Providence Place of Pottsville.

“Staff person B became aware of an allegation of abuse of a resident by staff person A, but the home did not immediately suspend or develop and implement a plan of supervision for the staff person involved.”

“During morning care, staff person A put a resident's legs between their calves to immobilize the resident's ability to freely move their legs, constituting a manual restraint.”

“The support plan for a resident was not updated to indicate that an order was received to upgrade the resident's diet from mechanical soft to a regular diet.”

“A tissue was found approximately 2 inches from the dryer hose in the Memory Care laundry room.”

“Two dented 104 oz cans of Sisko Fancy Sauerkraut were in the dry food storage of the kitchen.”

“The kitchen's main freezer contained an open and unsealed clear plastic bag of hamburger patties. This was a repeated violation.”

“Three large trash cans in the kitchen were not covered with lids and no lids were located near the trash cans.”

“The refrigerator in the third-floor activities room did not contain a thermometer. This was a repeated violation.”

“Resident #1's medical evaluation did not have the section noting ability to self-administer medications completed. This was a repeated violation.”

“A container of Minerine Crème 1lb prescribed to Resident #2 was stored on a table located outside of the resident's room on the 2nd floor Secured Dementia Care Unit instead of being locked.”

“Resident #1's medication pharmacy label for blood sugar check lancets reads 'check fasting blood sugar daily in the morning' but the doctor's order includes both a daily morning check and a PRN (as needed) order that was not reflected on the label.”

“Resident #1's medication administration record for Loperamide did not match the doctor's order regarding dosage and frequency. Resident #3's prescribed PRN Diclofenac Sodium 1% Gel was not listed on the January 2026 medication record.”

“Directions for operating the home's locking mechanism were not conspicuously posted near either of the 2 gates found in the courtyard of the Secure Dementia Care Unit.”

“Staff member admitted to using inappropriate language and cursing at a resident. Another staff member heard the inappropriate language but failed to stop it or report it, violating the requirement that residents be treated with dignity and respect.”

“A resident admitted to the Secure Dementia Care Unit did not have a completed medical evaluation form that documented whether the home could safely meet the resident's needs, as required within 60 days prior to admission. This is a repeat violation.”

“A Secured Dementia Care Resident Assessment and Support Plan contained inaccurate information, indicating the resident has no long-term memory impairment and using the name of another resident, failing to properly identify the resident's physical, medical, social, cognitive and safety needs.”

“A container with empty pill packets that included resident names and medications was found on top of Medication Cart 3, violating resident record confidentiality requirements.”

“A 50-pound bag of oats was found stored directly on the floor of the pantry, in violation of food storage requirements.”

“Cereal (Rice Krispies) was found in the pantry wrapped in plastic wrap but not labeled with contents and storage date, in violation of leftover food labeling requirements. This was a repeat violation.”

“A 50-pound bag of oats and a 25-pound bag of panko breadcrumbs were left open and not sealed properly, in violation of food storage container requirements. This was a repeat violation.”

“Resident eye drops with an order to discard 6 weeks after opening were not discarded within the required timeframe, violating medication storage and sanitation requirements.”

“A resident's support plan was not updated following an altercation with another resident to address the resident's wandering behaviors and aggression, in violation of annual and condition-change revision requirements.”

“Resident was administered incorrect medication in both eyes. The resident was scheduled to receive a different medication in both eyes but received the wrong medication instead.”

“A resident was able to disengage the electronic/magnetic locking system to the courtyard door and leave the secured area unsupervised. The resident was found in an adjacent neighborhood approximately one hour after leaving the facility.”

“Resident #1 bit Resident #3 on the arm causing broken skin requiring wound care. During this incident, Resident #3 slapped Resident #1 to stop the biting. Additionally, Staff A incorrectly lowered the wheelchair ramp prior to securing it, causing both Staff A and Resident #4 in a wheelchair to fall out of the back of the van, resulting in hospitalization of Resident #4. Staff A and Staff C failed to follow proper wheelchair transport procedures, constituting negligent care.”

