Quadrangle Personal Care

Staff instructed residents to remain separated and asked residents to leave each other's rooms, violating the right to freely associate and communicate privately.

A resident participated in the development of their support plans but failed to sign and date the documents.

Insufficient staff were present with required CPR and first aid/obstructed airway training during a period with 107 residents.

Approximately 3 inches of snow accumulation was found on several walkways and exits.

The administrator provided a partial staff contact list that did not include ancillary staff.

Multiple egress doors were unable to be opened due to snow and ice accumulation.

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

There was no thermometer in the refrigerator or freezer in the 1st floor activity room.

Cakes, pies, whipped cream, and ice cream were found in various refrigerators and freezers in opened and unsealed containers.

An unlabeled and undated bottle of Italian salad dressing and peanut butter were found in the secured dementia care unit freezer.

A resident in the secured dementia care unit was observed in a hospital gown and did not receive the required assistance with dressing as indicated in their support plan.

The resident-home contract for a resident was not signed by the home.

An incident occurred where a resident was bitten by another resident due to inadequate supervision, and a resident was left unattended in a sit-to-stand device while staff took a phone call.

The facility lacked a policy for reasonable call bell response times, and response times indicated inadequate staffing to meet resident needs.

A staff member failed to treat a resident with dignity by throwing a top sheet onto the bed and making an unprofessional remark.

A direct care staff person was identified who did not possess a high school diploma, GED, or active status on the Pennsylvania nurse aide registry.

An allegation of verbal abuse by a care manager was not reported to the local area agency on aging.

The home failed to report incidents of alleged verbal abuse and staff interaction concerns to the Department within the required 24-hour timeframe.

The shower seat in the bathroom of room #8147 was found to be unclean and unsanitary.

Emergency telephone numbers for the nearest hospital and fire department were missing from telephones in rooms 8141, 8219, and 8253.

Rugs in a bedroom were lifting and buckling, creating a trip hazard.