Colonial Courtyard at Tyrone

A resident demonstrated physically aggressive behaviors, including pushing and slapping other residents, resulting in injuries.

Resident #1 was administered prescribed ABH topical gel twice within a short period, violating the prescribed 8-hour interval.

The use of Quetiapine for Resident #1 was identified as potentially constituting a chemical restraint for agitation control.

The resident-home contract was not signed by the resident.

The resident's record did not contain a signed statement acknowledging receipt of resident rights and complaint procedures.

Resident-home contracts for resident #1 and resident #2 were not signed by the residents.

A staff member lacked a Pennsylvania State Police clearance within the required timeframe after hire.

The home lacked a staff member with current training in first aid and CPR.

A staff member was observed placing a cup of medication beside a resident and walking away instead of placing it in the resident's hand or mouth.

Prescription and OTC medications were observed unlocked, unattended, and accessible in a resident's bathroom caddy.

Resident #1's RASP was not updated to include supervision and wandering needs following a transfer to senior care. Resident #2's RASP was not updated to reflect the significant change for initiating hospice services.