Brandywine Living at Longwood.

“Door alarms were installed on resident bedroom doors to prevent residents from entering each other's bedrooms. The alarms sent notifications to staff pagers when doors opened and closed, violating resident privacy rights.”

“Resident called another resident derogatory names during dinner and threatened to have the resident removed because they were sitting at a previously occupied table. The facility failed to treat residents with dignity and respect.”

“Staff restricted a resident's right to associate and communicate with another resident by preventing overnight visits to bedrooms and placing door alarms on resident bedroom doors to prevent residents from visiting each other. Staff stated only family members were allowed to visit and stay overnight.”

“Colgate toothpaste with poison control warning label was found unlocked, unattended, and accessible in an unlocked vanity in the memory care unit common bathroom. Not all memory care residents have been assessed as capable of safely using or avoiding poisonous materials.”

“Bathrooms in resident rooms and common restrooms on the 2nd floor near game room and 3rd floor near beauty salon do not have operable outside windows or ventilation fans.”

“Two ceiling tiles near a resident room were water stained, creating a hazard and failing to maintain clean, well-maintained surfaces.”

“An exit sign near tower three on the 3rd floor was hanging from the ceiling with exposed wires, creating a safety hazard.”

“An unlabeled, undated zip lock bag containing fried chicken was found in the memory care refrigerator, violating requirements for labeling and dating leftover food.”

“A resident was not treated with dignity and respect when staff person B repeatedly questioned the resident's communication method (shaking a mug to indicate thirst) and made critical comments instead of responding to the resident's established cue for a drink. The resident is legally blind with cognitive impairments and was awaiting hospice admission.”

“Direct care staff person A did not receive required training in medication self-administration training or care for residents with dementia and cognitive impairments during training year 2024.”

“Wood Polish and TB Cide Quat (poisonous materials) were unlocked, unattended, and accessible to residents in the Activity Closet/Office on the 1st floor Memory Care unit. Not all residents in the home were assessed capable of recognizing and using poisons safely.”

“Direct care staff person A working in the Secure Dementia Care Unit had 0 hours of required dementia care training during 2024. Direct care staff person C working in the Secure Dementia Care Unit had only 5 hours instead of the required 6 hours of dementia care training during 2024.”

“Narcotics logbook was unlocked, unattended, and accessible on top of medication cart in hallway of second-floor Secure Dementia Care Unit. Assignment sheets for residents were also unlocked, unattended, and accessible in an upper cabinet in the memory care kitchen.”

“Multiple residents had bedside mobility devices that were placed under the mattress but were not secured to the bed. The devices moved easily when pulled and posed a safety hazard. This was a repeat violation.”

“Multiple poisonous materials were found unlocked and accessible to residents: nail polish remover, isopropyl alcohol, and a product in an unlocked lockbox in the second-floor memory care kitchen; a product in a cabinet above the oven in the first-floor memory care kitchen; and deodorant and toothpaste in a resident room bathroom. Not all residents, including those in the SDCU, have been assessed as capable of safely using poisons.”

“Bedroom ceiling corner in the back was peeling away and exposing drywall underneath; damage worsened after recent heavy rain. A ceiling tile in memory care bedroom near the door had a large brown water stain.”

“A large plug-in portable space heater that looked like a fireplace was in use in the SDCU second floor activities area with easily accessible heat controls in the front. When heat was turned on, temperature reached 158.1 degrees Fahrenheit.”

“A resident's medical evaluation was completed over 60 days prior to admission, violating the requirement that medical evaluation be completed within 60 days prior to admission or within 30 days after admission.”

“A cellophane roll of medication for a resident was unlocked, unattended, and accessible on top of the medication cart in the first-floor SDCU.”

“A care manager found a resident standing in another resident's room with pants unbuckled and unzipped. The incident was reported internally but was not reported to the local Area Agency on Aging as required when suspected abuse is involved, despite the resident's documented history of inappropriate behaviors including groping and pulling at clothing.”

“The facility failed to report an incident of suspected abuse to the Department's personal care home regional office or complaint hotline within 24 hours. A care manager witnessed a resident in another resident's room with inappropriate clothing but did not report this allegation to the Department.”

“The facility failed to post the required Influenza Awareness Act (NH 1785) poster in a public place. During the inspection, no awareness poster was present in the home, though one had been in the back elevator prior to renovations.”

“A resident's home contract was not signed by the resident as required by regulation.”

“The home's staff training plan does not include the dates and times of scheduled training for each staff person, as required.”

“A bedside mobility device on a resident's bed had an enabler that slid under the bed and was not securely attached to the bed structure, creating entrapment zones and posing a potential hazard to the resident.”

“The facility does not have a system to safeguard resident laundry from loss. Residents' clothes were piled on top of washers in both the second-floor personal care and memory care laundry rooms without labels showing names or room numbers.”