Smith Health Care Ltd

There was no verification that Staff Member A completed the required 24 hours of annual training for the 2023 year.

Medication administration records contained incorrect documentation regarding insulin units administered based on the resident's sliding scale.

Monthly fire drill logs failed to document the number of residents evacuated or the number of staff participating between 11/2023 and 11/2024.

Medication administration records were incomplete, and a prescribed PRN medication could not be located in the medication cart.

The facility failed to follow prescriber's orders regarding the administration of insulin per prescribed sliding scale parameters.

An expired PRN medication was found on a resident's medication cart.

A pharmacy label on a resident's PRN medication was too faded to be read.

Discrepancies were found between glucometer readings and the documentation in the Medication Administration Record (MAR).

The exit door from the ground floor to the parking lot was obstructed by caution tape tied to the handles.

Fire drills were held on similar days of the month for four consecutive months.

The Resident Assisted Support Plan (RASP) for Resident 1 was not signed by the resident and did not document a refusal or inability to participate.

The medical evaluation for Resident 71 was missing required information regarding body positioning, health status, and mobility assessment.

On several dates in August 2019, the facility failed to have the required number of staff members certified in First Aid and CPR present in the home.

A direct care staff person hired on 6/1/19 did not have a Pennsylvania State Police Criminal Background Check completed.

The Administrator completed only 12 hours of the required 24 hours of annual training for 2018.

Approximately 30 cigarette butts were observed on the ground in the parking lot near the main entrance, indicating smoking outside the designated area.