Harmony at West Shore

The nurse's station was unlocked and unattended, leaving a file holder with confidential resident information accessible.

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

Resident records lacked signed statements acknowledging receipt of resident rights and complaint procedures.

Resident enabler bars were improperly installed with uncovered openings and were not securely fastened to beds.

The facility failed to provide immediate access to requested resident and staff records to Department agents.

An incident involving physical abuse (striking and scratching a resident) and an incident of unauthorized video recording were not reported to AAA.

Medication errors and an incident involving unauthorized video recording were not reported to the Department within 24 hours.

Agents of the Department were not provided immediate access to resident and staff records upon request, with some records not available until several hours later or the following day.

The facility failed to timely complete and submit Act 13 Mandatory Abuse Reporting forms following both staff-to-resident and resident-to-resident abuse incidents.

A resident was self-administering prescribed medication without a required assessment by a physician, physician's assistant, or certified registered nurse practitioner.

A bottle of discontinued dietary supplements was found in the medication cart.

Loose pills were observed in the medication carts for the Secure Dementia Care Unit, the second floor, and the fourth floor.

The facility failed to report an incident involving a resident hitting another resident within the required 24-hour timeframe.

The facility failed to report an incident involving a resident hitting another resident within the required 24-hour timeframe.

The facility failed to report an incident involving a resident hitting another resident within the required 24-hour timeframe.

The facility failed to report an incident involving a resident hitting another resident within the required 24-hour timeframe.

The home failed to submit an Act 13 form to the local Area Agency on Aging following an incident of resident-to-resident abuse.

A resident was physically abused by another resident using a wooden block, resulting in an emergency room transfer.

A resident's privacy was violated when they were photographed on a staff member's private cell phone following a fall.

The home failed to accurately describe a reportable incident involving a resident's fall and subsequent injuries in the required incident report.

A resident experienced neglect/mistreatment resulting in heat exhaustion, dehydration, and second-degree burns after being left unsupervised in a courtyard.

Direct care staff member did not receive annual training in required topics including medication self-administration and infection control for the 2022 training year.

Ancillary and direct care staff members did not receive annual training in areas such as fire safety, resident rights, and emergency preparedness.

A resident had an uncovered enabler bar installed on the left side of their bed, posing a potential hazard.