Celebration Villa of South Hills

A resident's significant change assessment failed to identify Gallagher Home Health Services as a formal support or specify required care needs such as physical, occupational, or wound care. Additionally, the assessment lacked documentation for a resident's special health need for wound care.

Resident records were not kept confidential and were accessible to unauthorized individuals.

Staffing levels during the 11:00pm-7:00am shift were inadequate to ensure all residents could be evacuated in an emergency.

A medication cart containing numerous resident medications was found unlocked, unattended, and accessible.

Direct care staffing hours provided were insufficient to meet the requirement of 2 hours of personal care per day for residents with mobility needs.

The resident's assessment failed to reflect their need for supervision due to unsteady gait and did not indicate the use of hearing aids.

The resident's medical evaluation did not include a legible name or medical professional license number of the examiner.

The home failed to report an incident where a resident sustained a laceration and skin tear after being found on the floor.

The dumpster lid was found open, exposing garbage bags to potential pests.

Staff failed to provide incontinence care after a call bell request and did not respond to subsequent repeated call bell notifications.

A resident's initial assessment failed to accurately reflect their need for assistance with toileting and incontinence care.

An unannounced fire drill was not held during the month of January, 2024.

The fire drill record from 6/17/23 did not indicate if the drill was held in the AM or PM.

The interval between fire drills conducted during sleeping hours exceeded the 6-month requirement.