State inspectors found three of the facility's four medication carts unsecured during a January complaint investigation. The Vineyard and Rosewood carts were discovered side by side in a hallway on January 29, both unlocked with no staff present.
Licensed Practical Nurse Employee E1 confirmed the Vineyard cart was "unlocked, unattended" when inspectors questioned her two minutes after the discovery. Registered Nurse Employee E2 made the same admission about the Rosewood cart.
Two days later, inspectors found the Rosewood 2 cart in the same condition. RN Employee E3 told investigators "I was in a room" when they found her cart unlocked in the hallway at 10:31 a.m.
Facility policy requires all medications to be stored in locked compartments. During medication distribution, drugs must remain under direct staff observation or locked in the cart.
The administrator acknowledged the facility failed to properly secure three of its four medication carts as required by state regulations.
Federal rules mandate secure medication storage to prevent theft, tampering, or accidental ingestion. Unlocked carts containing prescription drugs, including potentially controlled substances, create risks for residents and liability for facilities.
The violation received a "minimal harm" rating, indicating inspectors determined no residents were directly injured by the security failures. However, the finding demonstrates a systemic breakdown in medication management protocols at the 174 Virginia Avenue facility.
Rochester Residence operates under Pennsylvania Department of Health oversight and must submit a correction plan addressing the medication security violations.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Rochester Residence and Care Center from 2026-01-31 including all violations, facility responses, and corrective action plans.