Cathedral Village

A resident's record did not include a current list of medications that were present in the resident's room.

Four 5-gallon containers of ice cream in the dining room freezer did not have lids securely closed.

Staff members B and C were transporting residents to medical appointments without having completed required initial new hire direct care staff training.

Staff person A did not have a PA Patch criminal background check in their file.

An unlabeled and undated plate of sausage, bacon, and potatoes was found in the personal care kitchen microwave.

A staff member yelled loudly at a resident during a verbal altercation, failing to treat the resident with dignity and respect.

A resident's support plan incorrectly documented their ability to self-administer medications, contradicting their medical evaluation.

A resident's support plan required assistance with eating due to poor vision, but staff failed to provide the required assistance with an evening snack.

The facility failed to conduct a fire drill during sleeping hours within the required 6-month timeframe.

Discrepancies were noted between glucometer readings and the documentation recorded on the Medication Administration Record.

Only the main lobby exit route was used during fire drills conducted between January and March 2022.

A prescribed PRN medication was not available in the home at the time of inspection.

The staff training plan does not include training on memory support, which is necessary for residents with dementia diagnoses.

An injection pen for a resident was not properly stored and had a smear of blood on it.

A resident's medical evaluation was missing information regarding general physical examination, immunization history, and special health or dietary needs.

The home failed to submit a final incident report to the Department following the initial report submitted on November 30, 2021.

Discrepancies were noted between glucometer readings and the Medication Administration Record (MAR), and some readings were left undocumented.

The home's posted emergency procedures did not include the emergency procedures of the local municipality.

Several medications, including Clonazepam and Pantoprazole, were found unlocked and unattended in a resident's bedroom.

The home failed to provide a required refund to a resident within 30 days of their discharge.

The home failed to follow prescriber orders when a resident was administered 1 mg of Clonazepam instead of the prescribed 0.5 mg.

Weekly menus for the weeks of June 14 and June 21, 2021, were not posted in a conspicuous and public place.