Every finding on record at Peter Becker Community

Based on facility policy review, employee file review, and staff interview, it was determined that the facility failed to ensure employees completed required abuse training in a timely manner for one of five newly hired employees. (Employee 1)Findings include: Review of the facility policy entitled, Abuse Prevention and Investigation, last reviewed August 19, 2025, revealed that all staff would receive abuse prevention training during orientation and annually thereafter. Review of employee files revealed the following: Employee 1 (E1) had been working at the facility as a licensed practical nurse since April 20, 2026. There was a lack of evidence that the employee had completed abuse training until April 26, 2026, six days after they started working in the facility. In an interview on May 13, 2026, at 11:20 a.m., the facility scheduler confirmed that E1 was working amongst residents starting on April 20, 2026. In an interview on May 13, 2026, at 1:50 p.m. the [NAME] President of Human Resources confirmed that E1 did not complete the abuse training until April 26, 2026, six days after they started working with residents in the facility. 28 Pa. Code 201.14(a) Responsibility of Licensee. 28 Pa. Code 201.18(b)(1) Management. 28 Pa. Code 201.19(3)(7)(8) Personnel policies and procedures.

Based on clinical record review, observation, and staff interview, it was determined that the facility failed to implement interventions to prevent further decline and/or improve range of motion for one of two sampled residents with limited range of motion. (Resident 6)Findings include: Clinical record review revealed that Resident 6 had diagnoses that included Parkinson's disease, Alzheimer's disease, dementia, and chronic pain syndrome. The Minimum Data Set assessment dated [DATE], indicated that the resident had severe cognitive impairment, had impaired bilateral upper and lower extremities, and was dependent on staff for personal hygiene and dressing. On March 1, 2026, the physician ordered that staff apply bilateral hand splints for contractures every morning at 9:00 a.m., and remove the hand splints every evening at 9:00 p.m. Observations on May 12, 2026, at 10:45 a.m., and 12:20 p.m., and on May 13, 2026, at 10:52 a.m., revealed that Resident 6 did not have the hand splints in place and the resident's hands were observed tightly contracted. In an interview on May 13, 2026, at 1:58 p.m., Employee 2 confirmed that the resident was identified with a contracture to her bilateral hands and that the bilateral hand splints should have been in place as ordered when the resident was observed. 28 Pa. Code 211.12(d)(1)(5) Nursing services.

Based on policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in two of two kitchenettes (Great Oak and Elm) and in the main kitchen of the dietary department. Findings include: Review of the facility's policy entitled, Date Marking for Food Safety, dated [DATE], revealed that staff were to label food items with the date the item was opened and the items were to be discarded by the use-by date. Observations during the tour of the two kitchenettes and the main kitchen on [DATE], at 10:30 a.m., revealed the following: In the Great Oak kitchenette reach-in cooler, there was an opened container of cottage cheese with a use-by date of [DATE], and had an opening date of [DATE], written on the lid. In the deli cooler, there was a pan of egg salad with a use-by date of [DATE], and a bagel with a use-by date of [DATE]. There was a pan of lettuce and a cut wrapped sweet potato that were both not dated. In the Elm kitchenette reach-in cooler, there was a dished pan of pears labeled use-by [DATE], and a dished pan of pureed fruit cup labeled use-by [DATE]. In the deli cooler, there was a container of chicken salad with a use-by date of [DATE], a container of tuna salad labeled use-by [DATE], a package of six hot dogs labeled use-by [DATE], a container of lemon slices labeled use-by [DATE], a package of cream cheese labeled use-by [DATE], and a package of sliced provolone cheese labeled use-by [DATE], and all items were opened. There was a container of 10 eggs, a cut wrapped onion, and an opened package of sliced cheese that were not dated. In the Main Kitchen reach in cooler, there was a package of cheese slices that was open to air and an opened package of whipped topping that was not dated. In the walk-in cooler, there was a container of cottage cheese with a use-by date of [DATE]. There was a container of 17 eggs and a large container of 30 peeled potatoes in water that were not dated. In dry storage, there was an opened package of walnuts that was not dated. In an interview on [DATE], at 11:30 a.m., the Assistant Director of Dining confirmed these items should have been dated, expired items should have been removed, and the food items were for use in the skilled areas. 28 Pa. Code 201.14(a) Responsibility of licensee.

