Elwyn - Friendship Hall

A direct care staff person had not received required annual training topics, including medication self-administration and safe management techniques, for the 2024 training year.

Staff person A, who did not meet the required qualifications or training credentials, administered prescription medications to residents.

A staff member engaged in a verbal altercation with a resident involving yelling and threats of eviction, causing the resident to feel threatened and scared.

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

The temporary smoking area due to construction lacked fireproof receptacles and/or ashtrays.

The medication administration record failed to include the initials of the staff person who administered medication.

The medication administration record included a medication that had been discontinued.

The handle to the soap dispenser in the common bathroom was broken with a sharp edge presenting a cutting hazard.

The resident's support plan failed to document how a required chopped diet need would be met.

The resident and the assessor failed to sign and date the support plan despite the resident's participation in its development.

The designated smoking area contained pillow cushions on three chairs that were not listed as fire resistant.

The window in bedroom Bhs had broken blinds.

A resident did not receive their mail on 03/06/24, leading to an aggressive outburst that required security and state police intervention.

A direct care staff member received only 7.5 hours of required annual training in 2023.

A direct care staff member lacked required training in medication self-administration, meeting resident needs, and personal care service needs.

A staff member engaged in yelling and cursing with a resident instead of using de-escalation techniques during a dispute over food.

Hot water temperatures at sinks in the common bathroom and Jack & Jill bathroom exceeded the 120°F limit.

The medication room was left unlocked, leaving resident medication administration records unattended and accessible.

The home failed to report a medication error incident to the Department within the required 24-hour timeframe.

A resident's annual medical evaluation was not completed within the required timeframe.

Hot water temperature at a shared bathroom sink measured 125.0 degrees Fahrenheit, exceeding the 120°F limit.

A resident's medication administration record did not include a prescribed medication.

Various food items in the kitchen freezer and pantry, including ice cream and bread, were unlabeled and undated.

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