Providence Place of Lancaster.

“A resident did not receive 4:00pm medications and the residence failed to report this incident to the Department within 24 hours as required.”

“A resident room smelled of urine and an unknown odor, and a urine bottle partially filled with urine was observed hanging on the resident's walker, creating unsanitary conditions.”

“Thera honey advanced wound care gel was observed unlocked, unattended, and accessible in a resident's medicine cabinet. The resident had not been assessed to self-administer medications.”

“Residents were not administered prescribed medications at the times specified by the prescriber (one resident at 4:00pm; another resident at 5:00am or 7:00am).”

“Resident support plans were developed but the resident or resident's designee did not sign and date the support plan, with no indication of refusal or inability to sign noted.”

“Preadmission screening forms were completed but did not include the date each were completed. Additionally, one resident's written cognitive preadmission screening was not completed in collaboration with a physician or geriatric assessment team.”

“The fire drill record for the drill conducted on 10/21/24 does not include any problems encountered, including why 1 resident did not evacuate. Fire drill records for 6/15/24 and 5/23/24 also lack required information regarding problems encountered and time of day.”

“During the fire drill on 10/21/24, 1 resident did not evacuate to a designated meeting place away from the building or within the fire-safe area. During the fire drill on 6/15/24, 5 residents did not evacuate to a designated meeting place.”

“A plastic tub of cherry pie filling was opened and unsealed in a cooler, and a box of premade hamburger patties was opened and unsealed in the walk-in freezer, violating proper food storage requirements.”

“There was an accumulation of lint in the lint trap of the dryer in the west hallway laundry room, creating a fire hazard.”

“A chair and a piano blocked egress from the residence's main dining room, obstructing evacuation routes.”

“A room marked 'chemicals' was unlocked and unattended on the first floor of the Connections Special Care Unit with multiple poisonous substances accessible, including a gallon-size jug of X-Effect Neutral Cleaner Disinfectant. Residents of this unit are not assessed to be capable of recognizing and using poisons safely. This is a repeated violation.”

“Emergency telephone numbers, including the nearest hospital and fire department, were not posted on or by the telephone in bedroom 24.”

“A bottle of tablets was unlocked and accessible in Resident 1's bedroom; Resident 1 is not assessed to self-administer this medication. A bottle of softgels was unlocked and accessible in Resident 2's bedroom; Resident 2 is not assessed to self-administer this medication. This is a repeated violation.”

“A round, white pill was found loose in the 'north' medication cart. An inhaler prescribed for Resident 3 was in the 'east' medication cart with no indication of when it was opened, though the manufacturer label states it expires 6 weeks after opening. This is a repeated violation.”

“Medication records for Resident 4 do not properly document prescribed medications and administration details as required.”

“Two residents' assessments were not completed annually as required. The residents' most recent assessments were overdue.”

“A bottle of medication containing two capsules was observed sitting unlocked, unattended, and accessible on top of the medication cart, in violation of medication storage requirements.”

“Resident abuse was not reported to the local Area Agency on Aging in a timely manner. A resident grabbed another resident's arm and kicked their leg, but the allegation was not reported until after the inspection date.”

“Four empty medication bottles with resident names and medication information were left unlocked, unattended, and accessible on the medication cart, violating record confidentiality requirements.”

“Two residents did not receive required supervision as indicated in their assessment and support plans. One resident requiring extensive supervision was involved in two physical altercations, and another resident requiring moderate supervision fell or was found on the floor seven times without adequate supervision.”

“A resident was admitted to the special care unit without completion of the required written cognitive preadmission screening within 72 hours prior to admission.”

“Resident's preliminary support plan did not document the dietary, medical, dental, vision, hearing, mental health or other behavioral care services needed for the resident's diagnosed medical conditions of asthma and hypoxia respiratory failure.”

“An additional written assessment was not completed when a resident sustained an injury from an unwitnessed fall and was prescribed a neck brace to be worn at all times and physical/occupational therapy 2-3 times per week, representing a significant change in the resident's condition.”

“Poisonous materials (Arm and Hammer complete care toothpaste and Degree 48hr deodorant with poison control warnings) were unlocked, unattended, and accessible to residents in the secured dementia unit. Residents had been assessed as incapable of recognizing and using poisons safely. This was a repeated violation.”

“Medications and syringes were not kept in locked areas or containers.”

“An unplugged portable space heater was stored across the receptionist desk in the lobby of the home.”

“Resident 1 pushed Resident 2 to the ground, causing injury. Additionally, Staff Member C was observed inappropriately touching Resident 3 underneath clothing and kissing Resident 3 on the lips. This is a repeated violation from 10/12/23.”

“A bottle of Eco lab bio enzymatic odor eliminator labeled 'do not drink' was unlocked and accessible in the secured dementia unit. Additionally, a tube labeled 'call poison control if swallowed' was unlocked and accessible in resident room #218. This is a repeated violation from 11/28/22.”

“A pungent odor of urine was detected in resident room #210.”

“A cart with 6 cans of paint (2 empty) and a spray can of Kilz primer was stored near hot water heaters in the mechanical room on the 1st floor of the secured dementia unit. Additionally, 2 pieces of cardboard were wedged between 2 hot water heaters in the mechanical room of the assisted living unit.”

“Resident 8's room contained a bottle of solution and a roll of medication (2.5 oz), but Resident 8 had not been assessed by a physician, PA, or CRNP regarding ability to self-administer.”

“Multiple incidents of resident-to-resident physical altercations occurred, including scratching causing skin tear, hitting, slapping, and striking walls. Residents were not adequately protected from physical abuse and mistreatment.”

“Resident 2's annual support plan was signed by the accessor but was not dated in Part III: Summary and Determination Section of the support plan.”

“Resident 1 was admitted to the special care unit but the written cognitive preadmission screening was not completed. Resident 5's written cognitive preadmission screening does not include the date of determination.”