Legacy Gardens of Bristol

The home failed to report an alleged financial abuse incident to the Department's regional office or complaint hotline within 24 hours.

An allegation of financial abuse was reported to the administrator but was not reported to the local Area Agency on Aging in a timely manner.

Three resident hospice binders containing confidential information were left unlocked, unattended, and accessible in a dining hall storage cabinet.

A discrepancy was noted in the narcotic log where the recorded number of remaining pills did not match the actual count.

Direct care staff person A did not receive required annual training in areas including fire safety, resident rights, and emergency preparedness.

Records showed no annual training for direct care staff person A in 2022 or 2023.

A resident was found on the floor wearing only an incontinence brief, and the support plan had not been updated to address the resident's malnutrition needs.

A resident's medical evaluation failed to include information regarding body positioning and movement stimulation.

Resident 71 did not have access to an operable lamp or light source that could be turned on at their bedside.

Medication administration records for Resident #2 and Resident #3 were incomplete, as prescribed Tylenol and Budesonide were not included on their respective records.

The home failed to document a resident's need for an enabler device on the assessment and support plan, and did not obtain a physician's order for the device.

The home has not completed an inspection of the furnace.

Hot water temperatures at a bathroom sink were measured above the 120°F limit.

Several mechanical closets on the main floor lacked carbon monoxide alarms within the required 15 feet of gas-fired HVAC units.

A staff member's criminal background check request was not completed on or before their first day of work.

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

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

There was no thermometer present in the kitchen freezer.

Bedroom #1 lacked an operable bedside lamp or an alternative source of lighting that could be turned on at the bedside.

The resident rights poster did not include the right to question or refuse medication in the event of a suspected error.

Medication administration information was not recorded at the time the medication was administered.