Silver Springs at Tunkhannock.

“A bottle of Purell with a poison warning label was found in an unlocked linen cart on the first-floor north hallway in the memory care unit, making it accessible to residents.”

“The employee entrance and exit door required excessive force to open, preventing immediate egress in the event of an emergency.”

“No directions were posted to operate the key locking device exiting the secured dementia sunroom.”

“Resident home contracts for two residents were not signed by the residents themselves.”

“Administrator had only completed 7 hours of the required 24 hours of annual training relating to job duties.”

“Poisonous materials (aerosol Clorox and air freshener) were found unlocked under a bathroom sink, accessible to residents not assessed to safely use or avoid such materials. This was a repeat violation from 3/5/2024.”

“A tray of jello cups in the kitchen refrigerator were not dated, violating requirements that leftover food be labeled and dated.”

“Fire drill logs for June through December 2024 were incomplete, containing only month and day without the year, missing required full date documentation.”

“Resident 3's annual medical evaluation documentation did not include the medical professional's name or license number.”

“Resident 1 was admitted to the Secure Dementia Care Unit without a required medical evaluation completed within 60 days prior to admission. This was a repeat violation from 3/5/2024.”

“Resident 1 and Resident 2 admitted to the secured dementia unit lacked documented evidence that the residents and their designated persons did not object to the transfer to the secured dementia care unit.”

“No documentation that the resident and resident's designated person did not object to admission or transfer to the secured dementia care unit.”

“Resident support plan was not completed within 72 hours of admission to the secured dementia care unit.”

“Resident support plan was not updated to reflect significant behavioral changes including wandering into other residents' rooms and undressing.”

“An incident of suspected abuse (staff member yelling at resident) was not reported to the Department within the required 24 hours. The incident was witnessed on 9/4/2023 but not reported to BHSL until 9/8/2023, a 4-day delay.”

“A resident was not treated with dignity and respect when staff member B was argumentative and yelling at the resident on 9/4/2023.”