The Highlands at Wyomissing Personal Care Facility

The facility failed to follow prescriber orders regarding the scheduled frequency of a resident's urostomy appliance change.

Medication administration records were not accurately recorded at the time of service regarding a urostomy appliance change.

A resident eloped from the secured dementia unit after a door was left unsecured, resulting in a fracture.

Staff failed to properly count pre-filled syringes upon delivery, resulting in a discrepancy between the narcotic log and the actual physical count.

A PRN prescription for sublingual tablets was not available in the home at the time of inspection.

The emergency exit door near room 708 in the Meadow Memory Care Unit lacked an exterior light.

The green dumpster located near the mechanical room had an inoperable lid that would not close.

The Resident Assessment Support Plan for Resident #1 did not note if a cover was required for their enable bar to meet FDA guidelines.

A staff member restrained a resident, causing bruising to the resident's wrists.

Three staff members did not receive required fire safety and emergency preparedness training on their first day of employment.

Batteries in the kitchen carbon monoxide monitor were not labeled with the installation date.

Three staff members did not receive required resident rights and abuse reporting training within 40 hours of employment.

A resident eloped from the secured dementia unit during a fire drill because staff failed to perform a resident count.

Fire drill records were incomplete as staff failed to perform a resident count in the fire safe area during a drill.

Poisonous materials were accessible, resulting in a resident accessing and attempting to ingest a dishwasher detergent pod.