43 Reports
Inspection Report — Aug 5, 2026
Complaint Investigation
Date: Aug 5, 2026
Visit Reason
The inspection was conducted as a complaint investigation at the facility on 08/05/2026.
Complaint Details
The inspection was complaint-related, but no deficiencies or regulatory citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 56
Current Hospice Residents: 4
Residents Age 60 or Older: 56
Residents Diagnosed with Mental Illness: 11
Residents with Mobility Need: 15
Inspection Report — Jun 25, 2026
Follow-Up
Date: Jun 25, 2026
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to a delayed report of a suspected resident abuse incident. Continued compliance is required.
Citations (1)
The facility failed to immediately report a suspected sexual assault between residents to the local Area Agency on Aging, delaying the report by approximately 12 hours.
Report Facts
Residents Served: 57
Current Hospice Residents: 2
Inspection Report — Apr 20, 2026
Renewal
Date: Apr 20, 2026
Visit Reason
The inspection was an unannounced full renewal inspection conducted to review compliance with licensing regulations and verify the submitted plan of correction.
Findings
Multiple deficiencies were identified including resident personal equipment hazards, improper food storage, outdated food, incomplete medical evaluations, medication labeling errors, medication record inaccuracies, refusal of medication documentation failures, failure to follow prescriber's orders, incomplete training records, and use of outdated standardized forms. All deficiencies had accepted plans of correction with follow-up audits and staff training scheduled.
Citations (10)
2600.81b Resident personal equipment was not properly secured, posing an entrapment hazard with a bedside enabler bar that moved 3-4 inches.
2600.103g Food was stored in unsealed plastic bags in freezers, violating food storage requirements.
2600.103i Outdated or unlabeled food was found in freezer #3, including an unlabeled package of aluminum foil with unknown contents.
2600.141a Resident #2's initial medical evaluation did not indicate the resident's needs could be met safely at a Personal Care Home.
2600.184a Prescription medication containers for resident #3 were not labeled with the resident's name.
2600.187a Resident #4's medication record included a discontinued medication order for Oxycodone 5mg.
2600.187c Documentation of refusal to take prescribed medication and notification to prescriber within 24 hours was missing for resident #4 on multiple dates.
2600.187d Resident #5 did not receive prescribed insulin doses on multiple dates despite blood glucose readings requiring administration.
2600.190c Medication administration training records for two staff members lacked key documentation including qualification and completion dates and trainer signatures.
2600.251c Resident #3's initial medical evaluation was not completed on the department's current standardized form.
Report Facts
Residents Served: 59
Staff Count: 65
Waking Staff: 49
Current Hospice Residents: 4
Medication non-administration events: 8
Inspection Report — Nov 4, 2025
Follow-Up
Date: Nov 4, 2025
Visit Reason
The visit was a partial, unannounced inspection conducted on 11/04/2025 due to a complaint and incident. It was a follow-up to verify the implementation status of a previously submitted plan of correction.
Complaint Details
The inspection was complaint-related and involved an incident of financial exploitation of a resident. The plan of correction was reviewed and found not fully implemented as of 11/04/2025.
Findings
The facility was found to have ongoing issues including financial exploitation of a resident, uncovered trash receptacles in the kitchen, uncovered food items in storage, and staff smoking violations. The submitted plan of correction was determined to be not fully implemented as of the inspection date.
Citations (4)
42b - Abuse: A resident reported giving money to staff for gas and food, indicating financial exploitation by staff. The staff person resigned prior to community knowledge of the exploitation.
85d - Trash Receptacles: Two trash cans in the main kitchen were three-quarters full and uncovered, violating requirements for covered trash receptacles.
103g - Storing Food: Multiple fruit cups and lettuce were uncovered on the shelves inside cooler #3 at 10:30 a.m.
144c1 - Smoking Area Guidelines: Staff were observed smoking immediately outside the dining room, violating the community non-smoking policy.
Report Facts
Residents Served: 62
Current Hospice Residents: 4
Staff Smoking Observations: 3
Cash Given to Staff: 300
Trash Cans: 2
Inspection Report — Sep 18, 2025
Follow-Up
Date: Sep 18, 2025
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by a complaint and incident to verify the submitted plan of correction.
Complaint Details
The inspection was complaint-related and involved an incident where a resident became aggressive with another resident and staff. The complaint was substantiated as the resident's assessment was found inaccurate.
Findings
The submitted plan of correction was determined to be fully implemented. The report details a deficiency related to inadequate resident assessment of agitation and aggression, which was corrected by updating the support plan and educating staff.
