34 Reports
Notice — Aug 22, 2026
Date: Aug 22, 2026
Visit Reason
The document serves to notify the facility that a waiver request to waive the requirement for direct care staff to have a high school diploma, GED, or active registry status was granted due to education received outside the United States.
Findings
The waiver is granted with conditions including documentation of education and training to be maintained by the facility and subject to annual review during inspections. Noncompliance with waiver conditions may result in termination or licensing action.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Teresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Notice — Jul 28, 2026
Date: Jul 28, 2026
Visit Reason
The document serves to notify the facility of the granted waiver for direct care staff qualifications under 55 Pa.Code § 2600.54(a)(2), allowing an employee to serve despite education from outside the United States.
Findings
The waiver is granted with specific conditions including documentation of education and training to be maintained by the facility. The Department will review the waiver annually during inspections to ensure compliance.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Nov 7, 2025
Complaint Investigation
Date: Nov 7, 2025
Visit Reason
The inspection was a partial, unannounced complaint investigation conducted on November 7, 2025, to review compliance with regulatory requirements following a complaint.
Complaint Details
The inspection was complaint-driven as indicated by the reason 'Complaint' and was substantiated by multiple deficiencies found and corrected.
Findings
The inspection identified multiple deficiencies including sanitary conditions with a sewage odor in the food pantry storage, inoperable elevator limiting resident services on the lower level, lint accumulation in dryers, obstructed egress due to unauthorized signage, and improper storage of an expired medication. Plans of correction were accepted and implemented by December 16, 2025.
Citations (5)
85.a Sanitary conditions were not maintained due to a strong sewage odor in the food pantry storage caused by an untreated drainage line.
95 Furniture and equipment deficiency: only one working elevator for a three-floor building serving 66 residents, limiting access to the lower level; washing machines were out of service or misinterpreted as nonfunctional.
105.g Lint removal and duct cleaning deficiency: two dryers in the memory care unit had approximately 12 inches of lint accumulation in the lint trap.
121.a Unobstructed egress violation: a stop sign was placed next to the west wing exit door in the memory care unit, blocking egress.
183.e Storing medications deficiency: an expired Lorazepam gel was found in a medication cart and was immediately removed; the medication was discontinued by the doctor.
Report Facts
Residents served: 66
Residents served in Dementia Care Unit: 29
Current Hospice Residents: 7
Notice — Sep 18, 2025
Date: Sep 18, 2025
Visit Reason
The document serves to grant a waiver for a direct care staff member at Allegria at the Oaks who received their education outside the United States, allowing them to meet Pennsylvania staff qualification requirements.
Findings
The waiver is granted under specific conditions including documentation of education and training, which must be maintained by the facility and reviewed annually during inspections.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Notice — Jun 17, 2025
Date: Jun 17, 2025
Visit Reason
The document serves to notify the facility that their request to waive the requirement for direct care staff to have a high school diploma, GED, or active registry status was granted under specified conditions.
Findings
The waiver is granted with conditions that the staff's education equivalency documentation be maintained and made available upon request. The Department will review compliance with these conditions annually during inspections.
Inspection Report — May 7, 2025
Renewal
Date: May 7, 2025
Visit Reason
The inspection was conducted as a licensing inspection on May 7 and 8, 2025, to determine compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes, including renewal and complaint review.
Findings
The facility was found to be in compliance overall, with a submitted plan of correction fully implemented. Several deficiencies were identified related to bathroom ventilation, medication record keeping, following prescriber's orders, additional resident assessments, and medical evaluations for dementia care unit admissions, all with accepted plans of correction and completion dates.
Citations (5)
Bathroom in room 34-PC lacked operable window or ventilation fan; vent was inoperable.
Resident #4's medication administration record did not indicate diagnosis or purpose for Divalproex Sodium medication.
Resident #4 was not administered prescribed medication on 04/20/25 at 2pm; Resident #5 missed multiple medications on 05/05/25 at 8pm and 9pm as prescribed.
Resident #6's additional assessment was incomplete; RASP document missing page 10.
Residents #7 and #8 admitted to Secure Dementia Care Unit without medical evaluations including need for secured dementia care.
