Deer Meadows Residences.

“A resident's assessment indicated independence with ambulation, but medical evaluation documented the resident required a walker for movement, and the assessment was not updated to reflect this significant change in condition.”

“Resident records including a resident list with dates of admission and a reportable incident binder were left unlocked, unattended, and accessible in the conference room, violating confidentiality requirements.”

“Micro-kill bleach wipes with poisonous warning labels were left unlocked, unattended, and accessible to residents in an activity room cabinet on 5th floor Bair, despite not all residents being assessed as capable of safely handling poisonous materials.”

“Three stained ceiling tiles were observed on the 5th floor hallway near a room with an empty bucket and caution wet floor sign, indicating unrepaired surfaces with hazards.”

“An approximate 1 inch accumulation of lint was found in the lint trap of a commercial dryer, creating a fire hazard.”

“Directions for operating the key-locking mechanism were not conspicuously posted near the 5th floor fire door in the Secure Dementia Care Unit.”

“The home did not have a menu posted in the memory care unit showing the specific food being served at each meal.”

“A bathroom in a resident room did not have an operable window or functioning exhaust fan for ventilation. The exhaust fan was inoperable due to a malfunctioned mechanical relay.”

“In the memory care unit near the nurse's station, three electrical breaker panels were unlocked and unattended, accessible to all residents. Additionally, approximately 5 push pins were left unattended in an unlocked cabinet accessible to residents in the kitchenette area.”

“Blood sugar reading for a resident was not documented in the medication administration record. Additionally, a controlled substance was documented as administered on two dates but not signed out on the resident's controlled substance inventory log.”

“Multiple instances where initials of staff person who administered medications were not documented on medication administration records for several residents on specified dates and times in May 2025.”

“Training records for direct care staff did not include the length or source of training as required.”

“An unlocked, unattended closet in the secure dementia care unit contained poisonous materials including PeriGuard ointment, Medline shampoo and bodywash, and Polident denture cleaner that were accessible to residents. Not all residents had been assessed as capable of recognizing and using poisons safely.”

“Sanitary conditions were not maintained. Room 302 had a strong odor of urine and feces on the bathroom floor. Additionally, a used glove and used face mask were found on the steps between the 4th and 5th floor landing in fire tower #3.”

“Multiple surfaces in fire towers were not clean or in good repair. Fire tower 7 had peeling paint on the 4th floor and scraped/patched paint on the 5th floor. Fire tower 5 had peeling paint on the 3rd floor. Fire tower 4 had a dirty floor, missing and falling baseboards, and stained and missing ceiling tiles on the second-floor landing.”

“The home did not have sufficient hot water pressure in the 5th floor bathroom near the dining area in the secure dementia care unit.”

“A window on the 2nd floor landing in fire tower #4 was broken, with the top windowpane unable to properly close.”

“Resident records were unlocked, unattended, and accessible in the nurses office in the 3rd floor secured dementia care unit, violating confidentiality requirements.”

“Poisonous materials including Aloe Vesta Daily Moisturizer, Biotene Fluoride Toothpaste, and We Care Vitamins A&D Ointment were unlocked, unattended, and accessible to residents in the nurses office in the 3rd floor secured dementia care unit. Not all residents have been assessed as capable of recognizing and using poisons safely.”

“Resident #1 did not have a shower curtain in bathroom, violating the resident's right to privacy during bathing, dressing, changing and medical procedures.”

“Resident #2 was admitted to the home without a safeguard addendum in the resident file or any other method to safeguard the resident's money prior to 12/2/2024, when an account was finally opened.”

“Staff person A was trained in first aid and certified in obstructed airway techniques and CPR by Emergency Care & Safety Institute, which is not certified as a trainer by a hospital or other recognized health care organization, and the course was online only.”

“Resident #1's dentures were observed on the soap dispenser in the resident's bathroom without a container, violating sanitary conditions.”

“The dumpster was uncovered and there was a gray cabinet outside of the dumpster, failing to keep trash in covered receptacles that prevent the penetration of insects and rodents.”

“Paint on the walls of the stairwell leading up to floor #3 and floor #5 was peeling, and caulk was pulling away on resident #2's bathroom sink, violating the requirement that floors, walls, ceilings, windows, doors and other surfaces must be clean, in good repair and free of hazards.”

“The home did not have sufficient hot water pressure in resident #3's kitchen sink at approximately 3:15 pm on 2/12/2025, failing to provide hot and cold water under pressure in kitchen areas to accommodate the needs of residents.”

“Resident's assessment indicated need for transfers, but support plan did not document how this need would be met. This was a repeat violation from 3/11/2024.”

“Resident's bedside mobility device was uncovered, not secured to bed frame, and had a 4-inch by 20-inch uncovered opening. Device slid under mattress with 14-inch gap between device and bed. This was a repeat violation from 3/11/2024.”

“Home did not complete required assessment when resident received bedside mobility device. Resident signed consent for device but assessment was not completed until later, with previous assessment dated well before device receipt. This was a repeat violation from 3/11/2024 and 9/30/2024.”

“Resident records were unlocked, unattended, and accessible in the personal care nurses' station in the basement with a laboratory worker present who is not a staff member of the home.”

“The resident-home contract for Resident 1 was not signed by the resident.”

“Direct care staff persons A and B do not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.”

“Uncovered bedside mobility devices were present on each of the two residents' beds in Room 441, with the bottom openings measuring 4 inches wide by 12 inches long, posing a possible hazardous condition for the residents.”

“Staff person C was observed using bare, ungloved fingers to remove medication from the blister card and put it into a small cup during the medication pass for Resident 2. Staff person D was observed without shoes on, exposing their socks in the dining room where residents were having lunch.”

“There were five unlabeled, undated leftover sandwiches in the memory care kitchen fridge.”

“There were unlabeled and undated cold cut turkey, ham, and cheese in the memory care fridge, a beef bologna in the main kitchen walk-in fridge, and a box of Krusteaz Vanilla Creme Icing in the dry food storage.”

“The first aid kit in the nursing station does not include a thermometer.”

“A retractable gate mounted in the resident dining room of the proposed new Secured Dementia Care Unit presented hazards such as residents climbing over the gate or getting an appendage or digit caught within it.”

“Hot water temperature at a bathroom sink measured 125.7 degrees Fahrenheit, exceeding the maximum allowable temperature of 120°F.”

“The home does not have a working, non-coin-operated landline telephone in the proposed new Secured Dementia Care Unit.”

“Emergency telephone numbers including the nearest hospital and fire department were not posted in the proposed new Secured Dementia Care Unit.”