Westminster Place of Oakmont

The exterior wooden steps and ramp leading from the dining room emergency exit to the courtyard lacked a non-skid surface.

Residents were involved in physical altercations, including one instance where a resident was struck with a cane causing a skin tear and another involving a bite injury.

An air conditioning vent cover in resident room #212 was rusted and had peeling paint.

Resident-home contracts for two residents were not signed by the residents.

An open and unsealed bag of frozen French toast was found in the second-floor kitchenette freezer.

Multiple food items in the second-floor kitchenette freezer were found unlabeled and undated.

A staff member aggressively grabbed a resident's call bell pendant and withheld it for 45 minutes, leaving the resident feeling intimidated and unsafe.

A bottle of nasal spray was found unlocked, unattended, and accessible on a resident's bedside table.

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

A staff member did not receive required orientation on fire safety and emergency preparedness topics during their first day of work.

The home's policy regarding the exchange and count of medication carts was not being properly implemented.