Brookdale Harrisburg

Pharmacy labels on resident medications contained incorrect dosage instructions that did not match the prescribed orders.

Various OTC medications were located in resident rooms and storage carts without current physician orders.

Prescription medications, OTC medications, and syringes were found unlocked, unattended, and accessible in resident rooms, nightstands, and bathroom cabinets.

Violation regarding resident care or safety protocols.

Violation regarding resident care or safety protocols.

Violation regarding incident reporting requirements.

Violation regarding resident care or safety protocols.

Violation regarding resident care or safety protocols.

Failure to report an incident or condition to the Department within 24 hours.

Medications were found unlocked, unattended, and accessible in the medicine cabinets of Resident 1 and Resident 4.

Resident 1 did not have an initial medical evaluation completed within the required timeframe upon admission.

Unannounced fire drills were not held during May, September, and December 2023.

Resident 2's annual medical evaluation was not completed on time.

An allegation of abuse was not reported to the area agency on aging within 24 hours of the incident.

The home failed to notify the resident's designated person regarding a report of suspected abuse.

The home did not submit a final report to the Department following the conclusion of an abuse investigation.

A staff person was observed yelling at and forcefully grabbing a resident's arm.

Resident-home contracts for two residents were not signed by the residents, and no notation was made regarding the opportunity to sign.

The home's current violation reports from 2/15/2022 and 5/18/2022 were not posted in a conspicuous and public place.

A voice-controlled electronic device was found in the lobby without policies, procedures, or resident notification regarding its use.

The home failed to report an incident of a resident ceasing to breathe to the Department within the required 24-hour timeframe.

A direct care staff member was found to not have a valid high school diploma or GED equivalent on file.

A staff member used an aggressive voice and physically ripped a resident's shirt off during evening care, causing the resident to scream.

An opened Novolog pen was stored in the medication cart past its 28-day discard limit.

A fire drill exceeded the maximum safe evacuation time of six minutes, taking ten minutes to complete.

Two staff persons did not receive fire safety and emergency preparedness orientation until after their first day of work.

The state vehicle inspection for the 2012 Ford bus had expired on 1/31/22.

The glucometer used for blood glucose checks was not calibrated to the correct date.