, violating the requirement to provide assistance with activities of daily living as indicated in the resident's assessment and support plan.”

“The home did not change and date the batteries in the CO2 monitor on an annual basis. The carbon monoxide detector located in Cloverdale was dated 3/15/22, violating the Pennsylvania care facility carbon monoxide alarm standard act requirement for annual battery checks and dating.”

“A bag of blueberries in the studio refrigerator, a bag of corn flakes in the Harvest Glen kitchen, and a bag of corn flakes in the Dockside kitchen were not securely closed, violating the requirement that food be stored in closed or sealed containers.”

“A bag of blueberries in the studio refrigerator, a bag of corn flakes in the Harvest Glen kitchen, a bag of corn flakes in the Dockside kitchen, and 4 bags of cheez-its in the main kitchen were not labeled with a date, violating the prohibition on use of outdated or spoiled food.”

“During the initial walk-through on 3/21/24 at approximately 10am, a chair was observed in front of the exit door in the activities room while an activity was being held, preventing immediate egress in the event of an emergency.”

“A sock was observed on the dryer vent hose in the Harvest Glen laundry room during the initial physical site walk-through, posing a possible fire hazard by locating combustible material near a heat source.”

“The fire drill logs for drills conducted on 6/30/23, 7/28/23, 10/7/23, and 11/21/23 recorded incorrect numbers of residents as having evacuated, although staff interviews confirmed all residents were evacuated appropriately during fire drills.”

“A resident in the secure dementia unit was found in bed with another resident who was touching them in an inappropriate manner with clothing partially removed. Both residents are unable to consent to sexual contact and this constitutes neglect and abuse.”

“A resident was dressed daily in a jumpsuit with a back zipper that the resident could not independently remove. The jumpsuit was used to prevent inappropriate urination, constituting a mechanical restraint that restricts the resident's movement and function.”

“A resident requiring total supervision eloped from the home via the rear gate and was found on the property approximately 5 minutes later. The home failed to provide the required total supervision as indicated in the resident's support plan.”