Citations (1)
Regulation 2600.225c requires additional resident assessments if the resident's condition changes before the annual assessment. A resident's assessment did not accurately reflect agitation and aggression after incidents involving other residents and staff.
Report Facts
Residents Served: 55
Current Hospice Residents: 4
Residents Age 60 or Older: 55
Residents with Mobility Need: 15
Resident Support Staff: 0
Total Daily Staff: 70
Waking Staff: 53
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Health and Wellness | Named in plan of correction for updating support plan and receiving education on regulation 2600.225c | |
| Executive Director | Educated the Director of Health and Wellness on regulation 2600.225c |
Inspection Report — Apr 29, 2025
Renewal
Date: Apr 29, 2025
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 04/29/2025 to review compliance with licensing regulations and verify the implementation of the submitted plan of correction.
Findings
The inspection identified multiple deficiencies related to quality management plans, staff training, resident equipment safety, food storage and refrigeration, lint removal, medication storage and administration, and support plan documentation. All deficiencies had accepted plans of correction which were implemented by 09/19/2025.
Citations (10)
Quality Management Plan did not include periodic review of complaint procedures, licensing violations, and plans of correction.
Quality Management Plan did not address periodic review of staff person training.
Direct Care Staff Person A did not receive annual training in required topics during training year 2024.
Resident #1 had an enabler bar attached to bed with an uncovered opening posing an entrapment hazard.
Freezer temperatures in kitchen exceeded required limits (15°F and 18°F instead of ≤0°F).
Food items in kitchen pantry were opened and unsealed.
Lint accumulation in lint trap of Dryer #3 was found.
Medications ordered for residents were not available in the home (Lorazepam, Tramadol, Biotene).
Resident #2 was administered incorrect amounts of insulin on multiple dates contrary to sliding scale orders.
Resident #2's support plan did not document how the need for a bedside commode would be met.
Report Facts
Staffing: 82
Waking Staff: 62
Current Hospice Residents: 3
Mobility Need Residents: 20
Freezer Temperature: 15
Freezer Temperature: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff Person A | Named in findings related to lack of required annual training | |
| Executive Director | Responsible for updating Quality Management Plan, removing hazardous equipment, conducting audits, and re-educating staff | |
| Director of Health and Wellness | Involved in audits, re-education of staff, and evaluation of resident health | |
| Business Office Manager | Educated on training regulations and responsible for auditing staff training logs | |
| Director of Facilities Operations | Provided training to staff and responsible for auditing compliance | |
| Head Chef | Responsible for discarding unsealed food items and re-education on food storage regulations | |
| Cook | Re-educated on food storage regulations | |
| Director of Facilities Maintenance | Responsible for auditing freezer temperatures | |
| Director of Facilities Operations | Responsible for auditing lint traps of dryers | |
| Health Care Coordinator | Responsible for auditing medication administration and blood sugar monitoring | |
| Med Techs | Re-educated on medication storage and administration |
Inspection Report — May 3, 2024
Monitoring
Date: May 3, 2024
Visit Reason
The inspection was conducted as a monitoring visit to the facility on 05/03/2024.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Total Daily Staff: 77
Waking Staff: 58
Resident Support Staff: 0
Current Hospice Residents: 9
Residents Served: 58
Residents Age 60 or Older: 58
Residents with Mobility Need: 19
Inspection Report — Mar 6, 2024
Renewal
Date: Mar 6, 2024
Visit Reason
The inspection visit was conducted as a renewal inspection of the facility license.
Findings
The inspection identified multiple deficiencies related to resident personal equipment, sanitary conditions, surfaces, medication storage, storage procedures, and medication records. Plans of correction were accepted and implemented with ongoing audits and staff re-education to ensure compliance.
Citations (6)
Two unsecured bed enablers attached to resident #1's bed created a potential entrapment hazard.
The common blue Embrace Pro glucometer was used to check multiple residents' blood glucose, violating sanitary conditions.
Two 7 inch long gauges in the wall and a hole in a plexiglass partition with jagged edges in bathroom of bedroom #118 created a potential skin tear hazard.
Resident #5’s medication was not labeled with the date opened.
Resident #5’s glucometer readings did not match the March 2024 Medication Administration Record (MAR).
Resident #6's medication order was discontinued but still indicated as active in the March 2024 MAR.
Report Facts
Residents Served: 58
Current Residents in Hospice: 10
Total Daily Staff: 78
Waking Staff: 59
Inspection Report — Aug 29, 2023
Complaint Investigation
Date: Aug 29, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation during an unannounced partial inspection.
Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 59
Current Hospice Residents: 8
Residents Age 60 or Older: 59
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 22
Inspection Report — Aug 3, 2023
Follow-Up
Date: Aug 3, 2023
Visit Reason
The inspection was an unannounced partial review conducted due to an incident at the facility on 08/03/2023.
