St. Mary Villa for Independent & Retirement Living.

“An alleged abuse incident where a resident complained that a nurse hit them was not reported to the Department within the required 24-hour timeframe. The incident was not reported to the Department until after the inspection date.”

“Direct care staff person B does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry as required for direct care staff qualifications.”

“Spray bottles containing blue and yellow substances were found on an unattended utility cart in the St. Camillus unit and were not in their original labeled containers, making identification of the substances impossible.”

“An unattended utility cart in the St. Camillus unit had a broken lock and contained poisonous materials including Clorox and cleaning sprays. Not all residents in the dementia care unit are able to safely identify and avoid poisonous materials.”

“An alleged abuse incident where a resident complained that a nurse hit them was not reported to the Department within the required 24-hour timeframe. The incident was not reported to the Department until after the inspection date.”

“Direct care staff person B does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry as required for direct care staff qualifications.”

“Spray bottles containing blue and yellow substances were found on an unattended utility cart in the St. Camillus unit and were not in their original labeled containers, making identification of the substances impossible.”

“An unattended utility cart in the St. Camillus unit had a broken lock and contained poisonous materials including Clorox and cleaning sprays. Not all residents in the dementia care unit are able to safely identify and avoid poisonous materials.”

“A prescribed narcotic medication was signed out on the narcotics log as administered to a resident but was not properly initialed as administered on the resident's medication administration record.”

“A picture of a red stop sign with text stating 'When exiting, please be mindful of our residents who need to be reminded to remain in their home' was adhered to an emergency exit door in St. Lucy's unit, presenting an obstruction that could deter emergency egress.”

“A bottle of multivitamins belonging to a resident was found in the home's medication cart despite the resident not having a current physician order for this medication.”

“Medication storage and administration procedures were not properly followed. A resident's blood sugar reading was incorrectly transcribed on the medication administration record, and a prescribed glucose gel medication was not available in the home when needed.”

“A prescribed narcotic medication was signed out on the narcotics log as administered to a resident but was not properly initialed as administered on the resident's medication administration record.”

“A picture of a red stop sign with text stating 'When exiting, please be mindful of our residents who need to be reminded to remain in their home' was adhered to an emergency exit door in St. Lucy's unit, presenting an obstruction that could deter emergency egress.”

“A bottle of multivitamins belonging to a resident was found in the home's medication cart despite the resident not having a current physician order for this medication.”

“Medication storage and administration procedures were not properly followed. A resident's blood sugar reading was incorrectly transcribed on the medication administration record, and a prescribed glucose gel medication was not available in the home when needed.”

“Four tubes of periguard ointment with a warning label to keep out of reach of children were found in a resident's bedside table. Not all residents in the home had been assessed as capable of safely using or avoiding poisonous materials.”

“Eighteen cigarette butts were found on top of a trash can outside of the St. Camillus SDCU patio, which is not a designated smoking area for the home, indicating improper fire safety safeguards and smoking procedures.”

“Multiple medication blister packs were observed with punctured foil packaging while medications remained in place, exposing them to contamination or improper storage conditions contrary to manufacturer's instructions.”

“Staff person A did not report suspected abuse of a resident in accordance with the Older Adult Protective Services Act and 6 Pa. Code § 15.21–15.27. The facility disputed the timeline, stating the report was filed on 8/29/2024.”

“Staff person A did not report suspected abuse of a resident to the Department within 24 hours as required. The facility disputed the timeline, stating the reportable was sent on 8/29/2024.”

“Direct care staff person B did not receive required annual training topics during 2023, including medication self-administration training, instruction on meeting resident needs, care for residents with dementia and cognitive impairments, infection control and hygiene principles, and care for residents with mental illness or intellectual disability.”

“A resident's Medical Evaluation form incorrectly selected "none" for Special Health or Dietary Needs instead of documenting "Secured Dementia Care" to indicate the resident lives in the facility's secure unit and has a dementia diagnosis. This was a repeat violation from 7/31/2024.”

“A resident was found on the floor in the dining room, but the home did not report this incident to the department within the required 24 hours.”

“Boiler SN# 240795b failed inspection by PA Department of Labor & Industry on 6/4/2024, with a certificate that expired on 1/11/2024. The boiler remained in use without being fully repaired.”

“The resident-home contract for Resident #2 was not signed by the resident, and the contract for Resident #3 was not signed by the home. This was a repeat violation.”

“Records for Residents #2, #3, and #4 did not contain signed statements acknowledging receipt of resident rights and complaint procedures.”

“When 56 residents were present in the home, only 1 staff person certified in CPR/First Aid was on duty; 2 are required for census above 50.”

“Three staff members (A, B, and C) did not receive required fire safety and emergency preparedness orientation on their first work day, including topics such as evacuation procedures, staff duties during emergencies, designated meeting places, smoking safety procedures, smoke detectors and fire alarms, and telephone use for emergency services.”