Greenfield of Perkiomen Valley.

“Resident records including shower schedules and assistance needs were unlocked, unattended, and accessible in a housekeeping closet in the memory care unit.”

“Fire extinguisher by the employee entrance parking lot was hung 5 feet 9 inches off the ground, exceeding the maximum height of 5 feet by handle per NFPA § 50.71.”

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

“Resident 1 has a covered bedside mobility device that is not attached securely to the bed and creates a 5-inch entrapment zone between the device and bed.”

“Ecolution Pro Glass Cleaner with a manufacture's label indicating "contact poison control center if ingested" was unlocked, unattended, and accessible to residents in the unlocked housekeeping closet in the memory care unit. Not all residents of the home, including resident 2, have been assessed as capable of recognizing and using poisons safely.”

“Multiple sanitary violations found: trash and debris behind washers and dryers in laundry room; red juice spilled in memory care refrigerator; reddish-brown stain possibly feces or dried blood on closet curtain and spots around bathroom sink in room 301; kitchen hoods with noticeable grease and grime buildup not professionally cleaned since 11/15/2023.”

“A resident-home contract was not signed by the resident. The facility failed to obtain the required signature from the resident on the contract.”

“A direct care staff person did not receive medication self-administration training during the 2024 training year as required by regulations.”

“A resident's assessment and support plan (RASP) was not signed by the resident, and the facility did not document whether the resident was unable or refused to sign.”

“A resident was discontinued on a medication; however, this medication was found in the memory care medication cart during inspection.”

“Blood glucose readings for residents were documented incorrectly on the Medication Administration Record. Actual readings did not match documented values, indicating improper procedures for safe storage, access, security, distribution and use of medications and medical equipment.”

“Keypad to reenter home from memory care courtyard was unusable. Numbers and asterisk were worn off and could not be read, and covering over light indicators was worn off exposing light bulbs.”

“Nursing office was unlocked with resident records, support plans, and medical evaluations unattended and accessible. The room could not be locked and there were no staff in the immediate area.”

“Administrator could not provide a full and complete staff list that includes substitute personnel. The staff list provided does not include agency staff utilized by the home.”

“Home's records of direct care staff training do not include the source of the training or the length of each course for trainings including Proper Refund Practices, Providing Itemized Accounts of Resident's Funds, Resident Privacy of Self/Possessions, CPR/First Aid Requirements, Falls and Accident Prevention, Self Administering Residents, and Resident Rights.”

“Liquid laundry detergent was found in the laundry room being stored in water pitchers instead of its original container. The laundry detergent's original container states "if ingested, contact poison control."”

“Multiple sanitary condition violations observed: no toilet paper or hand drying method in bathroom outside Discovery Room; mop bucket with ceiling/drywall pieces, dirty towel, and wheelchair at top of first floor back stairwell; resident room full of clutter with papers and stacks of boxes on commode; main kitchen ice machine covered in mold and dust; strong urine odor inside and outside resident room.”

“Dumpster for the facility was not closed. Two pallets were observed next to the emergency exit by the maintenance office.”

“Multiple surface violations observed: floor tiles missing throughout first floor back stairwell; ceiling tiles above ramp and by piano room showing water damage and staining; door leading to center courtyard missing weather striping with one-inch gap, with fabric jammed at bottom creating tripping hazard.”

“The facility had not posted the most recent license inspection summary. The posted summary was dated 6/8/23 when the most recent summary was dated 3/5/24.”

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

“Trash outside the home was not kept in covered receptacles. Two bags of trash were located on the walking path in the outdoor courtyard outside the memory care unit. This was a repeat violation.”

“The outdoor courtyard outside the memory care unit was unsafe for use due to overgrown landscaping, dried leaves, overgrown bushes and trees covering the walking path creating tripping hazards. The walking path was cracked and elevated from tree root growth, presenting additional tripping hazards. This was a repeat violation.”

“The outdoor courtyard outside the memory care unit was unsafe for use due to overgrown landscaping, dried leaves, overgrown bushes and trees covering the walking path creating tripping hazards. The walking path was cracked and elevated from tree root growth, presenting additional tripping hazards. This was a repeat violation.”

“The facility had not posted the most recent license inspection summary. The posted summary was dated 6/8/23 when the most recent summary was dated 3/5/24.”

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

“Trash outside the home was not kept in covered receptacles. Two bags of trash were located on the walking path in the outdoor courtyard outside the memory care unit. This was a repeat violation.”

“The facility had not posted the most recent license inspection summary. The posted summary was dated 6/8/23 when the most recent summary was dated 3/5/24.”

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

“Trash outside the home was not kept in covered receptacles. Two bags of trash were located on the walking path in the outdoor courtyard outside the memory care unit. This was a repeat violation.”

“The outdoor courtyard outside the memory care unit was unsafe for use due to overgrown landscaping, dried leaves, overgrown bushes and trees covering the walking path creating tripping hazards. The walking path was cracked and elevated from tree root growth, presenting additional tripping hazards. This was a repeat violation.”

“Medication administration records were unlocked, unattended, and accessible in the Secured Dementia Care Unit medication room, violating resident record confidentiality requirements.”

“No carbon monoxide detector was installed in the kitchen which uses gas appliances, in violation of the Care Facility Carbon Monoxide Alarms Standards Act. Detectors must be installed within 15 feet of fossil-fuel burning appliances.”

“A resident requiring assistance with personal hygiene did not receive required assistance. The resident was observed with feces on their clothing, indicating inadequate personal hygiene care.”

“Medication administration records were unlocked, unattended, and accessible in the Secured Dementia Care Unit medication room, violating resident record confidentiality requirements.”

“No carbon monoxide detector was installed in the kitchen which uses gas appliances, in violation of the Care Facility Carbon Monoxide Alarms Standards Act. Detectors must be installed within 15 feet of fossil-fuel burning appliances.”

“A resident requiring assistance with personal hygiene did not receive required assistance. The resident was observed with feces on their clothing, indicating inadequate personal hygiene care.”

“A resident requiring assistance with personal hygiene did not receive required assistance. The resident was observed with feces on their clothing, indicating inadequate personal hygiene care.”

“No carbon monoxide detector was installed in the kitchen which uses gas appliances, in violation of the Care Facility Carbon Monoxide Alarms Standards Act. Detectors must be installed within 15 feet of fossil-fuel burning appliances.”

“Medication administration records were unlocked, unattended, and accessible in the Secured Dementia Care Unit medication room, violating resident record confidentiality requirements.”