Columbia Cottage-Hershey, LLC

Resident records and personal information, including a task list and narcotic log, were found unlocked, unattended, and accessible. Additionally, a wall tablet was left unlocked, allowing access to residents' social security numbers and dates of birth.

Two staff members did not receive required orientation training regarding person-centered care for Hoyer lifts and oxygen concentrators within 40 scheduled working hours.

During the overnight shift, only one staff member trained in first aid and CPR was present to support 40 residents, failing to meet the required ratio.

The facility had only two direct care staff working overnight, which was insufficient to ensure the safety and emergency evacuation of 35 residents, including those with mobility needs.

Staff failed to perform required two-hour incontinence checks, resulting in a resident being found in a soiled undergarment with skin excoriation and a sacral wound.

A staff person was hired by the home without a completed criminal background check.

A staff person did not receive required orientation on fire safety and emergency preparedness topics.

A resident was not provided with required adaptive equipment, such as weighted cups and large-handled utensils, as specified in their assessment and support plan.

A resident's contract was found to be unsigned.

The residence failed to submit a final report to the Department following an investigation into an incident of alleged abuse.

A 2-gallon plastic pump sprayer containing carpet cleaner was found in the janitor's closet without a label.

An enabler bar attached to a resident's bed was not securely fastened, posing a potential entrapment hazard.