Ecumenical Retirement Community of Harrisburg III

An allegation of resident abuse was not reported to the local Area Agency on Aging in a timely manner.

A staff member yelled at a resident and physically dragged them by the arm down a hallway, causing distress.

An incident involving a resident fall and nasal fracture was not reported to the Department within 24 hours.

A copy of the regulations was not posted in a conspicuous place, and the inspection summary was posted behind a locked door.

Multiple incidents involving staff yelling at residents, physical altercations, and inappropriate physical contact were not reported to the Local Area Agency on Aging in a timely manner.

A resident was found inappropriately touching another resident's chest in a bedroom.

A resident sustained physical injuries, including a cut lip and bruising, following an altercation with another resident.

Feces were observed on a towel and bathroom floor in an apartment within the SDCU.

Two bowls of ice cream were stored in the kitchen freezer in unsealed containers.

Poisonous materials with safety warnings were found unlocked and accessible to residents in the SDCU.

The controlled substance logbook contained an incorrect balance for a resident's morphine medication.

Medication administration training documentation for two staff members was incomplete, lacking scores, observations, and signatures.

An unlabeled used bar of soap was found in the shared bathroom in bedroom 1.

Cameras in the main hallways of the first, second, and third floors recorded activities including people entering and leaving resident bedrooms.

On 1/19/23 and 1/21/23, no staff person working in the home during the night shift had a current certification in first aid and CPR.

There was an accumulation of lint in the lint traps of the dryers on the second and third floors.

The facility failed to conduct a fire drill during sleeping hours within the required 6-month timeframe.

The home did not report a resident-to-resident abuse incident to the Department until 7/22/2022, failing the 24-hour reporting requirement.

The home failed to report a resident-to-resident abuse allegation to Older Adult Protective Services until 8/4/2022, despite becoming aware on 7/20/2022.

The medication cart was found unlocked, unattended, and accessible in the Connections Memory Care Unit.

The resident's support plan and assessment did not include the use of an enabler bar provided on their bed.

A resident's initial assessment did not include all diagnoses found in their medical evaluation and medication addendum.

Failure to implement procedures for the safe use of medical equipment; specifically, glucometer readings were not properly recorded or matched the medication administration record.