Findings
The facility was found to have implemented the submitted plan of correction fully. Two deficiencies were identified related to treatment of residents and additional assessments, both of which have been addressed with corrective actions and staff re-education.
Citations (2)
Direct care staff person A spoke harshly to resident #1, threatening to withhold food if the resident continued yelling.
Resident #1’s assessment did not include an assessment for eating or drinking; sections were blank.
Report Facts
Total Daily Staff: 79
Waking Staff: 59
Residents Served: 57
Current Residents in Hospice: 8
Residents 60 Years or Older: 57
Residents with Mobility Need: 22
Inspection Report — Mar 21, 2023
Complaint Investigation
Date: Mar 21, 2023
Visit Reason
The inspection was conducted as a complaint investigation at the facility.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and no follow-up was required.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 82
Waking Staff: 62
Residents Served: 58
Current Hospice Residents: 6
Residents 60 Years or Older: 58
Residents with Mobility Need: 24
Inspection Report — Feb 28, 2023
Follow-Up
Date: Feb 28, 2023
Visit Reason
The inspection visit on 02/28/2023 was a partial, unannounced follow-up review triggered by an incident to verify the implementation of the submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented with no further violations identified. The facility demonstrated compliance with the regulation requiring residents to be treated with dignity and respect.
Citations (1)
Staff person A slapped the top of resident #1's right hand to stop the resident from moving the hand during an episode of fecal incontinence.
Report Facts
Residents Served: 56
Current Residents in Hospice: 4
Total Daily Staff: 80
Waking Staff: 60
Residents with Mobility Need: 24
Residents Age 60 or Older: 56
Inspection Report — Nov 8, 2022
Renewal
Date: Nov 8, 2022
Visit Reason
Licensing inspections were conducted on 11/08/2022 and 11/09/2022 for the purpose of facility licensing oversight.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Inspection Report — Nov 2, 2021
Renewal
Date: Nov 2, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection identified deficiencies related to locking poisonous materials, maintaining sanitary conditions, outdated food, and resident record content. The facility submitted a plan of correction which was accepted and fully implemented.
Citations (4)
Poisonous materials were found unlocked and accessible to residents.
Sanitary conditions were not maintained; food debris and liquids were found in kitchen equipment and rusted tweezers in first aid kit.
Outdated food (frozen Grouper Burger dated 7/3/21 & 7/4/21) was found in the freezer.
Resident #3's photograph in the record was outdated.
Report Facts
Residents Served: 45
Staffing: 59
Waking Staff: 44
Hospice Residents: 2
Residents with Mobility Need: 14
Inspection Report — May 21, 2021
Complaint Investigation
Date: May 21, 2021
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 05/21/2021.
Complaint Details
The inspection was complaint-driven, but no deficiencies or citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 64
Waking Staff: 48
Residents Served: 47
Current Hospice Residents: 4
Residents with Mobility Need: 17
Residents Age 60 or Older: 47
Notice — Dec 18, 2020
Date: Dec 18, 2020
Visit Reason
The document serves as a renewal notification and license issuance for Barnes Place Personal Care Home. It informs the facility that an annual onsite inspection will be conducted 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 following the renewal application.
Report Facts
Inspection Report — Sep 21, 2020
Follow-Up
Date: Sep 21, 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.
Complaint Details
The visit was complaint-related due to an incident of verbal abuse of resident #1 by staff person B. The allegation was substantiated as staff person B was terminated and corrective actions were implemented.
Findings
The facility was found to have fully implemented the plan of correction related to a resident abuse incident involving staff verbal abuse and delayed reporting. Staff member B was terminated and staff were educated on abuse reporting requirements.
Citations (3)
2600.15.a: The home failed to immediately report suspected resident abuse when staff person B verbally abused resident #1 and the incident was reported late to the Area Agency on Aging.
2600.15.b: The home failed to immediately develop and implement a plan of supervision or suspend staff person B who verbally abused resident #1 and continued to work unsupervised for several hours.
2600.42.b: Resident #1 was verbally abused by staff person B who used profane language and intimidation.
Report Facts
Residents Served: 48
Current Hospice Residents: 4
Incident Reporting Delay: 7.75
Inspection Report — Jul 29, 2020
Complaint Investigation
Date: Jul 29, 2020
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection over three days from 07/29/2020 to 07/31/2020.
