Our Lady of the Alleghenies Residence

Desonide cream .05% prescribed to resident #1 was observed to have an expired date of June 2021.

The resident's assessment did not indicate the mental health need for bipolar disorder, despite the resident's DME showing a diagnosis and medications for it.

Enabler bars on beds in rooms A004, A104, and A113 had uncovered openings that posed an entrapment risk.

Fire drill records failed to list the specific exit routes used for multiple drills conducted between 2/21/23 and 3/15/24.

A medical evaluation for a resident completed on 10/31/23 was missing the completion date, height, weight, pulse, blood pressure, and temperature.

Multiple staff members did not receive first-day orientation regarding smoking safety procedures and emergency service notification.

Certain staff members worked more than 40 hours without receiving orientation on the emergency medical plan and reporting of incidents.

A resident's annual medical evaluation had not been completed since November 2021.

Blister cards for two residents were found to have tears or rips in the backing.

A medication administration record failed to include the initials of the staff person who administered medication to Resident 1.

Prescribed medications for Resident 2 and Resident 3 were not administered on several dates because they were unavailable in the home.

The home failed to notify the prescriber when a resident refused prescribed doses of Miralax on 4/10/2019 and 4/11/2019.

Resident 1's record did not include documentation regarding the resident's identifying marks.