Based on clinical record review and staff interview, it was determined that the facility failed to develop a comprehensive care plan to meet each resident's needs identified in the comprehensive assessment for one of 16 sampled residents. (Resident 15) Findings include: Clinical record review revealed that Resident 15 was admitted to the facility on [DATE], and had diagnoses that included depression. The Minimum Data Set Care Area Assessment summary dated March 23, 2025, noted that the resident's psychotropic drug use was to be addressed in the care plan. Review of the medication administration record in March and April 2025, revealed the resident was receiving an antidepressant. There was no documented evidence that interventions to address Resident 15's psychotropic drug use were included in the current care plan. In an interview on April 9, 2025, at 2:40 p.m., the Director of Nursing confirmed there was no documented evidence that the care area was addressed in the Resident 15's current care plan. 28 Pa. Code 211.12(d)(1)(5) Nursing services.

Based on clinical record review and staff interview, it was determined that the facility failed to restorative ambulation services to maintain or improve mobility for two of 14 sampled residents. (Residents 16, 42) Findings include: Clinical record review revealed that Resident 16 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the current care plan revealed that the resident was to receive a nursing restorative ambulation program to ambulate 100 to 150 feet with a wheeled walker and contact guard assistance from staff. During the Resident Council interview conducted on June 28, 2022, at 10:00 a.m., Resident 16 reported that she did not receive assistance with walking on a regular basis and that she would like to walk more. Documentation for the past 30 days on the nurse aide task sheets indicated that the resident was offered assistance walking in the corridor seven days and offered her restorative nursing program one day. There was a lack of evidence that she was offered assistance to walk on 22 of the past 30 days. Clinical record review revealed that Resident 42 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . On August 20, 2021, the physical therapist recommended that she receive a restorative nursing program for ambulation. Review of the current care plan revealed the resident was to receive a nursing restorative ambulation program to ambulate 90 to 100 feet with contact guard and a rolling walker. During the Resident Council interview conducted on June 28, 2022, at 10:00 a.m., Resident 42 reported that she did not receive assistance with walking on a regular basis and that she would like to walk more. There was a lack of evidence that the resident was offered her restorative ambulation program or assisted to walk in the corridor during the 30 day period prior to June 28, 2022. During an interview on June 29, 2022, at 10:59 a.m., the Therapy Manager reported that residents on a restorative ambulation program should be assisted to walk daily. 28 Pa. Code 211.12(d)(1)(3) Nursing services.

Based on facility policy review, observation, and staff interview, it was determined that the facility failed to ensure appropriate storage and timely disposition of expired medications on one of four nursing units. (Aster Avenue) Findings include: Review of the facility policy entitled, Medication Storage in the Facility, revealed that outdated medications were to be immediately removed from inventory, disposed of according to procedures for medication disposal, and reordered from the pharmacy if a current order existed. When the original seal of a manufacturer's container or vial broken, the container or vial would be dated. The nurse should date the do not use after sticker on the medication. Observation of the medication cart on Aster Avenue nursing unit on June 28, 2022, at 10:00 a.m., revealed a container of [MEDICATION(S)]-[MEDICATION(S)] solution (a breathing treatment) that was open and not dated and a blister pack of [MEDICATION(S)] acetaminophen (a pain medication) with an expiration date of April 30, 2022. During the same observation, the medication refrigerator in the medication room on Aster Avenue nursing unit contained a package of [MEDICATION(S)] (an antianxiety medication) that was open and not dated. In an interview during the observation, LPN 1, stated that the [MEDICATION(S)]-[MEDICATION(S)] solution should have been dated after opening, the [MEDICATION(S)] acetaminophen should have been destroyed, and the [MEDICATION(S)] should have been dated after opening. 28 Pa. Code 211.9(h)(i)Pharmacy services. 28 Pa. Code 211.12(d)(1)(2)(3)(5)Nursing services.

