Pennwood Nursing and Rehabilitation Center

The resident's required annual additional assessment was not completed or was not properly maintained in the resident's file.

A resident's annual medical evaluation was not completed within the required annual timeframe.

The facility failed to submit an official incident report regarding a resident-to-resident allegation within the required timeframe.

The mechanical room lacked a carbon monoxide detector despite containing five gas-operated hot water tanks and a gas boiler system.

A staff person was hired without a criminal background check being requested until the date of inspection.

The resident telephone in the living room was inoperable for approximately 6 months, forcing residents to use the nurse's station where they could not make calls in private.

A resident's medical evaluation lacked the required medication list, instead only stating 'see med list' without any attachment.

Resident records were not provided to the Department agent for four hours because they were locked in the administrator's office and no other staff had access.

The annual support plan did not indicate a responsible party for the resident's medical and mental health diagnoses.

An annual assessment failed to indicate assessed levels of need for eating, drinking, transferring, and toileting.

A direct care staff person worked alone during the overnight shift and was not qualified to administer PRN medications.

Annual medical evaluations were missing information such as height, temperature, and immunization dates.

The home failed to provide the resident with an itemized account of financial transactions on a quarterly basis from 11/1/23 through 5/30/24.

The home's charges for rent and services left the resident with only $45.00 per month for Personal Needs Allowance, which may not exceed income reduced by the PNA.

Resident bed rails were unwrapped, unsecured, and had openings that created a risk for limb entanglement.

A change to the lunch menu was not posted in a conspicuous place in advance of the meal.

A resident reported being yelled at and intimidated by a direct care staff member, who also allegedly threw a juice box at them.

The facility's current staff list was incomplete, failing to include several direct care staff members and administrators.