Rosecrest Assisted Living Residence.

“Direct care staff person A hired did not have 8 hours of initial training related to dementia care for the special care unit serving residents with Alzheimer's disease or dementia within the first 30 days of hire.”

“An allegation of verbal abuse was made against staff person A and staff person B, but the allegation was not reported to the Area Agency on Aging immediately as required.”

“An allegation of verbal abuse was made against staff person A and staff person B; staff person A continued to work unsupervised around residents until 7:30 p.m. and staff person B worked providing unsupervised direct care to residents until 10:30 p.m. Additionally, staff person B was never suspended and continued to provide unsupervised direct care to residents.”

“An allegation of verbal abuse was made against staff person A and staff person B, but the allegation was not reported to the Department within 24 hours, and the report only included staff person A and did not include staff person B.”

“Staff person B transferred a resident who required a 2 person assist for transfers independently from the toilet into the wheelchair, violating the resident's assessment and support plan which required 2 person assistance for all transfers.”

“Direct care staff person A did not complete the required 18 hours of initial training in multiple required topics including personal hygiene, care of residents with mental illness, implementation of assessment and support plan, nutrition and food handling, recreation and socialization, gerontology, care for individuals with mobility needs, and understanding of resident assessment.”

“Staff person A could not provide immediate access to staff files and a complete contact list of all staff upon request by a DHS agent.”

“An allegation of resident abuse was not orally reported to the local Area Agency on Aging until 1/10/24, which was delayed from the date of the incident. The incident involved one resident physically assaulting another resident, resulting in bruising, and then assaulting a staff member.”

“A resident was physically abused by another resident, sustaining bruising on the right wrist and left arm and hand when grabbed and pulled from bed. This is a repeat violation from 5/16/23. The incident also involved the assaulting resident attacking a staff member.”

“Staff person A's most recent Pennsylvania criminal history background check was outdated and not current as required prior to hire.”

“Substitute staff persons A and B worked providing direct care services but did not complete the orientation training required by regulation 2800.65e before starting their shifts.”

“Resident sustained extensive bruising on arms, shoulders, and collar bone consistent with handprints during transfer assistance provided by staff person A, constituting physical abuse and neglect.”

“Resident with mobility needs sustained bruising on arms and shoulders consistent with handprints during transfer by staff. Abuse was not reported to the local Area Agency on Aging until 10:50 AM, causing delay in mandatory reporting of suspected abuse.”

“Staff person A, involved in alleged abuse incident resulting in extensive bruising on resident, continued to work on the day of the incident (6 AM to 10 PM) without being suspended. Staff was not immediately suspended while the incident was being investigated.”

“Incident involving extensive bruising on resident was not reported to the Department within 24 hours. The incident report was completed but Department notification was delayed beyond the 24-hour requirement.”

“Resident order for bloodwork was left unlocked, unattended, and accessible on the day room counter in the hallway across from the medication room, violating confidentiality of resident records.”

“Resident #1's annual assessment was not completed in a timely manner. Written assessments must be completed annually for each resident, but this resident's assessment was overdue.”