Based on observation, interview, facility policy review, and review of facility documenation, it was determined that the facility failed to store food under sanitary conditions in the kitchen, in the hospitality lounge, and on two of four nursing units. (Tulip Terrace and Sweet [NAME] Way) Findings include: Review of facility policy entitled, Food From Home, edited July 2020, revealed all food items that were already prepared by the family or visitor must be labeled with content and dated. Observation in the main kitchen on July 13, 2021, at 10:10 a.m., revealed two boxes of cartons of apple juice with expiration dates of April 24, 2021, and February 21, 2021, two boxes of cartons of tomato juice with expiration dates of March 9, 2021, and March 28, 2021, two boxes of cartons of pineapple juice with expiration dates of May 12, 2021, and January 11, 2021, and one box of cartons of orange juice with an expiration date of February 11, 2021, in the emergency food supply in dry storage. Further observation of the dry storage area revealed five cartons of Med Plus vanilla no sugar added 1.7 supplement with an expiration date of June 12, 2021. There was a 25 pound bag of panko breadcrumbs that was open, the contents were not transferred to an airtight container for continued storage. Observation of the refrigerator in the nursing station serving Tulip Terrace and Sweet [NAME] Way nursing units at 2:37 p.m., on July 14, 2021, revealed six cartons of Med Plus vanilla no sugar added 1.7 supplement with an expiration date of June 12, 2021. The thermometer located inside the refrigerator displayed 42 degrees Fahrenheit (F), which is above the safe refrigeration temperature of 41 degree F. Review of the refrigerator temperature logs for the nursing unit refrigerator for July of 2021, revealed the following: A documented temperature of 42 degrees F for the morning observation on July 1, 3, 5, 10, and 14, and the evening observation on July 2, 8, 12, 13, and 14. A documented temperature of 44 degrees F for the morning observation on July 2. There was no documented evidence that the internal temperature of the refrigerator was monitored for the evening observation on July 3, 4, 9, 10, or 11. Review of the refrigerator temperature logs for the nursing unit refrigerator for June of 2021 revealed the following: A documented temperature of 42 degrees F for the morning observation on June 3, 4, 6, 7, 11, 12, 14, 15, 16, 20, 21, and 25, and during the evening observation of June 1, 7, 17, 26, and 27. A documented temperature of 44 degrees F for the morning observation on June 2, 10, and 22, and the evening observations on June 12, and 18. A documented temperature of 46 degrees F for the evening observation on June 22. There was no documented evidence that the internal temperature of the refrigerator was monitored for the evening observation on June 3, 5, 6, 8, 15, 16, 19, 20, 24, or 30. There was no documented evidence that the internal temperature of the refrigerator was monitored in the morning or evening of June 29. There was no documented evidence of any corrective action taken by the facility when the refrigerator temperatures were outside of the safe temperature range. Observation of the hospitality lounge refrigerator on July 14, 2021 at 3:01 p.m., revealed a plate covered in aluminum foil that was not dated, a plastic container of a food item that was not dated, and a glass container of a food item that was not labeled with the contents, name, or dated. During the observation period, RN1, confirmed the refrigerator was used to store resident food from outside sources.

Based on clinical record review, observation and resident interview it was determined that the facility failed to implement physician's orders for one of 13 sampled residents. (Resident 38) Findings include: Clinical record review revealed that Resident 38 was admitted to the facility on [DATE], and had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Minimum Data Set assessment dated [DATE], indicated that the resident required assistance from staff for most activities of daily living including dressing. On June 30, 2021, a physician ordered that nursing staff apply double layer of Tubigrips (a specialized compression stocking that assists with swelling) in the morning and remove them in the evening. On July 13, 2021, at 10:15 a.m., 10:35 a.m., and 11:30 a.m. the resident was observed without Tubigrips in place. On July 14, 2021, at 9:16 a.m. and 9:45 a.m. the resident was again observed without the Tubigrips in place. In an interview on July 14, 2021, at 9:54 a.m., the Resident stated that she needed assistance with applying Tubigrips and that staff had not put them on. 28 Pa. Code 211.12(d)(1)(5) Nursing services.

Based on clinical record review and staff interviw, it was determined that the facility failed to ensure that the physician was notified timely of a change in the medical condition for one of three residents sampled. (Resident CR1) Findings include: Clinical record review revealed that Resident CR1 was admitted to the facility with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A note by a nurse on May 8, , at 06:25 a.m., revealed that the resident had pain and [CONDITION(S)] in the left lower extremity. On May 8, 2021, at 15:46 p.m. a note by a nurse revealed that the resident did not feel well and had increased respirations and low blood presure and needed to be placed in her bed. The resident at that time, complained of hands being very cold and left leg painful. On May 8, 2021, at 22:20 p.m, staff was unable to obtain a pulse ox on the finger and needed to use a toe to obtain the oxygen saturation level. On May 9, 2021, at 03:14 a. m., the resident's left lower extremity was red and had increased swelling. The physician was then called and a transfer to the emergency room took place. In an interview on July 9, 2021, at 11:00 a.m. the Nursing Home Administrator was unable to provide any documentation that the physician had been notified timely of the changes in medical condition. 28 Pa. Code 211.12 (d)(1)(5) Nursing services.

