Morningside House of Towamencin.

“The home's main fire panel displayed an error code and trouble alarm that had been showing since April 5, 2025. Repair of the smoke detector/fire alarm system was not completed within 48 hours of discovery.”

“Resident #1's medication record did not include a current list of medications. Pepcid AC was found in the resident's room but was not listed on the medication list in the resident's record.”

“Earwax treatment drops prescribed for Resident #2 were discontinued on April 8, 2025, but the medication was still present in the medication cart on April 10, 2025. This is a repeat violation from prior inspections (6/25/24 et al).”

“Multiple medication blister packs were observed with punctured foil while medication was still present: Resident #3's Calcium Antacid, Resident #4's Calcium Antacid, Resident #5's Acetaminophen 325mg tab, and Resident #6's Lorazepam 0.5mg tab. Medications were not stored in proper conditions.”

“Resident #7's initial assessment and support plan did not indicate the resident's degree of assistance needed with laundry.”

“Resident bedside mobility devices had uncovered openings creating entrapment hazards. One device had a 10-inch triangular opening and was not properly secured to the bedframe. Another device had a 12-inch opening between side rails and a wider-than-4.75-inch U-shaped opening from a grab bar.”

“Medication administration record for January 2025 did not include the initials of the staff person who administered a prescribed tablet in the evening, failing to record required information at the time of administration.”

“Two residents' support plans did not document how identified needs for transferring and positioning in/out of bed would be met, despite assessments indicating these needs and residents having bedside mobility devices for these purposes.”

“Suspected abuse of resident #1 by resident #2 (inappropriate touching) observed by staff at 06:45 AM was not reported to the local area agency on aging until 02:00 PM on 03/26/2024, violating immediate reporting requirements under the Older Adult Protective Services Act.”

“Incident of alleged abuse was not reported to the Department of Human Services within 24 hours; report was made at 12:33 PM on 03/26/2024 instead of immediately or within 24 hours of the 06:45 AM observation on 03/24/2024.”

“Controlled substance log and assignment sheet for 2nd floor residents were unlocked, unattended, and accessible to anyone on the medication cart in plain sight, violating resident record confidentiality requirements.”

“Resident #1, whose assessment and support plan dated 01/10/2024 indicated extensive supervision requirements, was left unsupervised in the common area living room with a male resident who touched the resident inappropriately at 06:45 AM on 03/24/2024.”

“Suspected abuse of resident #1 by resident #2 (inappropriate touching) observed by staff at 06:45 AM was not reported to the local area agency on aging until 02:00 PM on 03/26/2024, violating immediate reporting requirements under the Older Adult Protective Services Act.”

“Incident of alleged abuse was not reported to the Department of Human Services within 24 hours; report was made at 12:33 PM on 03/26/2024 instead of immediately or within 24 hours of the 06:45 AM observation on 03/24/2024.”

“Controlled substance log and assignment sheet for 2nd floor residents were unlocked, unattended, and accessible to anyone on the medication cart in plain sight, violating resident record confidentiality requirements.”

“Resident #1, whose assessment and support plan dated 01/10/2024 indicated extensive supervision requirements, was left unsupervised in the common area living room with a male resident who touched the resident inappropriately at 06:45 AM on 03/24/2024.”

“Colgate Total toothpaste labeled as a poison was left unlocked, unattended, and accessible to residents. Not all residents had been assessed as capable of safely recognizing and using poisonous materials.”

“A pair of scissors was located in an unlocked office in the Secure Dementia Care Unit on a cart used for activities, posing a hazard to residents.”

“A hospice aide was observed holding and pulling the arm of Resident #4, attempting to restrain movements away from the caregiver. This constitutes a manual restraint, which is a prohibited procedure.”

“Resident #1 engaged in escalating aggressive behaviors between 6/20/23 and 8/1/23, culminating in forcefully pushing Resident #3 to the floor on 8/1/23, causing a head injury and hospitalization. This violated Resident #3's right to be free from abuse and mistreatment.”

“Resident #1's support plan was not updated in response to significant behavioral changes occurring between 6/20/23 and 8/1/23, even though the resident engaged in escalating aggressive behaviors warranting reassessment. The support plan was not updated until 7/31/23, after several incidents had already occurred.”

“Resident #1's support plan dated 6/20/23 does not address specific concerns with aggressive behaviors, including intrusive behaviors toward other residents, swinging assistive devices at others, non-acceptance of staff assistance, and aggression toward staff including hitting and swinging.”