Sunrise Senior Living of Lower Makefield.

“Two residents experienced falls with head injuries that required emergency room evaluation and hospitalization. These reportable incidents were not reported to the Department within 24 hours as required.”

“Staff Member A did not have a criminal background check completed at the time of hire, in violation of criminal history check requirements under the Older Adult Protective Services Act.”

“Direct care staff person B did not receive required training in medication self-administration during the 2024 training year.”

“Staff person B did not receive required annual training in The Older Adult Protective Services Act (35 P.S. §§ 10225.101—10225.5102) during the 2024 training year.”

“Direct care staff person B working in the Secured Dementia Care Unit received only 5.5 hours of dementia care training during the 2024 training year, falling short of the required 6 hours of annual dementia training.”

“The carpet in room #130 of the reminiscence room was stained with an unknown substance during inspection.”

“Several unlabeled and undated bags of food items including diced potatoes, chicken patties, steak patties, and shredded cabbage were found in the walk-in refrigerator and freezer.”

“A resident cat was present at the home without a current certificate of rabies vaccination from a licensed veterinarian.”

“The carpet in room #130 of the reminiscence room was stained with an unknown substance during inspection.”

“Several unlabeled and undated bags of food items including diced potatoes, chicken patties, steak patties, and shredded cabbage were found in the walk-in refrigerator and freezer.”

“A resident cat was present at the home without a current certificate of rabies vaccination from a licensed veterinarian.”

“Resident #4 did not have an annual medical evaluation completed within the required timeframe.”

“The home's menu was not posted in a conspicuous and public place. The Reminiscence unit did not have a current week menu posted.”

“Resident #4 did not have an annual medical evaluation completed within the required timeframe.”

“The home's menu was not posted in a conspicuous and public place. The Reminiscence unit did not have a current week menu posted.”

“Refresh Tear Drops 0.5% in the medication cart for Resident #5 had an open date of 06/30/24, exceeding the 90-day expiration requirement per manufacturer's instructions.”

“Refresh Tear Drops 0.5% in the medication cart for Resident #5 had an open date of 06/30/24, exceeding the 90-day expiration requirement per manufacturer's instructions.”

“Resident requiring total assistance with bowel and bladder management did not receive timely response to call bell for ADL assistance. Call bell log showed no response within 27 minutes on multiple occasions when resident needed bladder management support.”

“Facility failed to provide at least 2 hours per day of direct care services to residents with mobility needs on multiple dates. On one date, 59 hours required but only 46 provided; on another, 60 hours required but only 56.5 provided; on a third date, 60 hours required but only 57.8 provided.”

“Facility failed to provide 75% of required personal care service hours during waking hours. On one date, only 52% of 59 required hours provided during waking hours; on another, 69% of 60 required hours; on a third date, 72% of 60 required hours.”

“Resident's Documentation of Medical Evaluation dated 11/22/2023 does not include the resident's cognitive functioning, which is a required component of the medical evaluation.”

“A resident was physically beaten and attacked by another resident in their apartment, sustaining injuries to the face and head. The incident resulted in hospitalization for one resident. This constitutes abuse/neglect as residents were not adequately protected from harm.”

“A resident's medical evaluation did not include documentation of body positioning and movement stimulation, which is a required component of the medical evaluation form within 60 days prior to admission or 30 days after admission.”

“A resident's medical evaluation did not include documentation of body positioning and movement stimulation, which is a required component of the medical evaluation form within 60 days prior to admission or 30 days after admission.”

“A resident was physically beaten and attacked by another resident in their apartment, sustaining injuries to the face and head. The incident resulted in hospitalization for one resident. This constitutes abuse/neglect as residents were not adequately protected from harm.”

“An incident involving resident #1 was reported to staff immediately but the home did not report the incident to the Department until after the 24-hour reporting requirement had passed. This is a repeat violation from 08/01/22.”

“Staff member B was placed on administrative leave following an alleged incident involving resident #1 but returned to work without an approved plan of supervision submitted to the Department. The home failed to immediately submit a plan of supervision or notice of suspension to the Department's regional office before the staff member returned to work.”

“Resident #2 passed away and personal belongings were removed from the room, but as of the inspection date the resident's family had not received a required refund in accordance with the Elder Care Payment Restitution Act, despite the request being made within the required 30-day timeframe.”

“Staff person B did not receive required first-day fire safety and emergency preparedness orientation covering evacuation procedures, staff duties during emergencies, designated meeting places, smoking safety, fire extinguishers, smoke detectors, fire alarms, and emergency notification procedures. Staff person D similarly did not receive required fire safety orientation on the first day of work.”

“A resident who did not sign the support plan had no notation documented regarding the resident's refusal or inability to sign.”

“A staff person grabbed and yanked the arm and wrist of a resident during a transfer, resulting in bruising and pain. This constitutes physical abuse.”

“After a resident's death, the home failed to secure valuables including two Apple iPads that were taken from the resident's room. The home failed to provide a system for safeguarding the resident's personal property.”

“A direct care staff person did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry, but instead held a non-US diploma.”

“A staff person grabbed and yanked the arm and wrist of a resident during a transfer, resulting in bruising and pain. This constitutes physical abuse.”

“After a resident's death, the home failed to secure valuables including two Apple iPads that were taken from the resident's room. The home failed to provide a system for safeguarding the resident's personal property.”

“A direct care staff person did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry, but instead held a non-US diploma.”

“Two residents who participated in the development of their support plans did not sign the support plan documents.”

“Two residents who participated in the development of their support plans did not sign the support plan documents.”

“A resident who did not sign the support plan had no notation documented regarding the resident's refusal or inability to sign.”