The Terrace at Chestnut Hill

A pharmacy label for a resident's polyethylene glycol contained incorrect administration instructions compared to the MAR.

Two residents' records lacked current lists of medications, including discrepancies between actual medications in rooms and those listed in their records.

The outdoor patio area contained multiple tripping hazards, including an overturned table and an unstable umbrella stand.

Unsanitary conditions observed including food stains on furniture, feces on a toilet seat, a strong smell of urine, and unclean trash can lids and ice cream containers.

A resident was pushed by another resident in an elevator, resulting in a fall and a hip fracture.

The resident's support plan failed to document how specific medical diagnoses identified in a medical evaluation would be met.

An unlabeled and undated container of juice was found in the Memory Care kitchenette refrigerator.

The stairwell to exit 4 was dark due to an inoperable emergency light and a non-working ceiling light fixture.

An unlabeled and undistinguishable bar of soap was left unlocked, unattended, and accessible to residents in the Memory Care Room.

The rubber seal at the bottom of the refrigerator in the Memory Care kitchenette was falling off.

Two loose pills were found in the medication cart, and tape was found on the back of a resident's prescription bubble pack.

An allegation of resident abuse involving a laceration from a broken vase was not reported to the local area agency on aging.

The home failed to report multiple incidents of medication errors involving insulin administration and blood sugar levels to the Department.

A resident was subjected to physical harm and verbal abuse, and the resident's RASP was not updated to reflect assessments for agitation or aggression.

The assessment for resident 2 lacked the assessor's name, title, signature, or date signed.

Resident 2 participated in the development of their support plan but did not sign the document.

Resident 1's most recent medical evaluation was not completed at least annually.