Devereux Pa Adult Services Pch - Hilltop Cottage

An allegation of abuse involving a staff member's tone toward a resident was not reported to the local area agency on aging.

The resident-home contract was not signed by the administrator, designee, or the resident.

The resident-home contract failed to indicate whether the home collects a portion of the resident's rent rebate benefit.

The resident's record lacked a signed statement acknowledging receipt of the resident rights and complaint procedures.

The home's current violation report was not posted in a conspicuous and public place.

The home failed to post a waiver of qualifications for a direct care staff person in a conspicuous and public place.

Direct care staff members did not receive required training in medication self-administration, resident needs assessment, or dementia care.

The home's most recent licensing inspection summary, dated 04/18/2023, was not posted in a conspicuous and public place.

The administrator completed only 78 hours of Department-approved training in the 2022 training year.

A staff person had no record of completing required orientation training regarding resident rights, emergency medical plans, and mandatory reporting of abuse.

A direct care staff person did not receive required training in dementia care, cognitive impairments, or infection control and hygiene.

A staff person was observed physically kicking a resident in the buttocks area after the resident failed to follow a command.

Staff members made retaliatory comments to a resident after a complaint was filed regarding physical abuse.

Criminal background checks for two building contractors providing renovation services were not available on-site.

A direct care staff member was providing unsupervised ADL services without having completed the required Department-approved training and competency test.

The Medication Administration Record Binder was left unlocked, unattended, and accessible in the resident common living area.

No administrator or designee was available in the home between 9:00 am and 10:10 am while residents were present.

A medication found in the medication cart was not a current medication listed on the resident's Medication Administration Record.

Prescribed medication was not administered to a resident on multiple dates because the medication was not available in the home.

The home discarded pill packs with resident individually identifiable health information visible in the trash.

Common areas, the kitchen, and the stairs leading to the resident room were not clean.

An insulin pen was stored in the staff refrigerator without being properly covered, labeled, and stored in a dedicated medical refrigerator; additionally, a resident room had a strong unclean odor.

The ceiling light in room #205 was very dim and had a short in the wire, evidenced by blinking.

The home failed to post the current license, the most recent inspection summary, and the chapter 2600 regulations in a conspicuous place.

Staff was unable to provide immediate access to residents' electronic medication administration records upon request by the Department agent.

The home failed to report a suspected abuse incident involving a resident not receiving prescribed medication to the local Area Agency on Aging.

The home failed to report an incident involving a resident not receiving prescribed medication to the Department within the required 24-hour timeframe.

A resident did not receive required assistance with Instrumental Activities of Daily Living (IADLs) as indicated in their support plan.

The home failed to report an incident to the Department where a staff person was struck in the face during an altercation.

The facility's boiler certificate had expired on 11/23/17, violating health and safety laws.

New staff members did not receive required fire safety and emergency preparedness orientation by their first day of work.