Providence Place of Lancaster

A resident's room smelled of urine, and a urine bottle was observed partially filled and hanging on the resident's walker.

Thera honey advanced wound care gel was observed unlocked, unattended, and accessible in a resident's medicine cabinet.

The facility failed to follow prescriber orders as a resident was not administered prescribed medications at 4:00pm, 5:00am, or 7:00am.

A resident was not administered 4:00pm medications, and the incident was not reported to the Department within the required 24 hours.

Preadmission screening forms for two residents lacked completion dates, and one screening was not completed in collaboration with a physician or geriatric assessment team.

Two residents' support plans were developed but not signed and dated by the residents or their designees.

A room marked 'chemicals' was unlocked and unattended, leaving poisonous substances accessible to residents.

There was an accumulation of lint in the lint trap of the dryer in the west hallway laundry room.

A chair and a piano were blocking the egress route from the main dining room.

Emergency telephone numbers for the nearest hospital and fire department were not posted by the telephone in bedroom 24.

Food items, including cherry pie filling and hamburger patties, were stored in unsealed containers.

Fire drill records failed to include problems encountered or reasons why certain residents did not evacuate.

Residents did not receive the level of supervision (extensive and moderate) required by their assessment and support plans.

Empty medication bottles with resident names and prescription labels were left unlocked, unattended, and accessible on a medication cart.

An allegation of resident abuse was not reported to the local Area Agency on Aging in a timely manner.

A bottle containing prescription capsules was observed unlocked, unattended, and accessible on top of a medication cart.

Toothpaste and deodorant with ingestion warnings were left unlocked and accessible to residents in the secured dementia unit.

The resident's preliminary support plan failed to include necessary care services for their medical diagnosis of asthma and hypoxia respiratory failure.

An additional written assessment was not completed following a significant change in resident condition after an unwitnessed fall and prescription of a neck brace.

A resident was pushed to the ground by another resident, and a staff member was observed inappropriately touching and kissing a resident.

Poisonous materials, including an odor eliminator and a tube of toothpaste, were left unlocked and accessible to residents in the dementia unit.

A pungent odor of urine was detected in resident room #210.

Cognitive preadmission screenings were either not completed or missing the date of determination for residents admitted to the special care unit.

A resident's annual support plan was signed by the assessor but lacked a date in the summary section.

Multiple incidents of physical and verbal altercations occurred between residents, resulting in skin tears and physical injury.

The residence failed to report an allegation of theft made by a resident to the local area agency on aging or to the Department.

Two residents prescribed a mechanical soft/chopped diet were served sandwiches that were not chopped.