Mt Assisi Place

A Pennsylvania State Police Criminal Background Check was not requested for a direct care staff person until after they began working.

A direct care staff person did not receive required annual training in fire safety.

No staff members trained in first aid and CPR were present in the home during the overnight shift.

The resident-home contract did not specify the party responsible for payment.

Common bathroom 307 lacked a door, and individual bathroom stalls were not equipped with locking devices.

A spray bottle containing an unidentified disinfectant was found in an unlabeled container on a dining room cabinet shelf.

An unlocked, unattended binder containing resident reports and notes was left accessible on a shelf near the medication room.

A resident was found deceased outside in freezing temperatures after being left unattended, following a previous incident where the same resident was found alone on the grass.

The home failed to submit new fire safety approval or documentation following structural renovations and changes to the occupancy permit.

The home lacks a manufacturer's statement verifying that the locking system will shut down and doors will open easily during fire alarms or power failures.

The home lacks written approval from the appropriate authority for keypad locking devices installed on certain SDCU doors.

A Pennsylvania criminal background check was not completed for a direct care staff person at the time of hire.

The certificates for multiple boilers within the home had expired on 11/2/22.

The orientation log did not indicate if a direct care staff person received required fire safety and emergency preparedness orientation.

Bilateral half-length bedrails were present on beds for residents who could not demonstrate the ability to use them independently.

Staff members pressured a resident to sign a document and subsequently intimidated the resident after an allegation was made, causing the resident fear and distress.

A resident's annual assessment failed to include their prescribed mechanical soft diet as noted in their medical evaluation.

A resident's medical evaluation was incomplete, specifically lacking recorded blood pressure and temperature.

Resident-home contracts for two residents were missing required signatures from the resident or the administrator/designee.

A 5 pound bag of tater tots was found unsealed in the walk-in freezer.

An unsecured enabler bar on a resident's bed had a 9" x 3" opening that posed an entrapment and fall hazard.

Emergency telephone numbers for the nearest hospital and fire department were not posted by the kitchen telephone.