Viva Senior Living at Harrisburg.

“A bedside mobility device had a large uncovered section measuring about 10" x 6" that posed an entrapment risk to residents.”

“Medications were not stored properly: a bottle of Rising Health was sticky and dripping inside a medication cart, blister cards with punctured blisters containing tablets were present in medication carts, and a prescribed medication opened on 7/28/24 was still in the cart past its one-month discard date per manufacturer instructions.”

“Support plans for two residents who required bedside mobility devices did not document the intended use, risks of the devices, residents' ability to use them, or identification of specific devices to be used.”

“A staff member told a resident, 'be careful or I'll slap you' during an overnight shift confrontation, making the resident feel vulnerable. This is a repeated violation from 1/17/24.”

“During July 2024 with more than 50 and fewer than 100 residents present, there were insufficient CPR/First Aid certified staff: only one certified person on duty on 7/20/24 (11:00 pm - 7:00 am), 7/15/24 (11:00 pm - 7:00 am), and 7/14/24 (3:00 pm - 11:00 pm and 3:00 pm - 7:00 pm). This is a repeated violation from 8/15/23.”

“Direct care Staff A and Staff B did not receive training during January 2023 through December 2023 in the following required topics: personal care service needs of the resident, safe management techniques, infection control and general principles of cleanliness and hygiene, and care for residents with mental illness or intellectual disabilities.”

“Multiple fire drills showed insufficient resident evacuation to designated meeting places: only 16 residents evacuated when the home was occupied with an unspecified number, only 13 evacuated when occupied with an unspecified number, only 10 evacuated when 82 residents were present, only 8 evacuated when 74 residents were present, and only an unspecified number evacuated when 65 residents were present.”

“Staff A did not receive training in the Older Adult Protective Services Act during January 2023 through December 2023. Staff B did not receive training in Resident Rights or the Older Adult Protective Services Act during the same period.”

“Two residents had large U-shaped bedside mobility devices attached to their beds with no covering and openings more than 10 inches wide, posing a risk of entrapment.”

“Hot water temperature in resident bathrooms exceeded 120°F: 126.0°F at Resident 2's bathroom sink on 8/1/24 at 9:22 am, and 127.7°F and 127.4°F at Resident 3's bathroom sink on 8/1/24 at 10:32 am and 10:36 am respectively. This is a repeated violation from 8/15/23.”

“The home did not properly manage resident blood glucose levels and did not obtain physician's orders to clarify sliding scale insulin orders. Residents with insulin orders were not consistently checked for blood glucose levels before administration, and insulin was administered without documented evidence of appropriate blood glucose readings.”

“Resident's December 2023 Medication Administration Record did not indicate the diagnosis or purpose for prescribed medications, failing to maintain complete medication records as required.”

“The home failed to follow prescriber's orders for multiple residents. Specific violations include: medications not administered or not present on MAR; doses of multiple medications not provided on specified dates; insulin doses administered without documented blood glucose measurements to verify appropriate parameters before administration.”

“Sanitary conditions were not maintained in the secure dementia care unit. Staff handled utensils without wearing gloves and without washing hands first, dining tables were dirty with food stains and crumbs, a resident handled utensils with ungloved hands, and staff were not wearing hairnets while serving food.”

“The designated smoking area on the pavilion had furniture with fabric cushions that lacked fire-resistant material labels, and cigarette butts were found scattered on the concrete patio despite the availability of a fireproof smoking container.”