Viva Memory Care at Dresher

Staff were unaware of a telephone available for residents to use in private, stating only a landline behind the nursing station was accessible.

A staff member physically held a resident's arms to restrain them during a physical altercation between two residents.

Staff failed to follow narcotic destruction procedures by not having a second employee witness the wasting of controlled substances.

The medication administration record failed to correctly indicate the name and initials of the staff person administering medication at a specific time.

A strong urine smell was noted in various parts of the home, including hallways and room 29.

Various items of trash, including a plastic water bottle and rubber gloves, were found on the ground near the outside dumpster.

Five different medications for a deceased resident were found unlocked, unattended, and accessible in a bin behind the concierge desk.

An antiperspirant stick labeled with poison warning instructions was left unlocked, unattended, and accessible to residents.

The home has not retained copies of reportable incidents occurring between November 2023 and January 2024.

A direct care staff person did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.

A direct care staff person was providing unsupervised ADL services without completing and passing the Department-approved direct care training course and competency test.

A resident's prescription Eucerin topical cream was found in an unlocked drawer in their bathroom.

A resident participated in the development of their support plan, but the resident or assessor did not sign the support plan.

A discontinued medication (Trazadone 50 mg) was found in the medication cart.

Pharmacy labels and blister cards contained incorrect dosage instructions or lacked direction change stickers.

A resident's medication administration record (MAR) failed to include prescribed medications for Hyoscyamine and Ondansetron.

Medication administration records lacked staff initials for PRN doses and showed discrepancies between recorded administration and actual administration.

An allegation of resident abuse received on March 9, 2023, was not reported immediately in accordance with the Older Adult Protective Services Act.

The home failed to report several incidents, including an abuse/neglect complaint on March 9, 2023, and a resident argument and fracture, within the required 24-hour timeframe.

Multiple resident-home contracts failed to include a fee schedule specifying the actual amounts charged for available services.

The home failed to refund the remainder of previously paid charges to two residents within 30 days of their departure.

A Med Tech or Nurse was not present in the home from 10PM to 6AM on multiple dates to administer PRN medications.

No staff members certified in first aid, obstructed airway techniques, and CPR were present in the home during overnight hours on several dates.

A resident's most recent medical evaluation was not completed at least annually.

Medication was administered to a resident after the prescribed duration of the order had ended.