Complaint Details
The inspection was complaint-driven and unannounced. No deficiencies or regulatory citations were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 49
Hospice Current Residents: 3
Resident Support Staff Total Daily Staff: 69
Resident Support Staff Waking Staff: 52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vicki Siegert | Lead Inspector | Lead inspector for the complaint investigation |
Inspection Report — Jul 15, 2020
Renewal
Date: Jul 15, 2020
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing licensing inspections on 07/15/2020 and 07/16/2020 for the facility Barnes Place.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report — May 13, 2020
Complaint Investigation
Date: May 13, 2020
Visit Reason
The inspection was conducted as a complaint investigation following allegations related to resident care and treatment.
Complaint Details
The visit was complaint-related with allegations substantiated by findings of inadequate assistance and disrespectful treatment of resident #1 and failure to update resident #2's assessment after significant changes.
Findings
The investigation found that resident #1 required physical assistance and was subjected to dismissive and condescending treatment by staff. Resident #2's supervision needs and care plan were not updated to reflect significant behavioral changes and medical treatments.
Citations (3)
2600.23a: Resident #1's assessment and support plan did not ensure adequate physical assistance and involved dismissive, condescending communication from staff.
2600.42.c: Resident #1 was treated without dignity and respect, as staff told her she was a self-medicating resident and dismissed her concerns in a condescending tone.
2600.225.c: Resident #2's assessment was not updated to reflect significant behavioral incidents and medical treatments prior to the annual assessment.
Report Facts
Residents Served: 50
Current Hospice Residents: 3
Residents Age 60 or Older: 50
Residents with Mobility Need: 19
Inspection Report — Mar 6, 2020
Complaint Investigation
Date: Mar 6, 2020
Visit Reason
The inspection was conducted as a complaint investigation to review alleged deficiencies at Barnes Place.
Complaint Details
The inspection was complaint-driven and unannounced. The plan of correction was reviewed and found fully implemented.
Findings
The facility had deficiencies related to resident assessments and support plan revisions. The submitted plan of correction was fully implemented as of May 1, 2020.
Citations (2)
2600.225c: Resident #1's assessment dated 8/27/19 did not include an assessment of the resident's need for physical/occupational therapy as prescribed on 1/28/20.
2600.227c: Resident #2's support plan dated 12/2/19 lacked responsible party and frequency sections for total physical assistance to ambulate.
Report Facts
Residents Served: 57
Resident Support Staff: 0
Total Daily Staff: 79
Waking Staff: 59
Current Residents in Hospice: 4
Residents Age 60 or Older: 56
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Hice | Executive Director | Signed plan of correction and educated Care Service Manager and Assistant Care Service Manager on revisions and assessments. |
| Desmond Grace | Department Representative | On-site inspector for the complaint investigation on 03/06/2020. |
Inspection Report — Oct 16, 2019
Renewal
Date: Oct 16, 2019
Visit Reason
The inspection was an unannounced renewal visit conducted on October 16, 2019, to assess compliance with applicable regulations and licensing requirements.
Findings
The facility was found to have multiple violations including missing posters, improper storage of food and emergency water, unlocked medications, and emergency procedures not posted. Plans of correction were submitted and approved with implementation dates mostly by October 31, 2019, or November 1, 2019.
Citations (12)
2600.18 Influenza poster was not initially posted in a public and conspicuous place but was posted on 10/17/2019. The Executive Director received training and will audit weekly for 3 months.
2600.41c Resident rights poster was not initially posted but was posted on 10/18/2019. The Executive Director received training and will audit weekly for 3 months.
2600.44g Telephone numbers for regional office, ombudsman, protective services, and complaint hotline were not initially posted but were posted on 10/17/2019. The Executive Director received training and will audit weekly for 3 months.
2600.103d Emergency water was stored on the floor in the home's Riser room; a pallet was built to store it off the floor on 10/17/2019. Maintenance Tech was educated and audits will continue.
2600.103f Refrigerator/freezer temperatures exceeded required limits with temps of 44°F and 46°F; maintenance and replacement planned with audits ongoing.
2600.103g Four waffles were unsealed in the activities kitchenette freezer; discarded on 10/16/2019 with education and audits planned.
2600.103i Four waffles were unlabeled and undated in the activities kitchenette freezer; discarded on 10/16/2019 with education and audits planned.
2600.123b Emergency procedures were not posted in a public and conspicuous place; copies were posted behind the concierge desk and in a binder on 10/17/2019 with education and audits planned.
2600.132d The home's maximum safe evacuation time was exceeded during a fire drill on 6/24/19; fire drill logs audited and additional drills planned with ongoing monitoring.
2600.183b Multiple medications and syringes were unlocked and accessible in resident rooms and shared bedrooms; plans for education, audits, and securing medications were implemented.
