Harmony at Hershey.

“Toilets in resident bathrooms were observed to be soiled with fecal matter on the seat and inside the toilet, indicating unsanitary conditions were not being maintained.”

“Two residents' current medical evaluations did not include documentation of their special health or dietary needs.”

“Four residents' assessments were not updated to reflect significant changes in their dietary needs, diagnoses, or care requirements that had been documented by their physicians.”

“A resident's support plan identified needs for assistance with transferring in/out of bed/chair and ambulating, but did not document how these identified needs would be met. This was a repeated violation.”

“A resident and staff person who participated in the development of a support plan did not sign and date the support plan as required.”

“A resident was admitted to the home's Secure Dementia Care Unit, but as of the inspection date, the required written cognitive preadmission screening completed within 72 hours prior to admission had not been completed.”

“On 12/03/24 at 10:39 AM, there was approximately 1 inch accumulation of lint in the dryer in the laundry room on the 3rd floor, creating a fire hazard.”

“On 11/27/24 from 11:00 PM to 3:00 AM on 11/28/24, there were 73 residents present with only one staff person certified in first aid and CPR, violating the requirement of at least one certified person per 50 residents.”

“Resident #1's bed had an enabler bar installed with an uncovered opening measuring 9 ½ x 10 ½ inches, creating a safety hazard.”

“The fire drill record for 7/29/24 did not indicate AM or PM, and was missing required information including number of residents present, number evacuated, exit routes used, number of staff participating, problems encountered, and whether fire alarm or smoke detector was operative.”

“The last fire drill conducted during sleeping hours was on 10/31/24 at 06:26 AM, with the previous sleeping hours drill on 03/27/24 at 11:30 PM, failing to meet the requirement of one sleeping hours drill every 6 months.”

“Resident #4 is prescribed Senna 8.6mg to take one tablet by mouth at bedtime as needed, but the medication was not found in the medication cart or otherwise in the home.”

“Resident 1 punched Resident 2 in the back and sides repeatedly. Staff witnessed the incident and separated the residents.”

“Resident 1 punched Resident 2 in the back and sides repeatedly. Staff stopped the incident and Resident 2 then slapped Resident 1.”

“The home's licensing inspection summaries from 9/27/22, 12/6/22, 2/6/23, and 4/10/23 were not posted in a conspicuous and public place in the home.”

“Medication errors were not reported to the Department within 24 hours. Violations included: Resident 1 did not receive prescribed medications on 8/1/23; Residents 2 and 3 did not receive prescribed Lidocaine patches on 8/5/23; and Resident 4 had medication discrepancies on 8/9/23. This is a repeated violation.”

“The home did not have required flu vaccination information posted in a public and conspicuous place. Additionally, no smoking signs were not posted at entrances as required by the Clean Indoor Air Act.”

“Violation of 55 Pa Code § 2600.81(b). Civil Money Penalty assessed at $5 per resident per day for 74 residents for a calculated fine of $370.”

“Violation of 55 Pa Code § 2600.85(a). Civil Money Penalty assessed at $5 per resident per day for 74 residents for a calculated fine of $370.”

“Violation of 55 Pa Code § 2600.187(a). Civil Money Penalty assessed at $5 per resident per day for 74 residents for a calculated fine of $370.”

“Violation of 55 Pa Code § 2600.187(d). Civil Money Penalty assessed at $5 per resident per day for 74 residents for a calculated fine of $370.”

“Violation of 55 Pa Code § 2600.224(a). Civil Money Penalty assessed at $5 per resident per day for 74 residents for a calculated fine of $370.”

“Violation of 55 Pa Code § 2600.254(a). Civil Money Penalty assessed at $5 per resident per day for 74 residents for a calculated fine of $370.”

“The Certificate of Compliance (License #337410) dated June 14, 2023 to June 14, 2024 was REVOKED and replaced with a FIRST PROVISIONAL license based on violations found during inspections on August 8-10, 2023 and November 7-9, 2023.”

“The home's licensing inspection summaries from 9/27/22, 12/6/22, 2/6/23, and 4/10/23 were not posted in a conspicuous and public place in the home.”

“Medication errors were not reported to the Department within 24 hours. Violations included: Resident 1 did not receive prescribed medications on 8/1/23; Residents 2 and 3 did not receive prescribed Lidocaine patches on 8/5/23; and Resident 4 had medication discrepancies on 8/9/23. This is a repeated violation.”

“The home did not have required flu vaccination information posted in a public and conspicuous place. Additionally, no smoking signs were not posted at entrances as required by the Clean Indoor Air Act.”

“Violation of 55 Pa Code § 2600.81(b). Civil Money Penalty assessed at $5 per resident per day for 74 residents for a calculated fine of $370.”

“Violation of 55 Pa Code § 2600.85(a). Civil Money Penalty assessed at $5 per resident per day for 74 residents for a calculated fine of $370.”

“Violation of 55 Pa Code § 2600.187(a). Civil Money Penalty assessed at $5 per resident per day for 74 residents for a calculated fine of $370.”

“Violation of 55 Pa Code § 2600.187(d). Civil Money Penalty assessed at $5 per resident per day for 74 residents for a calculated fine of $370.”

“Violation of 55 Pa Code § 2600.224(a). Civil Money Penalty assessed at $5 per resident per day for 74 residents for a calculated fine of $370.”

“Violation of 55 Pa Code § 2600.254(a). Civil Money Penalty assessed at $5 per resident per day for 74 residents for a calculated fine of $370.”

“The Certificate of Compliance (License #337410) dated June 14, 2023 to June 14, 2024 was REVOKED and replaced with a FIRST PROVISIONAL license based on violations found during inspections on August 8-10, 2023 and November 7-9, 2023.”