The Remington of Yardley Personal Care & Memory Care.

“Staff forced a resident to take medications and leave an activity area despite clear refusal. The facility failed to report this incident to the Department within 24 hours as required.”

“A wheelchair-dependent resident who required escorting assistance was assisted onto an elevator but the staff member exited without assisting the resident out, requiring the resident to push themselves out of the elevator.”

“Staff B forcibly administered medication to a non-English-speaking dementia care resident who was clearly refusing, pushing the resident's wheelchair to their room despite the resident protesting by putting their feet down. Additionally, staff refused a resident's request to be positioned at the front of an elevator and spoke in a harsh voice before leaving without assisting the resident out.”

“The facility discontinued a resident's prescribed medication (Seroquel, one tablet by mouth daily at bedtime) without an order from the prescriber.”

“A bag of chocolate chip cookies, a bag of mild sausage patties, and a bag of beef steak fritters were found opened and unsealed in the main kitchen's walk-in freezer. This is a repeat violation from 02/05/2024.”

“Staff person A did not receive required annual training during the 2024 training year in resident rights, The Older Adult Protective Services Act, and falls and accident prevention.”

“Staff person A received 0 hours of dementia-specific training during the 2024 training year, and staff person B did not receive required 4 hours of dementia-specific training within 30 days of hire.”

“A strong odor of urine was detected in Resident 1's room, coming from a recliner with a large oval-shaped stain on the seat. Additionally, staff person C was observed removing medication from blister packs with bare, ungloved fingers and placing it into a medication cup during administration for Resident 9.”

“Resident 2 did not have access to a source of light that can be turned on/off at bedside. This is a repeat violation from 02/05/2024.”

“Prescription medications for anxiety were stored improperly with punctured and taped-over foil on blister packages, compromising the integrity of medication packaging and sanitation standards.”

“The residence's medication procedures did not include a documented process to investigate and account for missing medications and medication errors. A narcotic pill was found missing during a count on 3/11/2025 at 7pm, and the policy did not specify how to investigate such discrepancies.”

“A resident prescribed a medication for administration at 6am, 2pm, and 10pm was incorrectly administered at 4pm on 3/11/2025, contrary to the prescriber's orders.”

“A resident's medical evaluation form indicated "Yes" for body positioning and movement stimulation but failed to include details or description of the resident's specific needs as required by regulation.”

“Staff Person A, hired on 12/6/23, did not receive the required 4 hours of dementia-specific training within 30 days of hire.”

“Multiple residents did not receive prescribed medications as directed by their prescribers. One resident's medication was not administered from 3/1/24 through 3/8/24; another resident's Healthy Eyes Superview was not administered at the prescribed 12-hour intervals on certain dates due to medication unavailability; and a third resident's prescribed medication was not administered from 3/1/24 to 3/13/24 at 8:00 P.M. because it was not in the home.”

“Staff Person A, who had not successfully completed the Department-approved medications administration course, administered medications to residents on 3/6/24, 3/7/24, 3/8/24, 3/9/24, 3/10/24, 3/13/24, and 3/14/24. Staff Person B, who had not successfully completed the Department-approved medications administration course, administered medications to residents on 3/16/24 and 3/17/24.”

“Fire drill record did not accurately reflect evacuation. Record indicated 94 residents were evacuated, but one resident was found unconscious in their living room and did not evacuate as required.”

“Residents did not evacuate to a designated meeting place during fire drills. Instead, residents came to doorways and waited for staff instructions, with some going to a common area or staying at doorways for roll call depending on simulated fire location.”

“Resident's medication record did not include CAM and OTC medications that were found in the resident's living unit, including Nature's Bounty products, urinary pain relief, oral solution, and other items.”

“Staff member A did not receive required first-day fire safety orientation covering evacuation procedures, staff duties during fire drills and emergency evacuation, designated meeting places, smoking safety procedures, fire extinguisher location and use, smoke detectors and fire alarms, and emergency services notification.”

“Staff member A did not complete required 40-hour orientation training in resident rights and mandatory reporting of abuse and neglect under the Older Adult Protective Services Act.”

“Staff member A did not receive annual fire safety training completed by a fire safety expert during training year January 2023 to December 2023. Staff member B did not receive annual training in fire safety, emergency preparedness procedures, recognition and response to crises and emergency situations, resident rights, the Older Adult Protective Services Act, and falls and accident prevention during training year January 2023 to December 2023.”

