Traditions of Lansdale.

“A resident's most recent medical evaluation was not completed within the required annual timeframe. The facility failed to ensure the resident received a medical evaluation at least annually.”

“Four medication cards were observed with punctured blister foils containing medications still present. The medications were not stored under proper conditions and the integrity of the medication packaging was compromised.”

“A resident of the secured dementia care unit eloped from the home on an unspecified date after the courtyard door's locking mechanism was found to be faulty. The resident was not accompanied by staff while in the courtyard and was missing for several hours until returned by local fire department/police at 1:25am. Additionally, a staff member verbally abused another resident by using harsh language, telling the resident to 'sit in your chair' repeatedly in a demeaning manner.”

“A resident of the secured dementia care unit eloped from the home on an unspecified date after the courtyard door's locking mechanism was found to be faulty. The resident was not accompanied by staff while in the courtyard and was missing for several hours until returned by local fire department/police at 1:25am. Additionally, a staff member verbally abused another resident by using harsh language, telling the resident to 'sit in your chair' repeatedly in a demeaning manner.”

“Staff Member A did not have a criminal background check completed upon hire; the background check was not run until 4/17/24, well after the employee's start date. This is a repeat violation from prior inspections (2/14/24 et al.).”

“Staff Person B, an agency staff member whose first day of work was on an unspecified date in January/February 2024, did not receive required first-day fire safety and emergency preparedness orientation until 8/11/24. The orientation was missing seven required topics including evacuation procedures, staff duties during emergencies, designated meeting places, smoking safety, fire extinguisher location and use, smoke detectors and fire alarms, and emergency service notification. This is a repeat violation from prior inspections (2/14/24 et al.).”

“Staff Member A did not have a criminal background check completed upon hire; the background check was not run until 4/17/24, well after the employee's start date. This is a repeat violation from prior inspections (2/14/24 et al.).”

“Staff Person B, an agency staff member whose first day of work was on an unspecified date in January/February 2024, did not receive required first-day fire safety and emergency preparedness orientation until 8/11/24. The orientation was missing seven required topics including evacuation procedures, staff duties during emergencies, designated meeting places, smoking safety, fire extinguisher location and use, smoke detectors and fire alarms, and emergency service notification. This is a repeat violation from prior inspections (2/14/24 et al.).”

“Staff person A, who had not successfully completed the Department-approved medications administration course, administered medications to residents in Daybreak during weekdays. This was a repeat violation from 2/14/24.”

“The home's medication administration training record for Staff person A does not include the supporting documentation that the course was successfully completed for the initial medication administration training since 2/19/24, their date of hire. This was a repeat violation from 2/14/24.”

“The home's current violation report dated 1/17/2024 and a copy of 55 Pa Code Chapter 2600 were not posted in a conspicuous and public place in the home.”

“The home could not provide background checks for construction workers that were on site and had unsupervised access to residents.”

“On the inspection date, there were 90 residents including 28 with mobility needs requiring a minimum of 118 hours of direct care service, but only 101 hours of direct care staffing was provided.”

“A total of 89 hours of direct care was required, but only 83 of the required hours were provided during waking hours, failing to meet the 75% waking hours requirement.”

“Residents experienced significant delays in receiving timely care after using call bells, including one resident waiting up to 53 minutes and another experiencing delays of up to 189 minutes. According to staff interviews, residents were not receiving timely care related to incontinence and bowel issues due to lack of available direct care staffing.”

“The home failed to report multiple incidents to the Department within 24 hours as required: a medication error, a witnessed fall in a shower with complaint of leg pain, and an incident involving inappropriate physical contact between a resident and staff member.”

“The kitchen floor under equipment contained dried food debris and dust balls, with wet and stained floors between countertops. The inner surface of the walk-in freezer door was soiled with an unknown black substance.”

“Unlabeled used bar soap was found in shower stalls and on bathroom sinks in the memory care unit spa that is shared by multiple residents, in violation of the requirement that bar soap must be individually labeled for each resident who shares a bathroom.”

“Prescription medications scheduled for administration during resident outings were being poured into small envelopes with written directions rather than provided in original labeled containers as required by regulation.”

“A bedtime medication was not administered to a resident for an extended period, yet staff documented administration by entering their initials on the medication administration record without recording actual date and time of administration.”

“A bedtime medication prescribed to a resident was not administered for an extended period because the medication was not available in the home, resulting in failure to follow the prescriber's orders.”

“A determination was not made and documented within 30 days prior to admission on the Department's preadmission screening form that the needs of a resident could be met by services provided by the home.”

“Resident 1 did not have handicap accessible accommodations for their wheelchair in their bathroom, preventing safe movement and access within the facility.”

“Discontinued medications belonging to resident 2 remained in the home rather than being destroyed in a safe manner according to DEP and Federal and State regulations.”

“A prescribed as-needed medication for Resident 1 was not available in the home on 9/25/2023, indicating a failure to implement proper medication storage and access procedures.”

“Staff Person A did not follow the procedure requiring two staff members to be present during destruction of narcotics. Additionally, four syringes belonging to resident 2 were missing from the medication cart and were not documented as being administered to the resident.”