Oakwood Terrace.

“A resident was observed by staff engaging in a sex act with another resident while that resident was asleep in bed. Both residents reside in the facility's secure dementia unit. This constitutes abuse and neglect of a resident.”

“One resident's medical evaluation had the incorrect box checked indicating the resident is nursing facility clinically eligible and their needs cannot be met at a personal care home. Another resident's medical evaluation was incomplete and did not indicate if the resident's needs can be safely met at the personal care home.”

“Emergency exit in Birch Hall had approximately 1/4 inch of snow outside the door, obstructing the exit pathway and creating a potential safety hazard for emergency egress.”

“Resident admitted to Secure Dementia Care Unit; preadmission screening form did not document the date the screening was completed. This is a repeat violation.”

“Resident was admitted but initial assessment was not completed within 15 days of admission. Additionally, assessment has not been updated to include resident's recent falls, loss of mobility, increased care needs, and significant health decline. This is a repeat violation.”

“Resident support plan does not have sections completed for supervision needs, mobility needs, and medication needs, failing to accurately reflect resident's current care requirements.”

“A resident's Resident Assessment and Support Plan contained a notation that within the first few days of residence, the resident hit another resident in the face causing bruising, but this incident was not reported to the Regional Office as required under abuse reporting regulations.”

“The home failed to report a fall with serious injury to the Regional Office within the required 24-hour timeframe for reportable incidents.”

“A resident's written initial assessment did not include any information for Hearing, Communication, or Olfactory needs under Sensory Needs on the Resident Assessment and Support Plan, which is required to be completed within 15 days of admission.”

“An unidentified, unlabeled, and undated substance in a Styrofoam cup was found in the kitchenette refrigerator. Leftover food must be labeled and dated per regulation.”

“An uncovered open cardboard container of pretzel bites was found in the kitchenette refrigerator. Food must be stored in closed or sealed containers.”

“A small Chihuahua-type dog was present in the facility but the home did not have the dog's wellness or current rabies vaccination information. Current rabies vaccination certificates from a licensed veterinarian are required.”

“A glucometer reading for Resident 1 on 5/6/25 was 96 but was incorrectly transcribed as 98 in the Medication Administration Record. Accurate documentation of medication and medical equipment readings is required.”

“Medication administration records (MAR) binder was left on top of medication cart #2 unattended, violating resident record confidentiality requirements. This was a repeat violation from 2/16/24.”

“Resident contracts were not signed by residents, as required by compliance with applicable laws and regulations.”

“Staff Person A did not complete required 40-hour orientation training in Emergency Medical Plan and Reportable Incidents within the first 40 scheduled work hours. This was a repeat violation from 2/16/24.”

“The phone in Willow House did not have required emergency telephone numbers posted at or near the phone, including numbers for hospital, police, fire department, ambulance, poison control, and local emergency management.”

“Kitchen refrigerator contained unlabeled and undated items (bag of ham and bag of sliced cheese), and kitchen freezer contained an unlabeled and undated bag of lobster shells, in violation of food labeling and dating requirements.”

“Refrigerators located in the Oak section and Willow section did not have thermometers to determine and monitor proper food storage temperatures.”

“The home received a written violation notice from Moosic Borough Code Enforcement for a second false alarm since July 29, 2023, and incurred a monetary fine for violation of Moosic Borough Chapter 72, Section 72-2(B)(2) relating to alarms.”

“A resident requiring verbal cueing to safely evacuate during fire drills had their mobility documented as mobile with evacuation needs listed as N/A in their Resident Assessment and Support Plan dated 7/8/2024, failing to properly document evacuation assistance needs.”

“A binder with medication administration records was left unattended on top of a medication cart, violating resident record confidentiality requirements. This was a repeat violation from 2/16/24.”

“The carbon monoxide detector in the Pine section was not dated with an installation date, in violation of Pennsylvania care facility carbon monoxide alarm standard requirements that batteries be changed and dated annually.”

“Four resident contracts (Residents #1, #2, #3, and #4) were not signed by the residents, as required by regulation.”

“Staff person A completed their 40th scheduled work hour on 8/8/2024 but did not complete required training in Emergency Medical Plan and reportable incidents within that timeframe. This was a repeat violation from 2/16/24.”

“A resident was pushed by another resident, causing them to lose balance, stumble, and fall. The resident complained of pain in their left leg and head, was transported to the ER, and returned with bruising to their left leg.”

“A resident hit another resident on the top of the head with a small plant. There were no injuries, no complaints of pain, and the resident was not sent for evaluation.”

“Initial RASPs for two residents were not signed by the person who completed the assessments.”

“Violation cited with a calculated fine of $108 per day (36 residents × $3 per resident per day). Mandated correction date is 15 calendar days from mailing date.”

“Violation cited with a calculated fine of $180 per day (36 residents × $5 per resident per day). Mandated correction date is 5 calendar days from mailing date.”

