Northview Estates.

“Resident assessment did not document significant behavioral changes. The resident required three staff persons due to physical combativeness, punching staff, spitting, screaming, swearing, and refusing care, but the current assessment indicated only minimal irritability, agitation, and aggression.”

“The home refused to allow a resident to be discharged from the hospital back to the home without providing 30-day advance written notice to the resident or the resident's designated person.”

“The nearest operable smoke detector to resident bedroom #330 was 18 feet from the bedroom door, exceeding the required 15-foot distance.”

“The Certificate of Operation for the facility's elevator expired on 7/31/24 and was not current at the time of inspection.”

“A plastic bag of sliced meatloaf in the upright freezer and a 5-pound bag of cheese in the double upright freezer in the kitchen were found opened and unsealed.”

“An unlabeled and undated bag of sliced meatloaf was found in the upright freezer in the kitchen, making it impossible to determine if it was outdated or spoiled.”

“The home failed to provide assistance with showers as required for seven residents (resident #1, #2, #3, #4, #5, #6, and #7) as indicated in their assessment and support plans.”

“The home had only 2 direct care staff persons on duty to assist 54 residents with activities of daily living and emergency evacuation, despite 9 residents having mobility needs requiring assistance of 1 staff person per resident to evacuate. This was a repeat violation from 11/30/23.”

“Multiple resident beds had uncovered enabler bars exposing gaps ranging from 3-12 inches high and 4-5 inches wide between the mattress/rails and supports, creating potential entrapment hazards for residents #1, #8, #9, #10, and #11.”

“A poisonous material with a label indicating medical attention/Poison Control notification was required if swallowed was left unlocked, unattended, and accessible to residents in a supply room in the secure dementia care unit.”

“Civil money penalty assessed for violation. Class II offense with census of 55 residents at time of inspection, calculated at $5 per resident per day = $275 per day.”

“Resident privacy coding document with resident name was posted on bulletin board in main entrance hallway. Additionally, multiple resident records including bowel movement logs and scabies logs were unlocked, unattended, and accessible on top of refrigerator in Secure Dementia Care Unit.”

“The home did not complete a criminal history background check on a staff person hired on an unspecified date in 2023.”

“Two direct care staff persons did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.”

“Resident privacy coding document with resident name was posted on bulletin board in main entrance hallway. Additionally, multiple resident records including bowel movement logs and scabies logs were unlocked, unattended, and accessible on top of refrigerator in Secure Dementia Care Unit.”

“The home did not complete a criminal history background check on a staff person hired on an unspecified date in 2023.”

“Two direct care staff persons did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.”

“Civil money penalty assessed for violation. Class II offense with census of 55 residents at time of inspection, calculated at $5 per resident per day = $275 per day.”