Tri-County Respite-Quakertown House

A resident was physically assaulted, pushed to the ground, and subjected to inappropriate sexual touching by another resident in the gazebo area.

A direct care staff person did not receive required training in medication self-administration, resident needs assessment, and dementia care during the 2024 training year.

A resident's initial medical evaluation was incomplete, as it did not include an assessment of the resident's ability to self-administer medications.

Medication packaging was compromised when a torn multi-dose pack caused pills to spill into the medication cart.

An OTC medication bottle in the medication cart was not labeled with the resident's name.

The home failed to report a fire alarm incident involving a melting light fixture to the Department within the required 24-hour timeframe.

A staff member engaged in an unprofessional physical interaction with a resident and used a threatening tone, causing the resident to feel disrespected and unsafe.

Two incidents of physical contact between residents (a punch to the stomach and a slap to the arm) were not reported to the local area agency on aging as required for suspected abuse.

No ServSafe certified staff were available during certain hours of kitchen operation.

Video recording equipment was observed at the rear entrance without posted signage notifying residents of recording.

A direct care staff member had not received required training regarding care for residents with dementia, mental illness, or intellectual disabilities.

Cigarette butts were observed on the basement exit steps, which is not a designated smoking area.

An insulin pen was opened but not dated, preventing tracking of the 28-day discard limit.

Prescribed medications were initialed as administered on the MAR but were not signed out on the narcotics control record.

The temperature in the basement freezer was 10 degrees Fahrenheit, which is above the required limit for frozen food.

Outdated food items, including mustard, iced tea, and chicken salad, were found in the kitchen and food storage areas.

A resident's medical evaluation was not completed within the required 60 days prior to admission or 30 days after admission.

The first aid kit in the resident transport van was missing nonporous gloves, a thermometer, and adhesive tape.

Medication administration records contained errors, including documenting doses on the incorrect date.