Peter Becker Community.

“The home failed to submit a final incident report to the Department following the conclusion of an investigation into a resident incident that occurred on an unspecified date at 10:00 pm, where a resident lunged forward during a wheelchair transfer and became incoherent with slurred speech.”

“The medication room at Primrose Path was unlocked, unattended, and accessible with a controlled substance binder on top of the desk, violating confidentiality requirements for resident records.”

“The home did not have an influenza poster posted anywhere, failing to comply with the Influenza Awareness Act (HB 1785) requirement to post influenza information in a public place year round.”

“The Department's resident rights poster was not posted in a conspicuous and public place in the secured dementia care unit.”

“A resident on anticoagulation therapy had an unwitnessed fall and hit their head, remaining on the floor for an unknown duration. Despite the resident's request for hospital evaluation and family member's recommendation for medical evaluation, staff delayed calling 911 until 5:10 am. The resident was admitted to St. Luke's Grand View Hospital at 6:18 am with bruising and head injuries. Additionally, a second resident with exit-seeking behaviors removed their wander guard on multiple occasions and was found walking outside without supervision on at least two separate dates.”

“The telephone numbers of the Department's personal care home regional office, local ombudsman, protective services, Disability Rights Pennsylvania, local law enforcement, Commonwealth Information Center, and the personal care home complaint hotline were not posted in large print in a conspicuous and public place in the secured dementia care unit.”

“Staff person D did not receive annual training in fire safety completed by a fire safety expert or by a staff person trained by a fire safety expert during the training year.”

“The home's emergency procedures were not posted in a conspicuous and public place in the home.”

“Staff person A did not receive annual training in fire safety completed by a fire safety expert or by a staff person trained by a fire safety expert during the training year July 2024 to June 2025.”

“A resident's medication did not have an open date on the label and multiple blister packs were observed punctured, which violates proper storage conditions and manufacturer's instructions. This was a repeat violation.”

“A bottle of aspirin in the Ridgeview medication cart was not labeled with a resident's name, violating requirements for identifying OTC medications belonging to residents.”

“A resident admitted to the Secured Dementia Care Unit did not have an initial support plan completed within 72 hours of admission; the plan was completed on 10/24/2025 after the admission date.”

“A resident's initial medical evaluation was not completed on the Department's current standardized form, which was required for all medical evaluations completed after a specified date.”

“The administrator could not provide a full and complete list of staff members including substitute personnel.”

“Staff person B and Staff person C completed their 40th scheduled work hour but did not complete required training on emergency medical plan within that timeframe.”

“Training records for emergency medical plan in-service in November 2024 do not include source, date completed, or length of training. Training records for monthly fire drills do not include location or length of training.”

“Poisonous materials with warning labels were unlocked, unattended, and accessible in a resident room. Not all residents have been assessed as capable of recognizing and using poisons safely.”

“Medication storage deficiencies were identified including a punctured blister foil with medication still present and three loose pills found in the bottom of a medication cart.”

“Resident medical records were left visible on a computer screen in an unlocked, unattended medication room with no staff present, violating confidentiality requirements.”

“Three residents' records did not contain statements signed by residents acknowledging receipt of resident rights and complaint procedures.”

“A ceiling camera in the Westview area was pointing down a hallway with a view of a resident's room and could capture residents exiting and entering their room. The camera was recording but had no sign indicating recording, violating resident privacy rights.”

“A direct care staff person did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry, failing to meet required qualifications.”

“The administrator's list of staff persons did not include substitute personnel, failing to maintain a complete current list as required.”

“On 9/3/2024 from 11:30 PM to 7:30 AM with 55 residents present, no staff persons were certified in first aid, obstructed airway techniques, and CPR as required by regulation.”

“Approximately 1/2 inch accumulation of lint was found in the lint trap of the dryer located in the personal care laundry room, violating requirements to remove lint after each use to reduce fire hazards.”