Based on observation, clinical record review and staff interview, it was determined that the facility failed to review the risks and benefits related to the use of side rails with a resident or their representative and obtain informed consent for side rail prior to use for two of 15 sampled residents (Resident 30, 45) Findings include: Clinical record review revealed that Resident 30 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. On January 22, 2020, at 9:45 a.m. and January 23, 2020, at 9:30 a.m. the resident was in bed with two side rails in the upright position at the top of the bed. There was no evidence to support that the risks and benefits of side rail use were reviewed or that informed consent was obtained from the resident's responsible party prior to the use of the side rails. Clinical record review revealed that Resident 45 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. A MDS assessment completed on January 2, 2020, revealed that the resident had memory impairment and required extensive assistance from staff for bed mobility. On January 22, 2020, at 10:56 a.m. and January 23, 2020, at 10:34 a.m. the resident was observed in bed with two side rails in the upright position at the top of the bed. There was no evidence to support that the risks and benefits of side rail use were reviewed or that informed consent was obtained from the resident's responsible party prior to the use of the side rails. In an interview on January 23, 2020, at 1:45 p.m. the Director of Nursing stated that the facility had no evidence to support that residents or their responsible parties were provided information on the risks and benefits of utilizing side rails and consented for the side rails to be utilized. 28 Pa. Code 211.12(d)(5)Nursing Services Previously cited 12/19/18

Based on clinical record review and staff interview, it was determined that the facility failed to ensure that a physician's order for a laboratory test was completed as ordered for two of 15 sampled residents. (Resident 17, 59) Findings include: Clinical record review revealed Resident 17 was admitted to the facilty on (MONTH) 28, (YEAR), and had [DIAGNOSES REDACTED]. On (MONTH) 26, (YEAR), the physician ordered that the resident receive [MEDICATION NAME] (blood thinner) every evening and laboratory bloodwork was to be drawn on (MONTH) 24, (YEAR), to monitor how well the blood thinning medication was working to prevent blood clots. There was no documentation to support that the facility had obtained the bloodwork as ordered. Clinical record review revealed Resident 59 was admitted to the facility on (MONTH) 28, (YEAR), and had [DIAGNOSES REDACTED]. On (MONTH) 16, (YEAR) the physician ordered that the resident receive [MEDICATION NAME] every evening and laboratory bloodwork was to be drawn on (MONTH) 13, (YEAR), to monitor how well the blood thinning medication was working to prevent blood clots. There was no documentation to support that the facilty had obtained the bloodwork as ordered. In an interview on (MONTH) 19, (YEAR) at 10:00 a.m. the Director of Nursing confirmed that the facility failed to obtain the bloodwork as ordered. 28 Pa. Code 211.12(d)(5) Nursing services Previously cited 12/1/17

Based on clinical record review, observation and staff and resident interview, it was determined that the facility failed to ensure that a resident's call bell was answered timely in order to receive assistance from staff for care for one of 16 sampled residents. (Resident R21) Findings include: Clinical record review revealed that Resident R21 had [DIAGNOSES REDACTED]. Review of the Minimum Data Set assessment dated [DATE], revealed that the resident was alert and oriented, and required extensive assistance from staff for activities of daily living including toileting. In an interview with Resident R21 on November 28, 2017, at 11:43 a.m., the resident stated that she had rang her call bell due to needing assistance from staff to use the bed pan. The resident further stated that she had been waiting for at least 10 minutes and often had to wait for assistance from staff once she had rung the call bell. Observation revealed that the resident had repeatedly, at least twice, rang her call bell for assistance during the interview. Review of the call bell response records for November 28, 2017, revealed that the resident had initially rang the call bell at 11:05 a.m., and it was announced to staff members four times before it was actually answered 16 minutes later at 11:21 a.m In an interview on November 29, 2017, at 11:45 a.m., the Administrator revealed that the expectation was for staff to answer call bells within 15 minutes. The call bell after it is rung is announced to the assigned nurse aide and continues to be announced to different nursing staff members until it is answered. In addition, all seven alert and oriented residents who attended the resident council interview that was held during the survey on November 29, 2017, at 10:00 a.m., expressed a concern that at times, they had to wait for their call bells to be answered especially during meal times and during the day shift. 28 Pa. Code 211.12(d)(1)(5) Nursing services. Previously cited 1/20/17

