Juniper Village at Mount Joy

Medication Administration Records for a resident in November and December 2025 did not include the initials of the staff person who administered medications.

The home failed to notify physicians of several medication refusals for two residents during October, November, and December 2025.

The home failed to follow prescriber orders regarding the administration and discontinuation of specific medications for residents.

Bedrails on resident #1's bed were not firmly secured, posing an entrapment or injury hazard.

Uncovered vanilla ice cream and uncovered vegetables were found stored in the walk-in freezer and refrigerator.

An accumulation of lint was found in the lint trap of the dryer in the 200-hall laundry room.

A resident's prescribed advanced chopped diet was not met when they were served a bologna, lettuce, and tomato sandwich.

An expired or non-current medication (Calmoseptine ointment) was found in the home.

Staff failed to complete required 15-minute safety checks for residents following elopement incidents.

The resident home contract lacked the required level of care assessment to determine personal care services.

A resident was found two miles from the home after walking away, indicating a failure to prevent neglect/mistreatment.

Multiple instances were identified where staff failed to follow prescriber's orders, including medications left in a medication cart and medications administered at the incorrect time.

A resident's initial assessment did not include an assessment for moderate mobility as indicated in their medical evaluation.

A computer on the 300-hallway medication cart was left unlocked and unattended, making resident medication and treatment records accessible.

Staff was observed using an ungloved hand to count a resident's medication tablets.

An unlocked and unattended medication cart containing treatments was found in the 300-hallway lounge.

A tube and two tubs of OTC/CAM medications belonging to a resident were not labeled with the resident's name.

The medication administration record failed to include the initials of the staff person who administered a prescribed medication dose.

Medication errors, including a missed dose and an extra dose, were not reported to the Department within the required 24 hours.

Medication Administration Records (MAR) were incorrectly marked as completed for several instances where medications were actually missed.

The facility failed to follow prescriber orders, including missed doses and administering 8:00 PM medications at 8:00 AM.

The most recent Licensing Inspection Summary dated 8/1/22 was not posted in a conspicuous and public place.

There was no documentation of a medical evaluation completed prior to admission for Resident #1.

The assisted living portion of the community had not been involved in reviews or meetings regarding the quality management plan.

Two direct care staff members lacked documentation of a high school diploma, GED, or active registry status.