Providence Place of Pine Grove.

“Staff person A was not immediately suspended or placed under a Department-approved supervision plan following an abuse allegation, as required by regulation.”

“A resident with dementia pulled a chair from underneath another resident, causing a fall, then attempted to hit the resident over the head with the chair. The victim resident sustained lacerations requiring 17 stitches on one finger and 3 stitches on another and was sent to the emergency department.”

“A resident installed a video chat device in a shared bedroom that had capability to record audio and video without the roommate's consent for use in their shared space.”

“A resident punched another resident in the face 2 to 3 times and shoved them, resulting in a fall and injury. The facility addressed the incident through separation, hospitalization, medication adjustments, and ultimately relocation of one resident to a smaller community.”

“The directions for operating the locking mechanism at the Secure Dementia Care Unit's courtyard gate were not conspicuously posted; the final step of the sign was covered with tape.”

“The home made a verbal report of suspected resident abuse to the area agency on aging but failed to submit a written report within 48 hours as required by the Older Adult Protective Services Act.”

“Resident #1 attacked resident #2 in their bedroom by pulling them out of bed and causing bruising and skin tears on both arms, constituting physical abuse.”

“A cognitive preadmission screening was not completed within 72 hours prior to admission for resident #2 who required secure dementia care placement.”

“A support plan was not developed and implemented within 72 hours of resident #2's admission to the secured dementia care unit; the plan was not completed until 4/1/24.”

“Resident had falls but their Resident Assessment and Support Plan (RASP) was not updated to reflect the fall history and how the home was addressing the falls.”

“Emergency exit doors were locked using a magnetic door locking system, preventing immediate egress from the facility. The home does not have a license to operate as a Secured Dementia Care Unit and therefore cannot have magnetic door locking systems engaged.”

“Resident privacy coding sheet was attached to the License Inspection Summary (LIS) report and was publicly displayed, violating confidentiality requirements.”

“Staff persons A and B did not have fire safety training conducted by a fire safety expert for the training year 2022.”

“An unlabeled spray bottle containing a clear liquid was found in an unlocked electrical room during initial walk through.”

“The living room area of room 106 had a strong smell of feces. The toilet seat in room 113 had dried feces present at the time of the inspection.”

“The home's dumpster lid in the rear of the property was open during the initial walk through.”

“Residents in room 108 did not have an operable lamp or other source of lighting that could be turned on at bedside.”

“The lint trap in the dryer located on the 2nd floor had an approximate ½ inch layer of lint during the physical site inspection.”

“The home has a dog residing in the facility; the dog's rabies vaccination expired on 9/23/23.”

“A towel was found behind the dryer located in the 2nd floor laundry room, violating requirements that combustible materials not be located near heat sources.”

“The home's annual fire safety inspections conducted by a fire safety expert were completed on 10/8/22 and 11/1/23, more than 7 years and 15 days apart, failing to maintain annual compliance.”