2600.184a Medication labeling was inaccurate for Resident #2 with discrepancies in dosage and timing; education and audits planned to ensure accuracy by 11/01/2019.
2600.84a Direction change stickers were applied to medications to indicate changes; education and audits planned to ensure label accuracy by 11/01/2019.
Report Facts
Residents Served: 54
Current Residents in Hospice: 5
Residents Age 60 or Older: 54
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 19
Residents with Intellectual Disability: 0
Residents with Physical Disability: 0
Staff Total Daily: 73
Staff Waking: 55
Gallons of Emergency Water Stored on Floor: 81
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Hice | Executive Director | Named in multiple findings including training and responsibility for sustained compliance |
Inspection Report — Oct 1, 2019
Renewal
Date: Oct 1, 2019
Visit Reason
This document is a renewal application and license issuance for Barnes Place Personal Care Home. The Department notifies that an annual onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future inspection requirements.
Inspection Report — Sep 27, 2019
Routine
Date: Sep 27, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of the facility 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 25, 2019
Routine
Date: Jul 25, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of the facility to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Inspection Report — Apr 30, 2019
Complaint Investigation
Date: Apr 30, 2019
Visit Reason
The inspection was conducted as a complaint-related incident investigation at Barnes Place on April 30, 2019.
Complaint Details
The investigation was triggered by a complaint regarding staff abuse toward resident #1. Staff person B was suspended immediately and terminated on 04/24/2019. Training and corrective actions were implemented to address abuse and resident rights.
Findings
The inspection found violations related to resident record confidentiality, abuse by staff toward a resident, and incomplete resident assessments. Plans of correction were submitted with partial implementation and adequate progress noted.
Citations (3)
55 Pa. Code §2600.17: Resident records were found unlocked and accessible on a wooden shelf in staff person A's office, compromising confidentiality.
55 Pa. Code §2600.42b: Staff person B was overheard making verbally abusive and aggressive statements to resident #1 and was subsequently suspended and terminated.
55 Pa. Code §2600.225(a): Resident #1's initial assessment did not fully document mobility needs and evacuation assistance requirements.
Report Facts
Current Residents: 5
Residents Served: 50
Residents Age 60 or Older: 49
Residents with Mental Illness: 1
Residents with Mobility Need: 16
Staff Person B Termination Date: Apr 24, 2019
Plan of Correction Approval Date: Jul 1, 2019
Training Completion Date: Jun 19, 2019
Resident Assessment Completion Date: May 1, 2019
Staff Training Date on Resident Rights: Jul 8, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Hice | Administrator | Signed plans of correction and legal entity representative. |
| Desmond Grace | Department representative present during inspection. |
Notice — Dec 19, 2018
Date: Dec 19, 2018
Visit Reason
The document serves as a renewal notification and certificate of compliance for Barnes Place Personal Care Home, 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 confirms issuance of a regular license and outlines the Department's plan to conduct an annual inspection within twelve months.
Report Facts
Inspection Report — Dec 18, 2018
Renewal
Date: Dec 18, 2018
Visit Reason
The inspection was a renewal inspection conducted by the Pennsylvania Department of Human Services Bureau of Human Services Licensing on December 18, 2018, at Barnes Place Personal Care Home.
Findings
Multiple violations of 55 Pa. Code Chapter 2600 were found, including unsigned resident contracts, unsanitary kitchen conditions, inadequate lighting in resident bedrooms, improper food labeling and storage, expired fire extinguisher inspection, unlocked medications, and incomplete support plan signatures. Plans of correction were partially implemented with ongoing monitoring.
Citations (11)
55 Pa.Code §2600.25(b) - Resident contracts for three residents were not signed by the residents.
55 Pa.Code §2600.85(a) - Multiple food crumbs and particles were found on kitchen surfaces and approximately 30 cigarette butts were found around the dumpster area.
55 Pa.Code §2600.101(j)(7) - Resident #2's bedroom lacked an operable lamp or other source of lighting that can be turned on at bedside.
55 Pa.Code §2600.103(e) - Multiple food items in the kitchen were undated, including fish, ham slices, fruit cocktail, and chopped onions.
55 Pa.Code §2600.103(g) - Multiple food items in the kitchen were opened or unsealed, including mozzarella cheese, carrots, romaine lettuce, yellow cake mix, and corn meal.
55 Pa.Code §2600.131(f) - The fire extinguisher in the van had not been inspected by a fire safety expert since August 2014.
55 Pa.Code §2600.144(c)(1) - The outside designated smoking area had a multi-colored chair cushion without a fire-resistant material tag.
55 Pa.Code §2600.183(b) - Prescription medications, including Medline Z Guard paste, were unlocked and accessible to residents in room #104.
