Bryn Mawr Village

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

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

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

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

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.

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

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

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

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

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

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

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.

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.

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

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.

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

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

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

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

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

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

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

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