Report Facts
Residents Served: 66
Residents Served in Secure Dementia Care Unit: 31
Hospice Residents: 10
Residents Age 60 or Older: 64
Residents Diagnosed with Mental Illness: 14
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 51
Residents with Physical Disability: 0
Notice — Apr 16, 2025
Date: Apr 16, 2025
Visit Reason
This document serves to notify the facility that a waiver request to waive the requirement for direct care staff to have a high school diploma, GED, or active registry status was granted due to education obtained outside the United States.
Findings
The waiver is granted under specific conditions including documentation of education equivalency and maintenance of records by the facility. The Department will review this waiver annually during inspections to ensure compliance.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Jan 27, 2025
Renewal
Date: Jan 27, 2025
Visit Reason
The inspection was a licensing inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, on 01/27/2025 for the facility ALLEGRIA AT THE OAKS.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 64
Secured Dementia Care Unit Residents Served: 29
Hospice Current Residents: 4
Notice — Sep 25, 2024
Date: Sep 25, 2024
Visit Reason
The document serves to notify the facility that a waiver request to 55 Pa.Code § 2600.54(a)(2) regarding direct care staff qualifications has been granted.
Findings
The waiver allows a specific employee educated outside the United States to serve as direct care staff based on credential evaluation equivalency. The Department will review this waiver annually during inspections to ensure compliance with conditions.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Notice — Sep 5, 2024
Date: Sep 5, 2024
Visit Reason
The document serves to notify the facility that their request to waive the requirement for direct care staff to have a high school diploma, GED, or active registry status was granted under specified conditions.
Findings
The waiver is granted with conditions including documentation of education and training to be maintained and made available upon request. The Department will review this waiver annually during inspections to ensure compliance.
Inspection Report — Aug 1, 2024
Monitoring
Date: Aug 1, 2024
Visit Reason
The inspection was conducted as a monitoring visit to assess compliance with regulations, including follow-up on previous violations and ongoing quality of care.
Findings
The report details multiple violations related to resident care, medication management, abuse prevention, sanitation, and safety. Plans of correction were submitted with various completion dates, and some violations were noted as not implemented or withdrawn.
Citations (16)
Resident records were not kept confidential; a binder containing sensitive medical information was left unlocked and unattended.
The home's quality management plan was not implemented as required; meetings were held biweekly instead of weekly.
Resident #1 was physically abused and the home failed to provide one-to-one support as needed.
Resident #1 was discharged without proper certification or permission from the Department of Human Services.
Sanitary conditions were not maintained; feces were found in a shared toilet bowl.
Emergency telephone numbers were not posted in the conference room.
Door lock on room 47 was broken and not repaired promptly.
Resident #5's bed had no pillowcase; pillows and linens were not checked regularly.
Two unlabeled bars of soap were found in the shared bathroom.
Resident #6 did not sign their support plan and was unable to participate in its development.
The home failed to provide proper 30-day advance written notice for discharge or transfer of resident #1.
Antifungal cream was left unsecured and accessible to residents.
Pillowcase for resident 2 was wrapped in plastic and had no pillow case.
Two unlabeled bars of soap were found in the bathroom of shared room 16.
Expired medications and undated insulin pens were found in the medication cart.
Antibacterial eye compress treatment pack was not labeled with the resident's name.
Report Facts
Residents Served: 70
Residents Served in Dementia Care Unit: 34
Current Hospice Residents: 8
Resident Support Staff: 0
Total Daily Staff: 116
Waking Staff: 87
Residents Diagnosed with Mental Illness: 14
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 46
Residents Age 60 or Older: 67
Residents with Physical Disability: 0
Notice — May 16, 2024
Date: May 16, 2024
Visit Reason
The document serves to notify the facility that a waiver request to 55 Pa.Code § 2600.54(a)(2) regarding direct care staff educational qualifications has been granted.
Findings
The waiver allows specified staff to serve as direct care staff despite having received their high education outside the United States, subject to conditions including documentation retention and annual review during inspections.
Inspection Report — Jan 8, 2024
Follow-Up
Date: Jan 8, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 01/08/2024 to review the submitted plan of correction related to previous deficiencies, including medication administration and annual medical evaluations.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies included late annual medical evaluations, medication storage and narcotic count errors, failure to follow prescriber's orders, and medication error reporting. Corrective actions involved audits, staff education, updated procedures, and ongoing monitoring.
Citations (4)
Late annual medical evaluations for residents.
Incorrect narcotic inventory counts and missing medications in the home.
Failure to follow prescriber's orders, including missed medication administrations.
