North Penn Manor

The home did not obtain a new medical evaluation following a significant change in a resident's medical condition.

A resident's change in care needs following a physician's indication of a new diagnosis was not documented in a significant change assessment and support plan.

The resident-home contract did not include an updated annual fee schedule for the actual amounts charged for available services.

A staff member's criminal history check was not completed until one day after their hire date.

An uncovered trash can was observed in the shared shower room.

Cigarette butts were observed in the grass surrounding the outdoor designated smoking gazebo.

The narcotic administration book failed to include the initials of the staff person who administered a prescribed medication.

A resident was unsupervised during an outdoor activity and left the facility unnoticed, later being found by police.

A resident was not properly supervised during an outdoor activity, leading to them walking into traffic and being found by police.

Cigarette butts were found discarded on the ground near the porch railing in the designated smoking area.

Direct care staff person was reported to frighten and intimidate residents by screaming and refusing to assist when asked.

The Medication Administration Record binder was left unattended on top of the medication cart and was accessible to the public.

The home failed to secure medical attention for a resident whose eyes were observed to be irritated and encrusted with discharge.

The resident's support plan failed to document necessary medical information, including a choking incident, dietary requirements, and speech therapy services.

A walker and a Hoyer lift were found blocking the egress from the home's exit doors.

A resident was found with over-the-counter creams in their room despite not having a medical evaluation assessing them as able to self-administer medications.

Medications were stored in an unsecured and unlocked bedside table in a resident's room.

The License Inspection Summary report was not posted conspicuously, as it was located in a container behind an artificial tree.

A manual fire pull station was physically and visually obstructed by an artificial tree, floor scrubber, wet floor signs, and a broom.

The home failed to provide visible signage informing visitors of the video surveillance used at entry and exit points.

A 2x4 inch hole was found in the kitchen wall with visible wires exposed.

The hot water temperature in the bathroom of Resident Room BB was measured at 125.6 degrees Fahrenheit, exceeding the 120 degree limit.

Boxes containing soda cans and cereal were observed being stored directly on the floor of the dry food storage shed.

Two medication carts were left unlocked and unattended in the front lobby.

Medication Administration Records (MARs) were left unlocked and unattended on medication carts in the front lobby.