Ephrata Manor

Resident medical information was found unlocked, unattended, and accessible in the home's examination room.

Egress doors at several exits were equipped with magnetic locking devices requiring a code, preventing immediate egress without proper departmental approval.

Resident assessments were not updated to reflect significant changes in medical diagnoses and behavioral needs.

An unlocked laptop on a medication cart was left unsupervised in a lounge, exposing a resident's medication information.

A medication (Fluticasone Propionate) that had been discontinued on 1/5/25 was still present in the medication cart.

An expired medication (Tramadol HCL) was found stored within the medication cart's control lock box.

A pharmacy label for insulin Glargine did not reflect a recent change in the prescribed dosage.

Medication was unavailable for Resident 7, a glucometer was not calibrated correctly, and discrepancies were noted between glucometer readings and the MAR.

There was no documentation that Resident 2 and Resident 3 had been educated on their right to refuse medication.

Loose prescription pills were found in medication carts #1 and #2.

There was no documentation provided to show that a physician was notified of a resident's medication refusal.

Glucometer logs and Medication Administration Records (MAR) contained inconsistent dates and times for blood sugar readings.

Failure to complete assessments within the required 15-day timeframe.

Support plans were not updated to reflect changes in resident status.