Kelly's II Personal Care Home

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

A staff member provided unsupervised ADL services without successfully completing the Department-approved direct care training course and competency test.

The facility administrator completed only 16 hours of Department-approved training during the 2024 training year.

Direct care staff members B and C did not receive required annual training topics, including medication self-administration, dementia care, and infection control.

A direct care staff person was providing unsupervised ADL services without completing the required Department-approved training and competency test.

Prescription medications were found unlocked and accessible on a table next to a resident's recliner.

Resident medication administration records (MAR) were left unlocked, unattended, and accessible in a binder on a medication cart in the dining room.

On specific dates in August 2023, no staff member trained in first aid and CPR was present in the home.

The facility lacks written documentation from a fire safety expert regarding maximum evacuation times, as several drills exceeded 2 minutes and 30 seconds.

Unannounced fire drills were not conducted during January 2023 or August 2023.

The carbon monoxide detector above the basement door did not include the date of battery installation, and the influenza publication was not posted in a conspicuous place.

Resident #1's assessment did not accurately reflect their current mobility needs and assistance requirements for emergency evacuation.

The administrator spoke to a resident in a manner that failed to treat them with dignity and respect.

A resident's cell phone was locked in a medication cart, restricting their ability to use personal possessions.

The first aid kit in the laundry room was missing adhesive tape.

Two cases of Boost Chocolate drink were stored directly on the floor in the laundry room.

On 3/10/2021 and 3/11/2021, staff members working in the home were not certified in first aid, CPR, and obstructed airway techniques.

The emergency exit ramp had multiple wooden boards that posed a tripping hazard.

The kitchen freezer temperature was 10 degrees Fahrenheit, and there was no thermometer in the kitchen refrigerator.

Resident 1's annual assessment failed to include behaviors regarding climbing over recliner arms and contained contradictory information regarding transfer assistance needs.