The Residences at Manatawny Village.

“Daily census treatment books were unlocked, unattended, and accessible at the memory care nurses station on two separate occasions, violating resident record confidentiality requirements.”

“Sani Bleach Wipes with poison control warning label were unlocked, unattended, and accessible to residents in memory care unit. Not all residents have been assessed as capable of safely using or avoiding poisonous materials.”

“The ceiling in the chaplain/activity room was stained with a brown ring with black specks appearing to be mold, creating a surface hazard.”

“Two staff persons did not know the location of the first aid kit.”

“There were no paper towels, mechanical hand dryer, or other sanitary means of hand drying in the common women's bathroom on the 2nd floor across from the dining room.”

“Multiple prescription and OTC medications in medication carts lacked open dates or had expired dates: two containers of topical gum medication with no open date, eye drops with no open date, and eye drops with an expiration date that had passed.”

“An unlabeled bottle of Mirtazapine was found in the personal care medication cart, and staff could not determine which resident the medication belonged to.”

“Staff person B, the home's administrator, has not successfully completed an orientation program approved and administered by the Department prior to initial employment.”

“Direct care staff person A hired did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.”

“The home does not have documentation on file for staff A and C indicating they received orientation on fire safety and emergency preparedness topics including evacuation procedures, staff duties during emergencies, designated meeting places, smoking procedures, fire extinguishers, smoke detectors and alarms, and emergency notification procedures.”

“Stained ceiling tiles were observed in stairwell A, men's bathroom, and around the corner of A hallway dead end, indicating surfaces not in good repair.”

“Direct Care Staff Person A did not receive required annual training in four areas during the training year April 1, 2024 to March 31, 2025: instruction on meeting resident needs per preadmission screening and assessment tools, infection control and hygiene principles, personal care service needs, and safe management techniques.”

“Staff Person A did not receive required annual training in five areas during training year April 1, 2024 to March 31, 2025: fire safety by expert, emergency preparedness procedures, resident rights, Older Adult Protective Services Act training, and falls and accident prevention.”

“A resident prescribed 2 tablets by mouth at bedtime did not receive the prescribed medication because it was not available in the home. This is a repeat violation.”

“Violation cited regarding facility operations or management practices.”

“Staff member's first day of work did not include required fire safety and emergency preparedness orientation covering evacuation procedures, staff duties during emergencies, designated meeting places, smoking safety, fire extinguisher use, smoke detectors/fire alarms, and emergency services notification.”

“Staff person A did not complete required 40-hour orientation training in mandatory reporting of abuse and neglect under the Older Adult Protective Services Act, emergency medical plan, and reporting of reportable incidents and conditions.”

“Personal care medication cart was unlocked, unattended, and accessible. Resident medication blister card was left on top of the unlocked cart, and the narcotic count book was unlocked, unattended, and accessible.”

“Staff Member A passed medications to multiple residents without wearing gloves and did not sanitize or wash hands between passing medications to different residents.”

“Staff Member A was observed providing medication to a resident and documenting the administration prior to observing the resident consume the medication.”

“Narcotic medication control logs contained documentation errors where medications were signed as administered, then crossed out as errors, but actual administration status was unclear. Pill counts on narcotic control sheets were inaccurate, being consistently off by one pill for each subsequent administration. Additionally, medication administration dates and times were recorded incorrectly on narcotic control logs.”

“Staff Person C did not record the date and time of medication administration at the time the medication was administered; the recording was delayed until a later date on the narcotic control log.”

“Resident #4 was administered medication at an incorrect time that did not follow the prescriber's directions regarding when the medication should be administered.”

“Violation cited regarding facility operations or management practices.”

“Staff member's first day of work did not include required fire safety and emergency preparedness orientation covering evacuation procedures, staff duties during emergencies, designated meeting places, smoking safety, fire extinguisher use, smoke detectors/fire alarms, and emergency services notification.”

“Staff person A did not complete required 40-hour orientation training in mandatory reporting of abuse and neglect under the Older Adult Protective Services Act, emergency medical plan, and reporting of reportable incidents and conditions.”

“Resident #1 was able to elope from the secured memory care unit after staff administered Ativan to control exit-seeking behaviors without redirecting the resident away from the door. Staff were not trained on door mechanisms, elopement policies, or procedures. The resident was found by law enforcement on a busy highway (55 mph speed limit) approximately 0.2 miles away in cold weather (37-41°F) without a coat. Upon return, vital signs were not assessed per elopement policy.”

“Agency staff persons D and E did not receive orientation on their first work day regarding evacuation procedures and staff duties and responsibilities during fire drills and emergency evacuation.”

“Civil money penalty assessed. Penalty calculated at $3 per day per census (54 residents) = $162 per day.”

“License revoked from previous certificate dated 12/14/2023 to 12/14/2024. First provisional license issued in its place based on violations found during inspections on 1/3/2024 and 2/22/2024.”

“Resident #1 was able to elope from the secured memory care unit after staff administered Ativan to control exit-seeking behaviors without redirecting the resident away from the door. Staff were not trained on door mechanisms, elopement policies, or procedures. The resident was found by law enforcement on a busy highway (55 mph speed limit) approximately 0.2 miles away in cold weather (37-41°F) without a coat. Upon return, vital signs were not assessed per elopement policy.”

“Agency staff persons D and E did not receive orientation on their first work day regarding evacuation procedures and staff duties and responsibilities during fire drills and emergency evacuation.”

“Civil money penalty assessed. Penalty calculated at $3 per day per census (54 residents) = $162 per day.”

“License revoked from previous certificate dated 12/14/2023 to 12/14/2024. First provisional license issued in its place based on violations found during inspections on 1/3/2024 and 2/22/2024.”

“The home's written emergency procedures do not include the contact information for each resident's designated person.”

“The home's emergency procedures do not indicate what procedures will be implemented when a smoke detector or fire alarm is inoperable.”

“Resident 1's medical evaluation did not include the mobility assessment.”

“The first aid kit in the van used to transport residents does not include disposable gloves, adhesive bandages, gauze pads, a thermometer, adhesive tape, scissors, a breathing shield, eye coverings, or tweezers.”

“The ceiling outside of the second-floor dining room had brown stains and was missing a panel exposing a vent.”

“The first aid kit in the medication station does not include a thermometer and face shield.”

“Staff person A did not know the location of the first aid kit.”

“The home's written emergency procedures have not been submitted to the local emergency management agency.”

“Resident #2 was found on the floor crying and in distress after an altercation with resident #3. Staff were insufficient on the Secured Dementia Care Unit, with only two staff members assisting other residents and no written procedure in place to call for additional assistance during such incidents.”

“The Secured Dementia Care Unit had insufficient staffing with only two staff assigned while caring for 16 residents. Multiple residents required additional support including assistance with ambulation, transfers, 2-person assists, and emergency evacuation. Staff were unable to provide adequate care during an incident when one staff member was alone in the dining room.”

“Ancillary staff person C did not receive a general orientation to specific job functions prior to their first day of work.”

“A toilet in the common area bathroom had feces smeared on the toilet seat and front of the commode, indicating unsanitary conditions.”

“The headboard in resident #7's room was not secure and stable as it was not properly attached to the bed frame, creating a potential hazard.”

“Resident #8's medication administration record did not include a current list of medications. The record was missing Non drowsy Claritin Loratadine tablet 10 mg and Senokot-S container of 30 tablets.”

“Risperdal Oral Tablet belonging to resident #8 was observed in an over-the-counter Tylenol container instead of its original labeled container, violating medication storage requirements.”