Ruston Residence

Two bottles of hand sanitizer and two containers of wipes were left unlocked and accessible to residents on a medication cart.

Directions for operating the locking mechanism are not conspicuously posted near the patio exit door in the special care unit.

The resident's initial support plan was not completed within the required 72-hour window of admission to the special care unit.

The thermometer in the freezer in the Laurel Way Activity Room was not in working order.

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

Three direct care staff persons did not receive required training regarding medication self-administration and meeting resident needs for the 2024 training year.

The Memory Care Unit exceeded its licensed capacity with 13 residents residing there instead of the permitted 12.

The facility failed to refund the remainder of previously paid charges to a deceased resident's estate within the required 30-day timeframe.

An itemized written account and refund were not provided to a discharged resident within 30 days of their departure.

Prescription medication was found in a torn and taped blister pack, failing to meet proper storage and integrity standards.

The nurse's office was left unlocked and unattended, and various resident binders and narcotics books were left unsecured on a medication cart.

The facility failed to provide a refund for a deceased resident in accordance with required regulations.

A discontinued prescription medication for a resident was found in the medication cart.

The facility had Albuterol Sulfate Solution for use with a nebulizer instead of the resident's prescribed inhaler.

A resident's medication administration times were recorded over an hour after the prescribed time.

Staff training records for medication administration contained discrepancies between summary forms and observation checklists.

The residence failed to report several incidents, including resident falls, ER visits, and deaths, to the Department within the required 24-hour timeframe.

Multiple residents did not receive required assistance with incontinence care as indicated in their assessment and support plans.

An allegation of resident abuse involving rough and rude assistance by staff was not reported to the local Area Agency on Aging.

The administrator's designee present during the inspection did not meet the required qualifications of an administrator.