Trosiek's Personal Care Home

Resident 1's annual medical evaluation was not completed by the required date.

Medication administration records (MAR) lacked documentation for insulin dosages and glucose readings, and prescribed ibuprofen was unavailable in the home.

The facility did not have a current written physician's order for a resident's insulin dosage.

An unlocked and unattended storage box containing insulin was found in the kitchen refrigerator.

Multiple instances were identified where the only staff members present in the home were not trained in first aid or certified in CPR/obstructed airway techniques.

Residents were told they must attend offsite programming and were not permitted to stay in the home when feeling unwell.

A Pennsylvania criminal background check had not been completed for an ancillary staff person.

Staff instructed residents to clean up their own incontinence accidents and vomit using cleaning chemicals and supplies.

The facility's staff list was missing contact information for an ancillary staff person.

A resident's initial assessment did not include information regarding bladder or bowel management.

Emergency telephone numbers for the nearest hospital and fire department were not posted on or near the living room telephone.

A resident's medical evaluation was completed more than 30 days after admission and lacked required vital signs and medication self-administration determination.

Support plans for residents #2, #3, and #4 were not signed by the assessor.

Resident #1's medical evaluation was missing blood pressure, weight, pulse rate, and temperature.

Resident #1's most recent assessment did not include the diagnosis of dementia.