Harmony House Manor.

“The home had no certified medication technicians available during overnight shifts from 11:00pm to 7:00am, preventing medication administration services during this time. Two residents with scheduled PRN medications were affected. This was a repeated violation from 9/13/23.”

“The home has been treating for bed bugs since September 2023. A resident room was observed to have bed bug carcasses in between the cushions of a leather couch and black feces marks were observed on the couch.”

“Freezer temperature in storage area was observed at 13°F on 12/12/2023 and 12°F on 12/13/2023 (with internal thermometer reading 15°F), exceeding the required 0°F maximum for frozen food storage.”

“Approximately 1/4-inch accumulation of lint found in lint traps of dryers labeled #2 and #5 in the SDCU floor laundry room, creating a fire hazard.”

“Multiple instances of incorrect blood sugar readings documented on Medication Administration Records, including a glucose monitor that was incorrectly calibrated showing 3:09 AM instead of actual time, and readings recorded at times inconsistent with when they were actually taken.”

“A 15-year-old ancillary staff person was left alone in the Secure Dementia Care Unit with 7 residents. When a resident exposed themselves and grabbed the staff person, the staff person threw shampoo bottles at the resident to make them retreat, constituting mistreatment.”

“Staff person A was hired but did not have a criminal background check completed until after their hire date, in violation of criminal history check requirements under the Older Adult Protective Services Act.”

“Direct care staff person A does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry, which is required for direct care staff qualifications. This was a repeated violation from 4/18/23.”

“Ancillary staff person B, who is 16 or 17 years of age, was left alone in the Secure Dementia Care Unit without required supervision.”

“On the inspection date, the home had 23 residents (16 in personal care, 7 in the Secure Dementia Care Unit), with 9 receiving hospice care and 9 considered immobile. Only 3 staff were working during the dayshift, including one 15-year-old ancillary staff, one uncertified staff member, and only one certified direct care staff for all 23 residents, which did not meet resident needs as specified in support plans.”

“Direct care staff person A and direct care staff person C both provided unsupervised Activities of Daily Living (ADL) services without having completed and passed the Department-approved direct care training course and competency test.”

“On 8/24/23 and 8/26/23, from 8:00 pm to 5:00 am, 23 residents were present in the home with no staff persons present who were certified in CPR and first aid, violating the requirement of at least one trained staff person for every 50 residents.”

“On 8/29/23, French toast was listed on the menu for breakfast but pancakes were served instead, and hamburgers were listed for lunch in the SDCU but chicken patty sandwiches were served instead. No advance notice was provided to residents of these menu changes.”

“Resident #1 was prescribed 40mg pantoprazole every 12 hours but was administered the medication at 7:00 am and 5:00 pm from August 1 through August 28, failing to follow the prescriber's directions.”

“On 8/29/23, scheduled activities on the main personal care unit (9:00 am horoscopes and 9:30 am devotional) did not occur, failing to develop and implement a program of activities as required.”

“On 8/29/23, scheduled activities in the SDCU (9:15 am horoscopes, 9:30 am devotional, 10:00 am hit the bucket) did not occur. During August 2023, no outdoor activities were offered. During the week of 8/6-8/12/23, no crafts or sensory and memory enhancement activities were offered. This is a repeat violation from 4/18/23.”