Atria Lafayette Hill.

“The home's record of direct care staff training does not include the length of each course as required.”

“A resident who needed physical assistance with transfers pressed their call pendant around 11:30 PM requesting help to go to the bathroom. After 6 call bell announcements and approximately 20 minutes, staff arrived "huffing and puffing" and stating the resident "got on their nerves." While assisting the resident, staff yelled at them approximately 5 times with a threatening attitude. Other residents reported that staff members were rude and made residents feel like they disrupted staff when pressing call bells. Residents were not treated with dignity and respect.”

“Direct care staff person A did not receive training in medication self-administration during training year 2024, which is a required annual training topic.”

“Staff person A did not receive training in fire safety completed by a fire safety expert or by a staff person trained by a fire safety expert during training year 2024.”

“The facility's current license inspection summary and a copy of 55 Pa Code Chapter 2600 were not posted in a conspicuous and public place in the home; information was only available upon request.”

“A white binder labeled 'Resident Schedule and Needs List' was unlocked, unattended, and accessible on the dining room counter in memory care between two residents eating breakfast, violating resident record confidentiality requirements.”

“Emergency telephone numbers including the nearest hospital and fire department were not posted on or by a telephone with an outside line in a resident room.”

“Controlled substance medication counts were inaccurate: one resident's narcotic count sheet indicated a specific pill count but 23 pills remained in the blister card; another resident's count showed discrepancy with 63 pills remaining (38 in a pill bottle and 25 in a blister card), indicating failure to implement safe medication storage and distribution procedures.”

“A resident's medication administration record for a prescribed tablet (to be taken by mouth twice daily for 7 days) does not indicate the diagnosis or purpose for the medication, violating requirements for complete medication records. This is a repeat violation.”

“A resident was administered one medication at 9 AM on a specific date, but staff person A incorrectly initialed a different medication as being administered at 9 AM on an earlier date when it was not administered, and failed to initial the medication that was actually given. This is a repeat violation of the requirement to record medication administration at the time administered.”

“A resident reported missing jewelry from their apartment, which constituted an allegation of abuse. However, this suspected abuse was not reported to the local area agency on aging as required by the Older Adult Protective Services Act and the regulation.”

“A resident's record was missing an incident report dated 10/29/2024. Each resident record must include a record of incident reports for the individual resident.”

“A resident with documented transfer, toileting, and dressing needs was left without access to their call bell pendant after an argument with staff over changing their nightgown. The resident was found partially hanging off their bed, crying, and using a cane to bang on the wall for help because staff had placed the call bell out of reach.”

“An agency-employed Resident Medication Assistant (Staff member C) who began working at the facility was not included on the staff list provided during inspection. All staff working in the home, including those employed by other entities, must be included on the current staff list.”

“Colgate toothpaste with poison control warning label was unlocked, unattended, and accessible in resident room #6 bathroom. Not all residents were assessed as capable of safely recognizing and using poisonous materials.”

“Medication administration records for Resident #1 and Resident #2 did not indicate the diagnoses or purposes for prescribed medications as required.”

“Resident #3 admitted to the Secured Dementia Care Unit was missing the determination in the written cognitive preadmission screening that the resident's needs required secured care.”

“The home did not run an FBI check for staff A, who does not reside in Pennsylvania.”

“An unlabeled urinal (commode) was found in the shower which was shared by two residents in a resident room.”

“Used towels and wash clothes in a shared bathroom were not identified with labels, violating the prohibition on common towels.”

“An unlabeled, undated container of what appeared to be gravy was found in the walk-in freezer.”

“The telephone numbers of the Department's personal care home regional office, the local ombudsman or protective services unit in the area agency on aging, Disability Rights Pennsylvania, the local law enforcement agency, the Commonwealth Information Center and the personal care home complaint hotline were not posted in a conspicuous and public place in the home.”

“A bag of brown sugar in the service kitchen in the Secured Dementia Unit was opened and unsealed, and ice cream tubs in the ice cream freezer in the main kitchen were not covered tightly.”

“Bedside mobility device attached to hospital bed had uncovered gaps that exceeded FDA guidelines. One gap was approximately 8 inches wide by 6 inches high, and another space under the rail was approximately 2 feet long by 6 inches wide, both exceeding the maximum allowable 120mm (4 3/4 inches).”

“Bedside mobility devices in multiple rooms were not securely attached to their beds. One device was tied with straps but shifted and wobbled when touched. Bedside mobility devices that slide under the mattress and are not securely attached to the bed structure can move and create entrapment zones and are not permitted.”

“A private duty aid found a medication cup with the resident's morning medications from the previous day on the kitchen sink. These medications were signed as administered on the MAR, but staff failed to observe the resident ingest the pills and did not follow proper medication administration procedures.”

“Discontinued medications were found in the home's medication carts. Multivitamins with minerals prescribed for resident 1 were in the cart despite being discontinued on 3/2/23. Atorvastatin Calcium 40mg prescribed for resident 2 were in the cart despite being discontinued on 2/10/23.”

“Prescribed medication Nayzilam nasal spray 5mg for resident 3 was not available in the home on 3/11/23, 3/12/23, 3/13/23, and 3/14/23, preventing proper administration of the medication.”

“Multiple prescribed medications were not administered to residents as ordered because they were not available in the home. Resident 1 did not receive Aero chamber plus spacer inhaler on 2/11/23, Losartan Potassium 25mg on 2/12/23 and 2/13/23. Resident 2 did not receive aspirin 325mg, daily-vite tab, or Preservision areds on 2/13/23.”

“Discontinued medications were found in the home's medication carts. Multivitamins with minerals prescribed for resident 1 were in the cart despite being discontinued on 3/2/23. Atorvastatin Calcium 40mg prescribed for resident 2 were in the cart despite being discontinued on 2/10/23.”

“Prescribed medication Nayzilam nasal spray 5mg for resident 3 was not available in the home on 3/11/23, 3/12/23, 3/13/23, and 3/14/23, preventing proper administration of the medication.”

“Multiple prescribed medications were not administered to residents as ordered because they were not available in the home. Resident 1 did not receive Aero chamber plus spacer inhaler on 2/11/23, Losartan Potassium 25mg on 2/12/23 and 2/13/23. Resident 2 did not receive aspirin 325mg, daily-vite tab, or Preservision areds on 2/13/23.”