Ecumenical Community of Harrisburg

Medication errors involving specific residents were not reported to the Department within the required 24 hours.

Magnetic locks on exit doors in the south hallway and exterior gates were energized, preventing unobstructed egress.

Medications were administered at times that did not follow the prescriber's directions.

Medication errors were not immediately reported to the resident, the resident's designated person, and the prescriber.

Staff observed a resident being subjected to an incident involving another resident that the resident reported they did not like and felt angry about.

Egress doors to the fenced-in courtyard from the C hall and common area were found to be non-functional and would not open.

The resident's assessment was not updated to include significant changes in health, such as coughing episodes and decline in speech.

The first aid kit in the Grey Ford Taurus used for resident transportation did not include scissors.

Two loose purple pills were observed in a medication cart drawer in the north hallway.

A resident's medication pharmacy label instructions did not match the directions listed on the medication administration record (MAR).

Prescribed PRN medications were not available in the home on the specified date.

A staff member placed their hand down a resident's pants to check for cleanliness despite the resident's attempts to push the hand away.

Unattended and unlocked containers of hazardous cleaning wipes were accessible to residents in the Secured Dementia Care Unit.

An accumulation of approximately 2 inches of lint was found in the lint trap of a dryer in the main laundry room.

A resident's medication label did not reflect a recent change in the prescribed dosage instructions.

The home failed to report an allegation of sexual abuse involving a resident to the Pennsylvania Department of Aging.

The home's last renewal inspection from 2021 was not posted in a conspicuous and public place.

On multiple dates in January 2023, there was insufficient staff present with current First Aid and CPR certification.

A container of Clorox wipes was left unlocked and accessible to residents in the secure dementia care unit.

Trash and recycling dumpsters were found partially full with the sliding side doors left open.

Direct Care Staff Person A was observed pouring medication from pill bottles into an ungloved hand before placing it in a pill cup.

The use of a bed cane for Resident 7 was not documented in the resident's assessment and support plan.