The Residence at Chadds Ford

Various food items, including eggs, crackers, and tuna, were stored directly on the floor in the walk-in fridge and freezer.

Multiple food items, including chocolate sauce, ice cream, cereal, and rice, were found unlabeled and undated in various storage areas.

Feces were found smeared on an activity table and a nearby chair in the secured dementia care unit.

Aqua fresh extreme clean toothpaste was left unlocked, unattended, and accessible to residents in the dementia care unit.

A bottle of hand soap with warning labels was found unlocked, unattended, and accessible to residents in the secure dementia care unit.

An uncovered trash can containing food wrappers and bottles was observed in the first-floor cafe area.

The home failed to report a medication error to the Department after a resident's prescribed Oxycodone was not administered due to unavailability.

Food items, specifically boxes of tilapia filets, were observed being stored directly on the floor.

A resident's most recent medical evaluation lacked medical information pertinent to diagnoses and treatment, as well as immunization history.

Medications were not administered as prescribed, specifically regarding timing with snacks and meals.

The Medication Administration Record (MAR) used pre-printed time ranges instead of documenting actual administration times.

An error in the entry date was made on a narcotic control record and was not corrected.

Narcotic medication count logs for Zolpidem Tartrate and Temazepam lacked the required signatures for the person administering the medication.

The home's menu was not posted in a conspicuous place.

Discrepancies were found in medication counts for Lorazepam syringes and errors were noted in glucose meter documentation and transcription.

Residents 1 and 2 did not have access to a bedside light source that could be turned on/off independently of the wall switch.

Containers of fruit salad and pudding in the 4th floor kitchen refrigerator were found without labels.

A person was observed smoking near the emergency exit door, and no smoking prohibition signs were posted in that area.

Prescription medication for Resident 3 was being administered by family members, who are not authorized personnel.

The resident's support plan failed to document how the resident's identified need for a mechanical soft diet would be met.