Grandview Estates Memory Care LLC.

“Resident #1 lunged towards and grabbed resident #5's shoulders and lower neck, causing red marks. This constitutes physical abuse/mistreatment of a resident.”

“Staff person A, hired in 2025, did not receive required annual training during 2025 in fire safety, emergency preparedness, resident rights, Older Adult Protective Services Act, and falls/accident prevention.”

“Hot water temperature at sink in bedroom 118-N was 134.8°F and at sink in bedroom 107-S was 136.2°F on 5/21/26, exceeding the maximum allowable 120°F.”

“Resident #1 did not have an operable lamp or other source of lighting within reach of the bed. This is a repeated violation (previously cited 6/10/2025, et al.).”

“Resident #3's prescription medication label for Baclofen 10mg does not include complete instructions (should indicate taking 1/2 tablet/5mg daily).”

“Resident #4's preadmission screening form is incomplete and missing: the date screening was completed, resident's mobility needs, and whether resident can safely use and avoid poisonous materials.”

“Resident #2's assessment does not include the diagnosis of Hyperlipidemia that was documented on resident #2's medical evaluation.”

“Resident #2 admitted to secured dementia care unit, but cognitive preadmission screening is missing the completion date and the name and signature of the staff person who completed the screening.”

“Battery-operated carbon monoxide detectors in north and south halls had batteries dated 10/22/19, which did not comply with the Care Facility Carbon Monoxide Alarms Standards Act requirement to label batteries with installation date and replace annually or when depleted.”

“Direct care staff person A did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry, yet was hired and provided direct care services on numerous dates including 6/5/25.”

“Three resident rooms (#201, #221, and #112 in SCDU) did not have operable sources of light at bedside that could be turned on from bed.”

“Two clear plastic bags of pre-made pizza shells and one clear plastic bag of gyro bread were left uncovered and unprotected from freezer burn in the basement freezers, exposing food to contamination.”

“An unlabeled, undated container with cut-up strawberries with no lid was found in the home's refrigerator, failing to comply with labeling and dating requirements for leftover food.”

“Multiple bags of frozen food items (pizza crusts, onion rings, chicken fingers, chicken patties, and French fries) were unlabeled and undated in basement freezers, creating risk of using outdated or spoiled food.”

“A metal door in the main hallway on the personal care floor was locked with a keypad, obstructing an egress route and preventing free access to emergency exits.”

“The home did not send written notification to the local fire department regarding the facility address, bedroom locations, and assistance needed to evacuate residents in an emergency.”

“A box of Umeclidinium 62.5/Vilanterol 25mcg inhalation powder (Anoro Ellipta) had no date indicating when it was originally opened, failing to track the medication per manufacturer's instructions requiring discard within 6 weeks of removal from foil tray.”

“A bedside mobility device on the right side of a resident's bed was uncovered and had an opening measuring approximately 16" x 10", posing an entrapment hazard.”

“Numerous resident records including hospice delivery orders and physician orders were unlocked and unattended on the dining room table next to the medication cart, violating confidentiality requirements.”

“Two staff persons did not know the location of the home's first aid kit.”

“Fire drills during sleeping hours were not being conducted at the required frequency of once every 6 months; the previous drill during sleeping hours was conducted more than 6 months before the inspection.”

“A medication was being stored in the refrigerator when manufacturer's instructions specified storage between 68-77 degrees Fahrenheit, not refrigerated.”

“A resident prescribed a medication to be taken by mouth once a day did not receive the medication on 12/2/2023. This is a repeat violation from 5/25/2022.”

“A resident was admitted to the secured dementia care unit but the required medical evaluation by a physician, physician's assistant, or certified registered nurse practitioner was not completed within 60 days prior to admission.”

“Directions for operating the home's locking mechanism were not conspicuously posted near the exit door next to the IT room.”

“A resident admitted to the secured dementia care unit did not have a support plan developed and implemented within 72 hours of admission or prior to admission.”