Daylesford Crossing.

“A binder containing shower schedule information for Secured Dementia Care Unit residents was left unlocked, unattended, and accessible on a desk in the back office, violating resident record confidentiality requirements.”

“A staff person hired during 2024 did not receive training in fire safety completed by a fire safety expert or by a staff person trained by a fire safety expert during the 2024 training year.”

“Fire drills were routinely held towards the end of the month and no drills were performed on weekends in 2025. As of the inspection date, no drill had been performed in September, violating requirements to hold drills on different days and times with varied staffing levels.”

“A self-administering resident's medication record did not include a current list of medications present in the resident's bathroom, specifically Robitussin, Florastor, and Neosporin. This is a repeat violation.”

“Non-nursing staff persons administered a non-insulin injection (Retacrit) to a resident on multiple dates. Only qualified nurses or staff with completed medication administration training are authorized to administer non-insulin injections.”

“An unopened eye drop medication prescribed for a resident was stored in a medication cart instead of the refrigerator as required by manufacturer's instructions. Additionally, an expired medication was still present in a medication cart. This is a repeat violation.”

“A resident was admitted to the Secure Dementia Care Unit without having a written cognitive preadmission screening completed within the required 72 hours prior to admission.”

“A family member reported on two separate occasions that a resident was hit in the head. While staff person B reported the allegation to staff person C and then to staff person D, the allegation of abuse was not reported to the local area agency on aging until 5:26 p.m., causing a delayed reporting in violation of the Older Adult Protective Services Act requirements.”

“A family member reported on two separate occasions that a resident was hit in the head. The home did not report this incident to the Department until 5:10 p.m., failing to report within the required 24-hour timeframe in the manner designated by the Department.”

“The home's 2600 regulations book and current license inspection summary were not posted in a conspicuous and public place in the home.”

“A sign was present indicating video monitoring in the home, however the cameras record and retain footage for 3 to 4 weeks, raising privacy concerns regarding retention of recorded footage.”

“Lysol Disinfectant Spray was unlocked, unattended, and accessible to residents in the secured dementia care unit, despite the manufacturer's label warning and the fact that all residents in that unit are unable to safely use or avoid poisonous materials.”

“Resident in bedroom 112 does not have access to a source of light that can be turned on/off at bedside.”

“The secured dementia care unit's bathrooms located in resident bedrooms do not have a soap dispenser within reach of each bathroom sink.”

“The home's emergency procedures are not posted in a conspicuous and public place in the home.”

“Fire drill records for 16 drills conducted between 6/29/23 and 9/19/24 do not include the exit routes used for evacuation as required.”

“Two residents admitted to the Secure Dementia Care Unit (SDCU) had incomplete written cognitive preadmission screenings that did not indicate a diagnosis, as required within 72 hours prior to admission.”

“Medication errors occurred for three residents in April and May 2023 that were not reported to the Department within 24 hours as required. Resident 1 did not receive prescribed medications several times in April 2023. Resident 2 missed insulin documentation and administration on specified dates. Resident 3 received incorrect dosages from 5/12/23 to 5/22/23.”

“Direct care staff person A does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry. Staff member's educational background was completed outside of the United States without the applicable waiver on file from the Department.”

“Staff person A, whose first day of work was in May 2023, did not receive orientation on fire safety and emergency preparedness topics including evacuation procedures, staff duties during fire drills and emergency evacuation, designated meeting place, smoking safety procedures, location and use of fire extinguishers, smoke detectors and fire alarms, and telephone use and notification of emergency services.”

“Staff person A, hired in May 2023, did not complete required orientation training within 40 scheduled working hours on resident rights, emergency medical plan, mandatory reporting of abuse and neglect under the Older Adult Protective Services Act, and reporting of reportable incidents and conditions.”

“Direct care staff person B did not receive required annual training in personal care service needs of the resident during training year 2022.”

“Resident #1 was admitted to the Secure Dementia Care Unit but the written cognitive preadmission screening was incomplete, as it did not indicate a diagnosis. The screening must be completed within 72 hours prior to admission in collaboration with a physician or geriatric assessment team.”