Medication errors were not immediately reported to residents, designated persons, and prescribers.
Report Facts
Residents Served: 70
Residents Served in Dementia Unit: 32
Hospice Residents: 6
Resident Diagnosed with Mental Illness: 12
Resident Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 52
Residents 60 Years or Older: 68
Inspection Report — Jun 13, 2023
Complaint Investigation
Date: Jun 13, 2023
Visit Reason
The inspection was conducted as a complaint investigation to review compliance and verify the submitted plan of correction for the facility.
Complaint Details
The visit was complaint-related as indicated by the inspection reason. The plan of correction was accepted and fully implemented as of the inspection date.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies included missing medication administration initials and delayed admission support plan completion, both of which were addressed with corrective actions and monitoring.
Citations (2)
Resident 1's medication administration record did not include the initials of the staff person who administered the ointment.
Resident 1's initial support plan was not completed within 72 hours of admission to the secured dementia care unit.
Report Facts
Residents Served: 76
Memory Care Unit Residents Served: 35
Hospice Residents: 8
Residents Age 60 or Older: 73
Residents Diagnosed with Mental Illness: 34
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 51
Inspection Report — May 2, 2023
Enforcement
Date: May 2, 2023
Visit Reason
The inspection was conducted as a renewal and complaint investigation of the Allegria at the Oaks Personal Care Home.
Complaint Details
The inspection included a complaint investigation related to resident abuse and other regulatory compliance issues.
Findings
Multiple violations were found related to resident abuse reporting, contract signatures, resident funds accounting, sanitary conditions, medication storage and administration, medical evaluations, support plans, and fire safety. A provisional license was issued with fines pending correction of violations.
Citations (16)
Failure to report resident abuse incidents in accordance with the Older Adult Protective Services Act.
Resident-home contracts were not signed by residents who refused to sign.
Failure to provide itemized account of resident funds within 30 days of discharge.
Resident records lacked signed statements acknowledging receipt of resident rights and complaint procedures.
Failure to prevent resident-on-resident abuse by a resident with documented aggressive behavior.
Use of chemical restraints without non-pharmaceutical interventions for agitation.
Failure to maintain sanitary conditions including trash management and uncovered trash receptacles.
Food stored on the floor and in unsealed containers; outdated and unlabeled food items found.
Furnace not inspected annually as required.
Failure to conduct unannounced monthly fire drills.
Incomplete or missing medical evaluations and assessments for residents.
Medications not stored properly; blister packs not sealed; medication counts inaccurate.
Residents not educated on right to refuse medication.
Support plans incomplete or unsigned by residents.
Glucometers unlabeled, uncalibrated, and medication carts contained discontinued or unavailable medications.
Failure to follow prescriber's orders for medication administration and monitoring.
Report Facts
Fines: 1771
Residents Served: 76
Residents Served: 77
Residents Served in Secure Dementia Care Unit: 35
Inspection Report — Dec 8, 2022
Follow-Up
Date: Dec 8, 2022
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to identified deficiencies.
Findings
The submitted plan of correction was determined to be fully implemented. Two main deficiencies were noted: a repeat violation for lack of current fire safety inspection documentation and a repeat violation for incomplete medication records missing diagnosis or purpose for medications.
Citations (2)
The only documentation the home could provide for the last fire safety inspection observed by a fire safety expert was dated 7/29/2019, which is a repeat violation.
Resident's December 2022 medication administration record does not indicate the diagnosis or purpose for the medications, a repeat violation.
Report Facts
Residents Served: 76
Memory Unit Residents Served: 33
Inspection Report — Apr 18, 2022
Renewal
Date: Apr 18, 2022
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on April 18-19, 2022 to review compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including issues with timely refund of resident charges after death, staffing hours documentation, cleanliness of linens, outdated food, lint accumulation in dryers, fire safety documentation, medication storage and administration, resident medical evaluations, menu posting, resident records completeness, and support plan updates. Plans of correction were accepted and implemented for all deficiencies.
Citations (17)
Delayed refund checks issued after resident deaths with no copies kept of original checks.
Insufficient direct care hours during waking hours reported but later corrected with documentation.
Stained bed linens and missing blankets in resident rooms.
Dented cans of food found in daily use food storage.
Large accumulation of lint in commercial dryer lint trap.
No documentation of fire safety inspection since 2019 provided to inspector.
