Brandywine Living at Upper Providence

A resident's refund was not issued within the required timeframe following the death of a resident.

Required telephone numbers for the Department, Disability Rights Network, and complaint hotline were not posted in a conspicuous and public place.

A staff person did not complete required orientation training regarding the emergency medical plan and reporting of incidents within 40 scheduled working hours.

Medication administration records failed to include staff initials or reasons for omitted medications when a resident returned from the hospital.

A resident reported bruising on their forearms after a caregiver allegedly grabbed them by the arm to force them off the toilet.

A staff member's criminal background check was not completed by their date of hire.

The resident's support plan was not updated to reflect changes in needs following a significant change assessment.

Improper medication storage was noted, including a loose pill in a medication bin and tape on a blister pack.

The home failed to assist a resident with medication self-administration, resulting in missed doses and the presence of unrecorded or discontinued medications in the resident's room.

Prescribed as-needed medications for a resident were not available in the home at the time of inspection.

A resident's enabler bar was secured to a board under the mattress rather than to the bed frame.

A resident record was found unlocked, unattended, and accessible on a med cart in the hallway.

During the overnight shift on 08/10/22, only one staff person certified in first aid, obstructed airway techniques, and CPR was present for 82 residents.

Seven agency staff members used between 08/01/22 and 08/14/22 did not receive required fire safety and emergency preparedness orientation.

Resident 1's record lacked a signed statement acknowledging receipt of resident rights and complaint procedures.

The resident's support plan was not updated to address an increase in falls or document how medical/behavioral needs would be met.

The written cognitive preadmission screening for Resident 1 was completed but not dated.

Resident 1 had not been educated on their right to refuse medication if a medication error is suspected.