Merrill Gardens at Glen Mills.

“A card with resident emergency contact information was posted on a magnet attached to a lamp outside the resident's room, violating the confidentiality requirement for resident records.”

“A staff member's first day of work did not include complete orientation on fire safety and emergency preparedness topics including staff duties during fire drills, designated meeting places, smoking safety procedures, smoke detectors and fire alarms, and telephone use for emergency services until a later date.”

“A partially full, uncovered, unattended trash can was found in the 2nd floor public bathroom, violating the requirement that trash in bathrooms be kept in covered receptacles that prevent insect and rodent penetration.”

“Four uncovered carafes of water were stored in the 2nd floor Bistro refrigerator, violating the requirement that food be protected from contamination while being stored.”

“A resident's support plan was not revised to reflect recent aggressive behavioral incidents (punching other residents and staff on multiple dates), despite the plan stating the resident had no aggression problem and only minimal disruptive behaviors.”

“A resident who was a new admission was not administered four prescribed medications (to be taken twice daily and at bedtime) on a specific date, despite having prescriber orders for these medications.”

“Approximately 1/2 inch accumulation of lint was found in the lint trap of the dryer on floor 2, creating a fire hazard. Lint should be removed from the lint trap after each use.”

“A resident admitted to the Secure Dementia Care Unit did not have a written cognitive preadmission screening completed within 72 hours prior to admission as required by regulation.”

“On 2/17/2025, from 7:00 am to 3:00 pm, 71 residents were present in the home but the daily schedule did not reflect that zero staff persons certified in CPR/first aid were recorded as present, violating the requirement of at least one CPR/first aid certified staff person for every 50 residents.”

“A resident's Eye Multivitamin Tab Sodium medication was not administered at the scheduled time on 2/9/2025 because the medication was not available in the home. The facility did not report this incident to the Department within 24 hours as required.”

“The resident-home contract for Resident 2 was not signed by the resident as required.”

“Resident 2's record did not contain a statement signed by the resident acknowledging receipt of a copy of the resident rights and complaint procedures.”

“Staff Person A was hired without having a criminal background check completed prior to the start date. Staff Person B did not have a criminal background check completed.”

“Direct care staff person C did not receive required training in medication self-administration, care for residents with mental illness or intellectual disability, safe management techniques, and instruction on meeting resident needs during 2024. Direct care staff person D did not receive the same required training topics during 2024.”

“Direct care staff person A does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.”

“On the inspection date, 82 hours of direct care was required but only 40 hours (49%) were provided during waking hours, which falls below the required 75% threshold.”

“Administrator designee was unable to provide requested agency staff list while inspector was on-site. The information was sent via email approximately 3 hours later at 1:05pm.”

“Resident-home contract was not signed by the resident.”

“Staff person thrust their hand into resident's mouth without explanation to remove dentures while resident was in bed, causing resident distress. Staff persisted despite resident making loud sounds of discomfort and continued removal until dentures were removed.”

“Criminal background check for staff person A was not completed prior to the employee's first day of work.”

“Staff person A did not receive required first-day fire safety and emergency preparedness orientation including evacuation procedures, staff duties during emergencies, designated meeting places, smoking safety procedures, fire extinguisher location/use, smoke detectors/fire alarms, and emergency notification procedures. No trainer signature was documented.”

“A staff member took photos of a resident on a personal cell phone and laughed at the resident because of the resident's physical appearance (missing teeth), failing to treat the resident with dignity and respect.”

“Suspected abuse of a resident (staff member told resident to use incontinence brief instead of assisting with bathroom) was not reported to the Area Agency on Aging in a timely manner, violating mandatory abuse reporting requirements under the Older Adult Protective Services Act.”

“A staff member suspected of abuse was not immediately suspended; the home failed to immediately suspend the staff member pending investigation as required when there is an allegation of abuse involving a home's staff person.”

“The home did not report an incident of suspected abuse (staff member telling resident to use incontinence brief) to the Department within 24 hours as required. Additionally, the home did not timely report an incident involving a staff member taking unauthorized photos of a resident.”

“A staff member took photos of a resident on a personal cell phone without the resident's knowledge or consent and showed these photos to other staff members, violating the resident's right to privacy.”

“A resident's initial support plan was missing required documentation including: how urinary incontinence needs will be met, how physical assistance with securing healthcare will be met, the frequency of prompting to use a walker for ambulation, and details regarding judgment needs and how they will be addressed.”

“Documentation regarding medical evaluation requirements within 60 days prior to admission appears incomplete based on the inspection report reference, though the full violation description is cut off in the document.”

“Two resident-home contracts were not signed by the residents as required by regulation.”

“On the inspection date, 66 residents were in the home including 26 with mobility needs, requiring a minimum of 92 hours of direct care service. Only 74 hours of direct care staffing were provided, falling short of the required amount.”

“On 2/25/24, only 73 percent of required direct care hours (67 of 92 hours) were provided during waking hours, falling below the required 75 percent minimum.”

“On 2/26/24 at 1:40pm, there was a strong odor of urine in Resident 3's apartment and a soiled incontinence pad on top of the resident's bed, indicating unsanitary conditions.”

“On 2/26/24, 12 boxes of water bottles and 5 boxes of dry food items along with 2 gallons of syrup and 2 bottles of vanilla flavoring were stored on the floor outside the main kitchen and in dry food storage, violating food storage requirements.”

“A bag of diced potatoes, a bag of diced carrots, and a bag of ground beef patties were found unlabeled and undated in the walk-in freezer, violating leftover food labeling requirements.”

“A bag of diced potatoes, a bag of diced carrots, and a bag of ground beef patties were found opened and unsealed in the walk-in freezer, failing to meet food storage container requirements.”

“On 2/26/24, approximately 1 inch of lint accumulated in the lint traps of three clothes dryers (two on the second floor and one on the third floor), creating a fire hazard by failing to remove lint after each use.”