The Willows of Living Branches

The narcotics logbook was left unlocked, unattended, and accessible on a medication cart.

A staff member was observed using bare, ungloved fingers to administer medication to two residents without sanitizing hands.

Staff failed to follow proper medication administration procedures when administering a narcotic from the inventory log.

Discontinued earwax removal drops were found in the medication cart.

The resident-home contract for resident #1 was not signed by the resident.

Resident #1's record lacked a signed statement acknowledging receipt of resident rights and complaint procedures.

A staff person did not complete required orientation training regarding the emergency medical plan within 40 scheduled working hours.

Two uncovered, unattended trash cans were observed in the kitchen.

Various food items in the kitchen freezer and refrigerators were not labeled or dated.

The home's current license was not posted in a conspicuous and public place.

Incident reports lacked dates for reporting to the Department, and an unwitnessed fall was not reported until after the 24-hour deadline.

The home failed to post required influenza information in a public place as required by the Influenza Awareness Act.

Refund checks for several discharged residents were not sent within the required 30-day timeframe.

The current violation report and a copy of 55 Pa. Code Chapter 2600 were not posted in a conspicuous and public place.

A direct care staff person had no documented training hours for the training year September 2018 to August 2019.

A direct care staff person did not receive required training in several topics, including medication self-administration and infection control.

The home failed to submit a plan of supervision or notice of suspension to the Department following an allegation of abuse against a staff person.

The home failed to report an incident involving a resident receiving 2nd-degree burns from a heating pad to the Department within 24 hours.