41 Reports
Inspection Report — Oct 10, 2025
Follow-Up
Date: Oct 10, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted for incident and monitoring reasons to review the facility's compliance and plan of correction implementation.
Findings
The inspection found medication storage and administration discrepancies, including a medication count error and incomplete medication records. There was also a preadmission screening form violation. The facility submitted plans of correction which were accepted and implemented.
Citations (4)
2600.185.a: The home failed to implement safe medication storage procedures when a medication bag delivered with 50 tablets was found to contain only 43 tablets upon staff inspection.
2600.187.a: Medication records did not accurately reflect the prescribed dosage for a resident, showing discrepancies in the medication administration record.
2600.187.b: Medication administration times were not properly documented on the resident's medication administration record, constituting a repeat violation.
2600.224.a: The preadmission screening form for a resident was completed more than 30 days prior to admission and lacked a determination that the home could meet the resident's needs, constituting a repeat violation.
Report Facts
Residents Served: 38
Medication tablets delivered: 50
Medication tablets found: 43
Staff total daily: 50
Staff waking: 38
Hospice current residents: 2
Residents age 60 or older: 38
Residents with mobility need: 12
Inspection Report — Aug 6, 2025
Follow-Up
Date: Aug 6, 2025
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have multiple deficiencies related to incident reporting, abuse prevention, medication storage and administration, documentation, and resident assessments. The submitted plan of correction was determined to be fully implemented as of the follow-up date.
Citations (7)
16c - Written Incident Report: The home failed to report a medication incident to the Department within the required 24-hour timeframe.
42b - Abuse: Resident was denied prescribed pain medication on multiple occasions, causing severe pain during treatments.
185a - Implement Storage Procedures: Controlled substance medication records were missing for multiple medication deliveries and shift counts were incomplete.
187b - Date/Time of Medication Admin.: Medication administrations were not documented on the resident's medication administration record as required.
187d - Follow Prescriber's Orders: Resident was administered medication more times than prescribed, and medication was sometimes unavailable for administration.
224a - Preadmission Screen Form: Resident's preadmission screening form was not signed by the person who completed it.
225a - Assessment 15 Days: Resident's initial assessment did not include numerous diagnoses indicated on the medical evaluation.
Report Facts
Residents Served: 41
Staff Count: 53
Waking Staff: 40
Current Hospice Residents: 1
Inspection Report — May 21, 2025
Renewal
Date: May 21, 2025
Visit Reason
The inspection was conducted on 05/21/2025 as a renewal inspection combined with a complaint investigation at Allegheny Place.
Complaint Details
The inspection included a complaint investigation component, but the substantiation status is not explicitly stated in the report.
Findings
The inspection identified multiple deficiencies including issues with resident contracts, staff training and orientation, medication storage and administration, fire safety drills and documentation, resident assessments, support plans, and record content. Plans of correction were submitted and accepted with completion dates mostly by 06/30/2025 and implemented by 07/09/2025.
Citations (15)
Resident-home contracts did not include the correct resident names.
No staff person trained in first aid and CPR was present during night shifts from 5/4/25 to 5/17/25.
Ancillary and direct care staff did not receive required orientation and training within specified timeframes.
Direct care staff did not receive required annual training hours or training on specified topics during 2024.
Uncovered trash can found in staff bathroom; dumpster door left open during inspection.
Egress routes were obstructed by objects outside emergency exit door.
No unannounced fire drill conducted since 1/30/25; fire drill records incomplete.
No medical evaluation completed for resident #2 at admission; annual medical evaluations for residents #1 and #3 were not current.
Medications were opened and undated beyond manufacturer guidelines; missing pharmacy labels on medications.
Medication administration records lacked staff initials for administered medications on 5/4/25.
Resident #2 did not receive prescribed monthly Cyanocobalamin injection on 5/1/25.
No preadmission screening completed for residents #2 and #4.
Resident assessments and support plans were not completed timely; some assessments and support plans lacked signatures.
Resident support plans were not accessible to direct care staff.
Resident photographs were missing or undated, making it unclear if they were current.
Report Facts
Residents Served: 42
Total Daily Staff: 52
Waking Staff: 39
Deficiency Counts: 15
Inspection Report — Oct 1, 2024
Complaint Investigation
Date: Oct 1, 2024
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial review of the facility on 10/01/2024.
Complaint Details
The inspection was complaint-driven as indicated by the inspection information section stating 'Reason: Complaint'.
Findings
Two deficiencies were identified: one related to evacuation procedures during a fire drill where a resident did not evacuate as required, and another related to incomplete annual medical evaluations for a resident. Both deficiencies had plans of correction accepted and implemented by 10/22/2024.
Citations (2)
During a fire drill with 38 residents present, one resident did not evacuate and was advised to remain in their room, contrary to fire safety requirements.
A resident's current medical evaluation was incomplete, missing dates, height, weight, and pulse rate; previous evaluation was undated though signed.
