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.”

“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.”

“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.”

“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.”

“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.”

“Staff person B, hired on an unspecified date, has not completed and passed the Department-approved direct care training course and competency test and therefore may not provide unsupervised ADL services.”

“The resident home contract for Resident 4 was not signed by the resident as required.”

“The resident home contract for Resident 4 was not signed by the resident as required.”

“Resident 5 moved out of the home and was due a refund within 30 days of discharge, but the refund was not issued timely.”

“Three reportable incidents were not timely reported to the Department: Resident 1 eloped from the secure dementia care unit and was found by emergency personnel; Resident 2 fell and sustained a rib fracture; and Resident 3 left the building and was returned by police, despite having a support plan requiring supervision outside. Staff were not aware of these incidents or did not report them within 24 hours as required.”

“There is no carbon monoxide alarm in close proximity to the gas stove in the ground floor basement, in violation of applicable health and safety laws.”

“Three reportable incidents were not timely reported to the Department: Resident 1 eloped from the secure dementia care unit and was found by emergency personnel; Resident 2 fell and sustained a rib fracture; and Resident 3 left the building and was returned by police, despite having a support plan requiring supervision outside. Staff were not aware of these incidents or did not report them within 24 hours as required.”

“There is no carbon monoxide alarm in close proximity to the gas stove in the ground floor basement, in violation of applicable health and safety laws.”

“Resident 5 moved out of the home and was due a refund within 30 days of discharge, but the refund was not issued timely.”

“The home has video cameras that capture interior common areas including the lobby, the activity area in the SDCU, and the reception area, recording for 30 days. Recording in common areas accessible to residents is prohibited and violates resident privacy rights.”

“On Monday 8/7/23 and Saturday 8/12/23, with 57 residents in the home, only one staff member certified in CPR and First Aid was present during the 11:00 PM -7:00 AM shift. At least two CPR-certified staff must be present at all times per regulatory requirements.”

“Staff person A, hired on an unspecified date, did not receive required first-day fire safety and emergency preparedness orientation (topics 1-7 including evacuation procedures, staff duties, designated meeting place, smoking safety, fire extinguisher use, smoke detectors/fire alarms, and emergency notification) until 4/8/22.”

“Staff person B, hired on an unspecified date, has not completed and passed the Department-approved direct care training course and competency test and therefore may not provide unsupervised ADL services.”

“The home has video cameras that capture interior common areas including the lobby, the activity area in the SDCU, and the reception area, recording for 30 days. Recording in common areas accessible to residents is prohibited and violates resident privacy rights.”

“On Monday 8/7/23 and Saturday 8/12/23, with 57 residents in the home, only one staff member certified in CPR and First Aid was present during the 11:00 PM -7:00 AM shift. At least two CPR-certified staff must be present at all times per regulatory requirements.”

“Staff person A, hired on an unspecified date, did not receive required first-day fire safety and emergency preparedness orientation (topics 1-7 including evacuation procedures, staff duties, designated meeting place, smoking safety, fire extinguisher use, smoke detectors/fire alarms, and emergency notification) until 4/8/22.”