Souderton Mennonite Homes

A resident with cognitive impairments eloped from the secure unit and was found a mile away; the home had not updated the resident's assessment for wandering needs.

The home failed to report an unexpected death and a change in condition to the Department within the required 24-hour timeframe.

A direct care staff member did not receive required annual training in medication self-administration for the 2024-2025 training year.

Residents who participated in the development of their support plans did not sign and date the documents.

The fire extinguisher in the Secured Dementia Care Unit had not been inspected by a fire safety expert since August 2024.

A direct care staff person did not receive required training in medication self-administration for the 2024-2025 training year.

A resident reported feeling intimidated and disrespected by a staff member who exhibited a poor attitude during care.

Emergency telephone numbers for the nearest hospital and fire department were not posted by the telephone in resident bedroom 3515.

Poisonous materials, including hand cleanser and bleach wipes, were left unlocked and accessible to residents in the dementia care unit.

The last fire safety inspection conducted by an expert did not include the newly built Serenata neighborhood.

The current license inspection summary and a copy of 55 Pa.Code Chapter 2600 were not posted in a conspicuous and public place.

Emergency telephone numbers were not posted on or by the telephones in the Serenata activity area and kitchen.

Resident's blood glucose reading was illegible, but was documented as high on the Medication Administration Record.

The medication administration record did not include the initials of the staff person who administered medication for a resident in November 2023.

Multiple instances were identified where prescribed medications were not administered according to the prescriber's orders, including missed doses and medication unavailability.

Regulatory violation identified during inspection.

Regulatory violation identified during inspection.

Regulatory violation identified during inspection.

Violations related to abuse and resident protection.

Resident #2's medical evaluation was missing documentation regarding special health or dietary needs.

The date and time of Lorazepam administration for Resident #3 were not recorded in the narcotic log book at the time of administration.

Resident #1 did not have access to an operable lamp or light source at their bedside.

The preadmission screening form for Resident #2 had a blank completion date, making it impossible to determine if the screening occurred within the required timeframe.