Pond View Manor

The home failed to conduct required coliform water testing every three months for its non-public water system.

The rear exit door was equipped with a removable manual lock requiring a 3-digit code to open.

Fire drill records failed to indicate the specific time of day the drills occurred.

An unannounced fire drill was not conducted during the month of October 2024.

The resident's home contract was not signed by the resident, and there was no documentation regarding their ability or refusal to sign.

Staff member was observed administering medications despite their annual medication administration practicum having expired.

A Pennsylvania State Police Criminal Background Check was not completed for a staff member prior to their first day of employment.

A resident's medical evaluation documentation failed to note the resident's pulse rate or temperature.

Staff and resident interviews indicated that monthly unannounced fire drills were not being completed consistently.

Baby monitors were found in Room #1 and the kitchen area, violating the resident's right to privacy.

A glucometer reading was incorrectly documented on the Medication Administration Record.

Bed enabler bars for two residents were not covered or secured to the bed frames, posing a risk of injury.

The Medication Administration Record for Resident #4 contained incorrect dosage information compared to the prescriber's order.

The medication cart contained One Touch Ultra test strips that had expired on 9/30/2023.

The fire drill record for the drill conducted on 9/5/22 does not include the time when the drill was conducted.

A grab assist bar on a resident's bed was not covered or securely attached, posing an entrapment hazard.

A privacy coding document was attached to a posted inspection summary, exposing confidential resident information.

Licensing inspection summaries dated 7/7/21 and 7/7/20 were not posted in a public, conspicuous area.

An additional water test was not completed to confirm that contaminant levels were below the maximum allowable level.

The facility failed to report COVID-19 positive test results for residents and staff using the required Department tools despite multiple notifications.