Seasons of Saxonburg

The narcotic count book was left unlocked and unattended on a medication cart, and hospice notes were accessible in an unlocked nurse's station.

The temperature in the reach-in cooler was measured at 44 degrees Fahrenheit, exceeding the required 40 degrees Fahrenheit.

The emergency exit door in the B-wing activity room failed to open when the panic bar was pushed.

The fire drill record for June 2025 failed to include the specific date the drill was conducted.

A resident was not administered prescribed medications as directed by the prescriber.

A copy of the Chapter 2600 regulations book was not posted in a conspicuous and public place.

There was no carbon monoxide alarm installed near the gas hot water heater in the mechanical room.

The resident-home contract for resident #1 was not signed by the resident.

Direct care staff members did not receive required training in medication self-administration, safe management techniques, or care for residents with mental illness/intellectual disabilities.

Poisonous materials, including bathroom cleaner and disinfectant spray, were left unlocked, unattended, and accessible to residents.

The pharmacy label for resident #1 was incorrect and did not match the prescribed dosage instructions.

Medications for resident #1 were not available as ordered due to improper storage and use of PRN medication bottles.