The Preserve at Cedarwood.

“In November 2025, Resident #1 reported a missing/stolen gold necklace from their dresser drawer. The home did not investigate the incident internally or report it to the Department within 24 hours as required.”

“The white handrail on the outside ramp off the side of the main entrance was observed to be loose and not securely fastened to the ground, held together only by metal wire.”

“Portable space heaters were in use in the Activity Director's office and in resident room #217 on 2/25/26, and in resident room #221 on 2/26/26, in violation of the prohibition on portable space heaters.”

“Resident #2's initial medical evaluation form did not contain the Medical Professional License number on page 5 as required.”

“Resident #3's annual medical evaluation did not identify whether the resident's needs could be safely met at the Personal Care Home as required.”

“Tussin Cough Suppressant was observed on Resident #4's nightstand in an unlocked, unattended condition, accessible to anyone entering the unlocked room, in violation of medication storage requirements.”

“Staff Member A does not have a high school diploma from the United States, a GED, or active registry status on the Pennsylvania nurse aide registry. A diploma was observed on file from another country.”

“The outside windowpane of resident room #110 was observed having a hole and spidering glass around the hole.”

“Resident #1's preadmission screening form does not include a determination that the needs of the resident can be met by the services provided by the home.”

“The resident assessment support plan (RASP) for resident #2 does not indicate the resident has a need for an enabler bar, however, an enabler bar was observed in resident #2's room attached to the bed.”

“Residents #1, #2, #3, and #4 did not receive quarterly account statements of financial transactions since the facility provided assistance with financial management and held resident funds.”

“Residents #1, #2, #3, and #4 did not receive quarterly account statements of financial transactions since the facility provided assistance with financial management and held resident funds.”

“Resident #5 passed away and the refund issued to the resident's family did not comply with the Elder Care Payment Restitution Act, which requires refund of the difference between payments made and the cost of eldercare actually provided to the resident.”

“Staff person A did not receive required annual training in fire safety, emergency preparedness procedures, and falls/accident prevention during training year 2023.”

“Resident #5 passed away and the refund issued to the resident's family did not comply with the Elder Care Payment Restitution Act, which requires refund of the difference between payments made and the cost of eldercare actually provided to the resident.”

“Staff person A did not receive required annual training in fire safety, emergency preparedness procedures, and falls/accident prevention during training year 2023.”

“A spray bottle labeled "Peroxide Multi Cleaner & Disinfectant" was unlocked, unattended, and accessible to residents in the memory support unit bathroom cabinet, despite all residents in that unit being assessed as incapable of recognizing and using poisons safely.”

“Resident #6 was admitted to the Secure Dementia Care Unit without a complete cognitive preadmission screening; the screening was missing the physician acknowledgement that the resident's needs can be met in the home.”

“Directions for operating the locking mechanism were not conspicuously posted near the external courtyard gate in the Secure Dementia Care Unit.”

“A spray bottle labeled "Peroxide Multi Cleaner & Disinfectant" was unlocked, unattended, and accessible to residents in the memory support unit bathroom cabinet, despite all residents in that unit being assessed as incapable of recognizing and using poisons safely.”

“Resident #6 was admitted to the Secure Dementia Care Unit without a complete cognitive preadmission screening; the screening was missing the physician acknowledgement that the resident's needs can be met in the home.”

“Directions for operating the locking mechanism were not conspicuously posted near the external courtyard gate in the Secure Dementia Care Unit.”

“Staff member made a disrespectful statement to a resident, saying "I'm not crazy like you are," which violates the requirement to treat residents with dignity and respect.”

“A resident's medication administration record does not indicate the diagnosis or purpose for a prescribed medication that the resident takes as needed.”

“A resident's assessment does not include documentation of impairment or how the home will meet the resident's needs.”