Juniper Village at Bucks County Senior Living

A resident requiring extensive supervision eloped from the memory care unit and was found outside in freezing temperatures; the facility lacks specific monitoring policies for high-risk residents.

No additional assessment was conducted following a resident elopement incident to address the change in condition or implement further support measures.

Resident hourly checks were left unlocked, unattended, and accessible to others on the reception desk.

A bedside mobility device lacked a proper cover, using a stocking-like material that left a large opening.

Medication cards were observed with punctured blister foil, exposing medication to potential contamination.

An unlabeled bottle of OTC medication was found in a medication cart without a resident name or room number.

During fire drills, not all residents evacuated to a designated meeting place away from the building or within the fire-safe area.

A resident's prescribed mechanical soft diet was not followed, resulting in the resident choking on a piece of chicken.

Staff failed to document the time when signing out morphine and failed to document Accu-Chek readings for a resident.

The facility failed to follow prescriber orders, specifically missing a scheduled dose of medication and a scheduled Accu-Chek reading.

The personal care home failed to post a copy of the chapter 2600 regulations in a conspicuous and public place.

A criminal background check could not be provided for staff member A, PY.

Staff person A, PF could not provide required proof of nursing license, degree, or required work experience.

The administrator was not present in the home for an average of 20 hours or more per week during several weeks in 2023.

Staff member A, PY did not provide documentation of completion of the 100-hour standardized Department-approved administrator training course.

Resident #1 and resident #2 did not have a resident-home contract in place upon admission.

The resident-home contract for resident #3 was not signed by the resident.

Records for residents #1, #2, and #3 lacked signed statements acknowledging receipt of resident rights and complaint procedures.

Sanitation issues were identified in the kitchen, including dirty floor drains, floor under steam line, and trash cans.

Evidence of infestation was found, specifically bedbugs in room 206 and mice in the kitchen.

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

A staff person did not receive required fire safety and emergency preparedness orientation on their first day of work.

A staff person failed to complete required training regarding resident rights, emergency medical plans, and mandatory abuse reporting within 40 working hours.

The facility failed to provide the requested staff list to the Department agent in a timely manner.

The home's boiler certificate had expired on 1/18/21, violating health and safety laws.

The home failed to post a copy of a previously approved waiver request and the Department's decision in a conspicuous place.

A resident was admitted to the home without a completed resident-home contract.

A resident-home contract for resident #2 was not signed by the resident.