Elwyn - Whitehouse

Residents #2 and #3 did not have access to an operable bedside lamp or light source.

The medical evaluation for resident #5 did not include documentation of cognitive functioning.

The medical evaluation for resident #4 did not include information regarding advance directives.

The resident-home contract for resident #1 was not signed by the administrator or a designee.

The doorknob for resident #2's door was loose and the kitchen closet storage doors were off their track.

A resident's assessment was not updated to include the need for physical aggression management following a physical altercation.

A resident was physically assaulted by another resident, resulting in a facial laceration, and the resident's support plan failed to specify triggers or staff interventions for managing aggression.

Leftover food items, including cheesecake, a cheesesteak, and French fries, were not labeled or dated.

A bag of French fries in the kitchen refrigerator was not kept in a sealed container.

The home failed to report a resident's hospital transport to the Department within the required timeframe.

Resident 1's medications were left unlocked, unattended, and accessible on a desk in the main office, allowing Resident 2 to take them.

Resident 2 was able to use medications prescribed for Resident 1 because the medications were left unattended and accessible.

Staff left medications popped into a cup and blister packs unattended and unlocked in the office, leading to Resident 2 accessing and taking the medication.

Discontinued medications for Resident 3 were found stored on a shelf in the medication closet rather than being destroyed according to regulations.

An unlabeled, used bar of soap was found in the upstairs bathroom shower.

No employee in the home had obtained a nationally recognized food manager certification as required by the PA Department of Agriculture.

Hot water temperatures in several locations, including the kitchen and bathrooms, exceeded the 120°F limit.

The upstairs bathroom was not maintained in a sanitary condition, with urine on the toilet and debris in the sink.

The kitchen freezer handle was missing screws and pulling away from the door.

The freezer temperature was measured at 10 degrees Fahrenheit, which is above the required 0°F for frozen food.

A staff member caused emotional distress and seclusion of a resident through intimidating gestures and verbal commands, impacting the resident's dignity.

Staff members failed to report suspected resident abuse involving a staff member pointing and ordering a resident to their room.

The home failed to report an incident of resident seclusion and emotional distress to the Department within 24 hours.

A staff member was overheard using a judgmental tone and disrespectful language toward a resident regarding their behavior.