Brookdale Murrysville.

“Allegations of caregiver neglect were made to the home but were not reported to the local Area Agency on Aging. On one date at approximately 2:22 am, staff person A provided incontinence care to a resident in an angry voice, directed the resident to roll over, and when the resident did not comply, staff person A left the resident without a brief and required a family member to complete the care. On another date at approximately 4:05 am, similar incidents occurred.”

“Allegations of caregiver neglect were made to the home but were not reported to the Department within 24 hours. The same incidents involving staff person A's treatment of residents during incontinence care were not reported to the Department's regional office.”

“An unlabeled and undated clear plastic bag containing approximately 15 sweetish meatballs was found in freezer #1 in the main kitchen.”

“A used yellow toothbrush was found in the semi-private bathroom medicine cabinet in a resident room, creating unsanitary conditions.”

“An uncovered, unattended trash can filled approximately 1/3 full was found in the semi-private bathroom of resident room #C3.”

“Four bathrooms (semi-private bathroom in resident room #C3, bathroom in resident room #C6, common bathroom in B hall, and bathroom in resident room #D8) lack operable outside windows and have inoperable exhaust fans, violating ventilation requirements.”

“Multiple ceiling tiles were displaced from tiled ceilings in three locations: immediately in front of the rear exit in B Hall, immediately in front of the main kitchen entrance, and missing from the laundry room next to D Hall.”

“Resident #3 does not have access to a source of light that can be turned on/off at bedside as required.”

“Two medications (Nystatin Powder and Zinc Oxide Skin Care) were found unlocked, unattended, and accessible in the medicine cabinet located in the semi-private bathroom of resident room #C3.”

“Multiple medication management deficiencies were identified: Resident #1 was prescribed Morphine sulfate oral solution with no documented administrations or destruction records from 9/20/24 through 6/5/25; Resident #1 received Tramadol on 5/26/25 and 5/27/25 without required staff signatures in the narcotic log; Resident #4 was prescribed Lorazepam with discrepancies in the prefilled syringe count.”

“Staff person A physically pushed a resident on the chest with open hands, causing the resident to fall back onto the bed and jerk their head, after waiting only 2-3 seconds for the resident to respond to a direction to lie down. The resident said "ouch" and appeared shocked. This constituted physical abuse.”

“Staff person A did not receive required first-day fire safety and emergency preparedness orientation prior to or during their first work day, including evacuation procedures, staff duties, designated meeting places, smoking safety, fire extinguisher use, smoke detectors, fire alarms, and emergency notification procedures.”

“Staff person A completed their 40th scheduled work hour but did not complete any of the required orientation training within 40 scheduled working hours, including resident rights, emergency medical plan, mandatory reporting of abuse and neglect under the Older Adult Protective Services Act, and reporting of reportable incidents and conditions.”

“The resident's Personal Service Assessment (PSA) does not address the resident's needs for transferring, ambulation, supervision, and mobility in the event of an emergency, failing to identify all required physical, medical, social, cognitive and safety needs.”

“Multiple incidents of resident-to-resident abuse were not immediately reported to the Area Agency on Aging in accordance with the Older Adult Protective Services Act. Incidents included a resident punching another resident, slapping a resident in the face, grabbing and attempting to pull a resident from a wheelchair, and squeezing a resident's hand. Reports to Protective Services were delayed.”

“Multiple incidents of resident-to-resident abuse were not reported to the Department's personal care home regional office within 24 hours as required. The incidents included a resident punching another resident, slapping a resident, grabbing and attempting to pull a resident from a wheelchair, and squeezing a resident's hand. Reports to the Department were delayed.”

“An incident report submitted by the District Director of Operations alleging that the administrator and Health and Wellness Director do not assess residents when they fall, that a direct care staff member does not change residents, and that the administrator is aware of this allegation was not shared with the home to investigate or for the home to retain a copy of the reportable incident.”

“Fire drill evacuation times exceeded the facility's designated safe evacuation time of 15 minutes on two occasions: 2/28/24 at 15:40 minutes and 3/27/24 at 16:14 minutes.”

“Combustible materials were found stored near heat sources. Paper was located on top of furnace A, and a plastic water bottle and cardboard box were found on furnace D.”

“A physical and verbal altercation occurred between a resident and staff person on an unspecified date, resulting in hospitalization, but the resident's designated person was not notified immediately as required.”

“Staff person A verbally abused a resident, physically restrained the resident in a bear hug, grabbed and pushed the resident, resulting in the resident falling and hitting their head. Emergency services were not contacted until 10:39 PM despite the resident showing signs of altered responsiveness immediately following the fall, in violation of the facility's Falls Management Policy.”

“No documentation was present indicating that direct care staff person A had permanent residency in Pennsylvania for 2 consecutive years prior to employment, making it impossible to determine if a FBI background check should have been completed.”

“Direct care staff person A hired on an unspecified date does not have a high school diploma, GED or active registry status on the Pennsylvania nurse registry. This is a repeat violation.”

“The facility failed to immediately notify residents' designated persons of reports of suspected abuse. Four separate alleged abuse incidents involving verbal abuse, rough handling, physical pushing, and aggressive behavior were not reported to residents' designated persons as required.”

“Direct care staff person A engaged in multiple incidents of alleged abuse toward residents, including verbal abuse (profane language directed at resident), rough handling during personal care, physical pushing of a resident with dementia out of a bathroom against their will, and aggressive door pounding near a resident. Staff person A continued providing care to residents throughout shifts despite these incidents.”