Morris-Pace West

A generic spray bottle labeled 'simple green multi-purpose cleaner' was found in the basement maintenance room, not in its original container.

The bathroom floor in a resident's bedroom was dirty and the bottom of the toilet had brown residue.

Discrepancies were found between blood sugar readings stored in glucometers and the readings documented on the Medication Administration Records (MARs).

A direct care staff member did not have a high school diploma, GED, or active registry status, and submitted a falsified diploma.

Poisonous materials, specifically cleaning spray bottles, were found in unlabeled containers with handwritten labels.

The home failed to report a resident's fall and subsequent fractured collarbone to the Department within 24 hours.

The home lacked valid Certificates of Operation for two boilers and had outdated batteries in a carbon monoxide detector.

Four staff members were working without required Pennsylvania State Police Criminal Background Checks on file.

Direct care staffing hours provided were insufficient to meet the required minimum for mobile residents on multiple dates in September.

The percentage of direct care service hours available during waking hours fell below the required 75% threshold.

Staffing was inadequate to meet resident support plans as the sole staff member present was not certified in medication administration.

The facility failed to have at least one staff member trained in first aid and CPR present during certain overnight shifts.

The facility failed to provide a complete and accurate list of all current employees upon request by Department representatives.

Allegations of resident sexual harassment and sexual abuse were not reported to the local area agency on aging.

The home failed to immediately implement a plan of supervision or suspend a staff person following an allegation of sexual abuse.

The facility failed to report incidents of resident sexual harassment and staff-to-resident abuse to the Department within 24 hours.

Staff Person A and Staff Person B did not complete required orientation training regarding resident rights, emergency medical plans, and mandatory reporting.

Staff Person A and Staff Person B did not complete required orientation training regarding resident rights, emergency medical plans, and mandatory reporting.

Staff Person A and Staff Person B did not complete required orientation training regarding resident rights, emergency medical plans, and mandatory reporting.

Staff Person A and Staff Person B did not complete required orientation training regarding resident rights, emergency medical and mandatory reporting.

Staff Person A and Staff Person B did not complete required orientation training regarding resident rights, emergency medical and mandatory reporting.

Staff Person A and Staff Person B did not complete required orientation training regarding resident rights, emergency medical and mandatory reporting.

Staff Person A and Staff Person B did not complete required orientation training regarding resident rights, emergency medical and mandatory reporting.

Staff Person A and Staff Person B did not complete required orientation training regarding resident rights, emergency medical and mandatory reporting.

Staff Person A and Staff Person B did not complete required orientation training regarding resident rights, emergency medical and mandatory reporting.

Staff Person A and Staff Person B did not complete required orientation training regarding resident rights, emergency medical and mandatory reporting.

Violation of regulation 2600.15(a) identified during inspection.

Violation of regulation 2600.16(c) identified during inspection.

Violation of regulation 2600.42(b) identified during inspection.

Violation of regulation 2600.54(a) identified during inspection.

Violation of regulation 2600.65(a) identified during inspection.

Violation of regulation 2600.65(b) identified during inspection.

Violation of regulation 2600.65(d) identified during inspection.

Violation of regulation 2600.85(b) identified during inspection.

Violation of regulation 2600.105(g) identified during inspection.

Violation of regulation 2600.132(d) identified during inspection.

Violation of regulation 2600.132(e) identified during inspection.

Violation of regulation 2600.183(b) identified during inspection.

Violation of regulation 2600.185(a) identified during inspection.

Violation of regulation 2600.187(a) identified during findings.

Violation of regulation 2600.187(d) identified during inspection.

Violation of regulation 2600.190(b) identified during inspection.

The fire drill record from 02/28/23 was missing the evacuation time and the exit route used.

The home lacked a written maximum safe evacuation time from a fire safety expert and exceeded the 2 minute 30 second limit during recent drills.