Sunrise of Lafayette Hill.

“A fax was received containing copies of residents' medications with protected health information that were allegedly outside the facility, unlocked, unattended, and accessible, violating HIPAA privacy requirements and federal law regarding protection of sensitive patient health information.”

“Prescription medications were not destroyed in an approved manner according to Department of Environmental Protection and federal and state regulations. Images of medication blister packs were sent by fax from an unknown source, and staff signed destruction logs indicating medications were destroyed when their actual location and destruction method could not be verified.”

“A pharmacy label for a resident's medication did not include current instructions for administration. The label stated bedtime dosing while the medication administration record reflected a changed PRN order for every 24 hours as needed, creating a discrepancy in medication labeling requirements.”

“The home's medication procedures do not include a process to investigate and account for missing medications and medication errors. When an anonymous fax reported missing medications including narcotics, the home failed to contact local law enforcement and report the incident as required by its own policy.”

“A resident discharged on a specified date did not receive their required itemized written account of funds and refund within 30 days of discharge. An audit of all discharges from 2024-2025 found no further issues.”

“A license inspection summary dated 11/04/2024 with privacy coding attached was displayed in a prominent and public location (bistro area), violating resident record confidentiality requirements.”

“The main kitchen freezer was dirty inside and out with white substance (spilled milkshake) crusted in the bottom. The water dispenser's exterior was discolored and covered in grime.”

“Three 3-gallon containers of ice cream in the freezer were opened and unsealed, violating food storage requirements.”

“During fire drills, residents were not evacuating to a designated meeting place away from the building or within the fire-safe area unless the fire was occurring in their specific area.”

“A resident was not treated with dignity and respect when staff person A responded to the resident's insults and threats in kind, telling the resident they would "kick your" (text cut off). The resident, who had moderate cognitive deficits with disorientation and confusion, was admitted to the secure dementia care unit.”

“Staff person B failed to report to the department within 24 hours when Resident 1 reported being left on the toilet for 45 minutes, resulting in significant emotional distress. The incident was not reported by the home to the Department's regional office or complaint hotline.”

“Staff person A left Resident 1 on the toilet for 45 minutes without assistance, neglecting the resident's documented need for assistance with bowel and bladder management. Subsequently, Staff person A yelled at the resident, removed and threw wheelchair leg rests across the room, and threatened to leave the resident in the wheelchair all night, constituting verbal abuse, mistreatment, and intimidation.”