Report Facts
Residents present during fire drill: 38
Residents served: 39
Staff total daily hours: 44
Waking staff hours: 33
Hospice current residents: 4
Residents age 60 or older: 39
Residents with mobility need: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Named in plan of correction for fire drill participation and medical evaluation audits | |
| Director of Facility Operations | Named in plan of correction for fire drill participation | |
| Director of Health & Wellness (DHW) | Performed audit of medical evaluations and responsible for ensuring compliance |
Inspection Report — Nov 2, 2023
Renewal
Date: Nov 2, 2023
Visit Reason
The inspection was conducted as a renewal review of the facility's license by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
The inspection identified several deficiencies including lack of soap in the dining area, improper storage and labeling of medications, incomplete medication administration records, and restricted accessibility of resident support plans. Plans of correction were submitted and determined to be fully implemented.
Citations (5)
No soap present in the soap dispenser at the sink in the common dining area.
Insulin pen was open and undated; insulin pens must be discarded within 28 days of opening.
Medication administration record (MAR) for resident #2 did not include frequency or amount of cream to be used per administration.
Medication administration record (MAR) for resident #2 did not include initials of staff person who administered ointment.
Resident support plans were stored in a locked office and not accessible to all direct care staff at all times.
Report Facts
Residents Served: 24
Current Residents in Hospice: 4
Residents Age 60 or Older: 24
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S. Harris | Director of Health & Wellness | Took order and transcribed it on the medication administration record (MAR) for resident #2. |
Inspection Report — Jun 13, 2023
Follow-Up
Date: Jun 13, 2023
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented. The report details repeated violations related to treatment of residents with dignity and respect and fire safety orientation deficiencies, with corrective actions completed and ongoing monitoring planned.
Citations (2)
Resident #1 was treated disrespectfully by staff person A, who reacted angrily and stormed out of the resident's bedroom.
Direct care staff person A did not receive required orientation on fire safety and emergency preparedness on their first day of work.
Report Facts
Residents Served: 19
Current Residents in Hospice: 2
Residents Age 60 or Older: 19
Residents with Mobility Need: 9
Total Daily Staff: 28
Waking Staff: 21
Inspection Report — Jun 8, 2023
Follow-Up
Date: Jun 8, 2023
Visit Reason
The inspection was conducted as a follow-up to review the submitted plan of correction related to an incident involving verbal abuse of a resident by a staff person.
Complaint Details
The visit was complaint-related due to an allegation of verbal abuse against staff person A involving resident #1. The allegation was substantiated with findings that the staff person was not immediately suspended or placed on supervision and the incident was not reported timely to the Department.
Findings
The plan of correction was determined to be fully implemented with continued compliance required. The report details the investigation of verbal abuse allegations against a staff person and the corrective actions taken, including staff re-education and auditing procedures.
Citations (2)
Failure to immediately place staff person A on a plan of supervision or suspend pending investigation after an allegation of verbal abuse involving resident #1.
Failure to report the incident of verbal abuse to the Department within 24 hours as required.
Report Facts
Residents Served: 19
Current Hospice Residents: 3
Staffing Hours: 30
Waking Staff: 23
Inspection Report — May 18, 2023
Follow-Up
Date: May 18, 2023
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 05/18/2023 due to an incident, to review the submitted plan of correction and verify its implementation.
Findings
The facility was found to have fully implemented the submitted plan of correction related to deficiencies in assistance with activities of daily living, treatment of residents with dignity and respect, and residents' rights to personal clothing and possessions. No new violations were identified during resident interviews and record reviews.
Citations (3)
Resident #1's care needs were not met for approximately 6 weeks, including ignored call bells and inadequate assistance with transfers requiring two staff persons.
Resident #1 was treated dismissively and condescendingly by direct care staff person A over approximately 6 weeks.
Direct care staff person A took resident #1's personal wipes without permission and ignored residents' rights to personal belongings.
Report Facts
Residents Served: 20
Current Residents in Hospice: 3
Residents Age 60 or Older: 20
Residents with Mobility Need: 12
Total Daily Staff: 32
Waking Staff: 24
Inspection Report — May 2, 2023
Complaint Investigation
Date: May 2, 2023
Visit Reason
The inspection was conducted as a complaint investigation and incident review related to allegations of abuse and misappropriation of resident property.
Complaint Details
The complaint involved an active criminal investigation into access device fraud by a former staff person who used a resident's credit card for cash advances and personal debts. The complaint was substantiated with corrective actions implemented.
Findings
The investigation found that a former staff member committed access device fraud using a resident's credit card for approximately $25,000. The facility implemented a plan of correction including termination of the staff member, notification of authorities, resident interviews, staff re-education, and ongoing audits to ensure no further abuse or neglect.
Citations (1)
A resident was subjected to misappropriation of property and abuse involving access device fraud by a former staff member.
Report Facts
Residents Served: 22
Amount of Fraud: 25000
Inspection Report — Mar 31, 2023
Follow-Up
Date: Mar 31, 2023
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident, with a follow-up on a submitted plan of correction to verify full implementation.
Findings
The facility was found to have fully implemented the submitted plan of correction related to a resident abuse incident involving delayed reporting. Continued compliance and ongoing auditing were required to ensure proper abuse reporting.
