The Solana Doylestown

Loose garbage, including disposable cups and containers, was found on the ground around the fenced-in dumpster area.

The facility lacked current rabies vaccination certificates for two of the four cats present in the home.

Poisonous materials, specifically a deodorant labeled with poison control instructions, were left unlocked and accessible to residents in a memory care bedroom.

Resident personal equipment, including bedside mobility devices, were not properly secured, creating entrapment zones and using non-manufacturer approved covers.

Two mattresses were found outside the home in uncovered receptacles.

The Memory care unit had an Amazon Alexa in the common area without posted signs regarding audio recording.

An uncovered and unattended trash can was found in the Memory Care kitchenette.

Boiler certificates for the home's three boilers have been expired since 8/31/2020.

A resident's bedside mobility device had an uncovered opening measuring 117 inches x 7 inches.

Poisonous materials, including Clorox wipes, acetone, and body wash, were left unlocked and accessible in a resident's room.

The resident-home contract was not signed by the resident's designated person, and there was no documentation that the resident was given the opportunity to sign.

The home failed to report a resident's accident and subsequent death to the Department within the required timeframe.

A resident's medication container lacked a pharmacy label reflecting a recent change in administration instructions.

The facility failed to follow prescriber orders regarding the timing and documentation of Lorazepam administration.

A staff person did not receive required orientation on fire safety and emergency preparedness topics.

Emergency telephone numbers for the nearest hospital and fire department were not posted by the telephones in resident rooms #222 and #302.

An expired bottle of Tramadol 50 mg was found in the 2nd floor medication cart.

Resident #1 had not received a medical evaluation since May 2021, failing the annual requirement.

Staff failed to record initials on medication administration records (MAR) for several medications administered to residents #2, #4, and #5.

Discrepancies were noted between glucometer readings and the medication log for Resident #3.

A direct care staff person lacked a high school diploma, GED, or active status on the Pennsylvania nurse aide registry.

The required influenza information poster was not posted in an area accessible to residents.

A discharged resident was not issued their owed funds within the required 30-day timeframe.

A copy of the regulations chapter was not posted in a conspicuous and public place in the home.

Poisonous cleaning products in the Secured Dementia Care Unit kitchen were kept in an unlocked and accessible cabinet.

Resident-home contracts for two residents were not signed by the residents.

Medical evaluations for residents were missing required information, including physical examinations, medication regimens, and dietary needs.

Resident records lacked signed statements acknowledging receipt of resident rights and complaint procedures for two residents.