Sarah a Todd Memorial Home

In the surveyor’s words

From the most serious findings on record at Sarah a Todd Memorial Home, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 10, 2022

  Based on facility policy review, clinical record review, review of facility incident reports, and staff interviews, it was determined that the facility failed to ensure that residents were free from neglect which resulted in actual harm, evidenced by a humeral head fracture (commonly known as the ball of the shoulder's ball-and-socket joint), for one of 24 residents reviewed (Resident 59). Findings Include: Review of facility policy titled Freedom From Abuse, Neglect, and Exploitation of Residents and Misappropriation of Resident Property most recently dated January 2021, revealed The resident has the right to be free from verbal, sexual, physical and mental abuse, exploitation, neglect, corporal punishment, involuntary seclusion, mistreatment, and misappropriation of property. […]

• Actual harm, isolatedF656Mar 10, 2022

  Based on review of facility documentation, clinical record review, and staff interview, it was determined that the facility failed to implement a care plan intervention which specified a two person assist with transfers, resulting in actual harm, as evidenced by a humeral head fracture (commonly known as the ball of the shoulder's ball-and-socket joint), for one of 24 residents reviewed (Resident 59). Findings Include: Review of Resident 59's clinical record revealed diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF812Dec 19, 2024

  Based on review of select facility documentation and staff interviews, it was determined that the facility failed to utilize and monitor equipment in accordance with professional standards for food service safety in the main kitchen and one of three dining areas ([NAME] Unit). Findings include: Review of document, titled Dish Machine Temperature Log for the main kitchen from April 2024 to present, read, in part, Minimum wash temperature- 150 degrees F (Fahrenheit unit of measure); minimum rinse temperature 180 degrees F. Action Plan: If temperatures are not within acceptable ranges- Circle temperature and notify supervisor. Supervisor will investigate and make necessary adjustments or call maintenance. […]

• No harm, potential for more than minimal, patternF812Mar 10, 2022

  Based on observation and staff interview, it was determined that the facility failed to ensure that food service equipment was stored in accordance with professional standards of food safety in the main facility kitchen. Findings include: Observation on March 8, 2022, at approximately 12:35 PM revealed plastic domed plate covers stacked and stored under a food preparation table. The domes were stored with the clean underside facing upwards. Dietary staff were observed utilizing these domes while preparing resident meal trays. During an interview with the Dietary Manager at the time of observation, he revealed the expectation that the plate domes should have been stored with the clean underside facing down. 28 Pa. Code 201.14(a) Responsibility of licensee.

• No harm, potential for more than minimal, patternF758Mar 11, 2021

  Based on clinical record review and staff interview, it was determined that the facility failed to ensure as-needed anti-psychotic drugs were evaluated and renewed every 14 days for one of five resident records reviewed for [MEDICAL CONDITION] medication use (Resident 26). Findings include: Review of Resident 26's clinical record on March 8, 2021, at approximately 1:30 PM, revealed [DIAGNOSES REDACTED]. Review of Resident 26's physician orders [REDACTED]. Review of the clinical record revealed no review of, nor new order for the as-needed antipsychotic medication every 14 days. […]