Juniper Village at South Hills.

“Direct care staff person grabbed a resident on the right forearm, leaving a bruise from the wrist to the elbow and bruising to the left wrist. A resident may not be neglected, intimidated, physically or verbally abused, mistreated, subjected to corporal punishment or disciplined in any way.”

“Resident contract contained provisions requiring prior written approval from Executive Director for surveillance equipment and restricting personal voice-activated devices, which violates resident privacy rights. Seven resident contracts total were found to contain language restricting the right to privacy.”

“Resident contract stated the community does not permit smoking anywhere on premises, but the facility actually permits smoking outside at the end of an extended porch. The contract terms did not accurately reflect the home's smoking rules.”

“Two direct care staff persons hired during the 1/1/24-12/31/24 staff training year did not receive required annual training on instruction for meeting resident needs as described in preadmission screening forms, assessment tools, medical evaluations, and support plans.”

“Direct care staff person A did not receive annual training in fire safety completed by a fire safety expert, resident rights, or The Older Adult Protective Services Act during the 1/1/24-12/31/24 staff training year. Direct care staff person B did not receive fire safety training completed by a fire safety expert during that same period.”

“An incident involving inappropriate sexual behavior was not reported to the Department within 24 hours; the incident occurred on 5/4/24 at approximately 1:30 p.m., but was not reported to the Department until 5/9/24 at 4:00 p.m.”

“Staff observed a resident engaging in inappropriate sexual behavior toward another resident on approximately 1:30 p.m. on 5/4/24, but the allegation of abuse was not reported to the local Area Agency on Aging Protective Services until 5/7/24 at 6:31 p.m., creating a delay in the mandatory reporting requirement.”

“A resident admitted on 3/2/24 engaged in repeated inappropriate sexual behavior toward other residents on multiple documented occasions (3/21/24, 4/5/24, 4/6/24, 4/26/24, 5/4/24, 5/6/24) and additional undocumented incidents. The home failed to provide sufficient supervision to protect residents from this resident's abusive behavior, resulting in neglect of a vulnerable resident with limited ability to consent or refuse.”

“A resident's initial assessment completed on 3/2/24 was not updated to address inappropriate sexual behaviors documented as early as 3/21/24 or to establish necessary supervision plans to protect other residents. Additionally, skin breakdown noted in progress notes as early as 5/9/24 was not reflected in the assessment completed on 5/2/24.”

“The home became aware of an allegation of abuse/neglect involving a staff person and suspended them, but failed to submit a plan of supervision to the Department as required when an allegation involves a home's staff person.”

“Staff person B, who began working at the facility on 3/20/24, did not receive an orientation in general fire safety and emergency preparedness that included evacuation procedures, staff duties during fire drills, designated meeting places, smoking safety procedures, location and use of fire extinguishers, smoke detectors and fire alarms, and telephone use for emergency services.”

“Staff person A's training records did not include the dates of training for 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 as required.”

“Two residents' support plans were not signed by the residents and did not indicate that the residents were unable or chose not to sign the support plans, as required.”