Birdsboro Lodge

The home failed to have at least one awake direct care staff person during the overnight shift for residents with mobility needs.

The laptop on the medication cart was left unlocked, unattended, and accessible to resident records.

A resident was using a TV stand with an integrated electric fireplace that emitted heat, which is prohibited.

The boiler and stair glide certificates of operation had expired.

Staffing was inadequate to meet resident needs as the available overnight staff member was not trained to administer medications.

The written notification to the local fire department did not include a description of the residents' mobility needs.

The facility lacked a three-day emergency supply of drinking water or a contract with a water supplier.

Annual training for a staff member lacked required topics such as medication self-administration and safe management techniques.

A staff member did not receive the required 12 hours of annual training in 2023, with only 4.75 hours verified.

An exit door required excessive force to open, obstructing a clear egress route.

Training records for a staff member failed to include the duration of training for several specific topics.

The home did not review staff training during the quality management meeting in 2021.

The home lacked documentation that emergency procedures were reviewed and submitted to the local emergency management agency in 2021.

The licensing inspection summary dated 6/21/19 was not posted in a conspicuous and public area of the home.

The quality management meeting had not been completed since 12/6/79.

Grab assist bars on beds in rooms fj and | | had uncovered slats posing a limb entrapment hazard.

The home was utilizing prohibited audio monitors on the first and second floors.

Contracts for Resident #1 and Resident #2 were not signed by the residents.

The facility failed to conduct an overnight fire drill during sleeping hours within the last 6 months.

A fire drill evacuation time of 2 minutes 40 seconds exceeded the time designated by the local fire department representative.