Arden Courts (monroeville).

“Direct care staff yelled at a resident with severe cognitive impairment who was unable to stand for weighing, using confrontational language such as 'I know you can. I have had it with you. Just listen to me.' This treatment was disrespectful and failed to account for the resident's dementia-related cognitive limitations.”

“A chair was blocking an emergency exit door near bedroom #25, obstructing the egress route. This is a repeat violation of the requirement that stairways, hallways, doorways, passageways and egress routes must remain unlocked and unobstructed.”

“Emergency exit doors in the Dockside and Harvest Glen dining areas were obstructed and jammed on concrete, opening only 2.5 and 2.75 feet respectively instead of fully. Stairways, hallways, doorways, passageways and egress routes must be unlocked and unobstructed.”

“Abuse prevention and reporting deficiency. Facility implemented corrective actions including multidisciplinary team review of common areas and resident movement patterns, adjusted staffing assignments during high-risk times (10:00 AM to 8:00 PM), mandatory refresher training for all staff on resident rights, abuse prevention, reporting responsibilities, and de-escalation strategies, and ongoing weekly and monthly assessments of resident behavioral incidents.”

“Resident #2's bedside lamp was unplugged on 8/20/25, leaving no operable lamp or other source of lighting available at the bedside.”

“Staffing levels during the 11:00 PM to 7:00 AM shift (5 staff persons) were inadequate to safely evacuate all 56 residents, including 8 requiring two-person assistance, within the 15-minute maximum evacuation timeframe established by fire safety expert. A fire drill on 6/10/25 took 15 minutes 35 seconds, exceeding the required time.”

“Direct care staff person A, hired on 8/17/2024, did not receive required annual training on instruction on meeting the needs of residents as described in the preadmission screening form, assessment tool, medical evaluation and support plan during the 2024 training year. This is a repeat violation from 1/23/2025.”

“Multiple fire-safe area doors in hallways (Dockside, Cloverdale, and Berry Ridge) did not completely close when disengaged from magnetic door holders and required manual pushing to shut, creating a fire safety hazard.”

“Staff reported an allegation of resident abuse to the administrator on the same day, but the incident was not reported to the local Area on Aging Protective Services until a later date, failing to comply with immediate reporting requirements under the Older Adult Protective Services Act.”

“Following an allegation of resident abuse involving a staff person, the accused staff person was not suspended immediately, and no plan of supervision was submitted to the Department as required.”

“An allegation of resident abuse was not reported to the Department's personal care home regional office within 24 hours as required; reporting occurred at a later date.”

“Staff person B did not receive required general fire safety and emergency preparedness training on or during their first work day, including evacuation procedures, staff duties, meeting places, smoking safety, fire extinguishers, smoke detectors, and emergency services notification.”

“Staff person B used physical force (shoving a resident in the back) to deter a resident from approaching another resident, rather than using positive interventions such as calm and gentle approaches as documented in the resident's support plan.”

“License revoked and downgraded to first provisional license due to violations of 55 Pa Code Ch. 2600. The provisional license is valid from May 28, 2025 to November 28, 2025.”

“Unattended resident file folders containing private information (shower schedules, hospice involvement, body assessment forms) were accessible in a wire rack on a desk in the Berry Ridge kitchen, violating confidentiality requirements.”

“All carbon monoxide detector batteries in the facility's four neighborhoods were dated 9/2023, failing to meet the Care Facility Carbon Monoxide Alarms Standards Act requirement for annual battery replacement.”

“Violation of 55 Pa Code § 2600.65(f) cited during inspections on 10/7/2024, 10/8/2024, 10/21/2024, 1/23/2025, 1/27/2025, and 2/10/2025.”

“Violation of 55 Pa Code § 2600.65(g) cited during inspections on 10/7/2024, 10/8/2024, 10/21/2024, 1/23/2025, 1/27/2025, and 2/10/2025.”

“Violation of 55 Pa Code § 2600.187(d) cited during inspections on 10/7/2024, 10/8/2024, 10/21/2024, 1/23/2025, 1/27/2025, and 2/10/2025.”

“Violation of 55 Pa Code § 2600.225(a) cited during inspections on 10/7/2024, 10/8/2024, 10/21/2024, 1/23/2025, 1/27/2025, and 2/10/2025.”

