Pennswood Village Personal Care Home

A direct care staff person lacked a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.

The home lacked documentation of written notification to the local fire department regarding the home's address, bedroom locations, and evacuation assistance needs.

During a fire drill on 9/28/25, the home failed to evacuate one resident, evacuating only 33 of 34 residents.

A bottle of Aged Black Garlic was found in a resident's medication cabinet without a current order.

Resident #1's medical evaluation indicated a need for body positioning/movement assistance but lacked specific details regarding that need.

Resident #2's annual medical evaluation indicated a need for body positioning/movement assistance but lacked specific details regarding that need.

A bottle of Saline Nasal Spray was found in a resident's medication drawer that was not listed on the resident's current medication order.

A resident's written-home contract was not completed until one week after admission.

An uncovered and unattended trash can was found in the ladies' room.

A resident's enabler bar was not covered, posing a safety hazard.

Four dented cans of chicken noodle soup were found in the food storage area.

The 2022 staff training plan did not include the dates, times, and locations of scheduled training for the upcoming year.

Emergency telephone numbers for the nearest hospital and fire department were not posted on or by the telephone in resident rooms.

A bed in a resident room was equipped with enabler bars more than 8 inches wide that were not covered.

Unannounced fire drills were not conducted during the months of December 2021 and January 2022.

A staff member used disrespectful language toward a resident, stating the resident would 'break my back' and suggesting they belong in a skilled unit due to their care needs.

Resident #2's MAR indicated they were self-administering nasal spray and eye drops, despite the DME indicating they are not capable of self-administration.

Two full blister packs of medication were found unattended and unlocked on a mobile desk near the activities room.

The pharmacy label for Resident #1's Aleve contained incorrect administration instructions that did not match the physician's order.

Medication for Resident #1 was unavailable in the home, and multiple discrepancies were found between glucometer readings and MAR documentation.

The support plan for Resident #3 was not signed or dated by the resident or the Assessor.