The Hearth at Drexel

Inaccurate documentation and calibration of glucometers were noted on the medication administration records for residents.

An open medication was present in the medication cart that should have been discarded six weeks after opening per manufacturer instructions.

An OTC medication bottle in the medication cart was not labeled with a resident's name or room number.

Staff failed to review the resident's medication administration record, glucose log, or physician's orders before re-administering a blood glucose check and medication.

Medications were administered at intervals that did not follow the prescriber's as-needed orders.

Staff documented administration of medications on the incorrect narcotic sheets for residents with standing and as-needed orders.

Privacy concerns were noted regarding camera recordings and the lack of signage to communicate video recording presence.

Carbon monoxide detectors were not installed within 15 feet of gas appliances in the main kitchen or near gas dryers in the basement.

Medication cellophane packets containing identifiable resident names and medications were found in the trash on a medication cart.

A voice-controlled video device was located in a resident room without the required notification signage posted.

Residents were denied access to their living units because the home was locking doors to prevent other residents from entering.

Toothpaste with poison warning labels was left unlocked, unattended, and accessible to residents.

Resident records were found accessible, unattended, and unlocked in the nurse's station with doors left open.

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

Residents did not have annual medical evaluations completed.

Annual written assessments for residents were not completed.

Current violation reports from 07/06/23, 12/09/22, and 07/18/22 were not posted in a conspicuous and public place.

The medication room door was left open, leaving resident records unlocked and unattended.

An allegation of resident abuse involving a resident striking another with a shoe was not reported to the local Area Agency on Aging.

The residence failed to report several incidents, including falls, medication errors, and hospitalizations, to the Department in a timely manner.

Residents were unable to receive showers or maintain basic hygiene due to the loss of hot water from 7/2/2023 to 7/5/2023.

The residence failed to report a hot water heater failure and subsequent 4-day outage to the Department within the required 24-hour period.

The home failed to follow written emergency procedures regarding alternate means of meeting resident needs during a utility outage.