Citations (2)
Failure to immediately report suspected abuse of a resident as required by the Older Adult Protective Services Act.
Failure to report the incident or condition to the Department’s personal care home regional office within 24 hours as required.
Report Facts
Residents Served: 25
Total Daily Staff: 38
Waking Staff: 29
Current Residents in Hospice: 4
Residents Age 60 or Older: 25
Residents with Mental Illness: 1
Residents with Mobility Need: 13
Inspection Report — Jan 19, 2023
Follow-Up
Date: Jan 19, 2023
Visit Reason
The inspection was conducted as a follow-up review to verify that the facility's submitted plan of correction was fully implemented following prior complaint and incident investigations.
Complaint Details
The inspection was complaint-related, triggered by concerns about incidents and care deficiencies; the plan of correction was reviewed and accepted as fully implemented.
Findings
The facility was found to have fully implemented the submitted plan of correction addressing multiple deficiencies related to activities of daily living assistance, treatment of residents, direct care staff training, menu changes, medication records, medication administration timing, prescriber order compliance, and activity programming. Continued compliance and ongoing auditing were planned.
Citations (6)
Resident #1 did not receive timely assistance with personal hygiene and toileting as required by their assessment and support plan, including being found soaked in urine and not receiving regular denture and hearing aid care.
Staff person A spoke to residents in a rude and condescending manner on multiple occasions, including intimidating and yelling at residents.
Direct care staff person C provided unsupervised ADL services without completing required training and competency testing.
Menus posted did not accurately reflect the food served, and residents were not given advance notice of menu changes on multiple dates.
Resident #3's medication administration records did not accurately reflect administration times, and medications were sometimes not administered as prescribed.
Activities calendar was not followed, and activities were infrequently and inconsistently offered to residents.
Report Facts
Residents Served: 26
Current Residents in Hospice: 5
Staffing Hours - Total Daily Staff: 40
Staffing Hours - Waking Staff: 30
Inspection Report — Aug 24, 2022
Routine
Date: Aug 24, 2022
Visit Reason
The inspection was conducted as a routine licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Inspection Report — Jul 19, 2022
Complaint Investigation
Date: Jul 19, 2022
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 07/19/2022.
Complaint Details
The inspection was complaint-driven and the plan of correction was submitted and fully implemented as verified on 07/19/2022 with follow-up submissions on 08/01/2022 and 08/05/2022.
Findings
The submitted plan of correction related to the posting of weekly menus was found to be fully implemented. The facility corrected the menu posting violation during the inspection and re-educated staff to maintain compliance.
Citations (1)
Menus posted in the home’s dining room were only for dates 7/18/22 through 7/24/22, and the following week was not posted in a conspicuous and public place.
Report Facts
Residents Served: 23
Staffing Hours: 32
Waking Staff: 24
Current Residents in Hospice: 2
Residents with Mental Illness: 1
Residents with Mobility Need: 9
Residents 60 Years or Older: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director (ED) | Re-educated cooks on menu posting regulation and ensured compliance |
Inspection Report — May 10, 2022
Renewal
Date: May 10, 2022
Visit Reason
The inspection was conducted as a renewal and complaint investigation of the facility Allegheny Place on 05/10/2022 through 05/12/2022.
Complaint Details
The inspection included a complaint investigation component, but the report does not explicitly state the substantiation status.
Findings
The inspection found multiple deficiencies including breaches in record confidentiality, inadequate staffing during certain shifts, missing window screens, outdated food items, medication storage and administration discrepancies, and support plans not being accessible to direct care staff. All deficiencies had plans of correction implemented and were found to be in compliance by the end of the inspection period.
Citations (6)
Confidential resident information was found unsecured in an accessible activity room.
Inadequate staffing during early morning shifts to meet residents' needs in emergencies.
Windows in bedroom #107 lacked screens.
Open, unsealed, and undated food items found in freezers.
Discrepancy between blood glucose levels documented on MAR and glucometer readings for resident #5.
Resident support plans were not accessible to direct care staff at all times.
Report Facts
Residents Served: 25
Staffing Hours: 38
Waking Staff: 29
Residents with Mobility Needs: 13
Residents with Mental Illness: 1
Residents in Hospice: 3
Direct Care Staff on 4/25/22 Morning Shift: 2
Direct Care Staff on 4/28/22 Morning Shift: 1
Remaining Eggo Waffles: 4
Box Weight: 15
Blood Glucose Level: 141
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director (ED) | Removed unsecured confidential records, reviewed staffing schedules, re-educated staff, and implemented corrective actions. | |
| Regional Director of Care Services (RDCS) | Provided re-education to ED on regulatory requirements. | |
| Maintenance Tech (MT) | Re-inserted window screen and checked all windows for compliance. | |
| Chef | Discarded outdated food items and conducted kitchen audits. | |
| Care Services Manager (CSM) | Conducted audits on medication administration, educated staff, moved support plan binder, and ensured accessibility of support plans. | |
| Staff person A | Indicated support plans were not accessible to all staff. |
Inspection Report — Aug 16, 2021
Complaint Investigation
Date: Aug 16, 2021
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received by the Pennsylvania Department of Human Services.
