Schenley Gardens.

“Allegations of verbal and physical abuse reported by a resident against direct care staff were not immediately reported to the Department of Aging. The incident was reported at approximately 7:00 a.m. but not reported to the Department of Aging until approximately 3:12 p.m., violating the requirement for immediate reporting under the Older Adults Protective Services Act.”

“When allegations of verbal and physical abuse were made against direct care staff person A, the home did not immediately suspend or place the staff person on a plan of supervision approved by the Department. The staff person returned to work and worked the evening shift on the date of the allegation.”

“An incident involving allegations of verbal and physical abuse was not reported to the Department's personal care home regional office or complaint hotline within 24 hours. The incident occurred at approximately 7:00 a.m. but was not reported to the Department until approximately 4:00 p.m. (or later), violating the 24-hour reporting requirement.”

“Fire safety inspection and fire drill conducted by a fire safety expert was not completed annually. Most recent was 4/2/24 with previous on 3/1/23, creating a gap of over one year.”

“Resident #1's glucometer was not set to the current date and time, indicating improper storage, security, and maintenance procedures for medical equipment.”

“Resident #2's August 2024 medication administration record does not include initials of staff persons who administered numerous medications on multiple dates and times, failing to document medications at the time of administration.”

“Resident #2 prescribed to take 1 tablet by mouth 2 times a day was not administered the morning dose on a specified date, failing to follow prescriber's orders.”

“Resident #1's assessment indicates independence with bladder management and toileting, but physician orders specify straight catheterization every 4 hours, creating a discrepancy between assessment and medical orders requiring additional assessment.”

“Resident #1's support plan does not include description and plan to meet catheterization service needs, frequency, or responsible person, despite physician orders indicating this medical care service is necessary.”

“A resident's three decorative gifts containing items were taken from the resident's room without the resident's knowledge or consent. The resident reported feeling upset and unsafe regarding the security of personal possessions in their home.”