Horizon Personal Care Home, INC

External wooden stairs from the emergency exit and the front emergency exit ramp were not securely attached to the ground or building.

A piece of molding with approximately 17 nails was found on the floor in bedroom #15.

The bathroom light cover in the common bathroom/shower room was missing, exposing the bulb and wiring.

Metal handrails on the rear exit ramp were not securely attached and could be lifted out of brackets.

Missing molding was noted on doorframes in bedroom #2 and bedroom #15, and the ceiling in bedroom #15 had cracks and peeling plaster.

Tears were identified in the window screens of bedroom #2 and bedroom #3.

Staffing levels were inadequate to meet the needs of a resident requiring two-person assistance during certain hours.

The dumpster lid was left open and there was trash on the ground outside the dumpster.

The carbon monoxide detector in the basement did not have the battery installation date labeled.

A gap in the living room flooring planks was identified as a tripping hazard.

The medication closet was left unattended and unlocked with keys in the lock, and the medication cart was also unlocked.

Containers of flour and potato flakes in the kitchen cabinet were unlabeled and undated.

The home failed to conduct a quality management review meeting during the year 2020.

The administrator or designee was unavailable to provide access to resident and staff records when requested by the Department agent.

Leaking water pipes caused mold growth under kitchen sinks, and a dresser was found in broken condition.

The wheelchair ramp was uneven, an exterior electrical outlet had exposed wires, and fire escape steps were unstable.

The red wheelchair ramp on the side of the house lacked a non-skid surface.

Neither the administrator nor a designee was present in the home while residents were present.

Hot water temperatures at the sink next to bedroom #4 and the common bathroom near the basement door exceeded 120°F.

A container with cigarette butts was found on the back porch, and porch furniture lacked tags indicating fire resistance.

No paper towels, mechanical blower, or other sanitary means of drying hands were available at the sink in the common bathroom next to bedroom #4.

An OTC bottle of Aspirin in the medication cart was not labeled with the resident's name.

Prescription medication labels for two residents contained incorrect dosing instructions compared to their prescribed orders.

Poisonous materials, including laundry detergent and WD-40, were found in an unlocked and unattended laundry room.

A copy of 55 Pa. Code Chapter 2600 is not posted in a conspicuous and public place in the home.

Resident privacy coding documents were posted on a hallway bulletin board, and medication lists and resident records were found unlocked, unattended, and accessible in common areas.

No carbon monoxide detector was installed in the basement furnace room in accordance with the Care Facility Carbon Monoxide Alarms Standards Act.