Inspection Reports for
Above All Senior Living Care LLC
514 N. 22ND STREET,, ALLENTOWN, PA, 18104
Back to Facility Profile11 Reports
Inspection Report — Jul 16, 2025
Follow-Up
Date: Jul 16, 2025
Visit Reason
The inspection was a partial, unannounced incident review conducted due to an incident involving alleged staff solicitation of money from a resident.
Complaint Details
The investigation was complaint-related, triggered by an incident where a former staff member solicited money from a resident. The resident did not want to press charges, and the Area Agency on Aging closed the case with no abuse or neglect found.
Findings
The facility was found to have reported the incident involving a former staff member soliciting money from a resident in a timely manner to the Department of Human Services and the Area Agency on Aging. No abuse or neglect was substantiated as the resident declined to press charges. The facility implemented corrective actions including staff education and improved incident reporting procedures.
Citations (3)
Failure to immediately report suspected abuse involving solicitation of money from a resident.
Failure to send an incident report to the department’s regional office within required timeframe.
Resident was coerced by a former staff member to give money, but no neglect or abuse was found.
Report Facts
Residents Served: 21
Total Daily Staff: 21
Waking Staff: 16
Supplemental Security Income recipients: 1
Residents 60 Years or Older: 21
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Inspection Report — Feb 26, 2025
Date: Feb 26, 2025
Visit Reason
The inspection was conducted as an interim licensing inspection of the facility on 02/26/2025.
Findings
No regulatory citations or deficiencies were identified during this licensing inspection.
Report Facts
Total Daily Staff: 23
Waking Staff: 17
Resident Support Staff: 0
Residents Served: 23
Current Hospice Residents: 0
Residents Age 60 or Older: 23
Residents Receiving Supplemental Security Income: 0
Residents Diagnosed with Mental Illness: 0
Residents Diagnosed with Intellectual Disability: 0
Residents with Mobility Need: 0
Residents with Physical Disability: 0
Inspection Report — Nov 26, 2024
Follow-Up
Date: Nov 26, 2024
Visit Reason
The inspection was a follow-up review conducted on 11/26/2024 to verify the implementation of the submitted plan of correction for the facility.
Findings
The facility was found to have fully implemented the plan of correction with improvements in resident safety, medication storage, fire safety, and proper labeling of medications. Daily rounds and staff education were ongoing to maintain compliance.
Citations (8)
Resident enabler bar had a 5.5 inch gap posing possible limb and head entrapment.
Resident did not have access to a light source from their bedside.
Tissues found on floor next to exposed electric baseboard heater posing fire hazard.
Multiple pieces of paper and cigarette butts in ash tray in designated smoking area posing fire hazard.
Over the counter medication with expired date found in medication cart.
Medication bottle without pharmacy label found in medication cart.
Three OTC medications and equipment in medication cart were not labeled with resident's name or identifiable information.
Resident prescribed medications and integra syringes were not available at time of inspection.
Report Facts
Residents Served: 24
Total Daily Staff: 24
Waking Staff: 18
Resident Support Staff: 0
Inspection Report — Oct 9, 2024
Renewal
Date: Oct 9, 2024
Visit Reason
The inspection was an unannounced full renewal inspection conducted to assess compliance with licensing regulations and verify correction of previous deficiencies.
Findings
Multiple deficiencies were identified related to medication management, quality management, resident privacy, equipment safety, food safety, sanitation, fire safety, documentation, and resident care plans. Plans of correction were accepted and implemented with follow-up monitoring scheduled.
Citations (27)
16c - Written Incident Report: The home failed to report a medication error involving missed potassium doses from 10/1-10/3/24 to the Department within 24 hours.
26a - Quality Management Plan: The home did not have a quality management review in 2024 or documentation of the last review.
42s - Privacy: Cameras in the dining room and sitting area were recording and viewable on the administrator's phone, potentially violating resident privacy.
81b - Resident Personal Equipment: A grab assist bar on Resident #2's bed was not securely attached, posing a possible limb or head entrapment hazard.
82b - Poisonous Material Storage: Rock salt and food items were stored together in a closet, violating safe storage requirements.
85a - Sanitary Conditions: Chocolate ice cream was caked at the bottom of a freezer near Room #15.
85b - Infestation: Multiple flies were observed flying around in Room #7.
85e - Trash Outside Home: Dumpster and garbage can were open and overflowing with garbage.
103d - Storing Food Off Floor: Several food items were stored on the floor of a closet near Room #15.
