Country Meadows of Hershey.

“A laptop computer on the medication cart at the entrance of the Pathways Unit was left unattended and open, displaying multiple residents' confidential information and accessible to anyone in the area.”

“A staff member grabbed and held a resident's wrists during an escalated behavioral incident, made threatening statements including "Go ahead and bite me and I will bite you back" and "I don't care if I lose my job," resulting in redness on the resident's wrists.”

“An approximate 3-4 inch accumulation of snow was present on the sidewalk outside the back door of the small dining area in the Pathways Unit, creating an obstruction on an outside walkway.”

“A staff member performed a manual restraint by grabbing and holding a resident's wrists during an incident, restricting the resident's ability to move their arms freely.”

“The home failed to immediately report suspected abuse to the local Area Agency on Aging. A resident in the secure care unit touched another resident's thigh without consent, and staff did not report this incident as required by the Older Adult Protective Services Act.”

“The home failed to report three incidents to the Department within 24 hours: (1) a resident-to-resident physical contact incident, (2) an episode of unresponsiveness requiring emergency room transfer, and (3) a syncope and unresponsiveness episode resulting in hospitalization for acute kidney injury.”

“A resident in the secure care dementia unit exhibited sexually inappropriate behaviors toward multiple residents from February to June 2025, including unwanted touching of thighs and attempts to lure residents into bedrooms. The resident also punched another resident in the mouth, causing a cut to the inner lip. These incidents constitute abuse and neglect of residents.”

“Staff observed Resident #1 grabbing Resident #2's shoulder, dress straps, and upper chest area without consent. Despite Resident #2's verbal objections, Resident #1 continued the unwanted physical contact. This incident constitutes resident-to-resident abuse.”

“The pharmacy label for Resident #3's medication did not include current instructions for administration. The label stated 1 tablet orally every 6 hours as needed, but the current physician's order was 4 tablets orally every 6 hours as needed.”

“The Medication Administration Record for Resident #3 does not include the initials of the staff person who administered Eucerin Orig Lot Healing cream on 7/6/2024 at 8:00 PM, as required by regulation.”

“Resident #1's assessment and support plan did not include updates to reflect increases in maladaptive behavior, including multiple resident-to-resident abuse incidents and disruptive behavior that prompted 1:1 staffing assignment. The plan also did not address how the resident's behavioral needs would be met through staff supports. Resident #4's assessment and support plan similarly failed to reflect maladaptive behaviors documented in resident-to-resident abuse incidents.”