Masonic Village at Elizabethtown

Unidentified loose pills were found in medication cart drawers on multiple floors, and an opened medication lacked a required opening date.

Pharmacy labels for several residents did not match the instructions documented on their Medication Administration Records (MAR).

Discrepancies were noted between blood glucose readings on glucometers and the MAR, and a required PRN emergency kit medication was unavailable.

The home failed to report an allegation of sexual abuse involving a resident to the Pennsylvania Department of Aging as required.

A resident's medical evaluation was missing the date evaluated, date form completed, and the medical professional's license number.

A fire drill conducted on 10/26/2023 exceeded the maximum safe evacuation time of 10 minutes, taking 12 minutes and 10 seconds.

Two half-full, uncovered, and unattended trash cans were found in the kitchen near handwash stations.

A staff person was observed yelling at a resident and using an inappropriate, intimidating tone and language toward multiple residents in the common room.

Decorative mats in certain bathrooms lacked non-skid backing, creating a fall hazard.

A copy of the 2600 regulations was not posted in a conspicuous and public place in the home.

There was an accumulation of lint in the lint traps of large dryers on the first and third floors.

A copy of the regulatory waiver regarding admission, medical evaluation, and pre-admission screening was not posted in a conspicuous and public place.

Emergency telephone numbers for the nearest hospital and fire department were missing from telephones in certain resident rooms and common areas.

A resident was subjected to a non-consensual sexual act, and staff failed to immediately separate the residents, constituting abuse and neglect.

The resident's support plan failed to document the necessity of medical devices, specifically enabler bars and a C-Pap machine, observed in the resident's room.