“Violation cited with a calculated fine of $180 per day (36 residents × $5 per resident per day). Mandated correction date is 5 calendar days from mailing date.”

“The facility's previous certificate of compliance (license number 226611) dated October 13, 2023 to April 13, 2024 was revoked. A SECOND PROVISIONAL license has been issued due to violations of 55 Pa Code Chapter 2600.”

“The home did not have License inspection summary (LIS) reports dated 5/31/23 and 11/27/23 posted conspicuously in the home as required. This was a repeated violation from 5/31/23.”

“The LIS dated 8/18/23 was posted with the privacy coding sheet attached to it, revealing confidential resident information including a resident's name.”

“The home did not have documentation that a Quality management meeting was held to review the topics required under this regulation in 2023. This was a repeated violation from 5/31/23.”

“Violation cited with a calculated fine of $180 per day (36 residents × $5 per resident per day). Mandated correction date is 5 calendar days from mailing date.”

“Violation cited with a calculated fine of $180 per day (36 residents × $5 per resident per day). Mandated correction date is 5 calendar days from mailing date.”

“The facility's previous certificate of compliance (license number 226611) dated October 13, 2023 to April 13, 2024 was revoked. A SECOND PROVISIONAL license has been issued due to violations of 55 Pa Code Chapter 2600.”

“The home did not have License inspection summary (LIS) reports dated 5/31/23 and 11/27/23 posted conspicuously in the home as required. This was a repeated violation from 5/31/23.”

“The LIS dated 8/18/23 was posted with the privacy coding sheet attached to it, revealing confidential resident information including a resident's name.”

“The home did not have documentation that a Quality management meeting was held to review the topics required under this regulation in 2023. This was a repeated violation from 5/31/23.”

“Violation cited with a calculated fine of $108 per day (36 residents × $3 per resident per day). Mandated correction date is 15 calendar days from mailing date.”

“The home did not have License inspection summary (LIS) reports dated 5/31/23 and 11/27/23 posted conspicuously in the home as required. This was a repeated violation from 5/31/23.”

“The LIS dated 8/18/23 was posted with the privacy coding sheet attached to it, revealing confidential resident information including a resident's name.”

“The home did not have documentation that a Quality management meeting was held to review the topics required under this regulation in 2023. This was a repeated violation from 5/31/23.”

“Violation cited with a calculated fine of $108 per day (36 residents × $3 per resident per day). Mandated correction date is 15 calendar days from mailing date.”

“Violation cited with a calculated fine of $180 per day (36 residents × $5 per resident per day). Mandated correction date is 5 calendar days from mailing date.”

“Violation cited with a calculated fine of $180 per day (36 residents × $5 per resident per day). Mandated correction date is 5 calendar days from mailing date.”

“The facility's previous certificate of compliance (license number 226611) dated October 13, 2023 to April 13, 2024 was revoked. A SECOND PROVISIONAL license has been issued due to violations of 55 Pa Code Chapter 2600.”

“A resident became argumentative with another resident, escalating to physical altercation where one resident attempted to shove and hit another with a walker. This was a repeat violation from 3/30/23.”

“The home did not have License inspection summary (LIS) reports dated 5/31/23 and 11/27/23 posted conspicuously in the home as required. This was a repeated violation from 5/31/23.”

“The LIS dated 8/18/23 was posted with the privacy coding sheet attached to it, revealing confidential resident information including a resident's name.”

“The home did not have documentation that a Quality management meeting was held to review the topics required under this regulation in 2023. This was a repeated violation from 5/31/23.”

“Violation cited with a calculated fine of $108 per day (36 residents × $3 per resident per day). Mandated correction date is 15 calendar days from mailing date.”

“Violation cited with a calculated fine of $180 per day (36 residents × $5 per resident per day). Mandated correction date is 5 calendar days from mailing date.”

“Violation cited with a calculated fine of $180 per day (36 residents × $5 per resident per day). Mandated correction date is 5 calendar days from mailing date.”

“The facility's previous certificate of compliance (license number 226611) dated October 13, 2023 to April 13, 2024 was revoked. A SECOND PROVISIONAL license has been issued due to violations of 55 Pa Code Chapter 2600.”

“Resident #1's DME dated 8/17/23 was not signed by the physician who completed the evaluation. Resident #2's DME dated 5/17/23 does not indicate whether the resident is able to self-administer medications.”

“Resident #4 is prescribed Lispro Insulin Kwik pen. The medication was not dated to indicate when it was opened or initialed by staff who opened it.”

“A bottle of Calcium Citrate + Vitamin D, prescribed for Resident #Maureen Coren, was noted in the med cart but was not properly name labeled with the resident's name.”

“Upon review, Resident #5 glucometer indicated a blood sugar level (BSL) of 192 on 8/11/23 at 8:05am, but a BSL of 193 was documented on the MAR, indicating a discrepancy in medication or medical equipment procedures.”