F0565

D

Failure to Address Resident Council Concerns on Call Bells and Medication Timeliness

Brackenridge, Pennsylvania Survey Completed on 02-23-2026

Penalty

No penalty information released

Summary

The facility failed to honor residents' rights to have their views considered and to receive prompt action on concerns raised through the Resident Council over a three-month period. The facility’s Resident Council policy dated 5/19/25 states that the council is intended to provide a forum for discussion of concerns and suggestions for improvement, and that all feedback and requests from the council are to be addressed in writing to the council. However, review of Resident Council meeting minutes for December 2025, January 2026, and February 2026 showed that residents repeatedly raised systemic concerns about care and services, but the “follow up” sections of the forms were left blank, with no documented response or action by the facility.

In December 2025, the Resident Council minutes documented ongoing concerns about call bells not being answered timely, with residents reporting that call bell wait times were too long, agency staff were turning off call bells without entering rooms to provide assistance, and agency staff were providing poor care on weekends, including not answering call bells and using their phones instead of giving care. In January 2026, the minutes again documented old/unfinished business regarding call bells not being answered timely, with no further information or follow-up recorded. In February 2026, residents reported systemic concerns about medications not being delivered timely, and again the follow-up section was blank. During an interview on 2/23/26, the Nursing Home Administrator confirmed that the facility failed to consider the views of residents and act promptly on concerns and recommendations regarding resident care and life in the facility for all three months reviewed.