Paramount Senior Living at Lancaster County.

“Resident was verbally abused by staff member who yelled profanity and derogatory statements while resident was on the floor after a fall. Staff member also administered incorrect medication dosage and used abusive language during administration. This was a repeated violation from prior citations.”

“Resident prescribed medication every 8 hours as needed for respiratory rate >20 or moderate to severe pain, but was administered the medication on 5/5/24 when pain level was 0, not following prescriber's orders.”

“Resident prescribed medication for respiratory rate >20 or moderate to severe pain was administered the medication on 5/5/24 to control resident behaviors when pain level was documented as 0, constituting prohibited use of chemical restraint to control behavior rather than for prescribed medical purpose.”

“A medication error involving Resident 1 was not reported to the Department within the required 24 hours. This was a repeated violation from a prior inspection.”

“Resident 2 was observed hitting Resident 3 with a hairbrush and hand at 6:30 pm in their shared bedroom. This was a repeated violation from prior inspections.”

“Resident 2's bed had an enabler bar with a damaged fabric cover, including a torn corner and missing metal clip creating a 10-inch gap that poses an entrapment risk. This was a repeated violation from 12/6/22.”

“A spray bottle of Clorox Clean-Up with poison control instructions was unlocked, unattended, and accessible to residents in the secured dementia care unit kitchenette. Residents in this unit are not assessed as safe to handle poisonous materials.”

“An unlabeled, used bar of soap was found in the shower shared by Residents 4 and 5, in violation of the requirement that bar soap be clearly labeled for each resident who shares a bathroom.”

“Staff member A grabbed a resident's forearm while pushing them into a wheelchair and pinched them, causing bruising on both arms. This constitutes physical abuse and mistreatment. The violation was repeated, with prior incidents noted on 11/15/23, 3/14/23, and 12/6/22.”

“Resident 1 bit Resident 2's right hand, causing a wound. The incident occurred in their shared room. This was a repeated violation with prior incidents on 3/14/23 and 12/6/22.”

“The controlled substance logbook containing resident information was left unlocked, unattended, and accessible on the medication cart in the hallway between rooms 109 and 111, creating unauthorized access risk.”

“A resident's sexually inappropriate behavior was observed on an unspecified date in 2023 and reported to staff on 1/29/2023, but this suspected abuse was not reported to the local area agency on aging within the required timeframe. Administration did not recognize the occurrence as abuse.”

“An incident involving a resident's sexually inappropriate behavior reported to staff was not reported to the Department within 24 hours as required.”

“Assessment and support plans for Residents #3, #4, and #5 indicate they require assistance with oral hygiene twice daily (or at least twice daily), but documentation does not show staff member interviews were completed to verify this assistance was provided.”