“Three residents had bedside mobility devices on their beds that were not securely attached to the bed frame. Resident 1's device had openings measuring 16" by 12" between the top and middle of the enabler; Resident 2's device had openings measuring 13" by 9"; Resident 3's device had openings measuring 16" by 12".”

“The residence failed to issue a resident refund within the required timeframe after discharge. The resident moved out before the 30-day notice period ended and was entitled to a refund for rent and personal care services, but the refund check was not issued timely.”

“A discharge notice provided to a resident did not include an explanation of the measures the resident or their designated person could take if they disagreed with the discharge decision, including the name, mailing address, and telephone number of the State and local long-term care ombudsman.”

“The Secured Dementia Care Unit was found inadequately staffed with only two direct care staff members present, and the secured unit's main entrance door was propped open by a shopping cart while staff were on breaks with no physical supervision of residents. A resident was able to access and prop open both the SDCU and front entrance doors without staff intervention.”

“The magnetic locking system on SDCU doors was not functioning properly. A resident was able to force open one of the maglock doors, and the main entrance door did not lock properly between 08:00 PM and 08:00 AM, requiring staff presence to prevent unauthorized entry.”

“Two residents did not receive their required annual medical evaluations (ADMEs). One resident's most recent ADME was overdue, and another resident also had an overdue annual medical evaluation.”

“A staff member was observed working in the kitchen without a hair net, violating sanitary practices requirements.”

“Two residents who self-administer medications had their medications stored in unlocked containers. One resident kept medications in an unlocked dresser drawer and another in an unlocked kitchen cupboard, with both residents not consistently locking their apartment doors.”

“Two residents reported missing money from their rooms. Resident 1 reported approximately $200 missing from a purse stored in a bedside table drawer that appeared to have been searched. Resident 2 reported approximately $200-$250 missing from a wallet stored in a nightstand, with the last confirmed sighting approximately two months prior.”

“The medical evaluation for Resident 1 does not include tuberculosis testing documentation. The tuberculosis testing field on the required medical evaluation form is blank.”

“A resident's support plan indicated a need for assistance with an item the resident no longer uses, indicating the support plan was not current with the resident's actual health status.”

“Applesauce on the medication cart in the special care unit was opened and unsealed, violating proper food storage requirements.”

“Malodorous smell of incontinence concerns was present in a resident's room, indicating sanitary conditions were not being maintained.”

“The first aid kit located in the special care unit did not include goggles, which is a required component.”

“A resident participated in development of their support plan but the document was not signed and dated by the resident at the time of the planning meeting.”

“The shower area in living unit #111 did not have a grab bar, hand rail, or assist bar when a resident fell and sustained an injury.”

“The Special Care Unit had 22 residents on the inspection date, exceeding the licensed capacity of 21 residents.”

“Staff person pushed Resident 2 while sitting on a rollator despite knowing it was unsafe, resulting in the rollator tipping and the resident falling and hitting their head on the floor with a head laceration requiring hospitalization. Additionally, a grab bar was not installed in Resident 3's shower despite their request at move-in, leading to a fall and subsequent discovery of a neck fracture.”

“Resident 1 was denied the right to leave and return to the residence without a specific diagnosis. Neither the residence rules nor the resident's support plan contained documentation restricting this resident right.”

“On 6/25/23, 105 residents required a minimum of 127 hours of direct care service, but only 123 hours of direct care staffing was provided.”

“On 6/25/23, with 22 residents with mobility needs, a total minimum of 127 hours of direct care service was required, but only 123 hours of direct care staffing was provided.”

“Resident #3 reported $40 missing from their wallet after staff A and B entered the room. This constitutes potential theft and neglect of resident property. This was a repeated violation.”

“Staff person A's criminal background check on file did not include a PA PATCH clearance as required. This was a repeated violation.”

“Resident #1's medical evaluation was not completed within the required 60 days prior to admission or within 15 days after admission as required.”

“The resident contract for resident #2 was not signed by the resident as required by regulation.”

“Staff person A did not receive required fire safety orientation on their first day of work, including evacuation procedures, staff duties during emergencies, designated meeting places, smoking procedures, fire extinguisher locations, smoke detectors/alarms, and emergency notification procedures. This was a repeated violation.”