Meadowood.

“Prescription medications were observed in medication cards with punctured blister foil, exposing them to contamination or improper sanitation conditions.”

“OTC medications and CAM products (CalaSoothe lotion and Centrum Mens 50+) were observed in medication carts but were not labeled with resident names.”

“Prescribed medications (Fleet enema and suppositories) were not available in the home when needed for residents, indicating inadequate storage and access procedures.”

“An electronic medical record showing resident medication orders was left unlocked, unattended, and accessible on top of a medication cart, violating confidentiality requirements.”

“A resident reported that cash was removed from their wallet while Staff Member A was alone in the bedroom. Staff Member A had previous theft charges and was in a position to view the wallet's hiding place.”

“Staff Person A and Staff Person B did not complete training on the emergency medical plan within their first 40 scheduled working hours, which is required for all direct care staff orientation.”

“Direct Care Staff Persons C, D, and E did not receive required annual training on instruction on meeting resident needs as described in preadmission screening forms, assessment tools, medical evaluations and support plans.”

“Two staff members in the memory care kitchen were observed cooking without ServSafe certification. Pennsylvania law requires at least one supervisory employee per licensed food facility to obtain food safety certification through an ANSI-approved nationally recognized food safety class.”

“Direct care staff person C did not receive medication self-administration training during the training year January 2023 to December 2023.”

“Staff person D did not receive required annual training in fire safety, emergency preparedness procedures, resident rights, the Older Adult Protective Services Act, falls and accident prevention, and new population groups during the training year January 2023 to December 2023. This is a repeat violation.”

“The home's fire drills were not truly unannounced. The facility conducts separate drills for the personal care area and memory care area, with the alarm from the first drill alerting staff in the other area that a drill will occur, thereby compromising the unannounced nature of required monthly fire drills.”

“A large bottle of Listerine with a poison warning label was unlocked, unattended, and accessible to residents on 07/19/2023. Not all residents have been assessed capable of recognizing and using poisons safely.”

“Emergency telephone numbers, including the nearest hospital and fire department, were not posted on or by the telephone in resident room #184.”

“A copy of chapter 2600 was not posted in a conspicuous and public place in the home.”

“On 04/13/2023, resident #1 slapped resident #2 on the face when asked to leave resident #2's room. On 06/20/2023, resident #1 slapped another resident on the right arm when told to leave that resident's room. These allegations of abuse were not reported to the local Area Agency on Aging as required.”

“Staff person A did not receive required annual training in 2022 in fire safety, emergency preparedness procedures, and falls and accident prevention.”

“The first aid kit in the van was missing required items: antiseptic, adhesive bandages, eye coverings, and tweezers.”

“On 07/19/2023, the temperature in the ice cream freezer in the main kitchen was 10 degrees Fahrenheit, exceeding the required maximum of 0°F for frozen food.”

“In the ice cream freezer in the main kitchen, two containers of ice cream were opened and uncovered, in violation of the requirement that food be stored in closed or sealed containers.”

“The pharmacy label for resident #3's Dextromethorphan cough syrup indicated dosing instructions that no longer matched the current order, and there was no direction change sticker on the box.”