Ecumenical Retirement Community of Harrisburg Iii.

“Staff member A witnessed staff member B yell at a resident and grab the resident by the arm, dragging them down the hallway causing resident distress. This allegation of abuse was not reported to the local Area Agency on Aging in a timely manner.”

“A 4 oz bottle of Sparklefresh mouthwash and other poisonous materials were unlocked, unattended, and accessible in an unlocked drawer in a resident bathroom, not stored in their original labeled containers as required.”

“An allegation of abuse was not reported to the Department's personal care home regional office or complaint hotline within 24 hours as required.”

“Staff member B yelled at a resident and grabbed the resident by the arm, dragging them down the hallway, causing the resident distress. This constitutes physical abuse.”

“A copy of 55 Pa Code § 2600 was not posted in a conspicuous and public place. Additionally, the current licensing inspection summary was posted behind a locked glass door, requiring staff assistance to access.”

“Three separate incidents involving suspected abuse were not timely reported to the Local Area Agency on Aging. First incident: Staff Person B screamed at a resident attempting to place documents, reported to Area Agency over 24 hours later. Second incident: Resident kicked another resident causing a fall and head injury, reported over 24 hours later. Third incident: Resident engaged in fondling and kissing of another resident, reported over 24 hours later. This is a repeat violation.”

“Three separate incidents were not timely reported to the Department within 24 hours. First incident: Staff screaming at resident reported over 24 hours after occurrence. Second incident: Resident kicked another resident causing a fall reported over 24 hours after occurrence. Third incident: Sexual contact between residents in SDCU reported over 24 hours after occurrence.”

“Substantiated abuse of multiple residents including physical altercation, physical assault resulting in injuries (cut lip, bruising, skin tear), and inappropriate touching of resident by another resident. Multiple incidents documented during facility incident review.”

“Resident's assessment and support plan does not reflect documented behaviors including being loud, restless, pacing, attempting to take photos off walls, and high anxiety; at least two medication changes resulted from these behaviors. This is a repeated violation from 12/07/2023.”

“Correction fluid was improperly used on resident medical evaluation dated 3/22/2024, resident assessment and support plan update dated 4/5/2024, and resident assessment and support plan update dated 4/15/2024, violating the requirement for permanent, legible, dated and signed entries.”

“A medication associate calculated and documented the wrong total for the remaining morphine amount in the controlled substance logbook for Resident 2, though no actual medication error occurred.”

“Two unsealed bowls of ice cream were found in the freezer located in the kitchen.”

“Packages of poisonous materials with instructions to contact poison control if swallowed were found unlocked, unattended, and accessible to residents in the Secured Dementia Care Unit who have been assessed as incapable of recognizing and using poisons safely.”

“Feces were observed on a towel and bathroom floor in an apartment of the Secured Dementia Care Unit.”

“The medication administration initial training course documentation for Staff Member A and B is incomplete and does not contain student scores, observations, signatures, or dates.”

“Resident 1's support plan does not address the resident's need for care in the Secured Dementia Care Unit, failing to identify all physical, medical, social, cognitive and safety needs.”