Serenity Gardens at Mount Carmel

The home failed to report an abuse allegation involving four residents to the department within the required 24-hour timeframe.

There was no thermometer present in the freezer located in the memory care kitchenette.

Two piles of lint were observed behind the dryer in the laundry room, posing a combustible storage risk.

Fire drill records inaccurately indicated all residents were evacuated, while staff interviews revealed a resident was not evacuated.

A written cognitive preadmission screening was not completed for a resident prior to their permanent transfer to the Secured Dementia Care Unit.

The 55 PA Code Chapter 2600 regulations were not posted in a conspicuous and public area of the home.

An unattended cleaning cart containing a bucket of cleaning solution was found in the Secured Dementia Care Unit.

Required emergency telephone numbers were not posted by the resident's landline telephone in their bedroom.

Several small pieces of broken glass were located near the home's dumpster.

A cloth barrier was placed across the dining room entrance, obstructing the egress route to the emergency exit.

A direct care staff person had not completed and passed the required Department-approved training and competency test before working unsupervised.

Residents in rooms 302 and 307 did not have an operable lamp or bedside lighting source.

In a shared room, a bar of soap was found on the sink without being labeled or in a labeled container.

Two dented cans (mushrooms and apricots) were found in the kitchen can storage area.

Accumulated snow behind a courtyard gate blocked immediate egress in the event of an emergency.

A 12"x12" cutout in the courtyard cement was filled with wood that had sunk, creating a tripping hazard.

The exit door outside the administrator's office required excessive force to open, preventing immediate egress.

Spray bottles for bleach and OdoBan in the laundry room lacked original manufacturer labels.

Hot water temperatures in two resident bathrooms were measured at 129°F and 131°F, exceeding the 120°F limit.

The personal care home complaint hotline number listed on emergency contact sheets was incorrect.

The facility failed to conduct an unannounced fire drill in December 2021.

Fire drill logs from 1/22 to 9/22 were incorrectly documented, failing to list exit routes used or residents evacuated.

A resident was found in a wheelchair with a bed sheet wrapped around the waist and tied to the chair to prevent falls.