Cambridge Village Personal Care Home

Staff person's Pennsylvania State Police Criminal Background Check was dated more than 7 years prior to hire, and another staff person's check was not completed until after hire.

Discrepancies were noted between glucometer blood glucose readings and the resident's Medication Administration Record (MAR) on multiple dates.

The door to the Secure Dementia Care nurse's station did not lock.

A prescribed medication was not administered as needed because it was not available in the home.

The resident's support plan failed to address behaviors of agitation and aggression.

Directions for operating the key-locking mechanism at the Secure Dementia Care Unit exit were not conspicuously posted or clear.

A discontinued medication (Omeprazole 20mg) was found in the home's medication cart.

An enabler bar attached to a resident's bed had a 2-inch gap between the bar and the mattress, posing an entrapment hazard.

A resident did not receive a prescribed daily blood glucose check on 3/2/25.

A direct care staff person provided unsupervised ADL services without successfully completing the Department-approved direct care training course or passing the competency test.

A direct care staff member did not have a completed FBI background check required for those not residing in Pennsylvania for two consecutive years.

Recent licensing inspection summaries from 11/8/22 and 9/7/23 were not posted in a conspicuous and public place.

A staff member completed only 4.5 hours of the required 12 hours of annual training.

A direct care staff member did not receive required training topics including medication self-administration and dementia care.

An ancillary staff member did not receive required annual training topics.

Fire drills were conducted at a time when additional staff were present, violating requirements for varied drill timing.

Staffing levels were insufficient to meet resident needs for evacuation and supervision during overnight shifts on multiple dates.