Based on observation the facility failed to store food in a sanitary manner in the kitchen. Findings include: During the initial tour of the kitchen on January 18, 2017, at 9:15 a.m. there were multiple opened, undated food items stored in various areas. In the walk-in refrigerator there was a bag of opened, undated shredded mozzarella cheese. In the walk-in freezer there were bags of wax beans and mixed vegetables that were opened and not dated. In the dry storage area there were two bags of pasta that were opened and not dated. In the refrigerator by the cook's area there were three blocks of cheese, roast beef luncheon meat, and ham luncheon meat opened without a date.

Based on clinical record review, observation and staff interview, it was determined that the facility failed to maintain a resident's environment as free from accident hazards as possible for one of seven sampled residents who were at risk to fall. (Resident R9) Findings include: Clinical record review revealed that Resident R9 had [DIAGNOSES REDACTED]. The care plan last reviewed on November 8, 2016, identified that the resident was at risk to fall related to impaired balance and use of psychotropic medicine. To prevent falls and injury the care plan directed staff to keep the resident's bed in the low position when the resident was in bed. The care plan also directed staff to utilize one half side rail up while the resident was in bed to assist with bed mobility. On January 19, 2017, from 8:55 a.m. to 9:30 a.m. Resident R9 was observed in bed unsupervised. Resident R9's bed was in a high position and both siderails were in the up position in the middle of the bed. Staff failed to follow the resident's care plan to ensure that the resident's environment was free from accident hazards by not positioning the bed in the low position and utilizing two side rails that had the potential to be an entrapment hazard for the resident. In an interview on January 19, 2017, at 9:30 a.m. RN1 confirmed that Resident R9's bed had not been placed in a low position and that only one side rail was to be utilized when the resident was in bed. 28 Pa. Code 211.12(d)(1)(5) Nursing services. Previously cited 12/3/15

Based on clinical record review, review of facility policy, observation and staff interview, it was determined that the facility failed to maintain an infection control program to help prevent the development and transmission of disease and infection for two of four sampled residents with infections. (Residents R48, R40) Findings include: Review of the facility policy entitled Infection Control, dated, August 10, 2015, indicated that contact precautions were to be initiated for residents with infections included [REDACTED]. Contact precautions were to include protective equipment (i.e. gloves and gowns), handwashing, and removal of barriers prior to leaving the resident's rooms. Clinical record review revealed that Resident R48 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. This [DIAGNOSES REDACTED]. Observations on December 1, 2015, at 12:10 p.m., and on December 2, 2015, at 10:45 a.m., revealed that the resident was in his room and protective equipment had not been set-up as per the infection control policy. In an interview on December 3, 2015, at 9:25 a.m., the Director of Nursing confirmed that contact precautions had not been initiated for this resident as per facility policy. Clinical record review revealed that Resident R40 had [DIAGNOSES REDACTED]. Review of clinical record revealed that on June 8, 2015, at 11:18 p.m., revealed that Resident R40 had purulent drainage of the right eye. Further documentation dated June 9, 2015, at 2:02 p.m., revealed that the resident had large amounts of yellow drainage from the right eye. Review of a laboratory culture on June 11, 2015, revealed that the resident had Methicillin Resistant Staphylococcus Aureus (MRSA) of the right eye. There was no documented evidence that contact precautions had been initiated until June 15, 2015. In an interview on December 3, 2015, at 10:00 a.m., the Director of Nursing confirmed that infection control precautions had not been initiated in a timely manner as per facility policy. 28 Pa. Code 211.10(d) Resident care policies 28 Pa. Code 21.12(d)(5) Nursing services.

