Park Creek Place Memory Care

The resident-home contract was not signed by the resident.

A resident's medical evaluation inaccurately documented minimal assistance for body positioning despite the resident requiring physical assistance for transfers and toileting.

A resident was struck in the head with a reacher grabber tool by another resident, resulting in an injury requiring sutures.

A bathroom contained feces smears on the toilet seat and an uncovered trash can containing soiled toilet paper.

An uncovered and unattended trash can was found full in a resident's bathroom.

Emergency pull cords in two rooms and staff pagers were not functioning, and the receiving computer was turned off.

An expired medication was found in the medication cart, violating manufacturer instructions for removal.

The resident-home contracts for Resident #1 and Resident #2 were not signed by the residents.

Resident records for Resident #1 and Resident #2 lacked signed statements acknowledging receipt of resident rights and complaint procedures.

On specific dates in April and May 2025, the facility failed to ensure the required number of staff trained in first aid and CPR were present.

An incident occurred where a resident was observed leaning from their wheelchair toward another resident, highlighting a lack of specific time frames for required frequent checks in the support plan.

An incident involving alleged resident abuse was not reported to the Department within the required 24-hour timeframe.

Insufficient staffing was available during the evening hours to meet resident needs, specifically regarding two-person transfers and scheduled repositioning.

The administrator reinstated staff members involved in an alleged abuse incident before the Department had completed its investigation.

A direct care staff person began providing unsupervised ADL services before completing the required Department-approved training and competency test.

The administrator's background check did not utilize the required Pennsylvania State Police Criminal Background Check and FBI check.

The facility's current license was not posted in a conspicuous and public place; an outdated license was displayed instead.

The bathroom in room F1 lacked an operable window or a working ventilation fan.

A full, uncovered, and unattended trash can was found in the dining area on a dining cart.

No smoking signs were posted at the employee entrance and cigarette butts were found on the grounds.

No staff present in the kitchen were ServSafe certified during the inspection.

Carbon monoxide detectors were not installed near the three gas-fired water heaters.

The administrator failed to include the names, addresses, and telephone numbers of staff persons A and B on the current staff contact list.

There was insufficient staffing to supervise residents and provide care during an incident involving inappropriate physical contact between residents.

The staff training plan lacked training content regarding sexual behaviors within the Alzheimer's population.