The Birches at Harleysville.

“Staff person A was hired without completing a criminal background check prior to employment, in violation of hiring policies required under the Older Adult Protective Services Act.”

“Training records for Staff person B did not include the location, title of course, or length of course for all trainings completed.”

“Prescription medications, OTC medications, and other medication items were found unlocked, unattended, and accessible in Resident C's room at 10:38 a.m.”

“A medication was opened on the medication cart without an open date or expiration date documented, contrary to manufacturer's instructions requiring disposal after 6 weeks of opening. Additionally, a tablet was punctured in its blister pack and remained in place.”

“A glucometer for a resident was not calibrated with the correct time, displaying 1:45 p.m. when the actual time was 3:42 p.m.”

“Resident requiring assistance with ambulation and transferring was being pushed in wheelchair by another resident without supervision. The resident's support plan required supervision and assistance with mobility for optimal safety, but this assistance was not provided as required.”

“Abuse violation cited regarding monitoring and documentation of resident behaviors in memory care neighborhood.”

“A resident was admitted to the Secure Dementia Care Unit without proper documentation that the resident and designated person had not objected to the admission. The resident documented in writing on 6/17/2025 that they objected to the admission.”

“Poisonous materials including antiperspirant deodorant, bath & shampoo, mouthwash, and skin protectant ointment were unlocked, unattended, and accessible in resident bathroom cabinets and at a bathroom sink. Not all residents were assessed as capable of safely recognizing and using poisons.”

“A jar of personal care item belonging to a resident in their bathroom cabinet was not labeled with the resident's name.”

“Two residents had enabler bars that were not secured to bed frames per manufacturer's instructions, creating a potential hazard.”

“Purell Hand Sanitizer with a poison control label was unlocked, unattended, and accessible to residents in memory care. Not all residents had been assessed as capable of safely recognizing and using poisons.”

“A can of butane was unlocked, unattended, and accessible to residents in the garden house memory care area.”

“Two residents' medications were expired or past their use-by dates but remained in the medication cart.”

“A staff person left the medication cart unlocked and unattended in the memory care area. Additionally, two residents' glucometers were not calibrated properly due to daylight savings time changes not being updated.”