Brookdale Latrobe.

“A resident in the Secure Dementia Care Unit was found walking down the hallway with no clothing below the waist at approximately 4:15 AM. A staff member on a Facetime call turned the camera to face the resident and made a comment about a "full moon" before assisting the resident back to the bedroom. This violated the requirement that residents be treated with dignity and respect.”

“A resident in the Secure Dementia Care Unit was found walking down the hallway with no clothing below the waist at approximately 4:15 AM. A staff member on a Facetime call turned the camera to face the resident, violating the resident's right to privacy during this vulnerable situation.”

“Electronic medical records computer in Abby/Vincent hall containing resident medical records was unlocked, unattended, and accessible to unauthorized persons, violating resident record confidentiality requirements.”

“A resident in the Secure Dementia Care Unit was slapped on the shoulder and mouth by another resident. Staff did not prevent the incident or ensure the resident was treated with dignity and respect.”

“Medication cart in Laurel/Wimmer hall was unlocked, unattended, and accessible, creating a risk that prescription medications, OTC medications, and syringes could be accessed by unauthorized persons.”

“On 1/31/26 and 2/1/26 from 11:00 p.m. to 7:00 a.m., there were 54 residents in the home but no staff on duty were certified in CPR/First Aid, violating the requirement for at least one certified staff person per 50 residents at all times.”

“An unlabeled clear plastic spray bottle containing clear liquid was found in the main janitorial electric closet housekeeping room, violating the requirement that poisonous materials be stored in original, labeled containers.”

“At 12:26 p.m., exit #71 had approximately 2 to 3 inches of snow on the evacuation route leading away from the exterior of the exit door, obstructing a required emergency egress route.”

“At 12:07 p.m., there was no signage for the magnetic locking systems delayed release mechanism on the point of egress leading from the rear of Wimmer Way hallway to the #8 dayroom's exit. At 12:09 p.m., an exit directly across from the copying room could not be completely opened due to excessive snow on the exterior side.”

“The Wimmer Way hallway did not have a direct visual line to the nearest exit and lacked signs marking the line of travel to the exit. The Laurel Lane hallway similarly had no direct visual line to its nearest exit and lacked directional signage, violating exit sign requirements for a home serving 56 residents.”

“Three residents had medications (Neosporin, Desenex, and vapor rub) in their rooms but had not been assessed as capable to self-administer medications according to their most recent Resident Assessment and Support Plans.”

“Resident #1 with aggressive and combative behaviors was repeatedly permitted close physical proximity to other residents, resulting in multiple physical altercations (hitting, kicking, punching) involving residents #1, #2, #3, and #4. The facility failed to implement adequate one-on-one supervision despite mental health professional recommendations for de-escalation support, denying residents dignified treatment.”

“At 11:30 a.m., the common bathroom in the secured dementia care unit lacked paper towels, mechanical air blower, individual cloth towels, or other sanitary means for hand drying.”

“At approximately 12:30 p.m., there was a half-full, uncovered, unattended trash can in the bathroom next to the medication room.”

“Hot water temperatures in resident-accessible areas exceeded the 120°F maximum: common men's bathroom sink measured 123.8°F, common women's bathroom sink measured 124.6°F, and SDCU bathroom sink measured 125.8°F.”

“Staff person A yelled at a resident while providing care and on a separate occasion hit the resident on the head. These incidents of suspected abuse were not reported to the local Area Agency on Aging in a timely manner as required by the Older Adult Protective Services Act.”

“Incidents in which staff person A yelled at and hit a resident on the head were not reported to the Department of Human Services Regional Office within 24 hours as required.”

“Staff person A smacked a resident on the head during care provision because the resident attempted to bite the staff member. This constitutes physical abuse of the resident.”

“Staff person A yelled at a resident while the resident was resistive to care during a bedroom care situation, failing to treat the resident with dignity and respect.”