Terrabella Harrisburg

The facility failed to ensure that 2 of 3 sampled medication aides had completed all required training, including the 5, 10, or 15-hour Medication Aide training, prior to administering medications. Specifically, one staff member lacked documentation for their 10-hour course and the date of their 5-hour course, while another staff member had no documentation of any required medication training course.

The facility failed to ensure that two out of five sampled residents were tested for Tuberculosis (TB) disease in compliance with required guidelines. Specifically, one resident had no record of a TB screening evaluation, and another lacked documentation of a required second-step TB skin test.

The facility failed to ensure that 2 out of 5 sampled residents were tested for Tuberculosis (TB) disease in compliance with public health guidelines. Specifically, one resident had no record of a TB screening evaluation, and another had a documented negative skin test but lacked the required second-step TB skin test.

The facility failed to maintain accurate medication administration records (MAR) as required by regulation. The documentation must include specific details such as the resident's name, medication strength, dosage, instructions, and documentation of any omissions or refusals.

The facility failed to protect food and beverages from contamination due to a heavy build-up of black substance and slimy yellowish residue in the kitchen ice machine. Additionally, several food items in the walk-in pantry, including cocoa, mashed potatoes, and egg noodles, were found partially opened without being properly sealed or labeled with an opened date.

The facility failed to ensure foods were protected from contamination. Specifically, the kitchen ice machine had a heavy build-up of a black substance and slimy residue that was in contact with the ice, and food items in the pantry were not properly sealed or dated when opened.