Brethren Village - Terrace Crossing

A bottle of discontinued medication was found in the home's medication cart.

A resident's most recent annual medical evaluation did not include their health status or cognitive functioning.

The home failed to report an incident involving a resident hitting and pushing another resident to the Department within the required 24-hour timeframe.

A hired staff person did not complete the required orientation regarding the home's emergency medical plan or reporting of reportable incidents.

A resident was observed with wrist fractures that were not accounted for by reported incidents, and the incident was not reported to the PA Department of Aging or local police.

Enabler bars in rooms 214 and 202 were not secured to the bed, creating an entrapment risk.

A container of sink and surface cleaner was observed on a food preparation table next to hamburger buns.

An unattended, unlocked housekeeping cart containing disinfectant cleaner was observed in the Secure Dementia Care Unit hallway.

A discontinued medication was still present in the medication cart.

An insulin aspart pen was not dated upon opening as required.

Two PRN medications listed on the MAR were not in stock, and a glucometer reading was documented incorrectly.

An unplugged, white portable space heater was found on the top shelf of the 4th floor nursing station.

Two unattended dietary communication log books containing confidential resident information, including medical evaluations and social security numbers, were accessible to visitors and residents.