Harmony House Manor

No certified medication technicians were available during overnight shifts from 11:00pm to 7:00am, preventing medication administration services.

Evidence of bed bug infestation was observed, including carcasses and feces marks on a leather couch.

Medication Administration Records (MAR) contained inaccurate time entries and incorrect blood sugar readings.

An accumulation of approximately 1/4-inch of lint was found in the lint traps of dryers #2 and #5 in the SDCU laundry room.

The digital display thermometer in the SDCU storage area freezer showed temperatures of 12 and 15 degrees Fahrenheit, which was inconsistent with required monitoring.

Staffing levels were insufficient to meet the needs of 23 residents, including those requiring hospice and mobility support.

A staff member under 18 years of age was left alone in the Secure Dementia Care Unit without supervision.

A newly hired staff member did not have a criminal background check completed prior to starting work.

A direct care staff person lacked the required high school diploma, GED, or active Pennsylvania nurse aide registry status.

An ancillary staff member was left unsupervised in the SDCU, during which time a resident exposed themselves and the staff member used shampoo bottles to defend themselves.

A resident's prescribed medication (pantoprazole) was administered at incorrect times (7:00 am and 5:00 pm) instead of every 12 hours.

Scheduled activities on the main personal care unit calendar, including horoscopes and devotional, did not occur.

The SDCU failed to conduct scheduled activities, and no outdoor, craft, or sensory activities were offered during specific periods in August.

On 8/24/23 and 8/26/23, no staff members certified in CPR and first aid were present in the home during the overnight shift.

Menu changes, such as serving pancakes instead of French toast and chicken patties instead of hamburgers, were not posted in advance.

Scheduled gross motor and social activities listed on the activity calendar were not observed and did not occur as documented.

A direct care staff person was hired without a high school diploma, GED, or active status on the Pennsylvania nurse aide registry.

Multiple outside doorways and steps lacked operable lighting or were missing light bulbs.

Broken concrete at the smoking ramp created a tripping hazard, and a radiator was corroded in the SDCU.

The mechanical air blower in Touchstone Bathroom B was inoperable, leaving no hand-drying options.

A pedestal sink in SDCU Bedroom #7 was detached from the wall and leaking water.

The home's copy of 55 Pa.Code Chapter 2600 was not posted in a conspicuous and public place.