Cumberland Crossings Retirement Community

A staff member transported residents to medical appointments without completing the required Department-approved direct care training course.

Prescription creams were stored in an unlocked plastic bag on a medication cart rather than in a locked container.

An unlabeled and undated cake was found in the B hallway lounge refrigerator.

Items containing protected health information, including medication blister cards and a hospital discharge summary, were found unlocked and unattended on medication carts.

A medication record incorrectly marked Docusate Sodium as administered on 12/15/24 when the medication was actually unavailable.

A direct care staff member lacked a high school diploma, GED, or active Pennsylvania nurse aide registry status.

Blood glucose readings on a glucometer did not match the numbers transcribed on the resident's medication administration record.

Staff administered Amlodipine Besylate despite the resident's systolic blood pressure being below the prescribed parameters.

Pharmacy labels for two residents did not reflect updated medication orders regarding dosage and frequency.

The medication administration record for Resident #3 lacked the initials of the staff person who administered the medication.

An ancillary staff person completed 40 scheduled work hours before receiving training on reporting reportable incidents and conditions.

A resident's bed featured a partially covered enabler bar that posed a potential entrapment hazard.

An ancillary staff person did not receive required fire safety and emergency preparedness orientation topics.

A discrepancy was noted between a resident's glucometer blood sugar reading and the recorded value on the medication administration record.

A resident's preadmission screening form was missing the required signature and a determination that the home could meet the resident's needs.

The resident's support plan failed to document a plan to protect the resident from potential injury risks associated with the use of half bedrails.