Hemsley House Personal & Memory Care of Mccandless.

“The second-floor medication room was unlocked and the medication cart inside was unlocked, unattended, and accessible to residents. Prescription medications, OTC medications, CAM, and syringes were not secured as required.”

“Staff member did not report an alleged incident of rough handling of a resident within the required 24-hour timeframe to the Department. Staff person A observed staff person B being rough while washing a resident and pushing into a recliner, but the incident was not reported to the Department's personal care home regional office or complaint hotline timely.”

“Directions for operating the key-locking device at the emergency exit door to the secured dementia care unit (stairwell C) were not clear or conspicuously posted. Four separate sports cards with various numbers were displayed with no indication of which numbers comprised the correct code.”

“Staff entered a resident's bedroom without consent and searched the bed and kitchenette, removing 3 knives. The facility did not obtain consent from the resident or permission from the Department prior to searching the room and removing belongings, which is required when suspecting an item poses an immediate threat to health and safety.”

“A resident requiring 2-person physical assist with sit/stand lift for transfers had their foot stepped on by staff while being transferred from wheelchair to commode, resulting in a diagnosis of injury to the right foot. Additionally, a resident's laundry was returned soaking wet because the 2nd floor clothes dryer was inoperable, failing to meet the resident's assessed need for total physical assistance with laundry services.”

“A resident's medical evaluation form completed on the required date does not indicate the date the resident was actually evaluated by the physician.”

“A resident's narcotic count sheet indicated a medication to be taken 'as needed' for anxiety, while the actual physician order specified the medication to be given at bedtime, creating a discrepancy between the pharmacy label and the medication administration record.”

“Carbon monoxide detector batteries in the first-floor kitchen were not dated, making it impossible to verify annual replacement. Additionally, the carbon monoxide detector in the fourth-floor water heater room was positioned on the floor approximately one foot from the boiler, rather than at the required minimum distance of 15 feet from fossil-fuel burning devices.”

“A frozen pie crust and four frozen waffles were stored in unsealed plastic bags in the first-floor kitchen freezer, in violation of the requirement that food be stored in closed or sealed containers.”

“A discontinued medication for a resident remained in the third-floor medication cart, in violation of the requirement that discontinued medications be destroyed in a safe manner according to DEP and Federal and State regulations.”

“A staff member took a photograph of a resident on a personal cell phone without authorization and sent it to three other staff members. The photograph showed the resident partially clothed in a brief, violating the resident's right to privacy during vulnerable situations.”

“A direct care staff person was accused of abusing a resident and witnessed by another staff member. The accused staff person was not immediately suspended and continued providing direct care services to residents for approximately 4 hours until 12:45 p.m., in violation of the requirement to immediately suspend or place on a plan of supervision any staff person involved in an alleged abuse incident.”

“A resident pressed an emergency notification pendant requesting assistance but all call pendant receivers were left uncharged and non-operational. The resident was found screaming in pain on the floor and required emergency transport to Allegheny General Hospital, where she was diagnosed with a fracture. The facility failed to ensure the resident received required assistance as outlined in her support plan.”

“Staff member A provided toileting assistance to a resident in the Secure Dementia Care Unit when the resident began slapping the staff person's hand away and yelling. The staff person completed the task and left, but was not immediately suspended or placed under a supervision plan. Instead, the staff person continued providing unsupervised assistance to additional residents and completing paperwork in the activities room. The staff person was only suspended hours later after the incident was reported to the administrator by phone.”

“A resident was physically touched without permission by another resident in the facility. The victim reported feeling surprised, mad, and upset by the incident where the other resident reached under their shirt and touched their upper body area without consent.”

“Resident #1's assessment and support plan indicated the resident required assistance from 2 staff persons for bathroom assistance; however, on the morning of inspection, the resident was transferred from wheelchair to toilet by only 1 staff person.”