Shenango Presbyterian Home

The home failed to submit an incident report to the Department within 24 hours regarding a resident fall that resulted in a fracture.

Documentation was missing for the annual 2024 fire safety training for two staff members.

Multiple staff members were unable to identify the location of the first aid kit during interviews.

Fire drill records were incomplete, lacking details on exit routes used, alarm operability, and problems encountered.

An allegation of resident abuse was not reported to the proper authorities until several hours after the incident occurred.

A staff member yelled at a resident during an incident involving resident aggression.

A resident did not receive prescribed medication doses because the medication was not available in the home.

A steam table with an outside temperature of approximately 164 degrees Fahrenheit was located in an unsecured cabinet and accessible to residents.

Multiple items of vegetables and peaches in the secured dementia care unit's refrigerator were not dated.

Multiple undated food items, including cookie pucks, mixed vegetables, and diced peppers, were found in the main kitchen's walk-in freezer.

Prescription medication labels did not match the prescribed instructions for dosage and frequency for two residents.

The home failed to report an allegation of staff roughly handling a resident to the local Area Agency on Aging until 7/3/24.

The home failed to submit a plan of supervision or notice of suspension for a staff member accused of rough handling, allowing them to continue working through 7/29/24.

Staff training records for the period between 11/1/23 and 12/31/23 did not include the date and length of training.

A resident's medication administration record did not include the initials of the staff person who administered the medication.

A resident's most recent assessment of care needs was not completed according to the required annual schedule.

A resident's support plan was not signed by the resident and the assessor until 11/28/23, despite being completed in 2022.

Staff person A did not receive required training in medication self-administration or instruction on meeting resident needs during the 2022 training year.

Staff persons A and B did not receive required annual training in fire safety, emergency preparedness, resident rights, or the Older Adult Protective Services Act.

The home's training records for staff person A were incomplete.

Carbon monoxide alarms were not installed near the two commercial gas dryers in the laundry room.

Refrigeration temperatures in the reach-in and pie freezers were above required levels, and thermometers were missing from the ice cream freezer and SDCU refrigerator.

Various food items, including vegetables, waffles, icing, and pantry goods, were stored in open or unsealed containers.