Exton Senior Living

A broken cabinet lock allowed access to poisonous materials, and an air freshener was left unattended on a resident's sink.

A strong urine odor was noticeable in the hallway and much of the Secure Dementia Care Unit.

Emergency telephone numbers for the nearest hospital and fire department were not posted by the telephone in the resident's room.

A resident medical evaluation lacked medical information pertinent to emergency treatment and dietary needs, and the form was undated.

The resident support plan was not updated to include a no-added sodium diet as specified in the resident's medical evaluation.

The resident-home contracts for resident #1 and resident #2 were not signed by the residents.

A refund of previously paid charges for resident #3 was not processed within the required timeframe following the resident's death.

Resident records for #1 and #2 lacked signed statements acknowledging receipt of resident rights and complaint procedures.

The home failed to report a fire incident that occurred on March 30, 2024, to the Department within the required 24-hour timeframe.

Resident-home contracts for two residents were not signed by the residents.

A staff member was observed yelling at a resident regarding incontinence in a public area.

A bathroom sink was clogged and an enabler bar was missing a cover, creating a potential hazard.

The kitchen first aid kit was missing a breathing shield and eye coverings.

Four residents did not have access to an operable bedside lamp or light source.

Expired medications were found in the second floor medication cart.

A pharmacy label for a resident did not include a direction change sticker following an order change.

A prescribed medication for a resident was not available in the home.

A resident was administered medication only twice in one day despite being prescribed three times daily.

A discontinued medication for Resident #1 was found in the home's medication cart.

A prescribed medication for Resident #1 was not available in the home.

The home's procedures lacked a process to investigate missing medications and errors, following a theft of 4 narcotic pills by a staff member.

Medication Administration Records (MAR) for multiple residents failed to include medication names, frequencies, or diagnoses/purposes.

The home failed to follow prescriber directions regarding the administration timing for Resident #1.

A staff member was witnessed verbally abusing a resident, but the mandatory abuse report was not completed promptly.

The facility failed to report an incident of resident verbal abuse to the Department within the required 24-hour timeframe.

Staff member was observed neglecting a resident's request for bathroom assistance, forcefully grabbing a resident causing bruises, and yelling at residents.

A resident was not treated with dignity and respect after staff refused assistance and used derogatory language toward them.