The Atrium of Allentown

The home failed to report an incident involving resident behavior to the Department's regional office within 24 hours.

Resident records were left unlocked, unattended, and accessible because the wellness office door was left wide open.

The resident's annual support plan was not updated to reflect a new mechanical soft diet or recent changes in behavioral symptoms.

The home failed to immediately report a suspected abuse incident involving two residents in the dementia unit to the Area Agency on Aging.

Staff failed to use positive interventions or de-escalation techniques during incidents involving resident verbal outbursts and physical aggression.

The facility failed to report medication errors to the Department within 24 hours when medications were unavailable on site.

The MAR documented a glucose reading and insulin administration that did not follow the prescriber's sliding scale orders.

Bottles of Melatonin, D-3, and Bayer belonging to a resident were in the medication cart without being labeled with the resident's name.

The resident's support plan failed to document whether a required enabler bar needed to be covered to meet FDA guidelines.

Lidocaine was found unlocked, unattended, and accessible in a resident's room despite the resident not being assessed to self-administer.

Resident narcotic control sheets were found unlocked, unattended, and accessible on top of medication carts.

A bottle of morphine belonging to a discharged resident was found in the medication cart.

A resident's bedside mobility device was not securely attached to the bed and could move 4-5 inches.

Several OTC and CAM medications (melatonin, aspirin, and AlgaeCal) were in the medication cart without being labeled with the residents' names.

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

An unlocked bottle of wound cleaner, which requires poison control contact if swallowed, was stored in a medication cart in the secured dementia unit.

Two cigarette butts were observed lying in the mulch outside the rear exit door.

The home failed to follow the resident's plan of supervision, resulting in the resident eloping from the secured dementia care unit twice.

Cigarette butts were found in the grass near the home's exit and the designated smoking area, indicating improper maintenance of the smoking area.

No operating codes were conspicuously posted near the key-locking devices at the doors exiting the SDCU into the main area.

The annual resident assessment and support plan failed to indicate the resident's need for wound care or the agency providing the care.

The annual medical evaluation for a resident did not include a medication list or the resident's body temperature.

The annual resident assessment and support plan was not signed by the resident and did not indicate why the resident did not sign it.