Wellington Court at Hershey's Mill

An uncovered and unattended trash can was observed in the kitchen near the entrance.

Approximately 10 bags of trash containing adult briefs and bed liners were left on the hallway floor, accompanied by a strong urine odor.

Purell Hand Sanitizer was found unlocked, unattended, and accessible in a resident room.

The home failed to report an incident to the Department within 24 hours and submitted an incident report containing incomplete information regarding medication timing.

Medications administered in the Secure Dementia Care Unit were not initialed in the residents' medication administration records (MARs) at the time of administration.

The second floor narcotic log was found unlocked, unattended, and accessible on the medication cart.

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

A resident did not have a required annual medical evaluation completed for the year 2024.

A direct care staff person did not receive required training regarding meeting resident needs as described in assessment tools and support plans.

Resident preadmission screening forms dated 11/9/23 and 4/12/23 indicated that the resident's needs could not be met by the home's services.

Residents were selected for the home despite pre-admission screenings indicating their needs could not be met, and they are residents of the memory care unit.

Resident support plans failed to document how identified needs for services, such as aggression and agitation, would be met.

Preadmission screening forms for two residents did not include a determination that the residents' needs could be met by the home's services.

A resident's medical evaluation did not include medical information pertinent to diagnosis and treatment in case of an emergency.

A resident reported being treated disrespectfully by a staff member who refused to assist with moving a table.

Staff were administering medication in common areas and using personal cell phones with earpieces while providing care.

A resident participated in the development of their support plan but failed to sign and date it.

A resident did not receive required assistance with ambulating as indicated in their assessment and support plan.

An uncovered and unattended trash can was found in the main kitchen.

A supervisory employee in the Culinary Department lacked the required food safety certification.

Contractors working during renovations had not undergone proper criminal background checks and were not accompanied by staff.

Inadequate staffing in the dining room caused a 30-minute delay in meal service for residents.

Additional assessments and support plans were not completed following significant changes in resident conditions, such as medication self-administration needs and diet changes.

The facility failed to implement measures to prevent ongoing abuse/physical altercation between two residents despite being aware of a history of hitting.