Fieldstone at Chester Springs

A tube of Calmoseptine ointment belonging to a resident was found on a night table without the resident's name labeled on it.

Medication administration records were inaccurate, as medication technicians were initialing the MAR for applications actually performed by untrained direct-care staff.

Prescription medication (Calmoseptine ointment) was being administered by direct-care staff who had not completed the required Department-approved medication administration training.

The medication administration record for May 2025 failed to include the initials of the staff person who administered prescribed medications at 2:00 PM and 5:00 PM.

Staff members were observed laughing at a staff member being hit by a resident during incontinence care, failing to treat the resident with dignity and respect.

The facility failed to use positive interventions to manage resistive behavior, and staff used physical restraint-like maneuvers instead of following the resident's support plan.

Prescribed PRN medications for a resident were not available in the home at the time of inspection.

Unlabeled and undated trays of chicken and bags of various frozen foods were found in the kitchen.

The home's current Licensing Inspection Summary was not posted in a conspicuous and public place.

Food in a stand-out freezer was found in opened and unsealed bags.

The food warmer was missing from the 1st floor Memory Care kitchen, no refrigerator was present in the 2nd floor Memory Care kitchen, and a bathroom handrail cover ring was loose.

Emergency telephone numbers for the nearest hospital and fire department were not posted by the telephones in bedrooms 3031, 3023, and 3007.