Windber Woods Senior Living & Rehabilitation Center

The resident-home contract for resident #1 was not signed by the resident's POA, who is the payor.

Two partial bedrails on resident #2's bed were loose and leaning away from the bed, creating an entrapment risk.

Super Zinc Picolinate for resident #3 was found in the medication cart with an expired date of 3/20/25.

The medication administration record for Resident #1 failed to indicate that prescribed Accu checks were completed on 7/7/24 and 7/21/24.

Three staff members did not receive first-day orientation regarding fire safety, smoking policies, and emergency notifications.

Three staff members completed 40 working hours without receiving training on the emergency medical plan and reporting incidents.

One staff member did not receive the required annual fire safety training for 2022.

The home failed to submit a reportable incident form to the Department regarding the death of a resident.

A staff member was working alone without being trained in first aid and CPR.

Staff administered morphine to Resident #1 that was prescribed to Resident #2 without a physician's order.

The facility failed to complete required annual medical evaluations for residents due to the lack of a tracking tool.

The facility failed to complete required annual assessments for residents due to the lack of a tracking tool.

The facility failed to ensure support plans were revised within 30 days of annual assessments or changes in resident needs.

The contract for Resident 1, admitted 1/25/19, was not signed by the resident.

Resident 1's record did not contain a signed statement acknowledging receipt of resident rights and complaint procedures.