Complaint Details
The visit was complaint-related as indicated by the inspection reason and was a partial unannounced inspection triggered by a complaint.
Findings
The inspection found deficiencies related to housekeeping services not being provided after the housekeeper quit, a broken wheelchair used by a resident, and unsanitary conditions in a resident's bathroom. Corrective actions were implemented including additional staffing, equipment replacement, re-education of staff, and ongoing audits to ensure compliance.
Citations (3)
Housekeeping services were not provided including cleaning of resident #1's restroom and toilet after the housekeeper quit.
Resident #2 utilized a broken wheelchair with a tipped seat pan and broken seatbelt, posing a risk of falling.
Accumulation of dried feces on the toilet bowl, raised toilet seat, toilet safety frame, and restroom floor in resident #1's bathroom.
Report Facts
Residents Served: 32
Total Daily Staff: 50
Waking Staff: 38
Current Residents on Hospice: 3
Residents with Mobility Need: 18
Residents 60 Years or Older: 32
Residents Diagnosed with Mental Illness: 2
Inspection Report — Jan 12, 2021
Renewal
Date: Jan 12, 2021
Visit Reason
The inspection was conducted as a renewal and complaint investigation to assess compliance with applicable regulations and licensing requirements.
Findings
The inspection identified multiple deficiencies including outdated carbon monoxide detector batteries, unsigned resident contracts and support plans, improper bedside lamp placement, incomplete medical evaluations, presence of non-fire-resistant materials in the smoking area, outdated menus, medication storage and administration issues, and failure to follow prescriber's orders. Plans of correction were accepted and implemented with ongoing monitoring.
Citations (10)
Carbon monoxide detector batteries were last changed on 4/5/19 and detectors outside bedrooms lacked installation dates.
Resident #1 and Resident #3's resident contracts were not signed by the resident.
Resident #4's bedside lamp was approximately 3 feet from the bed and could not be turned on/off from bedside.
Resident #2's most recent medical evaluation did not include the resident's temperature.
A blue cushion not made of fire-resistant material was present in the designated smoking area.
Menus posted were outdated, dated from 11/30/20-12/6/20 and 12/28/20-1/3/21.
Resident #4's prescribed medication Bisacodyl was not available in the home.
Medication administration records for Residents #1, #3, and #4 lacked staff initials for several medication administrations.
Resident #1's sliding scale insulin was not administered according to prescribed blood glucose levels on multiple occasions.
Resident #1 and Resident #3's most recent support plans were not signed by the resident and did not indicate inability or refusal to sign.
Report Facts
Residents Served: 28
Staff Total Daily: 44
Waking Staff: 33
Deficiency Completion Date: Apr 19, 2021
Inspection Report — Oct 14, 2020
Routine
Date: Oct 14, 2020
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Notice — Mar 10, 2020
Date: Mar 10, 2020
Visit Reason
Notification of renewal application approval to operate a Personal Care Home and information about the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and outlines the Department's inspection requirements.
Report Facts
Inspection Report — Feb 7, 2020
Renewal
Date: Feb 7, 2020
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing regulations at Allegheny Place.
Findings
The inspection identified violations related to locking poisonous materials, trash management outside the home, and medication labeling. Plans of correction were submitted and determined to be fully implemented upon follow-up.
Citations (3)
2600.82(c) Locking poisonous materials: A 1.95 gallon bottle of laundry detergent was found unlocked and accessible to residents, including those not assessed for safe use.
2600.85(e) Trash outside home: Dumpster lids were open and the dumpster was full with five large garbage bags on the ground in front.
2600.184(a) Labeling OTC/CAM: The pharmacy label for Resident #2's Humalog insulin only indicated part of the sliding scale dosing.
Report Facts
Residents Served: 28
Current Hospice Residents: 2
Staff Total Daily: 45
Waking Staff: 34
Residents with Mobility Need: 17
Residents 60 Years or Older: 27
Residents Diagnosed with Mental Illness: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Hice | Executive Director | Named in plan of correction approval and signature on violation reports |
Inspection Report — Nov 4, 2019
Follow-Up
Date: Nov 4, 2019
Visit Reason
The inspection was a follow-up review conducted by the Pennsylvania Department of Human Services, Bureau of Human Services Licensing, to verify that the submitted plan of correction was fully implemented following a complaint/incident.
Complaint Details
The visit was complaint-related, triggered by an allegation of resident abuse involving medication administration. The allegation was substantiated by the investigation and corrective actions were taken.
Findings
The submitted plan of correction was determined to be fully implemented. The report details a resident abuse incident involving medication administration and the subsequent corrective actions including staff training, suspension, and termination.
Citations (3)
2600.15a: The home failed to immediately report suspected abuse of a resident involving medication administration and staff conflict. The allegation was not reported to the area agency until three days after the incident.
