Grand View Manor

Monthly fire drill records from November 2024 to October 2025 failed to include the exit routes used.

The home's written emergency procedures had not been submitted to the local emergency management agency.

A resident was admitted to the home without a completed preadmission screening form.

A discharged resident's record was destroyed before the required three-year minimum retention period.

An expired medication was found in the resident's care.

A staff person's Pennsylvania State Police Criminal Background Check was not requested until after they were hired.

The Resident Assessment and Support Plan (RASP) for Resident #2 did not indicate the need for an enabler bar or how it would be maintained.

A staff person failed to add their signature or initials to the staff code sheet in the Medication Administration Record.

Resident #1's glucometer was not calibrated to the correct date and time.

A resident's initial medical evaluation was completed more than 30 days after admission.

A resident's medical evaluation form did not indicate their blood pressure.

A resident's bed enabler had a space larger than 4.75 inches and was not covered.

A resident did not have a preadmission screening completed.

Resident records contained outdated photographs and missing information regarding hair color.

Three bags of cauliflower in the freezer were labeled with the date taken out of the box rather than an expiration date.

A grab bar attached to the bed in Room #6 was not covered, posing a risk of head or limb entrapment.

The Resident Assessment and Support Plan for Resident 1 was not updated to reflect recent aggressive behaviors and incidents.

The Resident Assessment and Support Plan (RASP) was not updated to reflect necessary medical, dental, vision, hearing, or mental health services or referrals.

The home failed to report an incident where a resident eloped from the home and was taken to the hospital.