Viva Memory Care at Dresher

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

A resident was unable to access a telephone in privacy as staff were unaware of a cell phone available for private use.

The medication administration record did not correctly indicate the name and initials of the staff person administering medication at 5:00 PM.

Staff failed to follow narcotic destruction procedures by wasting medication without the required second-person supervision.

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

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

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.

Violation identified during inspection; fine assessment pending correction.

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

Violation identified during inspection; fine assessment pending correction.

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

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

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

Pharmacy labels contained incorrect dosage instructions, and a blister pack lacked required direction change stickers.

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

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

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

The home failed to report several incidents, including an abuse/neglect complaint and resident injuries, to the Department within 24 hours.

An allegation of resident abuse received on March 9, 2023, was not reported immediately in accordance with required protocols.

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

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