2600.15b: The home failed to immediately develop and implement a supervision plan or suspend the staff involved in the alleged abuse incident. Staff person B was suspended and later terminated following investigation.
2600.42c: The home failed to treat a resident with dignity and respect during the medication incident where the resident was denied medication and became tearful.
Report Facts
Residents served: 33
Current Residents in Hospice: 5
Residents aged 60 or older: 32
Residents diagnosed with mental illness: 3
Residents with mobility need: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Hice | Executive Director | Signed plan of correction and involved in oversight of corrective actions |
Inspection Report — Aug 16, 2019
Complaint Investigation
Date: Aug 16, 2019
Visit Reason
The inspection was conducted as a complaint investigation, unannounced, to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Complaint Details
The inspection was triggered by a complaint. The violations found were related to medication administration errors involving resident #1, including incomplete medication records and failure to administer medications as prescribed.
Findings
The inspection found violations related to medication administration records, including missing diagnosis or purpose for medication, failure to administer prescribed medications, and failure to follow prescriber directions. A plan of correction was submitted addressing staff training and auditing procedures.
Citations (3)
Regulation 2600.187.a.12 requires medication records to include diagnosis or purpose for the medication. Resident #1's August 2019 medication record lacked this information for Haloperidol 2mg given twice daily.
Regulation 2600.187.a.13 requires medication records to include date and time of administration. On 8/15/19, direct care staff did not administer Donepezil, Melatonin, and Haloperidol as prescribed to resident #1.
Regulation 2600.187.d requires the home to follow prescriber's directions. Resident #1 was not administered Haloperidol at approximately 4:30 p.m. on 8/15/19 as prescribed.
Report Facts
Residents Served: 34
Current Hospice Residents: 5
Total Daily Staff: 59
Waking Staff: 44
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Hice | Administrator | Named as facility administrator in facility information |
| Mark Gray | E.D. | Signed Plan of Correction documents related to medication violations |
Inspection Report — Aug 5, 2019
Routine
Date: Aug 5, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of the facility on August 5, 2019, to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report — Jul 18, 2019
Annual Inspection
Date: Jul 18, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an annual inspection on July 18 and 19, 2019, to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
The inspection identified five violations related to administrator training, food service refrigeration, alternate exit routes, menu changes, and prescription medication management. Plans of correction were submitted and partially implemented as of November 12, 2019.
Citations (5)
Regulation 2600.64.a Administrator Training and Orientation: The administrator had not completed an orientation program approved and administered by the Department.
Regulation 2600.103.f Food Service: On 7/18/19 at 10:07 a.m., there was no thermometer in the white chest freezer in the kitchen.
Regulation 2600.132.f Alternate Exit Routes: All five exits were used for 10 of the past 12 fire drills including July 2018 through March 2019, and May 2019.
Regulation 2600.162.e Menu Changes: Multiple resident interviews indicated that changes to the menu were not posted and residents were not aware of any changes until the meal was served.
Regulation 2600.183.d Prescription Current: On 7/19/19, there were 6 Acetaminophen suppositories for resident #1 in the medication cart which were discontinued on 7/1/19.
Report Facts
Residents Served: 36
Current Residents Hospice: 4
Residents Age 60 or Older: 35
Residents Diagnosed with Mental Illness: 4
Residents with Mobility Need: 22
Inspection Report — Jan 30, 2019
Renewal
Date: Jan 30, 2019
Visit Reason
The document is a renewal application and license issuance for Allegheny Place Personal Care Home. The Department of Human Services will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and certificate of compliance for the facility.
Inspection Report — Nov 8, 2018
Complaint Investigation
Date: Nov 8, 2018
Visit Reason
The inspection was conducted as a complaint investigation at Allegheny Place to assess compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes.
Complaint Details
The inspection was complaint-driven. The complaint triggered a partial inspection focusing on fire drill evacuation and resident assessments. No substantiation status was explicitly stated.
Findings
The inspection found a violation related to fire drill evacuation procedures where only residents in the fire area were evacuated, not all residents. Another violation involved incomplete resident assessments and failure to update them as residents' needs changed.
Citations (2)
55 Pa.Code §2600.132(h) - Residents must evacuate to a designated fire-safe area during each fire drill. The fire drill log showed only residents in the fire area were evacuated, not all residents as required.
55 Pa.Code §2600.225(c) - Resident assessments must be conducted annually and updated as needed. The assessment for resident #1 was outdated and did not reflect numerous falls and use of a wander guard system.
Report Facts
Number of residents present during inspection: 38
Residents evacuated during fire drill: 37
Residents aged 60 or older: 35
Residents with mental illness: 3
Residents with mobility need: 18
Current hospice residents: 2
Inspection Report — Sep 5, 2018
Routine
Date: Sep 5, 2018
Visit Reason
The Department's Bureau of Human Services conducted an inspection of Allegheny Place to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
No regulatory violations were identified as a result of this inspection.
Inspection Report — Jul 20, 2018
Renewal
Date: Jul 20, 2018
Visit Reason
The inspection was a renewal inspection conducted by the Department's Bureau of Human Services Licensing on July 20, 2018, for Allegheny Place.
