St Jude's Haven Personal Care Home

A medication technician did not have a completed FBI background check on file and had not lived in Pennsylvania for the last two consecutive years.

Bed rails on three residents had uncovered vertical openings of 7 and 16 inches, posing an entrapment risk.

Resident #5 and Resident #6 were admitted to the home without a completed written resident-home contract in place.

A lift labeled Hospice was blocking the emergency exit egress at the end of the hallway.

A portable space heater was observed in use in a resident room and was hot to the touch.

A CO detector was not located in close proximity to the gas-fueled stove in the kitchen.

The home's current violation report, dated 10/14/21, was not posted in a conspicuous and public place.

Direct care staff members did not receive required annual training topics, including medication self-administration and infection control.

A direct care staff person provided unsupervised ADL services without completing the required Department-approved training and competency test.

On several dates, the only staff members present on the PM shift were not certified in First Aid and CPR.

A staff member was providing resident care without a completed criminal background check.

Multiple shifts were left without a trained Medication Technician, leaving the home unable to pass medications as needed.

A resident required two-person assistance for transfers, but a staff member attempted a transfer alone, resulting in a resident fall.

Staff A was hired on 1/1/20, but a criminal background check was not completed until 1/20/20.

Weekly menus were not posted in advance for the current inspection period.

The temperature in the kitchen's white Kenmore freezer was measured at 20 degrees Fahrenheit.

The medication for Resident #1 was not dated when opened, as required by manufacturer instructions.

Resident #1's medical evaluation did not include the physician's signature and license number.

The home did not review, update, or submit their emergency procedures for 2021.

The facility failed to conduct a fire drill during sleeping hours within the required six-month period.

A bottle of acetone nail polish remover was left unattended and accessible to residents in an unlocked closet.

The home failed to install a carbon monoxide alarm near the gas-burning stove as required by the Carbon Monoxide Alarms Standards Act.

Recent fire drills were conducted at times with extra staff present and lacked sufficient variance in days and times.