Sunrise of North Wales.

“The home failed to immediately report suspected abuse of a resident. Staff received a phone call from a family member reporting that a resident was pushed by another resident and had been pushed down steps on St. Patrick's Day, but the home never reported these allegations in accordance with the Older Adult Protective Services Act.”

“A resident struck another resident in the face, and a four-minute physical altercation ensued involving choking, scratching, punching, pushing, and slapping. The two residents had a documented history of conflict with several near-violent episodes, but no adequate supervision plan was implemented despite awareness of their antagonistic relationship. Both residents sustained injuries including cuts and bruises.”

“A resident's initial assessment failed to document behavioral issues including irritability, judgment, agitation, or aggression despite the resident experiencing multiple near-violent or violent encounters with another resident. The assessment was not updated until the date of inspection, even though significant changes in the resident's condition warranted an additional assessment.”

“A bathroom across from the private dining room had no method of hand drying available.”

“Approximately 10 ants were observed crawling on a table in the private dining room. This was a repeat violation from 2/19/25.”

“The washing machine located in the first floor laundry room was leaking with a puddle of water on the floor.”

“Resident #1 did not have access to a source of light at bedside because there was no lightbulb present in their bedside lamp.”

“The lint trap duct in the commercial dryer had scattered accumulations of lint, with some piles approximately two inches thick.”

“A TV in a memory care unit room was found leaning against the wall on top of a dresser without being properly mounted on the wall or having stable legs to stand on its own, creating a hazard for residents.”

“A resident wandered into another resident's room and pinched the resident, who yelled in protest. The facility failed to document the incident or implement measures to prevent the resident from wandering into other residents' rooms despite prior similar incidents.”

“Medication storage and distribution procedures were not followed properly. Staff documented only AM and PM times rather than exact times, a controlled medication was signed out only three times instead of four on one date, and one pill discrepancy occurred due to duplicate administration being logged only once.”

“Medication administration documentation was incomplete and inaccurate. One resident's medication administration at 09:00 PM lacked staff initials, and another resident's medication administered by staff C was incorrectly documented as administered by staff D.”

“The facility failed to perform a reassessment when a resident's condition significantly changed. After the resident exhibited increased wandering and inappropriate touching behavior, no re-evaluation was conducted to update supervision needs.”

“A resident in the memory care unit who requires supervision and is at risk of wandering was left unsupervised for approximately 30 minutes. While staff were occupied with other tasks and a lead care manager was absent from the unit, the resident wheeled themselves onto an elevator during a vendor delivery and ended up in an unsecured first-floor lobby. Staff failed to implement proper safety measures and did not promptly recognize and return the resident to the secured unit.”

“Resident 1 experienced delayed responses to call pendant requests for toileting and transferring assistance on multiple occasions (7/3/2024, 7/5/2024, 7/8/2024), waiting 39-45 minutes for assistance, and reported an incident where staff did not respond when their CPAP machine fell. The resident expressed concern about developing pressure sores due to prolonged wait times.”

“The home discovered staff person A was accepting tips from residents on 8/1/2024 but failed to report this incident to the Department within 24 hours as required.”

“The medication room was unlocked with resident listing, daily assignment sheets, and reminder information for residents' care needs accessible, violating resident record confidentiality requirements.”

“Resident 1 experienced delayed responses to call pendant requests for toileting and transferring assistance on multiple occasions (7/3/2024, 7/5/2024, 7/8/2024), waiting 39-45 minutes for assistance, and reported an incident where staff did not respond when their CPAP machine fell. The resident expressed concern about developing pressure sores due to prolonged wait times.”

“The home discovered staff person A was accepting tips from residents on 8/1/2024 but failed to report this incident to the Department within 24 hours as required.”

“The medication room was unlocked with resident listing, daily assignment sheets, and reminder information for residents' care needs accessible, violating resident record confidentiality requirements.”

“The home discovered staff person A was accepting tips from residents on 8/1/2024 but failed to report this incident to the Department within 24 hours as required.”

“The medication room was unlocked with resident listing, daily assignment sheets, and reminder information for residents' care needs accessible, violating resident record confidentiality requirements.”

“Staff person B slapped a resident on the left cheek when the resident entered another resident's room. The resident was walking and required redirection, but was instead physically struck by staff.”

“Staff person B failed to use positive interventions and safe management techniques when resident entered another resident's room. The resident's support plan specified need for simple cues, prompts, step-by-step directions, and redirection with structured activities, but staff used physical punishment (slapping) instead.”

“Six exits on the first floor had inaccurate signage stating residents must hold doors for 20 seconds before they open. However, all emergency exit doors actually open immediately without requiring codes or door-holding, creating potential confusion during emergencies.”

“Six exits on the first floor had inaccurate signage stating residents must hold doors for 20 seconds before they open. However, all emergency exit doors actually open immediately without requiring codes or door-holding, creating potential confusion during emergencies.”

“On 02/01/2024 at 10:00 AM, there was no toilet paper for the toilet in the bathroom of resident room #123.”

“The facility did not have a current boiler certificate on file. Boilers must have a valid Certificate of Boiler or Pressure Vessel Operation issued by the PA Department of Labor and Industry.”

“Direct care staff person A completed 2022 annual training on 03/06/2023, but annual training for training years ending in 2022 should have been completed by January 31, 2023.”

“On 02/01/2024 around 10:30 AM, a cabinet under the bathroom sink in resident room #307 containing Clorox disinfecting wipes, Crest toothpaste, and other hygiene items was unlocked, unattended, and accessible to residents. Not all residents have been assessed as capable of safely recognizing and using poisons.”

“The facility has six exit doors on the 1st floor. Except for the main entrance, the other five exit doors are equipped with delayed locking systems but had no sign posted with instructions such as 'PUSH UNTIL ALARM SOUNDS. DOOR CAN BE OPENED IN 15-20 SECONDS'.”

“There were unlabeled used bars of soap in the shower stall and on the bathroom sink in resident room #123, which is shared by two residents. Bar soap must be separately labeled for each resident who shares a bathroom.”

“An opened and unsealed bag of cereal was found in one of the cupboards in the home's Buckingham dining room. Food must be stored in closed or sealed containers. This is a repeat violation from 11/15/2022.”