The Community at Rockhill

A staff person did not have a high school diploma, GED, or active status on the Pennsylvania nurse aide registry.

A medication cart contained Lantus insulin without a recorded opening date, which is required for proper temperature and usage tracking.

Eye drops were found in the medication cart past their 90-day discard date after opening, and several blister packs had punctured foil exposing medication to potential contamination.

The first floor nurse's station was left unlocked with resident charts unattended and accessible.

A resident was admitted without a medical evaluation completed within the required 60 days prior to or 30 days after admission.

A resident's medical evaluation failed to include special health/dietary needs and immunization history.

Resident 1 did not review the resident-home contract upon admission.

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

Resident #1's record lacked a signed statement acknowledging receipt of resident rights and complaint procedures.

A resident's wander guard alarm failed to function, allowing the resident to exit the personal care home unnoticed.

The resident-home contract for resident #1 was not signed by the administrator or a designee.

There was no documentation that residents 1, 2, 3, and 4 were informed at admission that security cameras are used at entrances and exits.

Two staff members failed to complete required training on emergency medical plans and reporting incidents within their first 40 working hours.

Training records for staff members C and D did not include any training documentation following their initial orientation.

A resident did not receive assistance as required by their support plan because a nurse was not available to assist until 27 minutes after a call bell was activated.

A resident's hospital bed was not safe for use as the wheels were not locked, causing the bed to move and the resident to fall during a transfer.

A resident's assessment was not updated to reflect a significant change in their ability to ambulate independently using a walker.