103e - Left Overs: Frozen hotdogs and sausages were stored out of original packaging without labels.
103f - Refrigerator/Freezer Temps: Freezer thermometer read 20°F and another freezer lacked a thermometer.
103g - Storing Food: Open boxes of fettuccine and mini penne were stored unsealed under the kitchen island.
103i - Outdated Food: Greek non-fat yogurt with a use-by date of 6/30/24 was found in the refrigerator.
105d - Change Bed Linens/Towels: A towel with dried blood was found in a shared resident room.
105g - Lint Removal and Duct Cleaning: Large accumulation of lint behind dryers posed a fire hazard.
132e - Fire Drill Sleeping Hours: Fire drill during sleeping hours was conducted late by one month.
144c1 - Smoking Area Guidelines: Cigarette butts found outside designated smoking area, posing fire risk.
181d - Storing Medication: Resident #4's medications were unsecured and left out on the dresser.
184b - Labeling OTC/CAM: Unlabeled OTC medications were found in the medication cart.
185a - Implement Storage Procedures: PRN medication for Resident #1 was unavailable at inspection time.
187d - Follow Prescriber's Orders: Resident #3 did not receive full prescribed dose of losartan potassium from 10/1-10/9/24; Resident #1 missed potassium doses due to pharmacy unavailability.
188b - Medication Error Reporting: Medication error involving missed potassium doses was not immediately reported to resident, designated person, and prescriber.
190a - Completion Medication Course: Direct care staff annual medication practicums were incomplete or missing documentation.
190c - Record of Training: Medication administration training records lacked documentation of required observations for staff.
224a - Preadmission Screen Form: Resident #5's pre-admission screening did not document if resident needs could be met by the home.
226a - Mobility Assessment: Resident #3's assessment did not reflect total immobility and evacuation needs during fire drills.
227d - Support Plan Medical/Dental: Resident #3's support plan lacked hospice care details; Resident #2's plan lacked enabler bar use details and safety information.
Report Facts
Residents Served: 25
Current Residents Hospice: 1
Residents 60 or Older: 25
Residents with Mobility Need: 1
Total Daily Staff: 26
Waking Staff: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN | Responsible for overseeing medication administration, audits, and reporting medication errors | |
| Administrator | Responsible for monitoring compliance, reporting incidents, auditing charts, and staff education |
Inspection Report — Feb 27, 2024
Plan of Correction
Date: Feb 27, 2024
Visit Reason
The inspection was a partial, unannounced interim review conducted on 02/27/2024 to verify the implementation of a previously submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented. Two deficiencies were addressed: staffing shortages during overnight shifts and a malfunctioning washing machine causing flooding in the basement, both corrected with follow-up actions.
Citations (2)
Staffing shortage on overnight shift after termination of an employee; only one staff person was covering the shift despite resident needs.
A second washing machine was found flooding the basement floor; it was unplugged and marked out of order.
Report Facts
Residents Served: 17
Total Daily Staff: 18
Waking Staff: 14
Current Hospice Residents: 1
Inspection Report — Jan 17, 2024
Complaint Investigation
Date: Jan 17, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation following an event involving a resident who suffered an acute fracture and the facility's failure to report the incident timely to the Department of Human Services.
Complaint Details
The visit was complaint-related due to an incident where a resident suffered an acute fracture of the left femur during transfer. The facility did not report the incident to the Department until 1/22/2024, which was beyond the required 24-hour reporting period. The complaint was substantiated with corrective actions planned.
Findings
The facility failed to report a resident's acute fracture incident to the Department within the required 24-hour timeframe. The administrator at the time was verbally educated on reporting regulations, and a plan of correction was accepted to ensure timely future reporting.
Citations (1)
Failure to report an incident involving a resident's acute fracture to the Department within 24 hours as required by regulations.
Report Facts
Residents Served: 18
Current Residents in Hospice: 2
Staffing Hours - Resident Support Staff: 1
Staffing Hours - Total Daily Staff: 19
Staffing Hours - Waking Staff: 14
Inspection Report — Dec 28, 2023
Renewal
Date: Dec 28, 2023
Visit Reason
The inspection was an unannounced full renewal inspection conducted to review compliance with licensing requirements.
Findings
The facility was found to have multiple deficiencies including missing FBI background check for a staff member, inadequate staffing for resident needs, lighting issues, slippery ramps, equipment hazards, improperly stocked first aid kit, food storage violations, fire hazards, unlocked medication room, and incomplete resident support plans. All deficiencies had accepted plans of correction with completion dates mostly in early 2024.
