Autumn House East.

“Evidence of rodent infestation was found when a mouse ran out from underneath a resident's closet and disappeared beneath the resident's baseboard heater.”

“Resident's medication list was unlocked, unattended, and accessible in the A-hall kitchenette, violating confidentiality requirements. This was a repeated violation.”

“A carbon monoxide detector was not present on the first floor of the secured dementia care unit where it could be heard by staff, despite the facility having fossil fuel boilers, dryers, and a gas stove, in violation of the Care Facility Carbon Monoxide Alarm Standards Act.”

“Facility did not have a copy of the influenza awareness poster posted in a public place as required by the Influenza Awareness Act.”

“Resident medication list was unlocked, unattended, and accessible in the A-hall kitchenette, violating resident record confidentiality requirements. This was a repeated violation from 12/11/24.”

“A mouse was observed running out from underneath a resident's closet and disappearing beneath the resident's baseboard heater, indicating evidence of rodent infestation.”

“The home did not immediately complete and submit an Act 13 Mandatory Abuse Reporting form to the local Area Agency on Aging when the Power of Attorney reported concerns of financial abuse involving fraudulent purchases on a resident's bank card.”

“The home did not report a suspected financial abuse incident to the Department's personal care home regional office within 24 hours of the Power of Attorney reporting fraudulent purchases on a resident's bank card.”

“A resident in the Secured Dementia Care Unit was physically abused when another resident pushed them, causing them to fall and sustain injuries. This was a repeated violation.”

“Multiple discrepancies were identified between blood sugar readings on a resident's glucometer and documentation in the medication administration record (MAR), including readings not matching and documented readings that did not appear in the glucometer. This was a repeated violation.”

“A resident prescribed blood sugar tests twice a day did not receive a required blood sugar test at 5:00 PM on the date of inspection. This was a repeated violation.”

“The home failed to immediately report suspected abuse allegations to the local area agency on aging and did not notify Pennsylvania Department of Aging or police as required. Multiple abuse incidents involving Residents 5, 6, 7, 8, and 9 were not verbally reported to the local area agency on aging.”

“Resident 1, who requires supervision when in unfamiliar places per their assessment and support plan, was found alone at a Wal-Mart between 6:00 and 6:30 AM, indicating failure to provide required instrumental activities of daily living assistance.”

“Contracts for Resident 3 (dated 2/22) and Resident 4 (dated 2/22) were not signed by the resident as required.”

“Multiple incidents of resident-to-resident abuse occurred: On 3/19/24 at 7:30 AM, Resident 5 struck Resident 6 in the face and Resident 7 punched Resident 5 several times and pushed them into Resident 6's bed. At 1:00 PM, Resident 8 struck Resident 9 in the head. This was a repeated violation from 7/19/23.”

“The home has 119 residents requiring 3 staff members with current CPR and first aid certification to be working at any given time. The home failed to maintain the required staffing ratio of at least one staff person with current certification for every 50 residents.”

“The home with 119 residents required 3 staff members with current CPR and first aid certification present at all times. On multiple dates in March 2024, only 1-2 staff members with current certifications were working during various shifts.”

“Staff A, hired with a first day of work in March 2024, provided unsupervised ADL services without completing and passing the Department-approved direct care training course and competency test.”

“Resident 15's enabler bar was not equipped with a secure cover; only a loose pillow sheet covered it, which slid off exposing a 6" by 26" opening that posed an entrapment risk.”

“Emergency telephone numbers were not posted by the working telephone in the G Hall kitchenette area.”

“Resident 14 did not have an operable light or other source of lighting that could be turned on at bedside. The lamp attached to the headboard was not plugged in and the cord was not long enough to reach the nearest receptacle.”

“A one-gallon jar of dill pickle chips opened on 3/16/24 was stored in dry storage on 3/20/24 with a label indicating refrigeration required after opening. Additionally, the A-Hall kitchenette refrigerator measured 41 degrees Fahrenheit on 3/19/24 and 3/20/24 (above the required 40 degrees maximum), while food was stored in it both days.”

“Fire drill records did not properly document the number of residents participating in fire drills and the total number who evacuated or moved to fire safe areas.”

“Multiple residents did not evacuate the building or move to a fire-safe area during fire drills, according to fire drill records.”

“Residents were physically abused by other residents. On one date, Resident 5 struck Resident 6 in the face, and Resident 7 punched Resident 5 and pushed her into a bed. On another date, Resident 8 struck Resident 9 in the head with his hand. This is a repeated violation from 7/19/23.”

“Provisional License issued based on violations found during licensing inspections on July 19, 2023 and August 25, 2023.”

“Battery-operated carbon monoxide alarms in the kitchen and basement were not labeled with installation dates as required by the Care Facility Carbon Monoxide Alarm Standards Act, and batteries had not been changed within the past year. Additionally, the facility did not have required smoking signs at each entrance stating either 'Smoking Permitted in Designated Areas Only' or 'No Smoking' per The Clean Indoor Air Act.”

“Resident #3, who requires total physical assistance for personal hygiene due to incontinence, was observed with bowel matter on body and bedding on 5/24/2023. The resident refuses personal care, resulting in remaining in soiled items, which constitutes neglect.”

“A 16.7oz container of Lysol wipes and a 7oz aerosol can of Concentrated Room Deodorant, both labeled as poisonous, were unlocked, unattended, and accessible to residents in the Secured Dementia Care Unit's shared shower room. Residents in the Secured Dementia Care Unit are not capable of recognizing and using poisons safely.”

“The interior of the kitchen's ice machine was observed to have mold, which violates sanitary conditions requirements.”

“The exhaust fan in resident bathroom E8 was inoperable and the bathroom has no outside window for ventilation. Additionally, resident bathroom D10 was covered in a thick layer of dust that could prevent proper ventilation.”

“Provisional License issued based on violations found during licensing inspections on July 19, 2023 and August 25, 2023.”

“Battery-operated carbon monoxide alarms in the kitchen and basement were not labeled with installation dates as required by the Care Facility Carbon Monoxide Alarm Standards Act, and batteries had not been changed within the past year. Additionally, the facility did not have required smoking signs at each entrance stating either 'Smoking Permitted in Designated Areas Only' or 'No Smoking' per The Clean Indoor Air Act.”

“Resident #3, who requires total physical assistance for personal hygiene due to incontinence, was observed with bowel matter on body and bedding on 5/24/2023. The resident refuses personal care, resulting in remaining in soiled items, which constitutes neglect.”

“A 16.7oz container of Lysol wipes and a 7oz aerosol can of Concentrated Room Deodorant, both labeled as poisonous, were unlocked, unattended, and accessible to residents in the Secured Dementia Care Unit's shared shower room. Residents in the Secured Dementia Care Unit are not capable of recognizing and using poisons safely.”

“The interior of the kitchen's ice machine was observed to have mold, which violates sanitary conditions requirements.”

“The exhaust fan in resident bathroom E8 was inoperable and the bathroom has no outside window for ventilation. Additionally, resident bathroom D10 was covered in a thick layer of dust that could prevent proper ventilation.”