Alternate exit routes not used during fire drills as required.
Resident medical evaluation missing medication regimen details.
Weekly menus not posted with dates and posted too high to read.
Medication blister packs taped over torn foil for residents.
Loose pills found in medication cart and missing glucometer readings.
Medication administration records missing diagnosis or purpose for medications for several residents.
Medication administration records missing staff initials for administration on multiple dates.
Medications not administered per prescriber's orders for resident 6 on multiple dates.
Resident support plans not updated to reflect dietary needs for residents 4, 9, and 10.
Resident records missing key demographic and dietary information for multiple residents.
Preadmission screening form for resident 9 missing determination that needs can be met by the home.
Report Facts
Residents Served: 77
Memory Care Residents Served: 35
Hospice Residents: 5
Residents Diagnosed with Mental Illness: 20
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 51
Total Daily Staff: 128
Waking Staff: 96
Notice — May 14, 2021
Date: May 14, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for the Personal Care Home 'Allegria at the Oaks' following receipt of the renewal application on February 23, 2021. It also advises that an onsite annual inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms the issuance of a license and states that enforcement action will be taken if noncompliance is found during the upcoming inspection.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
| Regina Heilman-Toth | Executive Director | Recipient of the renewal notification letter |
Inspection Report — Mar 1, 2021
Follow-Up
Date: Mar 1, 2021
Visit Reason
The inspection was conducted as a follow-up to verify that the previously submitted plan of correction was fully implemented.
Findings
The facility was found to have fully implemented the submitted plan of correction. Several deficiencies were identified related to emergency management procedures, annual medical evaluations, medication administration training, preadmission screening, and support plan signatures, all of which had corrective plans accepted and documented.
Citations (7)
The home's written emergency procedures had not been sent to the local emergency management agency since 2019.
Resident #3's 2020 annual medical evaluation was not completed.
Staff person A administered medications without successfully completing the Department-approved medication administration course in 9/2020.
The home's medication administration training record for staff person A did not include documentation that the course was successfully completed.
Resident #1's preadmission screening form was completed after admission.
Resident #1 and Staff member B did not sign the initial support plan completed on 8/28/20.
Residents #1 and #2 were admitted to the Secure Dementia Care Unit without completed written cognitive preadmission screenings.
Report Facts
Residents Served: 55
Secured Dementia Care Unit Residents Served: 28
Residents Age 60 or Older: 54
Residents Diagnosed with Mental Illness: 7
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 44
Inspection Report — Dec 21, 2020
Complaint Investigation
Date: Dec 21, 2020
Visit Reason
The inspection was conducted as a complaint investigation following concerns about incidents and compliance at Allegria at the Oaks.
Complaint Details
The complaint investigation was substantiated with findings including failure to report incidents, inadequate supervision leading to resident elopement and injury, and other regulatory violations.
Findings
The facility was found to have multiple deficiencies including failure to report a resident fall incident, inadequate supervision leading to resident elopement and injury, lack of accessible telephone on the secured unit, delayed annual medical evaluations, and incomplete support plan signatures.
Citations (5)
16c - Written Incident Report: The home failed to report a resident fall resulting in a stroke to the department within 24 hours as required.
42b - Abuse: Resident #2 eloped from the facility, was found injured on a busy road, and the facility failed to provide adequate supervision as documented in the resident's support plan.
90a - Landline Telephone: The home did not have a working, accessible landline telephone on the secured unit for resident use.
141b1 - Annual Medical Evaluation: Resident #3's annual medical evaluation was delayed, with the form not signed and completed until months after the evaluation date.
227g - Support Plan Signatures: Resident #1's support plan was finalized without signatures from the assessor or the resident, nor documentation of refusal or inability to sign.
Report Facts
Residents Served: 63
Residents Served in Secured Dementia Care Unit: 30
Residents Age 60 or Older: 62
Residents Diagnosed with Mental Illness: 8
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 46
Inspection Report — Dec 3, 2020
Complaint Investigation
Date: Dec 3, 2020
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received by the Pennsylvania Department of Human Services.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 63
Residents Served in Secured Dementia Care Unit: 30
Current Hospice Residents: 9
Inspection Report — Sep 28, 2020
Follow-Up
Date: Sep 28, 2020
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 09/28/2020 to verify the implementation of a previously submitted plan of correction related to an incident.
