Bryn Mawr Village

A medication was found in the medication cart without a current physician order.

A staff member had not received required training in emergency preparedness procedures.

A staff person's criminal background check was not processed until after they were hired.

A broken mirror in a resident bathroom bathroom posed a hazard due to hanging glass.

The resident-home contract was not signed by the resident, responsible party, or administrator.

The home lacked criminal background checks for hospice workers providing services to a resident.

Staff CPR training was completed through a source not certified as a recognized trainer.

During various shifts, there were no staff members present who were trained in first aid or certified in CPR/obstructed airway techniques.

The staff contact list was incomplete and did not include agency staff at the time of inspection.

Poisonous materials, specifically Freshscent Deodorant, were found unlocked, unattended, and accessible to residents.

A staff person failed to complete training on resident rights and mandatory reporting of abuse/neglect within 40 scheduled working hours.

A staff person did not receive required fire safety and emergency preparedness orientation until after their first day of work.

A resident task list containing information about other residents and their care needs was found accessible on a resident's window ledge.

Overnight staff failed to provide required assistance with toileting, bladder management, and bowel management as specified in the resident's support plan.

There was no documentation indicating that the resident-home contract was reviewed and explained to the resident prior to signature.

The home's current license was not posted in a conspicuous and public place within the secured dementia care unit.

The home failed to report medication errors and missed blood sugar checks to the Department via an incident report.

Direct care staff persons B and D lacked a high school diploma, GED, or active registry status.

An agent of the Department was not provided immediate access to records for staff persons A and B.

Two staff members were hired without the required criminal background checks in accordance with the Older Adult Protective Services Act.

The home does not have a written policy on the prevention, reporting, notification, investigation and management of reportable incidents.

The facility's staff training plan lacked instruction on de-escalation techniques for managing aggressive behaviors.

The staff contact list provided by the administrator did not include a Licensed Practical Nurse.

A resident did not receive required assistance with walker reminders as indicated in their assessment and support plan.

An allegation of abuse involving a resident being pushed by staff was not reported to the Department of Aging.

A staff member physically pushed a resident during an altercation, causing the resident to fall and sustain a head injury requiring staples.

The resident's support plan failed to address specific behaviors regarding boundaries.