Victorian Villa

The resident-home contract was not signed by the resident and the resident's payer.

The contract failed to explain the annual assessment, medical evaluation, and support plan procedures.

The resident-home contract did not specify the party responsible for payment.

The resident's right to rescind the contract within 72 hours of signature was not included in the contract.

A resident did not receive required assistance with bladder management and hygiene, evidenced by a strong odor of urine in the resident's room.

No staff members with current CPR and first aid training were present in the home during the 10:00 PM to 6:00 AM shift.

Sanitary conditions were not maintained as a strong odor of urine was present in a resident's room and the adjacent hallway.

Staffing levels were insufficient to meet a resident's need for a two-person assist during overnight shifts.

Medication administration for Nystatin powder was not consistently documented on the resident's Medication Administration Record.

The resident's assessment did not accurately reflect current service needs regarding assistance with toileting and hygiene.

The home did not have a qualified Administrator present in the home for the required average of 20 hours per week.

During the overnight shift, scheduled staff members were not certified or trained to pass medications for residents with PRN orders.

A fire safety inspection and fire drill conducted by a fire safety expert had not been completed within the last year.

Fire drill records failed to include the number of residents in the home and the number of residents who evacuated.

The home failed to complete the Mandatory ACT 13 Form following an allegation of abuse reported by the York Area Agency on Aging.

The home failed to report an allegation of abuse to the Department of Human Services within the required 24-hour timeframe.

Two staff members did not receive required fire safety and emergency preparedness orientation on their first day of work.

Required influenza awareness information was not posted in a public place within the residence.

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

No staff members were present in the home who were certified in CPR/First Aid during specific periods.

Bathrooms in rooms occupied by Resident #1 and Resident #2 lacked operable ventilation fans or windows.

Public bathrooms located behind the nurse's stations on the main and second floors lacked grab bars, hand rails, or assist bars.

An accumulation of lint was found on the screen in the basement dryer.