Lutheran Community at Telford

Medication carts with open laptops displaying resident medical info were left visible to others, and nursing offices were found unlocked and unattended with accessible medical binders.

The facility's camera system was recording in resident common areas and hallways where medications are administered, potentially compromising privacy.

Sanitary conditions were compromised when a glucometer reading for one resident was incorrectly recorded on another resident's medication administration record.

A resident was subjected to unwanted sexual contact and harassment, including being touched in the groin area and receiving inappropriate sexual comments, due to insufficient supervision.

The report indicates a requirement for 6 hours of annual dementia-related training for direct care staff, though specific training failures were not detailed in the provided text.

A resident was found touching another resident under their clothing while unsupervised in a common area.

Residents were unable to describe the facility's system for safeguarding their money and personal property.

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

A staff person did not receive required annual training in specified areas during the 2023 training year.

Sanitary conditions were compromised when a staff member used a resident's glucometer to check another resident's blood sugar.

Resident 1 exhibited multiple episodes of physical and verbal aggression toward staff and other residents, including punching a resident in the face, which resulted in serious injury. The facility failed to implement adequate positive interventions or ensure safety by allowing the residents to share a room.

An agency-contracted CNA used access to a resident's room to steal their debit card and made approximately 37 unauthorized purchases.

The facility provided an incomplete staff list that lacked the names and contact information for employees working under a staffing agency.

An agency staff member did not receive required orientation on fire safety and emergency preparedness topics during their first day of work.

The home's emergency food supply lacked protein sources, consisting only of canned fruits, jellies, and cereal.