Viva Senior Living at Harrisburg

Medication storage issues were identified, including a sticky/dripping medication bottle, punctured blister cards, and an opened medication that exceeded its discard date.

Resident support plans failed to address the intended use, risks, and specific identification of required bedside mobility devices.

A bedside mobility device had a large, uncovered section measuring approximately 10" x 6" that posed an entrapment risk.

A staff member did not receive required annual training regarding the Older Adult Protective Services Act.

During July 2024, there were periods where fewer than the required two staff members with current CPR and first aid training were present.

Direct care staff did not receive required annual training in topics including personal care, safe management, and infection control.

A staff member engaged in a verbal confrontation with a resident and threatened to slap them.

The home failed to manage a resident's insulin sliding scale order correctly, with no evidence of required blood glucose checks prior to administration.

The home failed to follow prescriber orders, as several prescribed medications were not present on the MAR and were not administered to the resident.

The medication administration record (MAR) for a resident did not indicate the diagnosis or purpose for prescribed medications.

The smoking area pavilion furniture had fabric cushions without fire-resistant labels, and cigarette butts were found on the patio.

Staff handled utensils without gloves, tables were dirty with food stains/crumbs, and staff was not wearing a hairnet during food service.

The home failed to report several incidents to the Department within 24 hours, including a resident elopement, a resident fall with a fracture, and a resident leaving the building.

There was no carbon monoxide alarm located near the gas stove in the ground floor basement.

The resident home contract for Resident 4 was not signed by the resident.

A required refund for Resident 5, following their move out of the home, was not issued within the required timeframe.

The home failed to report incidents including staff verbalizing stress to a resident, improper medication administration, and a staff member filming a resident for social media within the required 24 hours.

A resident was not treated with dignity and respect after a staff member repeatedly told the resident, 'You're stressing me out,' causing the resident to become visibly upset.

A resident was subjected to verbal mistreatment by staff and denied hospital transport despite vomiting multiple times; staff also failed to notify emergency services or physicians of the declining condition.

A direct care staff person lacked a high school diploma, GED, or active status on the Pennsylvania nurse aide registry.

A staff person forcefully pushed a resident's wheelchair, causing the resident to fall and sustain facial bruising.

A staff person did not receive required orientation on general fire safety and emergency preparedness on their first day of work.

On multiple overnight shifts, the facility failed to have the required number of staff trained in First Aid and CPR present for the resident population.