Amoroso Wellness at York

Certain residents self-administer medications without having been assessed by a physician or qualified practitioner regarding their ability to do so.

A resident bed cane was not securely fastened to the bed, creating a 4-inch gap.

A resident's support plan was not signed and dated by the resident and the assessor.

Violation related to facility regulations.

Violation related to facility regulations.

Violation related to resident abuse reporting requirements.

An incident involving a resident attempting self-harm with a blind cord was not reported to the Department within 24 hours.

A resident's medical evaluation failed to include vital signs such as height, weight, pulse rate, blood pressure, and temperature.

Multiple residents had annual medical evaluations that were missing required information, specifically height and weight.

Staff used a strap to fasten a resident's legs to a wheelchair to prevent wandering during the night shift.

A newly admitted resident had not been educated on their right to question or refuse medication in the event of a suspected error.

The resident's assessment did not include a support plan to address the resident's total immobility as noted in their medical evaluation.

The home discharged a resident without providing the required 30-day advance written notice to the resident or their designee.

The home failed to report an incident where a resident was found wandering unsupervised outside the perimeter without a wander guard.

A resident sustained bruising to the wrist after being grabbed by another resident.

Emergency telephone numbers for the nearest hospital and fire department were not posted by the telephone in the second floor lounge.

An incident involving staff arguing that required police response was not reported to the Department within 24 hours.

Residents were observed yelling, grabbing each other, and one resident sustained physical injuries including a cut and skin tear.

A controlled substance binder containing resident names and medication information was left unlocked, unattended, and accessible on a medication cart.

Loose pills and medication tubes were found unlocked, unattended, and accessible on the floor and bathroom vanity.

The home does not obtain written receipts from residents for cash disbursements.

The home failed to provide required assistance with IADLs as indicated in the resident's assessment and support plan.

The home failed to submit a follow-up report regarding the nature and extent of injuries for a resident hospitalized after an incident.

The home has not sent out quarterly itemized account statements to residents or designated persons since 2022.

An incident where a resident was pushed to the floor was not reported to the local area agency on aging, the Department of Aging, or local police.

The home failed to follow procedures for medication security, specifically regarding the delivery and shift-end counting of controlled substances.

Prescription medication was left unattended and accessible on a resident's bedside table, despite the resident being unable to self-administer.