Findings
The inspection found violations related to the absence of an influenza awareness poster, uncalibrated glucometers for two residents, and an incomplete support plan for a resident with schizophrenia. Plans of correction were submitted and partially implemented as of April 2019.
Citations (3)
55 Pa.Code 2600.18: The facility did not have a copy of the influenza awareness poster posted in a public place year-round as required.
55 Pa.Code 2600.185(a): The glucometers for residents #1 and #2 were not calibrated to the correct date and time.
55 Pa.Code 2600.227(d): Resident #1's support plan did not include a plan to meet the psychological needs related to a schizophrenia diagnosis.
Report Facts
Number of Residents Served: 38
Total Daily Staff: 57
Waking Staff: 43
Number of Current Hospice Residents: 4
Residents Age 60 or Older: 37
Residents with Mental Illness: 5
Residents with Intellectual Disability: 1
Residents with Mobility Need: 19
Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Hice | Executive Director | Signed plan of correction pages related to all deficiencies |
Inspection Report — Apr 19, 2018
Complaint Investigation
Date: Apr 19, 2018
Visit Reason
The inspection was conducted as a complaint investigation at Allegheny Place on April 19 and April 20, 2018.
Complaint Details
The inspection was complaint-driven as indicated on the violation report. Specific complaints involved improper transfer techniques and inadequate incontinence care.
Findings
Violations were found related to resident care, specifically improper use of a Hoyer lift during transfer and failure to check incontinent residents at least every two hours as required by the home's policy.
Citations (2)
55 Pa.Code §2600 - Resident #1 was transferred in and out of bed/chair without using the required Hoyer lift, contrary to the resident's assessment. Staff failed to check resident #1 every two hours for incontinence care as required by the home's policy.
55 Pa.Code §2600.227(a) - The home's policy requires checking incontinent residents at least every two hours, but resident #1's support plan did not indicate this frequency. The resident was incontinent and required assistance, but checks were not performed as required.
Report Facts
Number of Residents Served: 39
Total Daily Staff: 62
Waking Staff: 47
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Walt Young | Executive Director | Signed Plan of Correction documents related to deficiencies |
| Missy Hice | Named as Administrator of the facility | |
| Michael Marini | Department Representative conducting the inspection |
Notice — Apr 17, 2018
Date: Apr 17, 2018
Visit Reason
This document serves as a renewal notification for the Personal Care Home license of Allegheny Place and informs that an onsite inspection will be conducted within the next twelve months as required by state regulations.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.
Report Facts
Inspection Report — Jul 17, 2017
Renewal
Date: Jul 17, 2017
Visit Reason
The inspection was conducted as an annual licensing inspection with reasons for inspection listed as Renewal and Complaint.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including lack of certified food safety manager during lunch service, unlocked poisonous materials accessible to residents, unsanitary conditions in a resident's bedroom, combustible materials stored near heat sources, incomplete fire drill logs, incorrect exit signage, and unsigned resident support plans.
Citations (8)
55 Pa.Code 2600.18: No certified food protection safety manager was present during lunch service as required.
55 Pa.Code 2600.82(c): Poisonous materials were unlocked and accessible in the activity room and courtyard, and not all residents were assessed for safe use of poisons.
55 Pa.Code 2600.85(a): Sanitary conditions were not maintained in bedroom #120, including stains on mattress and floor and strong urine odor.
55 Pa.Code 2600.125(a): Combustible materials were stored next to the water heater.
55 Pa.Code 2600.132(c): Fire drill logs were incomplete and inaccurate, missing documentation for June 2017 and incorrect evacuation numbers.
55 Pa.Code 2600.133(a)(2): Exit signs indicated incorrect exit routes in multiple locations.
55 Pa.Code 2600.227(g): The support plan for Resident #3 was not signed by any participants in its development.
55 Pa.Code 2600.252: Resident #3's most recent photograph was outdated, taken on 5/11/2015.
Report Facts
Number of Residents Served: 40
Number of Current Hospice Residents: 8
Number of Hospice Residents in past year: 12
Number of Residents 60 Years or Older: 40
Number of Residents with Mental Illness: 3
Number of Residents with Mobility Need: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Hice | Executive Director | Named in multiple findings and plan of correction signatures. |
| Josh Hoover | Inspector conducting the violation report. |
Notice — Apr 19, 2017
Date: Apr 19, 2017
Visit Reason
This document serves as a renewal certificate and notification for the Personal Care Home Allegheny Place, confirming the renewal application and informing about the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It is a licensing renewal notice with no deficiencies or compliance issues mentioned.
Report Facts
Inspection Report — Apr 3, 2017
Routine
Date: Apr 3, 2017
Visit Reason
The Department of Human Services licensing representatives conducted an inspection of the Allegheny Place facility on April 3, 2017.
Findings
No regulatory violations were identified as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Larry Mazza | Acting Regional Licensing Director | Signed the inspection report letter. |
Inspection Report — Mar 21, 2017
Routine
Date: Mar 21, 2017
Visit Reason
The Department of Human Services licensing representatives conducted an inspection of the facility on March 21, 2017.