55 Pa.Code §2600.184(a) - Several residents' medications were not labeled correctly according to pharmacy labels, including dosage and administration instructions.
55 Pa.Code §2600.224(a) - Resident #1 was admitted without a completed preadmission screening form; Resident #5 was admitted with incomplete documentation.
55 Pa.Code §2600.227(g) - Resident #1's support plan was not signed and there was no indication the resident was unable or declined to sign.
Report Facts
Number of Residents Served: 51
Number of Current Hospice Residents: 6
Number of Hospice Residents in Past Year: 10
Number of Cigarette Butts: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Hice | Executive Director | Named as Administrator and signer of Plan of Correction pages |
Inspection Report — Jul 24, 2018
Complaint Investigation
Date: Jul 24, 2018
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident at Barnes Place Personal Care Home.
Complaint Details
The visit was complaint-related due to an incident involving resident #1's multiple unwitnessed falls and injuries. The plan of correction was partially implemented with adequate progress noted as of 10/25/18.
Findings
The inspection found violations related to resident #1's assessment and support plan, including multiple unwitnessed falls and inadequate supervision. The facility was required to update care plans and implement corrective actions to prevent recurrence.
Citations (1)
Regulation 55 Pa.Code §2600.23(a) - The facility failed to provide adequate assistance and supervision to resident #1, resulting in multiple unwitnessed falls and injuries between 6/25/18 and 7/12/18. The resident's assessment and support plan lacked sufficient detail to meet care needs.
Report Facts
Number of Residents Served: 50
Total Daily Staff: 67
Walking Staff: 50
Number of unwitnessed falls: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Hice | Executive Director | Named in relation to the plan of correction and updating resident care plans |
| Jon Kimberland | Human Services Licensing Supervisor | Signed the cover letter for the inspection report |
| Karen Georgoulis | Department representative on-site during inspection |
Inspection Report — Jun 11, 2018
Routine
Date: Jun 11, 2018
Visit Reason
The Department's Bureau of Human Services representatives conducted an inspection of Barnes Place on June 11, 2018.
Findings
No regulatory violations with 55 Pa. Code Ch. 2600 (relating to Personal Care Homes) were identified as a result of this inspection.
Inspection Report — Mar 22, 2018
Routine
Date: Mar 22, 2018
Visit Reason
The Department's Bureau of Human Services representatives conducted an inspection of the facility on March 22, 2018.
Findings
No regulatory violations with 55 Pa. Code Ch. 2600 (relating to Personal Care Homes) were identified as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jason Williams | Human Services Licensing Supervisor | Signed the inspection report letter. |
Inspection Report — Jan 11, 2018
Renewal
Date: Jan 11, 2018
Visit Reason
The document is a renewal application approval for the Personal Care Home 'Barnes Place' and informs the facility that 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 serves as a license renewal notification and outlines the requirement for a future annual inspection.
Inspection Report — Jan 4, 2018
Annual Inspection
Date: Jan 4, 2018
Visit Reason
The inspection was an annual licensing inspection conducted on January 4, 2018; January 5, 2018; and April 5, 2018, for Barnes Place, a personal care home, to assess compliance with 55 Pa. Code Chapter 2600.
Findings
Multiple violations of the Pennsylvania Code Chapter 2600 were found, including issues with posting licensing inspection summaries, carbon monoxide alarm placement, quality management plan, resident rights documentation, staffing hours, training, medication administration, and facility maintenance. Plans of correction were submitted and partially implemented as of May 2018.
Citations (19)
55 Pa.Code §2600.3(c): The current licensing inspection summary dated 1/4/17 was not posted in a conspicuous and public place in the home.
55 Pa.Code §2600.18: Carbon monoxide alarms were installed too close to gas appliances, violating placement requirements.
55 Pa.Code §2600.26(a): The home's quality management plan lacks indication of periodic review and evaluation of staff training, licensing violations, and plans of correction.
55 Pa.Code §2600.41(e): Resident files #1, #2, and #3 lack signed statements acknowledging receipt of resident rights and complaint procedures.
55 Pa.Code §2600.57(o): The home failed to provide the minimum required 2 hours per day of personal care services for residents with mobility needs on multiple dates.
55 Pa.Code §2600.57(d): At least 75% of personal care service hours were not available during waking hours for residents with mobility needs on multiple dates.
55 Pa.Code §2600.60(a): Staffing was inadequate during night shift; only 2 staff were scheduled to serve 50 residents, including 16 physically immobile residents.
55 Pa.Code §2600.65(e): Staff persons A and D did not receive orientation training in fire safety and emergency preparedness until months after hire.