Findings
The facility demonstrated full implementation of the submitted plan of correction. Several deficiencies related to treatment of residents, training topics, medication procedures, and following prescriber's orders were identified but were addressed with corrective actions and requests for rescission of violations.
Citations (5)
42c - Treatment of Residents: Staff member A dismissed Resident #1's request for PRN medication by waving hand and walking away, which the resident found disrespectful, violating dignity and respect requirements.
65f - Training Topics: Staff member A did not receive required training in medication self-administration, meeting resident needs, personal care, and safe management techniques during 2019.
65g - Annual Training Content: Staff member A did not receive training in emergency preparedness procedures and resident rights during 2019.
185b - Medication Procedures: Medication administrations on 9/19/20 were not documented on the narcotic inventory sheet as required.
187d - Follow Prescriber's Orders: Resident #1 did not receive PRN medication at the expected time on 9/23/20, but the delay was justified and orders were followed.
Report Facts
Residents Served: 62
Secured Dementia Care Unit Residents Served: 31
Hospice Current Residents: 9
Residents Age 60 or Older: 61
Residents Diagnosed with Mental Illness: 8
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 48
Inspection Report — Sep 3, 2020
Follow-Up
Date: Sep 3, 2020
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 submitted plan of correction was determined to be fully implemented. The report includes a withdrawn violation regarding a delayed incident report of a resident injury.
Citations (1)
16c - Written Incident Report: The home failed to report a resident's hip injury incident to the Department within 24 hours as required. The incident occurred on 8/31/2020 but was reported on 9/2/2020 at 2:35pm.
Report Facts
Residents Served: 63
Secured Dementia Care Unit Residents Served: 30
Hospice Current Residents: 9
Resident Support Staff Total Daily Staff: 109
Resident Support Staff Waking Staff: 82
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alexander Goldstein | Lead Inspector | Lead inspector for the partial follow-up inspection |
| Shawn Parker | Lead Reviewer | Reviewer for plan of correction submission |
Inspection Report — May 13, 2020
Complaint Investigation
Date: May 13, 2020
Visit Reason
The inspection was conducted as a complaint investigation with multiple off-site review dates from 05/13/2020 to 06/17/2020 to assess compliance with regulations following complaints.
Complaint Details
The inspection was complaint-driven, with the reason explicitly stated as 'Complaint' and multiple off-site review dates. The complaint involved medication administration failures, reporting deficiencies, and contract and support plan issues.
Findings
The facility was found to have multiple medication administration deficiencies including failure to administer medications, failure to report medication refusals and errors, incomplete medical evaluations, missing resident-home contracts, and improper use of chemical restraints. Plans of correction were submitted and accepted with full implementation confirmed by 09/10/2020.
Citations (14)
2600.16c The home failed to report multiple medication omissions for residents #1, #2, #3, and #4 to the department within 24 hours.
2600.23a Residents #1, #2, #3, and #4 did not receive required assistance with medication administration on multiple days in April and May 2020.
2600.25a Resident #5 did not have a resident-home contract completed until four days after admission due to refusal to sign.
2600.42v The home failed to provide medication administration services as contracted for residents #1, #2, #3, and #4 on multiple days in April and May 2020.
2600.141a Resident #5's medical evaluation lacked documentation of special health or dietary needs and body positioning and movement stimulation.
2600.182c Staff failed to compare medication administration records and medication labels, resulting in multiple incorrect controlled substance count adjustments.
2600.185b The home failed to follow its own procedures for counting and recording controlled medications, with multiple unjustified count adjustments.
2600.187a Resident #4's medication record lacked accurate duration and diagnosis information for multiple medications.
2600.187b Resident #4's medication administration record lacked staff initials for administered medications on several occasions.
2600.187c The home failed to document and notify prescribers of medication refusals by residents #1, #2, and #4 on multiple occasions.
2600.187d Residents #1, #2, #3, and #4 missed prescribed medications on multiple days due to unavailability or failure to administer.
2600.188b Medication errors involving residents #1, #2, #3, and #4 were not reported to residents, designated persons, or prescribers as required.
2600.202 Resident #2 was administered Lorazepam 0.5 mg as a chemical restraint to control behavior, which is prohibited.
2600.227g Resident #5's support plan was not signed by the assessor as required.
