Arbor Terrace Exton

Dirt buildup was observed on the kitchenette sink in the memory care unit.

Poisonous materials, including a bottle of soap and paint on a maintenance cart, were left unlocked and unattended in the Memory Care unit.

Metal signs and boxes were left outside of the dumpster area.

Video cameras on exits and entrances were recording 24 hours without posted signage notifying residents of surveillance.

The facility's staff training plan lacked specific dates, locations, and times for training sessions.

An uncovered and unattended trash can was found in the 2nd floor kitchenette.

An exit door at Stairway 3 failed to open after the delayed release bar was held for 30 seconds, obstructing the egress route.

A resident eloped from the Secured Dementia Care Unit by breaking a window blocker, walking half a mile in cold weather and crossing a busy road.

Incorrect instructions for operating key-locking devices were posted near exit doors in the Bridges Memory Care and Personal Care areas and at the patio gate.

A resident participated in the development of their support plan but failed to sign and date the document.

A resident's assessment following a behavior change did not indicate the resident's needs or service plan, leaving sections blank or marked as N/A.

A direct care staff member hired from outside Pennsylvania did not have an FBI check requested by the date of hire and lacked a completed PA State Criminal Background Check.

Pantene shampoo and Ivory body wash were left unlocked, unattended, and accessible to residents.

Medication administration records (MAR) contained incorrect documentation for a resident at multiple times.

The medication administration record did not include the initials of the staff person who administered a prescribed medication.

Prescribed medications were not available in the home at the required times, failing to follow prescriber orders.

PRN medication was administered to a resident to control behaviors, which may constitute a restraint.

A direct care staff person did not receive required training in medication self-administration during the 2023 training year.

A staff person did not receive annual training regarding the Older Adult Protective Services Act or falls and accident prevention.

A staff member's criminal background check was not completed prior to their start date.

The facility's electronic monitoring policy incorrectly required residents to obtain written authorization for device installation.

Direct care staff did not receive required annual training regarding medication self-administration and meeting resident needs based on assessment tools.