“Night time LPN was reported to be rude to Resident #2 and pinched the resident's cheeks together while attempting to pour medication into the resident's mouth, failing to treat the resident with dignity and respect.”

“Poisonous materials (Clean Perox spray, Clean Home Disinfectant Spray, and Dawn dish soap) were found in an unlocked and unattended cabinet in the Connections Kitchenette above the stove. The residents in the Connections Area are not assessed to safely identify or use poisonous materials.”

“Food items in a cabinet in the First Floor Activities Area were not properly sealed or stored in closed containers, including a 16oz bag of Great Value Pretzels, 16oz bag of dried noodles, 13oz bag of Lays Potato Chips, 16oz bag of Stacy's Pita Chips, and 5oz bag of Puffed Corn.”

“Review of Resident MAR indicates a glucometer reading was not properly recorded. There is no reading documented in the resident record for the specified date and time, and a testing strip may have been removed too quickly to register the reading.”

“Multiple instances of non-compliance with prescriber's orders for glucometer readings and insulin administration were identified. One resident's glucometer reading was not recorded; another resident had a glucometer reading recorded but no corresponding documentation of the check; a third resident's MAR indicated 6 units of insulin were administered when the sliding scale prescribed a different amount for the recorded glucose level; and a fourth resident's glucometer reading was not properly documented on the MAR.”

“Six residents' Resident Assessment and Support Plans (RASPs) were not updated to include information on therapy services. This was a repeat violation from 9-26-23.”

“Requested Resident Records were left in an unlocked and unattended 3rd floor Florida Room, which prevented maintaining records in a confidential manner and prevented unauthorized access.”

“Department Representatives requested resident records at approximately 9:30 am but did not receive the records to review until 1:55pm, failing to provide immediate access as required.”

“The License Inspection Summary dated 9/21/23 was not posted in a conspicuous and public place in the personal care home as required.”

“Resident #1's contract specified participation in the connections club program which is not available to residents in the Secured Dementia Care Unit (SDCU), and the contract did not specify that the resident was in the SDCU.”

“Resident #2 suffered multiple unwitnessed falls with injuries, hallucinations, and unsafe behaviors (attempting to elope, placing non-food items in microwave). The home was aware of the resident's decline but did not take appropriate steps to ensure safety or assess for the correct level of care in a timely fashion. The resident subsequently died following hospitalization after the last fall.”

“Packages of Lysol Disinfectant wipes were found in unlocked upper and lower cabinets of the Activities Room in Connections South Memory Care, making poisonous materials accessible to residents.”

“Emergency telephone numbers (nearest hospital, police, fire, ambulance, poison control, local emergency management, and personal care home complaint hotline) were not posted by the telephone located in resident room #242.”

“Resident #3 did not have a bedside lamp or other source of lighting within reach of their bed that could be turned on at bedside.”

“Two packages of dried cereal and a bag of potato chips were found not properly sealed in a cabinet in the Connections Dining Area.”

“The home failed to follow proper medication administration procedures. Staff left supplements in a resident's room for self-administration instead of directly placing medications in the resident's hand or mouth and observing administration.”

“The home failed to provide timely assistance with activities of daily living as specified in resident care plans. One resident reported waiting 30-45 minutes for dressing assistance and another resident's shower request via call bell went unanswered.”

“The home failed to provide adequate staffing to meet resident needs. On the cited date, only 5 staff members were on duty from 12p-6a to care for 67 residents requiring emergency evacuation assistance, which was insufficient according to resident assessment and support plans.”

“The home failed to maintain current and accurate resident support plans. One resident's plan noted independent mobility despite using a wheelchair, and another resident's plan omitted information about private duty aide assistance and the resident's poor judgment regarding healthcare and mobility decisions.”