The Garden at Pine Run Health Center

A staff member was not respectful and used a loud voice to order a resident to sit down in front of others.

Direct care staff persons A and B did not receive required infection control training during the 2024 training year.

Direct care staff persons A and B did not receive annual training in fire safety, emergency preparedness, or the Older Adult Protective Services Act.

Narcotics logs for medication carts were left out on top of the carts instead of being secured.

A direct care staff person did not receive required training in infection control and hygiene principles during the 2024 training year.

A staff person lacked required annual training in fire safety, emergency preparedness, and the Older Adult Protective Services Act.

The trash can in the memory care kitchenette was found uncovered and not in use.

The remainder of previously paid charges for a deceased resident was not credited to the spouse's account within the required timeframe.

Toothpaste containing a warning for accidental swallowing was left unlocked, unattended, and accessible to residents in room #507.

Emergency telephone numbers for the nearest hospital and fire department were not posted by the telephone in room #507.

Staff were signing out PRN medications from the medication card without a direction change sticker on the pharmacy label.

A strong odor of urine was evident in the hallway and near the emergency exit, and dried feces were found on a resident's toilet seat.

A medication on the medication cart was discontinued but had not been removed from the home.

An unlabeled package of OTC/CAM medication was found in the medication cart, and the facility could not verify the owner.

Staff failed to complete the controlled substance log for the morning medication pass and failed to record a blood glucose reading on the MAR.