Report Facts
Residents Served: 58
Medication omission dates: 11
Medication refusal dates: 3
Plan of Correction submission dates: 4
Notice — Feb 3, 2020
Date: Feb 3, 2020
Visit Reason
This document serves as a renewal notification for the Personal Care Home license for Allegria at the Oaks, indicating the Department will conduct an annual onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license renewal and outlines the requirement for a future annual inspection.
Report Facts
Inspection Report — Oct 22, 2019
Follow-Up
Date: Oct 22, 2019
Visit Reason
The visit was a follow-up review conducted by the Pennsylvania Department of Human Services on October 22, 2019, to verify that the submitted plan of correction was fully implemented following prior violations.
Findings
The submitted plan of correction was found to be fully implemented as of the follow-up inspection. The report details resolved violations related to abuse, resident personal equipment, support plan documentation, and key-locking devices.
Citations (4)
42b - Abuse: A resident cried for help and was verbally inquired by staff but was not promptly assessed or assisted, resulting in the resident expiring before EMS arrival.
81b - Resident Personal Equipment: A resident was immobile and unable to self-propel in a wheelchair that lacked proper footrest equipment.
227d - Support Plan Medical/Dental: The support plan for a resident did not effectively communicate the resident's needs or accurately describe behaviors and triggers.
233c - Key-Locking Devices: Directions for operating the home's locking mechanism were not conspicuously posted near the elevator.
Report Facts
Residents Served: 74
Secured Dementia Care Unit Residents Served: 29
Hospice Current Residents: 8
Residents Diagnosed with Mental Illness: 8
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 40
Residents Age 60 or Older: 72
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Regina Heilman-Toth | Executive Director | Named as the Executive Director and signer of the plan of correction documents |
Inspection Report — Jul 31, 2019
Annual Inspection
Date: Jul 31, 2019
Visit Reason
The inspection was conducted as part of the Department’s Bureau of Human Services Licensing annual inspection of the Allegria at the Oaks facility to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
Violations of the Pennsylvania Code related to Personal Care Homes were identified during the inspection visits on July 31, 2019, August 1, 2019, and November 6, 2019. The facility was required to correct all cited violations by specified dates and maintain continued compliance.
Inspection Report — Apr 9, 2019
Complaint Investigation
Date: Apr 9, 2019
Visit Reason
The inspection was conducted as a complaint and incident investigation at Allegria at the Oaks personal care home.
Complaint Details
The inspection was triggered by a complaint and incident report. The complaint was substantiated by findings including failure to report incidents and inadequate emergency response.
Findings
Violations of 55 Pa. Code Ch. 2600 were found including failure to report a false fire alarm incident timely, noncompliance with fire safety laws, inadequate emergency procedures, incomplete resident assessments, and unmet mobility requirements for evacuation.
Citations (5)
2600.16c - The home did not report a false fire alarm incident to the department until 8 days after it occurred on 03/18/19.
2600.18 - The home was found not in compliance with the 2015 International Fire Code during a telephone conference with the fire inspector.
2600.107b - The home's written emergency procedures lacked requirements for up to four head counts during evacuation and documentation of evacuation time was missing.
2600.225c - Resident #1's most recent assessment was outdated, completed on 02/16/18, lacking timely updates.
2600.226b - Resident #1 was assessed to need total physical assistance for evacuation, but staff did not meet these needs during an emergency on 03/18/19.
Report Facts
Residents Served: 79
Residents Served in Dementia Unit: 32
Hospice Current Residents: 7
Total Daily Staff: 121
Waking Staff: 91
Residents 60 Years or Older: 77
Residents Diagnosed with Mental Illness: 8
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 42
Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Regina Heilman-Toth | Executive Director | Named in relation to plan of correction and signature on violation report |
| Mia Johnson | Human Services Licensing Supervisor | Report author and contact for plan of correction |
| Dean Gray | Department representative present on-site during inspection | |
| Nicholas Altomare | Fire Inspector for Bensalem Township | Provided information on fire code noncompliance |
Notice — Feb 11, 2019
Date: Feb 11, 2019
Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care Home 'Allegria at the Oaks' following receipt of a renewal application.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license and states that an onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Inspection Report — Dec 3, 2018
Complaint Investigation
Date: Dec 3, 2018
Visit Reason
The inspection was conducted as a complaint investigation at Allegria at the Oaks Personal Care Home on December 3, 2018.
Complaint Details
The inspection was triggered by a complaint. Specific substantiation status is not stated.
