Brookview Personal Care Center

During a fire drill on 6/24/24, the evacuation time was 19 minutes and 36 seconds, exceeding the maximum safe time of 13 minutes.

Resident #2 was self-administering medication without a required assessment regarding their ability to self-administer.

An FBI background check was not completed for a staff member who has lived in PA for less than 2 years.

A direct care staff person lacked a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.

A direct care staff person did not receive required medication self-administration training during the 2023 training year.

A resident's bed had an uncovered enabler bar posing an entrapment risk, and the facility lacked a written policy for monitoring assistive devices.

No carbon monoxide alarm was installed within 15 feet of the gas-burning stove.

All exit doors to the outside were equipped with a pad activated by a swipe card, potentially preventing immediate egress.

A resident's use of a bed enabler bar was not documented in their resident support plan (RASP).

Resident #1's glucometer was used to test Resident #2's blood sugar on 7/27/19, and Resident #3's glucometer was used for Resident #2 on 7/28/19.

Resident #4, admitted on 10/29/18, did not receive a required medical evaluation until 12/3/18.

Expired medications, including Lantus (expired 7/26/19) and Centrum Silver (expired 09/2016), were found in the medication cart and administered.

Resident #1 did not receive scheduled assistance with bathing for five consecutive weeks in December 2018.