Springfield Senior Living Community

The facility failed to immediately develop a supervision plan or suspend staff following an allegation of resident abuse.

A resident had not been showered or bathed since their arrival, despite the assessment and support plan indicating a need for assistance with personal hygiene.

Staff members handled a resident roughly and dragged them to the bathroom against their objections, causing physical pain and mental anguish due to fear of retaliation.

Staff person A did not receive fire safety and emergency preparedness orientation, including evacuation procedures and fire extinguisher use.

Staff persons A and B did not receive required initial orientation on their job duties before providing direct care.

Staff person A failed to complete required training topics, including resident rights and mandatory reporting of abuse, within 40 scheduled working hours.

An allegation of resident abuse was not reported to the local Area Agency on Aging until 10:47 A.M.

The facility failed to report an incident involving staff verbal remarks to the Department within 24 hours.

A staff member failed to treat a resident with dignity and respect by making disparaging remarks when the resident requested assistance.

A direct care staff person did not possess a high school diploma, GED, or active registry status.

The residence failed to inform residents or their designated persons of potential thefts occurring within the facility.

Emergency notification systems in living units were in disrepair, including a missing cord and a device that failed to send an alert.

There were living units that did not have an operable automatic smoke detector.

The residence lacked an interconnected and audible smoke detector or fire alarm system in the attic area.

The residence lacked documentation of an annual fire safety inspection conducted by a fire safety expert for compliance with PA 2800 regulations.

A resident's medical evaluation was not completed within the required timeframe following admission.

Sanitary conditions were inadequate, including mold in a resident bathroom, trash in a sink, and a clogged, malodorous janitor closet sink.

Walls and floors in a resident living unit contained openings and debris presenting tripping and cutting hazards, and a doorknob was missing.

Certain living units lacked individual control of heating and cooling because vents had been removed from the walls.

A bathroom in a living unit did not have a functioning flush toilet, as the toilet leaked water into a bucket when flushed.

Two of the home's elevators were not operational.

A resident did not have access to an operable lamp or light source at their bedside.

A resident had a prohibited portable space heater plugged into an electrical socket.

Poisonous materials, including Comet cleaner and Listerine, were found unlocked and accessible to residents at the SCU nurses station.

Unsanitary conditions were observed in a resident's room, including unwashed laundry for two weeks and dried feces on the bathroom floor.

Evidence of pest infestation was found in the kitchen and storage areas, including gnats, unidentified insects, and widespread mouse droppings.