The Birches at Harleysville

A resident did not receive required assistance with ambulation and transferring as indicated in their support plan, resulting in them being pushed in a wheelchair without supervision.

A resident was bitten on the finger by another resident, resulting in a hospital visit and a diagnosis of a human bite.

A resident admitted to the Secure Dementia Care Unit had documented a written objection to their admission.

Poisonous materials, including various toiletries with poison warnings, were found unlocked, unattended, and accessible in resident bathroom cabinets.

An over-the-counter medication jar belonging to a resident was not labeled with the resident's name.

Resident enabler bars were not secured to the bed frames according to manufacturer instructions.

Hand sanitizer with poison control instructions was left unlocked, unattended, and accessible to residents in memory care.

A can of butane was found unlocked, unattended, and accessible to residents in the garden house memory care area.

A resident who participated in the development of their support plan did not sign and date the plan.

The resident's initial support plan was not completed within the required 72 hours of admission to the secured dementia care unit.

The first aid kit in the Daybreak unit did not include the required eye coverings.

Two freezers were found above required temperatures: the Daybreak freezer was 15°F and the main kitchen ice cream freezer was 6°F.

The home failed to report an incident to the Department within 24 hours involving a resident who fell from a wheelchair and was transported to the hospital.