Hemsley House of Paoli.

“The home failed to report a resident fall with fractured hip to the Department within 24 hours. Staff discovered the fall at approximately 9:45 am, but the home did not report the incident until 4:10 pm on the same day.”

“Staff member C covered a resident's eyes from behind without consent, causing the resident to scream in distress. The staff member then pushed the resident's wheelchair to a secluded area, and the resident was left visibly traumatized, fearing for their safety and reporting continued fear of harm more than two weeks later.”

“The resident-home contract was not signed by the resident. The resident refused to sign the residency agreement, but this refusal was not properly documented on the contract as required.”

“The resident assessment did not include the resident's history of a suicide attempt, which was indicated in the preadmission screen dated at the time of admission. The initial assessment must accurately reflect all relevant resident information within 15 days of admission.”

“A resident was physically abused by Staff Member A, who grabbed the resident's arm and yelled at them, causing bruising and pain. The resident reported fear of retaliation.”

“Direct care staff person A did not receive required training in medication self-administration during training year 2023.”

“A resident's initial assessment was not completed within 15 days of admission as required.”

“A resident's record was missing required components including face sheet information (name, gender, admission date, birth date, Social Security number, race, height, weight, identifying marks), photograph, emergency contact information, physician information, dietary restrictions, allergies, current assessment and support plan, and medical insurance information.”

“A resident who required assistance with reminders to eat and personal grooming per their assessment and support plan did not receive the required assistance on the date of inspection.”

“Hospice services were being provided by Aseracare Hospice, which was not licensed to provide hospice services as their license had expired on 12/31/2022.”

“A resident who required reminders to eat due to nutritional risk and assistance with personal grooming was observed sleeping at the dining room table with an untouched plate of cold food and dirty wet hair. Staff assigned to the resident did not provide the required assistance with dressing or reminders to eat breakfast.”

“A staff person who pronounced a resident deceased had no criminal background check or license information documented in their file, in violation of the Older Adult Protective Services Act and 6 Pa. Code Chapter 15.”

“A smoke detector in room 325 was observed hanging by a wire and not properly attached to the ceiling, creating a safety hazard.”

“A resident-to-resident incident involving a head injury was not reported to the local area agency on aging using the required Act 13 document. Although staff were informed of the incident shortly after it occurred, the allegation of abuse was not properly reported in accordance with the Older Adult Protective Services Act.”

“The resident's Individual Service Plan (ISP) did not document how the facility would address the resident's assessed need for assistance when wandering at night. Additional support interventions being implemented were not reflected in the assessment or ISP.”