Findings
Multiple violations of 55 Pa. Code Chapter 2600 were found, including issues with resident dignity and respect, staff qualifications, orientation training, direct care training documentation, resident support plans, and emergency preparedness training for substitute staff.
Citations (6)
Regulation 2600.42(c): Staff failed to change soaked incontinence products and clothing for residents during the overnight shift, leaving them in wet bedding until morning.
Regulation 2600.54(a): A direct care staff member did not have a high school diploma, GED diploma, or active Pennsylvania nurse aide registry status.
Regulation 2600.65(a): Substitute staff hired did not receive training in evacuation procedures, fire drills, smoking policy, use of fire extinguishers, smoke detectors, fire alarms, or emergency telephone notification.
Regulation 2600.65(d): Direct care staff person hired on 7/19/17 lacked documentation of initial direct care training before providing unsupervised ADL services.
Regulation 2600.227(d): Resident support plan dated 8/21/18 did not address how the home would assist the resident in meeting a physician-ordered chopped textured diet.
Regulation 2600.227(g): Resident did not sign the support plan developed on 8/21/18 as required.
Report Facts
Number of Residents Served: 78
Number of Current Hospice Residents: 5
Number of Residents Served in Secured Dementia Care Unit: 38
Notice — Sep 14, 2018
Date: Sep 14, 2018
Visit Reason
The document is a response to a waiver request related to qualifications for direct care staff persons at Allegria at The Oaks personal care home.
Findings
The Department determined that a waiver is not needed because the submitted certificate meets the educational requirement for direct care staff persons.
Report Facts
Pa.Code Chapter: 2600
Pa.Code Section: 2600.54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Kachmar | Regulatory Licensing Manager | Signed the waiver response letter. |
| Regina Heilman-Toth | Executive Director | Recipient of the waiver response letter. |
Inspection Report — Sep 5, 2018
Renewal
Date: Sep 5, 2018
Visit Reason
The inspection was a renewal visit conducted by the Department's Bureau of Human Services Licensing on September 5 and 6, 2018, to assess compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes.
Findings
Multiple violations of 55 Pa. Code Chapter 2600 were found, including issues with contract signatures, poisonous materials accessibility, sanitary conditions, facility repairs, first aid kit contents, lighting in resident rooms, food storage, and glucometer calibration. Plans of correction were submitted and partially implemented as of January 25, 2019.
Citations (9)
2600.25(b) - The home lacked contractual signatures on an addendum for six residents after a change of legal entity.
2600.82(c) - Sparkle Fresh toothpaste with a poison control label was found in a memory care resident's room, posing a risk if swallowed.
2600.85(a) - Shower chair, toilet seat, and safety frame in room #57 and nearby hallway had a strong urine odor indicating unsanitary conditions.
2600.88(a) - Three ceiling tiles in room #5 were stained or bulging and floor tiles in room #57 were slippery, creating hazards.
2600.95 - Dryer in laundry and faucet in Memory Care Unit were inoperable and in poor repair during inspection.
2600.96(a) - The first aid kit on the 2nd floor laundry room was missing scissors.
2600.101(7) - Two beds in room #45 lacked a source of light that could be turned on/off from the bedside.
2600.103(c) - Bread was stored uncovered on a lower kitchen shelf in a plastic container, risking contamination.
2600.185(a) - Resident #7's blood sugar test was not calibrated to the correct date and time, compromising accuracy.
Report Facts
Number of Residents Served: 80
Number of Current Hospice Residents: 3
Number of Hospice Residents in past year: 12
Number of Residents Served in Secured Dementia Care Unit: 41
Residents 60 Years or Older: 80
Residents with Mental Illness: 4
Residents with Intellectual Disability: 1
Residents with Mobility Need: 52
Notice — Jul 13, 2018
Date: Jul 13, 2018
Visit Reason
The document is a response to a waiver request for qualifications of direct care staff persons under 55 Pa.Code § 2600.54(a) for a personal care home.
Findings
The Department determined that a waiver is not needed because the submitted Senior School Certificate meets the educational requirement for direct care staff. The Department recommends keeping a copy of the educational documentation in the personnel file.
Inspection Report — May 15, 2018
Annual Inspection
Date: May 15, 2018
Visit Reason
The inspection was the Department of Human Services Licensing annual inspection to determine compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
The facility was found to be in compliance with applicable regulations and a regular license was issued.
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