Brookdale Harrisburg

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

Multiple OTC medications were located in resident rooms without current physician orders.

Prescription medications, OTC medications, and syringes were found unlocked, unattended, and accessible in various resident rooms and storage carts.

Violation regarding specific unit or care requirements.

Violation regarding resident services or oversight.

Violation regarding facility operations or documentation.

Violation regarding incident reporting or conditions.

Violation regarding resident care or safety protocols.

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

Resident 2's annual medical evaluation was not completed on time, noted as a repeated violation.

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

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

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

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

The home did not submit a final report to the Department following an investigation into allegations of physical and verbal abuse.

An allegation of abuse involving a staff member yelling at and grabbing a resident was not reported to the area agency on aging within 24 hours.

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

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

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

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

A direct care staff member hired in 2015 did not possess a valid high school diploma or GED equivalent.

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

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

The glucometer used for blood glucose checks was not calibrated to the correct date, showing an incorrect date of 3/79.

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

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

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