55 Pa.Code §2600.65(d): Staff person A hired on 10/2/17 did not complete Department-approved direct care training and competency testing but provided unsupervised care.
55 Pa.Code §2600.65(i): Staff persons A and D did not receive orientation on emergency medical plan and reporting of reportable incidents within 40 scheduled hours.
55 Pa.Code §2600.65(l): Staff persons B and C did not receive annual training on topics including medication self-administration and infection control during 2017.
55 Pa.Code §2600.65(j): The home's staff training records do not include the length of all courses.
55 Pa.Code §2600.85(a): Sanitary conditions were deficient; the lid was missing on a full garbage can and a hole was found in the lid of another garbage can in the kitchen.
55 Pa.Code §2600.95: An enabler bar was loose and not secured to resident #5's bed, posing a fall hazard.
55 Pa.Code §2600.101(i)(1): Resident #2's bedroom lacked a bedside table or shelf.
55 Pa.Code §2600.103: Resident #6's medication administration record was not properly initialed by staff for multiple medications and dates.
55 Pa.Code §2600.103: Resident #5 did not receive medication as ordered on 1/14/18 at approximately 4:00 p.m.
55 Pa.Code §2600.132(c): The fire drill record did not indicate the number of residents in the home or those evacuated during the drill on 12/8/17.
55 Pa.Code §2600.187(b): The home failed to maintain documentation of medication administration and staff re-education as required.
Report Facts
Number of Residents Served: 50
Number of Residents Served: 49
Number of Residents with Mobility Needs: 19
Number of Current Hospice Residents: 6
Number of Current Hospice Residents: 4
Total Daily Staff: 89
Total Daily Staff: 68
Waking Staff: 52
Waking Staff: 51
Deficiencies cited: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Terri King | Executive Director | Named as Executive Director signing plans of correction and involved in findings |
| Melissa Hice | Executive Director | Named as Executive Director signing plans of correction for April 2018 inspection |
Inspection Report — Nov 21, 2017
Complaint Investigation
Date: Nov 21, 2017
Visit Reason
The inspection was conducted as a complaint investigation at Barnes Place to assess compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes.
Complaint Details
The visit was complaint-driven. Multiple residents were identified as affected by delayed staff response times. The complaint was substantiated with findings of significant wait times and unsanitary bathroom conditions.
Findings
The inspection found violations related to delayed staff response times to resident call lights and unsanitary conditions in a resident bathroom. Plans of correction were submitted addressing timely staff responses and maintaining sanitary conditions.
Citations (2)
Regulation 55 Pa.Code §2600.23(a): Multiple residents experienced significant wait times for staff assistance when requested via the call bell system, with documented delays over one hour.
Regulation 55 Pa.Code 2600.85(a): A resident bedroom bathroom had feces smeared on the entire right side of the toilet seat measuring 3 inches by 2 inches at the time of inspection.
Report Facts
Number of Residents Served: 50
Staffing Hours - Resident Support: 50
Staffing Hours - Total Daily Staff: 115
Staffing Hours - Waking Staff: 86
Residents Age 60 or Older: 47
Residents with Mobility Need: 15
Current Hospice Residents: 4
Hospice Residents in Past Year: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Peggy Konecny | Administrator | Named as facility administrator on page 2 and signed plan of correction pages. |
| Janine Wenzig | Human Services Licensing Supervisor | Signed the cover letter on page 1. |
| Cindy Mulick | Department representative conducting the inspection on 11/21/2017. | |
| Patricia Bartlett | Department representative conducting the inspection on 11/21/2017. |
Inspection Report — Oct 20, 2017
Complaint Investigation
Date: Oct 20, 2017
Visit Reason
The inspection was conducted as a complaint and incident investigation at Barnes Place Personal Care Home on October 20 and October 26, 2017.
Complaint Details
The inspection was triggered by complaints and incidents involving contract issues, verbal abuse by staff, medication administration errors, and incomplete resident assessments. The report documents substantiated violations and corrective plans.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including missing resident signatures on contracts, incomplete personal care service lists, resident abuse and neglect, medication administration record deficiencies, incomplete preadmission screening, and incomplete resident assessments. Plans of correction were submitted with partial implementation progress noted.
Citations (6)
Regulation 2600.25(b): Resident #1's resident-home contract was not signed by the resident.
Regulation 2600.25(c)(11): Resident #1's contract did not include a list of personal care services based on the resident's support plan.
Regulation 2600.42(b): Resident #2 was verbally abused by direct care staff, and resident #3 was also verbally abused by staff members.
Regulation 2600.187(b): Resident #4's medication administration record lacked staff initials for medication given on 10/24/17 and 10/26/17.
