Pennwood Nursing and Rehabilitation Center

Violation noted regarding section 141(b)(1) of the regulations.

Violation noted regarding section 60(a) of the regulations.

The home's provisional license and recent licensing inspection summaries were not posted in a conspicuous and public place.

The resident did not have the required annual additional assessment completed and documented.

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

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

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

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

The living room telephone 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 was incomplete, noting 'see med list' for medications without the actual medication list being attached to the record.

Department agents were unable to access resident records for several hours because the records were locked in the administrator's office and no other staff had access.

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

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

Annual medical evaluations were missing information in multiple fields, including height, temperature, and immunization dates.

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

The home's charges for rent and services left the resident with only $45.00 per month for Personal Needs Allowance, which may exceed allowed limits for SSI residents.

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.

Bed rails in a resident's room 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 or made accessible to residents 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 list of staff persons was incomplete and failed to include several direct care staff members and administrators.