The most serious findings in the state inspection reports we hold: deaths, sexual and physical abuse, restraints that injured a child, suicide attempts, medical neglect and hospitalisations. Every quote below is the licensing agency's own wording, and each one was read against its report by a person before it was listed here.
On 3/6/2015, Resident #3 self-harmed with a piece of glass he/she reported to have found near the back doors of hallway A of the Expressions unil, Resident #3 was sent to Ohio Valley Hospital via ambulance where he/she was {reated with medicat glue for an Injury to his/her left arm.
From the state's report. Citation, licence action taken. Cited: 55 Pa. Code § 3800.87.a.
Clients on high supervision must be in direct Vew of tho assigned statt af ai times.” The facility's Observation Record indicated the “ctlont nas had extersive recont inpatient hospitalization, sign‘ficant for suicidal ideutiowplan, saif-harm, and audilury dalfucinallons, Dr. ordered to place client on Hiyh Supervision, af 1:64 PM, as a precaution sue to uncarfamty of ckent's baseline.” On 12/5/14 al approximately 8:30 ?M in Resident ¥ 1's bedioum. Resident # 1 reported to Stall Member A that he/she fell unsate and had Just attempted to self-harm by scratching his/her left wrist Staff Member A lefl Ihe resident's bedroom to notify the medical department and asked Staff Member 8 lo moaitor the resident.
From the state's report. Citation, incident inspection. Cited: 55 Pa. Code § 3800.142.
On 08/04/14, Resident #1 and Resident #2 each ingested multiple tablets of the medications that were obtained by Resident #1 on 8/03/14. This resulted In Resident #1 being taken to the local hospital by facility staff persons and then being transferred by medical helicopter to the regional nospital to receive inpatient treatment, and Resident #2 being taken to the local hospital by facility alatf pereons {o receive oulpalignt treatment on 8/04/14.
From the state's report. Citation, complaint inspection.
(b) Review of the medical record for Consumer #1 revealed a swallowing evaluation was completed on 06/16/04. This swallowing evaluation revealed the following: "There was frank laryngeal penetration and tracheal aspiration upon ingestion of thin and thick liquid and puree material. [...] Theses issues were identified as needs as early as 03/13/06, almost one (1) year prior to the death of the consumer.
(xi) On 2/12/07 at approximately 12:30 p.m., while at the day program, Consumer #1, aspirated a piece of hot dog and died.
These issues were identified as needs as early as 03/13/06, almost one (1) year prior to the death of the consumer.
From the state's report. Deficiency cited, complaint survey. Cited: C 242 64-11-7.3.c. Treatment Plan; C 123 64-11-5.5.b.4. Center Responsibility; C 240 64-11-7.3.a. Treatment Plan. "[...]" marks text left out between sentences.
A program reads every inspection report we collect and picks out findings that describe serious harm, using the state's own severity rating or complaint outcome where there is one. A person then reads the report and approves or rejects each one. Only findings the state substantiated are listed: a citation, or a complaint the investigator upheld. A child running away is listed only when it ended in a death or a serious injury. This page is not complete: it covers the states and reports reviewed so far, and a facility's absence here says nothing about its record. Every report we hold, flagged or not, is on the state trackers.