Legacy Gardens of Bristol

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.

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

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

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

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

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

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.

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

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

The home has not completed an inspection of the furnace.

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.

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

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

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

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.

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

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

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

There was no thermometer present in the kitchen freezer.

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