Phoebe Berks Village

A staff member recorded a video of a resident nude from the waist up, and the facility failed to immediately report the suspected abuse to the local Area Agency on Aging.

The facility failed to report an incident of resident abuse to the Department's regional office or complaint hotline within the required 24-hour timeframe.

An unlocked and unattended laptop on a medication cart was accessible, potentially compromising resident record confidentiality.

Staff witnessed inappropriate physical contact and fecal matter spreading between two residents with cognitive impairments, indicating a failure to prevent mistreatment/abuse.

A laptop on a medication cart was left unlocked, unattended, and accessible to residents' medication administration records.

Bedside mobility devices in resident rooms were not firmly attached to the beds and moved freely, posing a hazard.

A resident's medical evaluation did not include documentation regarding whether the facility could safely meet the resident's needs.

A resident's record did not include a current list of medications.

A copy of the Chapter 2600 regulations was not posted in a conspicuous and public place in the home.

Medication carts were observed with unlocked, unattended, and accessible narcotic record books, medication wrappers, and laptops.

The entrance video camera posting did not address the recording purposes.

An enabler bar in room 189a was not covered and was separated from the bed, creating a potential hazard.

Poisonous materials, including hand sanitizer and hand lotion, were located on top of medication carts and accessible to residents.

The home failed to report an incident involving potential abuse to the Department within the required 24-hour timeframe.

The home failed to follow a prescriber's orders because a required medication was unavailable in the home.

A medication error occurred where only one knee was treated instead of both, and the resident's physician was not notified.

The home failed to report resident allegations of abuse, including claims of being tied up, whipped, and locked in rooms, to the Area Agency on Aging.

The home failed to report resident claims of abuse to the Department's regional office and failed to report medication administration errors to the regional office.

The facility failed to implement procedures for the safe storage and use of medications, specifically regarding the recording of blood glucose readings and insulin administration.

The facility failed to follow prescriber's orders because a blood glucose reading was inaccurately recorded, leading to incorrect insulin administration.

A physical altercation between two residents was not reported to the Department within the required 24-hour timeframe.

A resident was pushed during an altercation in the dining room, resulting in a contusion and back pain.

Trash cans in the 2nd floor and memory care kitchenettes were missing lids to prevent insect or rodent penetration.

The first aid kit in the memory care unit was missing a thermometer.

Staff members in the Village Gardens area were unable to identify the location of the first aid kit.

Frozen French toast was stored in a metal tin that was not properly sealed with plastic wrap.