Roxborough Home for Women

The home failed to submit an incident report to the Department within 24 hours after discovering that two residents missed multiple days of prescribed medications.

A resident did not receive required assistance with ambulation due to a lack of available direct care staffing.

The home failed to immediately report a suspected abuse incident involving a staff member yelling at a resident to the appropriate authorities.

The home failed to report a resident incident to the Department's regional office or complaint hotline within the required 24-hour period.

The home's inspection summary report dated April 18, 2024, was not posted in a conspicuous and public place.

The home failed to post the required influenza information in a public place as required by the Influenza Awareness Act.

A resident contract was not signed and reviewed by the resident until after the inspection date.

Multiple resident contracts failed to indicate whether the home collects a portion of the resident's rent rebate benefit.

A staff person did not have a completed criminal background check, including an FBI check, because they resided outside of Pennsylvania.

The home allowed a staff member involved in an alleged abuse incident to return to work without implementing a plan of supervision.

The facility failed to report several incidents to the Department, including medication misuse, resident bullying, a choking incident, and staff verbal aggression.

A resident's fall was not reported to their designated person.

The facility was found to be in violation of HIPAA standards regarding the protection of sensitive patient health information.

The home failed to post the required influenza awareness information in a public place.

The facility's admissions policy and house rules allowed for unscheduled room inspections, potentially infringing on resident privacy.

Two staff members did not have completed criminal background checks at their time of hire.

A direct care staff person lacked a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.

The building exterior had a hazard involving an uneven metal bench and a displaced cushion on the lawn.

The home's copy of 55 Pa. Code Chapter 2600 was not posted in a conspicuous and public place.

An unwitnessed fall was not reported to the Department within 24 hours, and an incident report lacked required details such as date, time, and family notification.

The home lacked carbon monoxide detectors despite using fossil-fuel burning appliances.

The facility administrator did not have a completed criminal background check on file.

Rodent droppings were found on and around canned food in the food storage area.

Video cameras were observed near exit doors without posted signs indicating that images are being recorded.

The bathroom ceiling was in disrepair, featuring a large hole covered by a plastic bag and missing tiles exposing pipes.

The home lacked a 3-day supply of nonperishable emergency food and had only 6 gallons of emergency drinking water available.

A resident's medical evaluation was incomplete and missing the required medication addendum.

A resident's medication bin contained medication that had been discontinued.