Based on clinical record review, review of facility policy, incident report review and staff interview, it was determined that the facility failed to adequately supervise and ensure that an assessed safety device was in place in order to prevent elopement for one of four residents sampled who were at risk for elopement. (Resident R53) Findings include: Review of the facility's policy entitled Elopement and Wandering, dated, August 10, 2015, revealed an elopement was defined as a resident with impaired cognition and poor safety awareness leaving the secured area with purposeful, overt or repeated attempts without staff knowledge of departure. In addition, residents who had electronic monitoring devices (wander alert) were to have the devices checked every shift for placement and the 11:00 p.m., to 7:00 a.m., shift was to check the device for function. Clinical record review revealed that Resident R53 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. The Minimum Data Set assessment dated [DATE], indicated that the resident had impaired cognition, and exhibited wandering behaviors. Review of an elopement risk assessment dated [DATE], indicated that the resident was disoriented to person, place and time, had a history of [REDACTED]. On June 12, 2015, at 3:52 p.m., a nurse noted that the resident had been combative and was exit seeking. At this time, a care plan was developed because the resident was an elopement risk and had impaired safety awareness with a history of attempts to leave the facility unattended. An intervention was initiated for staff to place a wander alert on the back of the resident's wheelchair. On June 22, 2015, at 11:23 p.m., a nurse noted that the resident was wandering into other resident's rooms and on June 24, 2015, at 3:59 a.m., a nurse noted that the resident had become agitated because he could not leave the facility. On June 25, 2015, at 6:40 p.m., nursing documentation revealed that the resident was found in a corridor off of the skilled nursing unit (Aster Unit). Review of the incident report dated June 25, 2015, revealed that the resident was found by a staff member in the corridor off of the skilled nursing unit (Aster Unit). The investigation further indicated that the resident had been able to open the door without assistance that led to the corridor off of the unit and independently propelled the wheelchair through the door without staff knowledge. In an interview, on December 3, 2015, at 11:44 a.m., the Director of Nursing confirmed that there was no documented evidence that the the facility had placed the safety device (wander alert) on the resident's wheelchair and checked the placement and function as per facility policy at the time of the exit seeking behavior as care planned on June 12, 2015. 28 Pa. Code 211.12(d)(1)(5) Nursing services.

Based on observation and staff interview, it was determined that the facility failed to prominently post information regarding Medicaid fraud control for all residents. Findings include: Observations during the environmental tours on February 4, 2014, at 10:00 a.m., and on February 6, 2014, at 10:00 a.m., revealed that the facility had no information posted regarding the Medicaid fraud control unit. In an interview on February 7, 2014, at 11:00 a.m., the Administrator confirmed that the information was not posted in the facility. 28 Pa. Code 201.29(i) Resident rights.

Based on observation and staff interview, it was determined that the facility failed to ensure that two of three soiled utility rooms on the nursing units were adequately ventilated. (Sweet William Way and Tulip Terrace) Findings include: On February 4, 2014, at 11:30 a.m., and again on February 6, 2014 at 12:15 p.m., there was a foul odor in the soiled utility room on the Sweet William Way nursing unit. On February 4, at 11:50 a.m., and again on February 6, 2014, at 1:40 p.m., there was a foul odor in the soiled utility room on the Tulip Terrace nursing unit. In an interview on February 7, 2014, the Administrator stated that the ventilation was not operational in the soiled utility rooms on Sweet William Way and Tulip Terrace. 28 Pa. Code 207.2(a) Administrator responsibility. Previously cited 3/7/13 28 Pa. Code 201.14(a) Responsibility of licensee.

Based on observation during the environmental tour, it was determined that the facility failed to ensure that maintenance was provided to a wall in the food service department. Findings include: Observation during the environmental tour of the food service department on March 5, 2013, at 10:00 a.m., revealed a stained wall in the dry food storage room from water seepage. The wall surface was raised with the surface material chipping off the wall. 28 Pa. Code 207.2(a) Administrator's responsibility. Previously cited 2/29/12

Based on observation and staff interview, it was determined that the facility failed to store resident care equipment in a sanitary manner. Findings include: During the environmental tour of the laundry department on February 29, 2012, at 9:30 a.m., resident care equipment was observed in the soiled laundry sorting area. The resident care equipment was uncovered, and exposed to potential contaminants from the soiled laundry. The equipment stored in this area included (but was not limited to) protective floor mats, wheelchair cushions, a walker, assistive reaching device and pressure relieving air mattresses. In an interview conducted on February 29, 2012, at 10:15 a.m., the Assistant Director of Nursing stated that the resident equipment in the laundry area was cleaned prior to being stored, however it was not cleaned prior to use after exposure to potential contaminants from the laundry. 28 Pa. Code 207.2(a) Administrator's responsibility.