Symphony Square at Bala Cynwyd

A direct care staff person began providing unsupervised ADL services before completing required initial training.

An agency staff member did not receive required fire safety and emergency preparedness orientation on their first day.

A staff person was hired and began working before their criminal background check was completed.

The facility failed to use the Pennsylvania State Police Criminal Background Check (ePatch) for a new hire and failed to request a new check for a rehired staff member.

Staff entered a resident's apartment and moved personal items/documents without legitimate reason, violating resident privacy.

Assignment sheets for the secured dementia care unit were left unlocked, unattended, and accessible on a medication room countertop.

The resident-home contract for resident #1 was not signed by the resident.

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

The medication room in the Memory Care Unit was found unlocked, unattended, and accessible to others.

Poisonous materials, including laundry detergent and toothpaste, were left unlocked and accessible to residents in the medication room.

A resident was struck by another resident during an argument, resulting in a head injury and hospitalization for a subarachnoid hemorrhage.

A resident's medical evaluation contained uninitialed corrections, blank date fields, and an evaluation date that fell outside the required 60-day pre-admission range.

The resident's support plan assessment failed to address several diagnoses listed on the resident's medical evaluation, including osteoporosis and depression.

The resident-home contract for Resident #3 was not signed by the resident.

The home's current violation report dated 10/18/2023 was not posted in a conspicuous and public place.

The home failed to report an incident involving residents hitting each other and causing a fall to the department within 24 hours.

Resident #3's record lacked a signed statement acknowledging receipt of resident rights and complaint procedures.

A preadmission screening form failed to include a determination regarding the resident's ability to recognize and use poisons safely.

Medical evaluations for residents lacked required information regarding emergency diagnosis/treatment and medication regimens.

The facility failed to report several incidents to the Department within 24 hours, including a resident leaving the facility and a resident's death.

A resident's preadmission screening form failed to include a determination that the resident's needs could be met by the home.

A resident admitted to the Secure Dementia Care Unit did not have a medical evaluation documented within the required 60 days prior to admission.

A direct care staff person did not have a high school diploma, GED, or active registry status as their CNA had expired.

Two residents participated in the development of their support plans but failed to sign the documents.