Exton Senior Living.

“Staff communication logs and resident shower and skin integrity logs were unlocked, unattended, and accessible in a cabinet in the dining room, violating resident record confidentiality requirements.”

“A resident-home contract was not signed by the resident as required by regulations.”

“On multiple dates, with 64 residents present, only 1 staff person certified in first aid was present during 7am-7pm shifts, and no certified staff were present during a 7am-8am shift. Regulation requires at least one certified staff person for every 50 residents at all times. This is a repeat violation.”

“Trash bins were left uncovered and filled with trash. Additionally, a bag of trash, plywood, a mattress headboard, and an out-of-order ice cream machine were observed outside the home. Covered receptacles are required to prevent penetration of insects and rodents.”

“A bathroom did not have an operable outside window or functioning ventilation fan. The exhaust vent was inoperable and there was no window in the bathroom.”

“Multiple surface violations were observed: a large brown stain from apparent water damage on a ceiling tile near the dining room serving exit; paintings and loose papers stored on the elevator motor in the elevator room; a bulging, stained, and flaking ceiling tile in the laundry room behind the dryer; and a surge protector under the temporary front desk station with duct tape covering two outlets.”

“Poisonous materials were not properly secured. A broken lock on a bathroom cabinet contained shampoo and toothpaste with warning labels, and an unlocked bottle of air freshener with poisonous warnings was left unattended on a bathroom sink in the Secure Care Dementia Unit where residents are unable to safely use or avoid such materials.”

“Sanitary conditions were not maintained. A powerful urine odor was detected in a resident's room and was noticeable throughout much of the Secure Dementia Care Unit.”

“Emergency telephone numbers were not posted on or by a telephone in a resident's room. Required numbers include hospital, police department, fire department, ambulance, poison control, local emergency management, and personal care home complaint hotline.”

“A resident's bedside lamp was inoperable, failing to provide an operable source of lighting that can be turned on at bedside.”

“An outdated menu was posted in the Secure Dementia Care Unit instead of the current week's menu. Weekly menus must be prepared and posted one week in advance in a conspicuous public place.”

“Resident medical evaluation was incomplete and did not include medical information pertinent to diagnosis and treatment in case of an emergency, special health or dietary needs of the resident. The form was not dated by the physician, physician's assistant, or certified registered nurse practitioner.”

“The resident support plan was not revised within 30 days of the annual assessment completion and does not include a no added sodium diet as specified in the resident's medical evaluation.”

“A refund of previously paid charges for a deceased resident 60 years of age or older was not processed within 30 days of the room being cleared of the resident's personal property, as required by the Elder Care Payment Restitution Act.”

“Two resident-home contracts were not signed by the residents. Both residents were unable to sign; contracts were signed by responsible parties instead.”

“Two residents' records do not contain statements signed by the residents acknowledging receipt of resident rights and complaint procedures information. Both residents were unable to sign.”

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

“On overnight shifts (11:00 PM to 7:00 AM) on 10/14/24 and 10/19/24, with 59 residents present, only one staff person was certified in first aid, obstructed airway techniques, and CPR. The regulation requires at least two staff members (one per 50 residents).”

“A fire incident occurred at the facility on March 30, 2024, but was not reported to the Department until April 2, 2024, exceeding the required 24-hour reporting timeframe.”

“The first aid kit in the main kitchen was missing breathing shield and eye coverings as required.”

“Four residents (Residents 1, 4, 5, and 6) did not have access to a source of light that can be turned on/off at bedside.”

“Emergency water supply was toppled over and had fallen onto the floor with broken gallons of water that were not full and leaked.”

“During the fire drill on August 30, 2023, the home exceeded its maximum safe evacuation time of 15 minutes, evacuating in 15 minutes 8 seconds.”

“Two residents' contracts were not signed by the residents. Resident 1's contract dated 9/14/2022 and Resident 2's contract dated 7/9/2023 lacked resident signatures.”

“Staff person A was observed yelling at Resident 3 in the lobby, yelling about incontinence issues and the need to change clothing. This treatment failed to accord the resident dignity and respect.”

“Resident 4's bathroom sink was clogged and would not drain. Resident 5's enabler bar did not have a cover and had an opening over 12 inches, creating a hazard.”

“Resident 2 participated in development of support plan on 7/12/2023 but did not sign the support plan, and no indication was provided as to why it was not signed.”