“Violation of 55 Pa Code § 2600.225(c) cited during inspections on 10/7/2024, 10/8/2024, 10/21/2024, 1/23/2025, 1/27/2025, and 2/10/2025.”

“License revoked and downgraded to first provisional license due to violations of 55 Pa Code Ch. 2600. The provisional license is valid from May 28, 2025 to November 28, 2025.”

“Violation of 55 Pa Code § 2600.225(c) cited during inspections on 10/7/2024, 10/8/2024, 10/21/2024, 1/23/2025, 1/27/2025, and 2/10/2025.”

“Unattended resident file folders containing private information (shower schedules, hospice involvement, body assessment forms) were accessible in a wire rack on a desk in the Berry Ridge kitchen, violating confidentiality requirements.”

“All carbon monoxide detector batteries in the facility's four neighborhoods were dated 9/2023, failing to meet the Care Facility Carbon Monoxide Alarms Standards Act requirement for annual battery replacement.”

“Violation of 55 Pa Code § 2600.65(f) cited during inspections on 10/7/2024, 10/8/2024, 10/21/2024, 1/23/2025, 1/27/2025, and 2/10/2025.”

“Violation of 55 Pa Code § 2600.65(g) cited during inspections on 10/7/2024, 10/8/2024, 10/21/2024, 1/23/2025, 1/27/2025, and 2/10/2025.”

“Violation of 55 Pa Code § 2600.187(d) cited during inspections on 10/7/2024, 10/8/2024, 10/21/2024, 1/23/2025, 1/27/2025, and 2/10/2025.”

“Violation of 55 Pa Code § 2600.225(a) cited during inspections on 10/7/2024, 10/8/2024, 10/21/2024, 1/23/2025, 1/27/2025, and 2/10/2025.”

“Resident #1's assessment was not current. The facility failed to ensure annual assessments were completed within required timeframes. This was a repeat violation with prior citations on 2/13/2024, 12/12/2023, and 11/21/2022.”

“Direct care staff person A did not receive annual instruction on meeting the needs of residents as described in the preadmission screening form, assessment tool, medical evaluation and support plan during the training year.”

“Direct care and maintenance director, staff person A, did not receive annual training in Emergency preparedness procedures, Resident rights, The Older Adult Protective Services Act, and Falls and accident prevention during the staff training year.”

“Two residents did not have timely annual medical evaluations. One resident's most recent DME was not current; another resident's DME was signed by a medical professional but does not indicate the date that the resident was examined/evaluated. This is a repeat violation.”

“A resident was ordered medication every 3 hours and every 1 hour as needed, but after the resident ceased to breathe, a dose of this medication was signed off as being administered on the resident's December 2023 medication administration record, indicating the medication was recorded at the wrong time.”

“Multiple instances where prescribed medications were not administered according to prescriber's orders: one resident ordered medication every 3 hours and every 1 hour as needed was not administered on multiple dates; another resident ordered medication every 6 hours was not administered on specified dates; a third resident ordered medication for anxiety was never administered. This is a repeat violation.”

“Two residents did not have timely annual assessments. One resident's most recent assessment was completed but the resident was subsequently discharged; another resident's assessment did not indicate that the resident had been admitted to hospice. This is a repeat violation.”

“Resident was not provided adequate assistance with activities of daily living (ADL). The resident, who requires physical assistance with personal hygiene per assessment and support plan, was found asleep in bed wearing only a T-shirt and incontinence brief on a plastic-covered mattress with no bedding. Additionally, the resident had not been shaved since a prior date.”

“Multiple residents were treated with lack of dignity and respect by staff person A during an overnight shift, including: resident put to bed in only T-shirt and incontinence brief on plastic mattress with no bedding; resident left in day clothes and shoes without being offered clean bedtime clothes; resident being pushed by staff toward sitting room; and resident being spoken to sternly regarding clothing compliance.”

“Direct care staff person A was hired but the home lacks documentation of the staff person's high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry, as required by regulation.”

“Resident was found asleep in bed on a plastic-covered mattress with no bedding. The resident had been put to bed the night before without any bedding and still had none in the morning.”

“A plate of chicken, corn, and broccoli served to a resident at lunch was left sitting on an overbed table in the resident's bedroom, remaining unprotected from contamination.”

“A staff person screamed at a resident, telling them to "get out of the kitchen" and "you know better" because the resident had taken another resident's sandwich from the refrigerator. This treatment violated the requirement that residents be treated with dignity and respect.”