Friendship Village of South Hills.

“A resident's prescription medication pharmacy label indicated incorrect administration instructions (twice daily) when the actual order was for bedtime only administration.”

“A resident's bedside mobility device (bed enabler) slid under the mattress and was not securely attached to the bed.”

“There was no hot water available at the sink in the common restroom next to the medication office in the Special Care Unit; the water temperature was 44.8 degrees Fahrenheit.”

“Food items including a 50 pound box of potatoes and a large box of romaine lettuce were stored on the floor in the kitchen walk-in cooler.”

“A small black portable space heater was found in the living room area of a resident's living unit.”

“The only menu posted near the 3rd floor common dining room was outdated and did not meet the requirement to post menus one week in advance.”

“A resident's initial assessment was undated, making it impossible to determine if the assessment was completed within 30 days prior to admission.”

“Multiple residents' initial assessments were not completed on the Department's assessment form and did not include complete medical history, medical conditions, and current medical status information that was documented in their medical evaluations.”

“The residence failed to immediately report suspected abuse to the local Area Agency on Aging on 3 separate occasions within the past year when numerous staff persons witnessed and reported allegations of abuse involving residents to staff person A, LPN/charge nurse.”

“The residence failed to immediately notify residents and their designated persons of reports of suspected abuse on 3 separate occasions within the past year when staff witnessed and reported allegations of abuse involving residents.”

“The residence failed to report suspected abuse incidents to the Department within 24 hours on 3 separate occasions within the past year when staff witnessed and reported allegations of abuse involving residents.”

“On multiple occasions within the past year, staff observed residents engaging in sexual contact in common areas and private rooms, including instances where residents were undressed or partially undressed. Despite residents having diagnoses requiring special care unit placement and supervision, and documented support plan directives to prevent unsupervised contact, the facility failed to prevent these incidents and did not timely report them. This is a repeat violation.”

“The Licensing Inspection Summaries from 1/11/24 and 8/12/24 were not posted in a conspicuous and public place in the residence as required.”

“Direct care staff persons B and C were hired and provided unsupervised direct care to residents without successfully completing and passing the Department-approved direct care competency test.”

“The bed enabler in resident room #205 was not securely attached to the bed frame and could be pulled away from the mattress several inches, posing an entanglement risk.”

“There were no smoke detectors in any of the home's resident living units, including units #128, #205, #218, #306 and #310.”

“There was no 2A-10BC fire extinguisher in the kitchen area of the home's second floor multipurpose room. The only fire extinguisher in this kitchen had a 2A-Kitchen rating.”

“The residence was evacuating residents in simulated drills to areas not designated in writing by the fire safety expert as fire safe areas. Additionally, only residents from the affected area were being evacuated while remaining residents stayed in their living units.”

“Resident #1's initial assessment indicated a general diet with regular texture and thin liquids, but medical evaluation showed a special diet of mechanical soft. Resident #2's initial assessment indicated a regular diet, but medical evaluation showed a special diet of consistent carb, pureed texture, and thin liquids.”

“A resident transferred to the special care unit (SCU) had a medical evaluation that did not document the need for the resident to be served in the SCU, as required for SCU admissions.”

“The residence's contract language excluded residents who require total assistance with 2 or more activities of daily living from ADL/IADL services, which violates the requirement to provide assistance with performing ADLs and IADLs to all residents.”

“A resident was discharged from the residence without providing the required 30-day advance written notice to the resident, resident's family, or designated person citing reasons for the discharge.”

“A staff person became angry with a resident, chastised them verbally saying "You think the world revolves around you! You're not listening to me!" and "You're really pissing me off!", swiftly moved the resident's hand away from their face, and made a threatening statement. This constitutes verbal abuse and mistreatment of a resident.”

“The facility failed to report three incidents of alleged abuse and assault to the Department's assisted living residence regional office or complaint hotline within 24 hours as required. One allegation involved a resident reporting being struck in the face while sleeping; another involved a resident pushing another resident into a sliding door; and a third involved a resident lunging at and grabbing another resident and assaulting staff members during an elevator incident.”

“A resident's assessment was not updated to reflect a significant change in supervision needs following a physician's recommendation for transfer to the secured dementia care unit. The resident subsequently wandered out of the facility and was found on the side of Boyce Road. This was a repeat violation from 4/5/23.”