Findings
No regulatory violations were identified as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susie Pollock | Regional Licensing Director | Signed the inspection report letter. |
Inspection Report — Nov 14, 2016
Complaint Investigation
Date: Nov 14, 2016
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident involving resident care at Allegheny Place.
Complaint Details
The complaint investigation was substantiated with findings of staff misconduct and failure to complete timely resident assessments.
Findings
Two violations of 55 Pa.Code Chapter 2600 were found related to resident dignity and timely completion of initial assessments. The facility had issues with staff treating a resident disrespectfully and delayed completion of a resident's initial assessment.
Citations (2)
55 Pa.Code 2600.42(c) - A resident was subjected to aggressive and disrespectful statements by direct care staff, causing the resident to feel degraded and afraid of retribution.
55 Pa.Code 2600.225(a) - A resident's initial assessment was not completed within 15 days of admission as required by regulation.
Report Facts
Number of Residents Served: 36
Number of Current Hospice Residents: 6
Number of Hospice Residents in past year: 6
Total Daily Staff: 49
Walking Staff: 37
Residents Age 60 or Older: 35
Residents with Mental Illness: 2
Residents with Mobility Need: 13
Inspection Report — Oct 21, 2016
Routine
Date: Oct 21, 2016
Visit Reason
The inspection was a licensing inspection conducted by the Department of Human Services to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Findings
The inspection identified multiple violations related to resident care, staff hiring practices, and assessment documentation. Plans of correction were submitted addressing issues such as two-person assistance during transfers, criminal background checks, direct care staff training, and timely resident assessments.
Citations (4)
Regulation 55 Pa.Code 2600.23(a) - Resident #1 required two-person assistance for transfers, but staff failed to provide it on specified dates, resulting in skin tears to the resident's knee.
Regulation 55 Pa.Code 2600.51 - Staff person D was hired without a completed criminal background check until 7/26/16, violating hiring policies.
Regulation 55 Pa.Code 2600.65(d) - Staff person A provided unsupervised ADL services without completing the required Department-approved direct care training and competency test.
Regulation 55 Pa.Code 2600.225(a) - Residents #2 and #3 were admitted without timely completion of their initial assessments, delayed until 10/21/16 and 1/20/16 respectively.
Report Facts
Number of Residents Served: 36
Total Daily Staff: 49
Waking Staff: 37
Number of Current Hospice Residents: 8
Number of Hospice Residents in Past Year: 20
Number of Residents 60 Years or Older: 34
Number of Residents with Mental Illness: 2
Number of Residents with Mobility Need: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Carol Lovash | Executive Director | Signed multiple plans of correction and involved in oversight of corrective actions. |
Inspection Report — Aug 12, 2016
Annual Inspection
Date: Aug 12, 2016
Visit Reason
Annual licensing inspection conducted on August 12, 2016, including renewal and incident reasons.
Findings
Multiple violations were found related to staff training, sanitary conditions, furniture repair, resident medical evaluations, and medication administration. Plans of correction were partially implemented or fully implemented for various deficiencies.
Citations (11)
2600.65(g) Staff persons A and B did not receive annual training on resident rights during the 2015 training year.
2600.85(a) Resident #1's room had a strong odor and unidentified matter on carpet; no soap or sanitary means for hand drying were present at the dining room sink.
2600.85(e) Both lids to the home's exterior dumpster were open, containing 3 bags of trash.
2600.95 Resident #3's dresser was missing the top-right drawer.
2600.101(j)(7) Resident #4 did not have an operable lamp or other source of lighting at bedside.
2600.141(a)(1) Resident #4's medical evaluation was completed more than 60 days prior to admission, exceeding the regulatory timeframe.
2600.141(a)(2) Resident #1's medical evaluation dated 5/1/16 did not indicate height or weight.
2600.141(b)(1) Resident #1 did not have a medical evaluation at least annually; next evaluation was delayed beyond required timeframe.
2600.184(a) Resident #3's prescription label for Ibuprofen 800 mg was inaccurate, indicating dosing by mouth 3 times daily instead of every 6 hours as prescribed.
2600.187(d) Resident #1 was administered Novolog insulin instead of prescribed Lantus Solostar Pen, resulting in emergency room transport.
2600.225(c) Resident #3's annual assessment was not completed within the required timeframe.
Report Facts
Number of Current Hospice Residents: 7
Number of Hospice Residents in past year: 15
Number of Residents with Mental Illness: 3
Number of Residents with Mobility Need: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Robert L. Ross Jr | Legal Entity Representative | Signed multiple violation reports and plans of correction. |
Inspection Report — May 27, 2016
Renewal
Date: May 27, 2016
Visit Reason
The inspection was a licensing inspection conducted by the Department of Human Services on May 27, 2016, to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including issues with staff qualifications, medical evaluations, resident assessments, and support plans. Plans of correction were submitted and partially implemented as of November 8, 2016.
