Country Meadows of Wyomissing Ii.

“A resident was involved in a verbal altercation with another resident during which the first resident pushed the second resident, causing them to fall to the floor. The injured resident was evaluated at a local hospital and diagnosed with injuries, and subsequently required additional medical evaluation and hospitalization for continued complaints of pain.”

“An unlabeled razor was found in a shared bathroom shower, creating a sanitary concern.”

“External dryer ducts from the Connections laundry room were caked with lint both inside and outside the ducts, with lint also scattered on the ground below. External dryer ducts from the personal care laundry room also had lint buildup inside the ducts.”

“A walkway exiting the Secure Dementia Care Unit kitchenette was covered in snow and ice, restricting door opening to only a few inches and impeding egress.”

“A gate exiting the Secure Dementia Care Unit courtyard could not be opened more than 5 inches. A door exiting near the Business Office was blocked with ice and snow, opening only about 6 inches, with the surrounding grassy area covered in snow that would impede egress. This was a repeat violation from 4/9/2025.”

“An undated PF injectable pen medication was found in the Pathway medication cart. Per manufacturer instructions, this medication should be discarded after 28 days, and the lack of dating made it impossible to determine if the medication was still safe to use.”

“A PF injectable pen medication in the Pathway medication cart did not have a pharmacy label as required.”

“A resident refused a prescribed medication at 2:00 p.m., but the prescriber was not notified of the refusal as required within 24 hours.”

“A grey sock was found directly behind and close against the right corner of the dryer in the Pathways laundry room. Combustible and flammable materials may not be located near heat sources or hot water heaters.”

“The current license inspection summary reports were posted in a locked glass-enclosed bulletin board in the lobby, requiring residents and guests to request a key to access them. License inspection summaries must be accessible to the public without restriction.”

“A round dining table and four chairs were placed directly in front of an exit door in the dining room, obstructing the emergency egress route. Stairways, hallways, doorways, passageways and egress routes must remain unobstructed.”

“Resident 1's Acetaminophen 325 PRN medication had a discrepancy between the pharmacy label (every 6 hours as needed for pain) and the Medication Administration Record (every 4 hours as needed for pain). Prescription medication containers must be labeled with accurate pharmacy labels.”

“Resident 1's Medication Administration Record for insulin administration on 04/04/2025 did not include the initials of the staff person who administered the medication, although the glucose levels and amounts given were documented. Date, time, and staff initials must be recorded when medication is administered.”

“Resident 2 was admitted to the secure dementia unit, but their initial Medical Evaluation form did not include a diagnosis of Alzheimer's disease or other dementia, which is required for admission to a secured dementia care unit.”

“Resident's support plan was not updated following a fall requiring stitches and the subsequent implementation of an AUGI smart device for fall monitoring and safety intervention.”

“Staff member serving as a cook engaged in a practice of wiping their nose and subsequently handling food without washing their hands or changing gloves, as reported by five dietary staff members.”

“Staff member with a nasal staphylococcus infection failed to consistently wear a mask while handling food, and when wearing a mask, was observed sneezing or blowing their nose, contaminating the mask without replacing it or following proper hand hygiene.”

“A reportable incident involving a resident who sustained an unwitnessed fall with a laceration to the back of the head requiring hospital treatment was not reported to the Department within the required 24 hours. The incident occurred at 4:20pm on 9/29/2024 but was not reported to the DHS Northeast Regional Office until 7:00pm on 9/30/2024.”

“Staff member told a resident who was experiencing back pain and crying out in pain during morning care that they were 'being a coward,' which constitutes treatment that fails to maintain the resident's dignity and respect.”

“A resident who is not assessed to self-administer medications was administering prescription medications to another resident. One resident was giving tablets prescribed for another resident at 8pm without authorization.”

“Staff member restrained a resident by placing their arms behind their back, positioning them on their stomach while holding their hands behind their back during morning care when the resident became resistant to care. Staff also held the resident's hand to chest when the resident resisted further care.”