Holland Senior Living Community

The home failed to report an incident involving resident physical contact to the Department within the required 24-hour timeframe.

A direct care staff person did not have a high school diploma, GED, or active registry status on file.

A resident who participated in the development of their support plan failed to sign and date the document.

Two staff members were hired before their criminal background checks were completed.

The required ratio of staff certified in first aid and CPR was not maintained during certain shifts.

Training records for direct care staff were missing details such as training length and source.

An aerosol hair spray can was left unlocked and accessible to residents in the dementia care unit.

A tube of Procare ointment was found in an unlocked, unattended cabinet under a bathroom sink, making poisonous materials accessible to residents.

Medication cards were observed with punctured blister foil, exposing the medication to potential contamination and improper sanitation.

A resident eloped from the Secured Dementia Care Unit by removing a window, resulting in the resident being found outdoors in cold temperatures with a skin tear.

A direct care staff person did not possess a high school diploma, GED, or active status on the Pennsylvania nurse aide registry.

The resident-home contract was not signed by the resident.

Failure to provide adequate supervision and security, resulting in residents eloping from the memory care unit through alarmed doors that staff could not hear.

Refunds for deceased residents were not sent out within the required 30-day period following discharge.

No signs were posted at the main entrance indicating that video recording was in progress.

Substances resembling mold were found in the ice machine, and carpets in the kitchen and dining area were stained and dirty.

Pallets, an old rug, and milk crates were left outside the dumpsters.

A staff person was hired in 2020 without a completed criminal history background check.

On two separate dates, there was only one staff member present certified in first aid, CPR, and obstructed airway techniques despite having over 50 residents.

A staff member did not receive required orientation on fire safety and emergency preparedness topics.

A staff member working for several months had not completed required training regarding resident rights, emergency medical plans, and mandatory reporting.

Two out of three bathroom stalls lacked toilet paper, leaving a resident without immediate use of paper while in a stall.