Allegheny Place

The resident's medication administration record (MAR) contained an incorrect dosage instruction compared to the prescribed order.

An unattended medication bag was left in a resident's bedroom, and the medication count did not match the delivery slip.

The controlled substance medication record failed to record the required time of administration for a prescribed medication.

The home failed to report an incident involving missing prescribed medication to the Department within the required 24-hour timeframe.

A resident experienced severe pain during medical treatments because staff failed to provide prescribed PRN medication that was unavailable in the home.

Between 5/4/25 and 5/17/25, there was no staff person present during the 10:00pm to 6:00am shift trained in first aid and CPR.

Resident-home contracts for Resident #2 and Resident #4 failed to include the specific names of the residents.

A resident's annual medical evaluation was incomplete, lacking the evaluation date, completion date, height, weight, and pulse rate.

During a fire drill, one resident was advised to remain in their room rather than evacuating to the designated safe area.

A resident's medication administration record (MAR) did not include the frequency or the amount of cream to be used per administration.

An insulin pen was found open and undated, violating manufacturer instructions for disposal after 28 days.

There was no soap present in the soap dispenser at the sink in the common dining area.

A staff person spoke disrespectfully to a resident and stormed out of their bedroom, causing the resident to become upset and cry.

A direct care staff person did not receive the required fire safety and emergency preparedness orientation on their first day of work.

The staff person involved in the alleged verbal abuse was not immediately placed on a plan of supervision or suspended pending investigation.

An allegation of verbal abuse by a staff member was not reported to the local area agency on aging immediately.

A resident reported being treated in a dismissive and condescending manner by direct care staff.

Staff failed to provide required assistance with ADLs, including ignoring call bells and performing transfers without the required second person.