The Province of Wexford.

“A resident who moved out before the end of a 30-day notice period was not issued a refund for rent and personal care services for the remaining days in the month, as required by regulation.”

“Direct care staff person A hired on an unspecified date does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry as required.”

“The facility's current license inspection summary dated 6/26/25 was not posted in a conspicuous and public place. This is a repeat violation.”

“An allegation of abuse reported by a resident on 8/4/25 at approximately 9:00pm was not reported to the local Area Agency on Aging until 8/5/25 at approximately 2:15pm, delaying the required immediate reporting of suspected abuse.”

“An allegation of abuse reported by a resident on 8/4/25 at approximately 9:00pm was not reported to the Department until 8/6/25 at approximately 2:45pm, exceeding the required 24-hour reporting timeframe.”

“Two residents' resident-residence contracts did not include the residents' names in the section indicating the contract is between the resident and the legal entity of the residence.”

“Multiple resident-residence contracts were not properly signed or dated by residents and/or the residence's administrator/designee. This is a repeat violation.”

“Staff person A did not receive orientation on fire safety topics prior to or during their first work day, including evacuation procedures, staff duties during fire drills, designated meeting places, smoking safety procedures, fire extinguisher use, smoke detectors and fire alarms, and emergency services notification. Only Relias system training was documented.”

“Staff person A did not complete required orientation training within 40 scheduled working hours on emergency medical plan, reportable incidents, and safe management techniques.”

“License inspection summaries dated 12/13/23, 1/24/24, and 4/16/24 were not posted in a conspicuous and public place in the residence as required.”

“Resident #1, #2, #3, and #4 resident-residence contracts were not signed by the residents as required by the regulation.”

“The residence's first aid kit did not include a breathing shield, eye coverings, and a thermometer as required.”

“Resident #5's bedside did not have an operable lamp or other source of lighting that can be turned on at bedside. This is a repeat violation from 1/24/2023.”

“The narcotic count book was unlocked, unattended, and accessible on the medication cart located in the first-floor hallway, violating confidentiality of resident records requirements.”

“Resident #1, requiring total assistance with toileting and two-person assist due to aggression and mobility needs, was assisted by only one staff person during toileting. The resident fell and sustained a broken hip. The facility failed to provide adequate staffing as indicated in the resident's assessment and support plan.”

“The residence failed to report an allegation of physical abuse to the Department within 24 hours after being notified by the local Area Agency on Aging.”

“A resident's initial assessment was not completed within 30 days prior to admission as required.”

“A resident's preliminary support plan was not completed within 30 days prior to admission as required.”

“A resident's support plan was not signed by the resident and did not contain documentation indicating whether the resident was unable to participate, declined to participate, refused to sign, or was unable to sign.”

“An opened and unsealed bag containing 9 pieces of frozen cod was found on a walk-in freezer shelf. Food must be stored in closed or sealed containers.”