Highland Park Senior Living.

“The home failed to report a sprinkler system malfunction that prompted a fire department response within 24 hours. The incident occurred at approximately 11:35 p.m. but was not reported to the department until 4:25 p.m. the following day.”

“The home failed to follow a resident's insulin order that required contacting the physician for blood glucose readings at or above a certain threshold. Insulin was administered on multiple occasions when blood glucose readings exceeded the threshold without first contacting the physician as prescribed.”

“Direct care staff person A began performing direct care services without documented completion and passing of department-approved direct care training or competency training course.”

“Resident in room did not have access to a source of light that can be turned on/off at bedside. The lamp was located approximately 3.5 feet away from the bed.”

“Home served 96 residents requiring 96 gallons of emergency drinking water onsite but had only 75 gallons. The 3-day supply requirement was not met.”

“Resident's annual medical evaluation form is missing the resident's weight from the top of the form.”

“Resident's medication administration record states an incorrect dosage that does not match the medication label dosage of 100/5ml.”

“Resident's insulin was to be held if blood glucose exceeded specified level with physician notification required. Resident had blood sugar readings above threshold but home failed to document physician contact per order.”

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

“Residents were admitted to the Secure Dementia Care Unit (SDCU) but their medical evaluations were not completed within 60 days prior to admission as required. Medical evaluations lacked documentation of diagnosis of Alzheimer's disease or other dementia.”

“A staff member posted a video on TikTok between May 10-23, 2025 that included images of two residents holding Mother's Day signs. Both residents have cognitive confusion and may not be able to fully consent to being posted on the staff member's private social media account, violating resident privacy rights.”

“The home failed to submit an incident report to the Department within 24 hours regarding a resident who fell on an unspecified date in 2024, resulting in a closed head injury requiring hospital treatment. The resident was discharged the same day as the incident.”

“The resident's support plan did not document the use of a bed rail device, including the specific need for the device, intended use, risks associated with use, the resident's ability to use the device safely, and identification of the specific device or whether a cover is required to meet FDA guidelines.”

“The Department revoked the facility's certificate of compliance (226300) based on violations of 55 Pa. Code Ch. 2600, gross incompetence, negligence and misconduct in operating the facility, and failure to submit an acceptable plan to correct noncompliance items.”

“The home failed to submit an incident report to the Department within 24 hours regarding a resident who fell on an unspecified date in 2024, resulting in a closed head injury requiring hospital treatment. The resident was discharged the same day as the incident.”

“The resident's support plan did not document the use of a bed rail device, including the specific need for the device, intended use, risks associated with use, the resident's ability to use the device safely, and identification of the specific device or whether a cover is required to meet FDA guidelines.”

“The Department revoked the facility's certificate of compliance (226300) based on violations of 55 Pa. Code Ch. 2600, gross incompetence, negligence and misconduct in operating the facility, and failure to submit an acceptable plan to correct noncompliance items.”

“Resident Assessment and Support Plan (RASP) did not indicate if the resident was a fall risk. The resident had witnessed and unwitnessed falls documented as addendums to the RASP, but the plan did not address what staff interventions would be implemented to meet the resident's safety needs.”

“A video surveillance camera installed in the secure dementia unit's breakfast bar area was recording residents during bathing, dressing, changing, and other activities, violating resident privacy rights. The recording capabilities were disabled on 6/19/2024.”

“A resident was verbally abused by staff during showering. Staff person A yelled angrily at the resident who was combative during care, and the incident was witnessed by two other staff members.”

“A fire extinguisher located in Bridges East section did not have an inspection tag attached to it, in violation of the requirement that fire extinguishers be inspected and approved annually by a fire safety expert with the inspection date documented on the extinguisher.”

“A resident with orders for blood glucose readings before meals and at bedtime with sliding scale insulin administration was not tested before eating lunch, and insulin administration was not properly recorded or administered according to the prescribed sliding scale on multiple dates.”

“Staff person B restrained a resident's arms during an incident to prevent the resident from hitting staff. The restraint was witnessed by two other staff members and documented in a care note.”

“The home did not have the License Inspection Summary (LIS) report dated 8/31/22 posted in a conspicuous manner. LIS reports were stored in a folder that was not visible to the public.”

“Staff person A bumped a wheelchair into resident #1's arm in the dining area and yelled back at the resident. The home did not report the incident to the local area agency on aging as required under the Older Adult Protective Services Act.”

“The home did not report an incident involving a staff person bumping a wheelchair into a resident's arm to the Department's personal care home regional office or complaint hotline within 24 hours as required.”

“Staff person A did not treat resident #1 with dignity and respect by yelling at the resident and admonishing them for leaving their walker at the table and for speaking to staff in that manner.”

“The home did not have documentation that staff persons B, C, and D attended fire safety training conducted by a fire safety expert for the 2022 training year.”

“Staff in the memory care unit were unable to immediately locate the first aid kit. Staff in the 1st floor medication room also were unable to immediately find the location of the nearest first aid kit.”

“A glass of milk with plastic wrap was found in the refrigerator in the memory care unit kitchenette with no date marked on it. A container of butter found on the counter in the same kitchenette also had no date labeled on the container.”

“The ice cream freezer located in the main dining room contained several tubs of ice cream and had a temperature of 40°F according to the thermostat, which exceeds the maximum for frozen food storage. Additionally, a tub of butter was found stored on the counter in the memory care kitchenette area.”

“The exit door located to the rear of the main dining room was partially blocked by a Christmas tree that was placed near the door, obstructing the egress route.”