Keystone Villa at Ephrata.

“During a fire drill conducted on 1/10/24 at 1:10 am, residents were evacuated using the third-floor elevator, which is prohibited during fire drills.”

“A medication error involving a family member administering a different prescribed medication to a resident was not reported to the Department within 24 hours as required.”

“A resident was ordered to receive physical therapy upon returning from a hospital stay, but this order was not implemented when the resident returned to the home.”

“Multiple discrepancies were found between glucometer readings and documented blood sugar readings on medication administration records for residents #2, #3, and #5. This is a repeated violation from previous inspections.”

“A resident prescribed multiple medications with hold parameters based on vital signs had medications held outside the specified parameters. This is a repeated violation from previous inspections.”

“A resident's most recent medical evaluation was completed on 5/8/23, which was more than one year prior to the inspection date, failing to meet the requirement for at least annual medical evaluations.”

“Multiple prescription and OTC medications were observed unlocked and accessible in a resident's room, despite the resident not being assessed to self-administer medications.”

“A medication pen was stored beyond the 42-day discard date indicated on the pharmacy label, failing to comply with manufacturer's storage and handling instructions.”

“A blood glucose reading was not documented on the Medication Administration Record, representing a failure to properly implement procedures for medication documentation and medical equipment use. This was a repeated violation from 6/27/23.”

“On 06/27/23, there was an approximate 2-inch accumulation of lint in the lint trap of the dryer on the second floor. Lint must be removed from the lint trap after each use to reduce fire hazards.”

“On 06/27/23 from 10:45pm to 5:45am, 74 residents were present in the home with only 1 staff person certified in first aid, obstructed airway techniques, and CPR. Regulations require at least one trained staff person per 50 residents at all times.”

“On 06/28/23, there were 2 uncovered, unattended trash cans in the home's main kitchen. Trash in kitchens and bathrooms must be kept in covered trash receptacles that prevent insect and rodent penetration.”

“On 06/28/23, blood sugar readings from glucometers for two residents were not accurately documented in the electronic medication administration record (EMAR). Additionally, multiple boxes of insulin Kwik pens were found in a resident's bedroom, but that resident had not been assessed by a physician regarding ability to self-administer medications.”

“Resident #2's blood sugar reading was found in the glucometer but was not entered in the EMAR, and the prescribed medication was not administered. This is a repeated violation from 07/19/22. The home must follow prescriber's directions regarding medication administration based on blood sugar readings.”