Citations (6)
Regulation 2600.54(a): Direct care staff person A lacks a high school diploma, GED diploma, or active registration on the Pennsylvania nurse aide registry.
Regulation 2600.141(a)(1): Residents #1 and #2 had medical evaluations completed but were not admitted to the home until months later.
Regulation 2600.141(b)(1): Resident #1's most recent medical evaluation was completed on 2/17/2015.
Regulation 2600.225(a): Resident #3's initial assessment is undated, making the timeliness of the assessment undeterminable.
Regulation 2600.227(a): Resident #3's support plan is undated and unsigned, so the timeliness of the support plan cannot be determined.
Regulation 2600.227(g): Resident #2's support plan dated 4/26/2016 is not signed by the resident, with no indication of inability or unwillingness to sign.
Report Facts
Number of Residents Served: 35
Total Daily Staff: 68
Walking Staff: 44
Number of Current Hospice Residents: 9
Number of Hospice Residents in past year: 30
Residents 60 Years or Older: 33
Residents with Mental Illness: 12
Residents with Mobility Need: 23
Inspection Report — Apr 12, 2016
Complaint Investigation
Date: Apr 12, 2016
Visit Reason
The inspection was conducted due to an incident involving alleged abuse reported at the facility.
Complaint Details
The complaint involved an alleged abuse incident where staff person A verbally abused a resident and worked unsupervised during the incident. The allegation was investigated and found unsubstantiated. Staff member A was suspended pending investigation and later returned to work. Notifications to authorities and designated persons were delayed.
Findings
The investigation found that staff person A made an abusive statement towards a resident and worked without supervision during the incident. The home failed to report the alleged abuse to the Area Agency on Aging and the Department of Human Services as required. The allegation was later unsubstantiated and staff member A returned to work.
Citations (4)
55 Pa.Code §2600.15(a) requires immediate reporting of suspected abuse, but the home did not report the alleged abuse to the Area Agency on Aging until after the incident.
55 Pa.Code §2600.15(b) requires a plan of supervision or suspension if abuse is alleged, but staff person A worked without supervision during the incident and was only suspended after investigation.
55 Pa.Code §2600.15(d) requires immediate notification to the resident and designated person of suspected abuse, but the home did not notify the resident's designated person until after investigation.
55 Pa.Code §2600.16(c) requires reporting incidents to the Department's complaint hotline within 24 hours, but the home failed to report the incident timely.
Report Facts
Number of Residents Served: 40
Total Daily Staff: 56
Waking Staff: 42
Number of Current Hospice Residents: 6
Number of Residents 60 Years or Older: 39
Number of Residents with Mental Illness: 2
Number of Residents with Mobility Need: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Robert L. Ross | Administrator | Signed plan of correction documents related to the abuse incident |
| Michael Marini | Department representative conducting the inspection |
Inspection Report — Mar 22, 2016
Renewal
Date: Mar 22, 2016
Visit Reason
The document is a renewal application and license issuance for Allegheny Place Personal Care Home. The Department received the renewal application on March 22, 2016, and will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It primarily communicates the renewal license issuance and the requirement for a future annual inspection.
Report Facts
Inspection Report — Feb 1, 2016
Complaint Investigation
Date: Feb 1, 2016
Visit Reason
The inspection was conducted due to an incident reported at the facility involving a resident and staff behavior.
Complaint Details
The visit was triggered by an incident complaint involving a resident being combative and inadequate incident reporting. The complaint was substantiated with violations found.
Findings
The inspection found multiple violations related to incident reporting, resident supervision, safety measures, and documentation of resident assessments. Plans of correction were partially implemented with adequate progress noted.
Citations (4)
Regulation 2600.16(c): The home failed to report an incident involving a combative resident within 24 hours as required by the Department's guidelines.
Regulation 2600.23(a): The home did not provide adequate supervision for a resident with a history of wandering and failed to place a wander guard until after the resident eloped twice.
Regulation 2600.92: Windows, including the 5th window to the right of the main entrance, were missing screens and were open for extended periods, compromising security.
Regulation 2600.225(a): The initial assessments for residents were incomplete or inaccurate, with missing diagnoses and impaired orientation not properly documented.
Report Facts
Number of Residents Served: 40
Total Daily Staff: 58
Waking Staff: 44
Number of Current Hospice Residents: 8
Number of Hospice Residents in past year: 17
Residents 60 Years or Older: 39
Residents with Mobility Need: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janine Wenzig | Human Services Licensing Supervisor | Signed the cover letter for the inspection report |
| Gail Mertens | Executive Director | Signed multiple pages of the violation report and plan of correction |
| Lisa Flinner-Alman | Department representative on-site during inspection | |
| Donald Knee | Department representative on-site during inspection |
Inspection Report — April 16, 2021
Renewal
Date: April 16, 2021
Visit Reason
The document is a renewal license issued in response to the January 26, 2021 renewal application to operate the Personal Care Home Allegheny Place. The Department advises that an onsite annual inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It is a license renewal notice confirming the issuance of a regular license and advising of future inspection requirements.
Report Facts
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