Seaton Springwood.

“Egress from the main dining room was blocked by snow and ice at both doors, and a patio chair blocked the left side of the dining room door, preventing egress. Additionally, an outside dining room egress door could not be opened due to snow and ice blockage.”

“Staff did not provide immediate access to incident reports for 2025 and 2026 when requested by a Department agent at 10:15am. Additionally, requested resident records including medication administration records, medication intake and delivery records, and medical documentation were not provided immediately, with some records (July, August, and early September medication administration records) reported as unavailable.”

“Approximately 6-inch accumulation of snow and ice was observed at the exit from the main dining room at 9:10am and covering the deck and ramp at another dining room exit at 9:12am, creating fire safety hazards.”

“A resident had two medical evaluations completed by the physician with inconsistent dietary needs and body positioning/movement needs documented. This is a repeated violation.”

“A bottle of Milk of Magnesia prescribed for a resident was stored in the home's first floor medication cart with an expiration date that had passed. Additionally, an Ozempic pen prescribed for a resident was not labeled with the date it was opened. This is a repeated violation.”

“The pharmacy label for a resident's prescription medication did not include current instructions for administration. The physician's orders indicated 28 units subcutaneously at bedtime, but the pharmacy label indicated 24 units subcutaneously at bedtime. This is a repeated violation.”

“A resident's Medication Administration Record for September 2025, printed after 9:40 AM, did not include the initials of the staff person who administered a prescribed subcutaneous injection on Wednesday at 8:00 AM. Information was not recorded at the time the medication was administered.”

“The home's most current licensing inspection summary issued by the Department, dated 5/8/25, was not posted in a conspicuous and public place accessible to residents and guests without assistance from staff.”

“Clorox Bleach, Clothesline Fresh Oxydon Detergent, NABC Concentrate, Scrubbing Bubbles, ZEP furniture polish, and Disinfectant Spray were unlocked, unattended, and accessible to residents in the lower level north laundry room and on a cleaning cart outside of resident room 111. Not all residents, including resident #1, have been assessed capable of recognizing and using poisons safely. This is a repeated violation.”

“Resident room had a basket of clothing soiled with feces in contact with clean hung towels in the bathroom, and feces was present on the front and inside rim of the toilet. Another resident room had a strong odor with an upholstered recliner chair displaying a urine stain on the seat.”

“The elevator with Equipment Number 003 does not have a certificate of operation from the Department of Labor and Industry or appropriate local building authority.”

“A binder labeled 1st floor Narc Count Sheet containing resident count sheets was unlocked, unattended, and accessible on the first floor medication cart outside a resident room, violating resident record confidentiality requirements.”

“The egress route from the home's rehab room on the lower level was blocked by a chair and two walkers, obstructing emergency exit pathways.”

“Approximately 50 cigarette butts were observed in the rockbeds on both sides of the home's main entrance, indicating improper disposal and lack of proper smoking safeguards and fire prevention procedures.”

“Two unlocked, unattended pills were found accessible in unsecured locations: a round yellow pill on the 1st floor main hallway by the northeast exit and a round white pill marked "U" and "50" on the floor underneath the dietary display rack in the kitchen.”

“Resident 8 experienced an unwitnessed fall resulting in hip fracture on an unspecified date in 2024 and was transported to the ER, but the home did not report this incident to the Department until 4/17/24, violating the 24-hour reporting requirement. This is a repeated violation.”

“The facility has a gas fireplace in the lobby but did not have an approved carbon monoxide alarm installed in close proximity but not less than 15 feet from the fossil fuel-burning appliance, in violation of the Care Facility Carbon Monoxide Standards Act.”

“The resident-home contract dated in 2023 for Resident 2 was not signed by the resident, violating the contract signature requirements.”

“Class II violation with calculated daily fine of $545 ($5 per resident per day × 109 residents at inspection). Mandated correction date is 5 calendar days from mailing date of letter.”

“License revoked from full certificate to first provisional license based on violations with 55 Pa Code Ch. 2600. First provisional license issued valid from April 4, 2025 to October 4, 2025.”

“License revoked from full certificate to first provisional license based on violations with 55 Pa Code Ch. 2600. First provisional license issued valid from April 4, 2025 to October 4, 2025.”

“Resident 8 experienced an unwitnessed fall resulting in hip fracture on an unspecified date in 2024 and was transported to the ER, but the home did not report this incident to the Department until 4/17/24, violating the 24-hour reporting requirement. This is a repeated violation.”

“The facility has a gas fireplace in the lobby but did not have an approved carbon monoxide alarm installed in close proximity but not less than 15 feet from the fossil fuel-burning appliance, in violation of the Care Facility Carbon Monoxide Standards Act.”

“The resident-home contract dated in 2023 for Resident 2 was not signed by the resident, violating the contract signature requirements.”

“Class II violation with calculated daily fine of $545 ($5 per resident per day × 109 residents at inspection). Mandated correction date is 5 calendar days from mailing date of letter.”

“A resident fell at the home and fractured their left clavicle, but the facility did not report this incident to the Department within 24 hours as required. This was a repeated violation.”

“A resident's medication administration time was changed from daily to as needed without obtaining a written order from an authorized prescriber prior to the change being made.”

“Multiple residents did not receive prescribed medications on specified dates because the medications were not available in the home. One resident did not receive a prescribed daily tablet during a specified period, and another resident did not receive multiple prescribed medications (bedtime tablet, Monday and Thursday tablets, and morning supplement) on various dates.”

“A resident's most recent assessment was completed on a prior date, and the resident experienced falls during a specified period, but a new or updated assessment was not completed to determine if the resident had new needs or required support. This was a repeated violation.”

“The assessment and support plan (RASP) for a resident indicated the resident moves independently and uses an electric scooter, but the documentation appears incomplete regarding medical, dental, vision, hearing, mental health or other behavioral care services that will be made available or referrals for outside services.”

“Resident 4, who self-administers medications, had several unlocked and unattended medications stored in their bedroom, including pills, capsules, and ear drops, violating secure storage requirements.”

“Discrepancies were observed between residents' glucometers and electronic medication administration records (eMAR), including mismatched blood sugar readings and recordings not found in devices, indicating inadequate medication storage and administration procedures.”

“Staff person A performed blood glucose testing on residents 1, 2, and 5 without having successfully completed a department-approved diabetes patient education program within the last 12 months, as required for insulin-related tasks.”