Citations (14)
Staff person A does not have the required FBI background check in file.
Resident #1 requires 2 persons to assist transfer but only one staff scheduled per shift.
Two light fixtures outside emergency exit in Bedroom 2 ½ have no light bulbs.
Ramp to emergency exit door in Bedroom #7 is slippery and poses a fall hazard.
Washing machine leaking water in basement posing fire hazard; broken refrigerator used as pantry.
First aid kit missing scissors and thermometer.
Food stored in open bags in freezers and dented cans found in dry storage.
No record of dryer vent cleaning since 9/2022, posing fire hazard.
Combustible materials stored near natural gas hot water heater in basement.
Combustible chairs in smoking area and cigarette butts in mulched flower bed posing fire hazards.
Medication room unlocked with unused and used syringes accessible.
Narcotic count discrepancy for Resident #1.
Resident #1's mobility assessment not updated to reflect 2 person assist requirement.
Resident #2's support plan missing required documentation for enabler bar use.
Report Facts
Residents served: 20
Current hospice residents: 3
Residents aged 60 or older: 19
Residents diagnosed with mental illness: 1
Residents with mobility need: 1
Residents with physical disability: 1
Total daily staff: 21
Waking staff: 16
Notice — Nov 16, 2023
Date: Nov 16, 2023
Visit Reason
The document serves to notify that a waiver request to waive the educational qualification requirement for the personal care home administrator at Above All Senior Living Care LLC has been granted due to education received outside the United States.
Findings
The waiver is granted under specific conditions including that the individual shall serve as the administrator and documentation of their training and qualifications be maintained and made available upon request. The Department will review this waiver during its annual inspection for compliance.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartmen | Director, Human Services Licensing | Signed the waiver approval letter |
Inspection Report — Dec 20, 2022
Follow-Up
Date: Dec 20, 2022
Visit Reason
The inspection was an unannounced partial review conducted as an interim follow-up to verify the implementation of a previously submitted plan of correction.
Findings
The plan of correction was determined to be fully implemented. Two deficiencies were noted: lint accumulation in dryer ducts posing a fire hazard, and a glucometer not calibrated to the correct date and time. Both issues were corrected by the time of inspection.
Citations (2)
The 3 external dryer ducts that exit the building had a small handful of lint in the dryer duct posing a possible fire hazard.
Resident #1's glucometer was not calibrated to the correct date and time.
Report Facts
Residents Served: 22
Residents in Hospice: 2
Residents 60 Years or Older: 21
Residents Diagnosed with Mental Illness: 5
Residents with Mobility Need: 1
Residents with Physical Disability: 1
Resident Support Staff: 1
Total Daily Staff: 24
Waking Staff: 18
Inspection Report — Sep 21, 2022
Re-Inspection
Date: Sep 21, 2022
Visit Reason
The inspection was conducted as a licensing inspection of a newly licensed personal care home. A re-inspection will be conducted within 3 months to ensure full compliance.
Findings
The facility was found to be in substantial compliance with 55 Pa. Code Ch. 2600 regulations at the time of inspection. The licensing inspector was unable to complete a full inspection due to the new legal entity operating the home.
Inspection Report — Sep 21, 2022
Re-Inspection
Date: Sep 21, 2022
Visit Reason
The inspection was a partial licensing inspection of a newly licensed personal care home legal entity, conducted to assess compliance with 55 Pa. Code Ch. 2600. A re-inspection is planned within 3 months due to incomplete initial inspection.
Findings
The facility was found to be in substantial but not complete compliance with applicable regulations. Several citations were identified including issues with a grab assist bar not securely attached, lint accumulation in the dryer posing fire hazard, and failure to conduct fire drills in December 2021 and January 2022 due to COVID-19 outbreak. Plans of correction were accepted and implemented with follow-up documentation submitted.
Citations (3)
A grab assist bar in Room #9 bed B was not securely attached to the bed posing possible head or limb entrapment.
A handful of lint was located in the lint trap of the dryer in the basement, posing a possible fire hazard.
The home did not conduct fire drills in December 2021 and January 2022.
Report Facts
Residents Served: 18
Current Hospice Residents: 2
Residents 60 Years or Older: 17
Residents Diagnosed with Mental Illness: 2
Residents with Physical Disability: 1
Total Daily Staff: 18
Waking Staff: 14
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