Seneca Place

In the surveyor’s words

From the most serious findings on record at Seneca Place, in the surveyor’s own words.

• Actual harm, isolatedF600Jan 12, 2023

  Based on review of facility policies, clinical records, incident reports, employee statements and resident and staff interview, it was determined that the facility failed to ensure that a resident was free from neglect by not providing the necessary services, which resulted in actual physical harm (laceration to the back of the head) for one of four residents reviewed (Resident R1). Findings include: A review of the facility policy Abuse Neglect Exploitation General Policy dated August 2022 indicated the facility will provide a safe environment where residents are protected from all forms of abuse and neglect. Residents must not be subjected to abuse/neglect by anyone including facility staff. […]

• No harm, potential for more than minimal, widespreadF812Jul 12, 2024

  Based on review of facility policy, observations and staff interview, it was determined the facility failed to properly store food products in a manner to prevent foodborne illness in the Main Kitchen. Findings include: Review of facility policy Food Receiving and Storage dated 5/18/24, indicated foods shall be received and stored in a manner that complies with safe food handling practices. Opened containers must be dated and sealed or covered during storage. During an observation on 7/8/24, at 9:36 a.m. in the Main Kitchen Dry storage area, an open box contained a plastic bag of rice that was not sealed, and an additional open box that contained a plastic bag of pureed bread mix that also was not sealed. During an interview on 7/8/24, at 9:45 a.m. […]

• No harm, potential for more than minimal, widespreadF812Aug 4, 2023

  Based on observations and staff interviews it was determined that the facility failed to maintain sanitary conditions in the Main Kitchen which created the potential for cross contamination. Findings include: During an observation on 7/31/23, at 9:10 a.m. it was revealed the ice machine in the main kitchen contained a brown substance inside the machine. Web Request Work Order revealed the ice machine in the main kitchen was last cleaned 2/24/23. During an interview on 7/31/23, at 9:23 a.m. the Dietary Manager Employee E9 confirmed the brown substance in ice machine, and it has not been cleaned since 2/24/23, creating the potential for cross contamination. 28 Pa Code: 201.14(a) Responsibility of licensee

• No harm, potential for more than minimal, patternF550Jun 26, 2026

  Based on review of facility policy, observations, clinical record review, and staff interview, it was determined that the facility failed to provide bodily privacy during treatment procedures for one of six residents (Resident R10) and failed to maintain the dignity of two of six residents reviewed (Resident R43) who had an indwelling urinary catheter (a flexible tube inserted into the bladder to drain urine) and (Resident 185) who had an urinary condom catheter (non-invasive external urinary catheter worn like a condom it collects urine as it drains from the bladder and sends it to a collection bag).Findings include: Review of the facility policy Dignity dated 5/21/26, indicated demeaning practices and standards of care that compromise dignity are prohibited. […]

• No harm, potential for more than minimal, patternF684Jun 26, 2026

  Based on review of clinical records and staff interviews, it was determined that the facility failed to obtain physician orders for management of hypoglycemia (low blood sugar) for one of two residents (Resident R173) failed to obtain physician orders for hypoglycemia and hyperglycemia (high blood sugar) for one of two residents (Resident R15) failed to notify a physician's of a resident with a hypoglycemic episode (low blood sugar) for one of two residents (Resident R173) and failed to obtain orders for a urinary condom catheter (non-invasive external urinary catheter worn like a condom it collects urine as it drains from the bladder and sends it to a collection bag) for one of three residents (Resident R185).Findings include: Review of the facility policy External Male Catheter-Condom… […]