The Birches at Harleysville.

“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.”

“Resident 1 participated in the development of support plan but did not sign the support plan as required. The facility failed to document that the resident was unable to sign.”

“Resident 1 was admitted to the Secure Dementia Care Unit but the initial support plan was not completed within the required 72 hours of admission.”