Autumn House East

Resident #1's medication list was left unlocked, unattended, and accessible in the A-hall kitchenette.

A carbon monoxide detector was missing from the first floor of the secured dementia care unit, and existing alarms could not be heard in that area.

The home failed to submit an Act 13 Mandatory Abuse Reporting form to the local Area Agency on Aging regarding reported financial abuse in a timely manner.

The incident involving reported financial abuse was not reported to the Department within the required 24-hour timeframe.

A resident was pushed by another resident, resulting in a fall and injury.

Discrepancies were observed between blood sugar readings recorded in the resident's glucometer and those documented in the medication administration record (MAR).

The home failed to make required oral reports to the local area agency on aging, the Department of Aging, or the police regarding several incidents of suspected resident abuse.

The resident's assessment and support plan requirements for supervision were not met when the resident was found alone at a nearby store.

Carbon monoxide alarms in the kitchen and basement were not labeled with installation dates, and batteries had not been changed within the past year.

The facility lacked required 'No Smoking' or 'Smoking Permitted in Designated Areas Only' signage at each entrance.

A resident was observed with bowel on their body and bedding due to refusal of personal care, which constituted a failure to prevent neglect.

The ventilation fan in a bathroom without a window was found to be inoperable.

Hot water temperature in the E hall's bath/shower room measured 126.3°F, exceeding the 120°F limit.

Discrepancies were found between glucometer readings and the medication administration record (MAR) for several residents.

Multiple instances were noted where the medication administration record (MAR) lacked the initials of the staff person who administered the medication.