Exton Senior Living

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Expired medications were found in the second floor medication cart.

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

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

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

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

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

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

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

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

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

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