Regulation 2600.224(a): Resident #1's preadmission screening form did not indicate if the home could meet the resident's needs.
Regulation 2600.225(c): Resident #1's assessment was not completed to reflect current physical assistance needs and condition changes.
Report Facts
Number of Residents Served: 54
Number of Current Hospice Residents: 4
Number of Hospice Residents in past year: 10
Number of Residents Age 60 or Older: 53
Number of Residents with Mobility Need: 17
Total Daily Staff: 71
Waking Staff: 53
Inspection Report — Aug 2, 2017
Complaint Investigation
Date: Aug 2, 2017
Visit Reason
The inspection was conducted as a partial, unannounced visit triggered by an incident complaint.
Complaint Details
The visit was complaint-related due to an incident. The violation involved unsecured resident records. The plan of correction was approved and fully implemented by 09/08/2017.
Findings
The inspection found violations related to resident records confidentiality, specifically that numerous resident records were unlocked and accessible in the nurse's office. A plan of correction was implemented to secure the nurse's office door and educate staff.
Citations (1)
55 Pa.Code §2600.17 requires resident records to be confidential and inaccessible to unauthorized persons. Numerous resident records were unlocked and accessible in the nurse's office, including blinds with personal information and physician orders.
Report Facts
Number of Residents Served: 55
Total Daily Staff: 75
Walking Staff: 56
Number of Current Hospice Residents: 5
Number of Hospice Residents in past year: 15
Number of Residents 60 Years or Older: 54
Number of Residents with Mobility Need: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Terry Lee King | Executive Director | Signed plan of correction and named as legal entity representative |
Inspection Report — May 8, 2017
Complaint Investigation
Date: May 8, 2017
Visit Reason
The inspection was conducted as a licensing inspection triggered by an incident complaint at Barnes Place on May 8, 2017.
Complaint Details
The alleged abuse was substantiated by AAA and BHSL. The Executive Director met with the alleged employee, who was suspended and later terminated. Abuse training was conducted and scheduled for staff, and monitoring interviews were planned to ensure resident safety.
Findings
A substantiated abuse violation was found involving staff mistreatment of a resident, resulting in the resident being sent to the hospital with pneumonia. A plan of correction was developed including staff suspension, termination, and mandatory abuse training.
Citations (1)
Regulation 55 Pa.Code §2600.42(b): A resident was neglected and mistreated by staff, including verbal intimidation and physical abuse, resulting in the resident being hospitalized with pneumonia.
Report Facts
Number of Residents Served: 51
Total Daily Staff: 63
Waking Staff: 47
Number of Current Hospice Residents: 5
Number of Hospice Residents in past year: 12
Number of Residents Age 60 or Older: 51
Number of Residents with Mobility Need: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Terry King | Executive Director | Named in plan of correction and signature on violation report |
Notice — Jan 11, 2017
Date: Jan 11, 2017
Visit Reason
This document serves as a renewal notice and certificate of compliance for Barnes Place Personal Care Home, confirming the renewal application and license issuance as of January 11, 2017.
Findings
The Department of Human Services has approved the renewal application and issued a regular license for Barnes Place. The Department will conduct an onsite inspection within the next twelve months to ensure compliance with applicable regulations.
Inspection Report — Jan 4, 2017
Renewal
Date: Jan 4, 2017
Visit Reason
The inspection was a renewal licensing inspection conducted by the Pennsylvania Department of Human Services on January 4, 2017, to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Findings
Multiple violations were found related to resident privacy, staff training, safety, medication management, and resident assessments. Plans of correction were submitted and partially implemented as of February 15, 2017.
Citations (12)
55 Pa.Code 2600.17 - Resident records were not kept confidential as resident privacy coding documents were displayed publicly.
55 Pa.Code 2600.65(g) - Direct care staff did not receive required annual training on fire safety and emergency preparedness for 2016.
55 Pa.Code 2600.82(c) - Poisonous materials including Clorox wipes and Lysol disinfectant spray were unlocked and accessible in resident apartment #139.
55 Pa.Code 2600.85(d) - Trash receptacles in resident #5's bathroom were uncovered, full, and overflowing.
55 Pa.Code 2600.101(j)(5) - Residents #6 and #7 did not have a bedside table or shelf in their bedrooms.
55 Pa.Code 2600.101(j)(7) - Residents #6 and #7 had no source of lighting at bedside and no bulb in bedside lamp.
55 Pa.Code 2600.141(a)(1) - Resident #9's initial medical evaluation lacked required medical professional information including signature and license number.
55 Pa.Code 2600.141(a)(2) - Resident #5's medical evaluation did not include a mobility needs assessment.
55 Pa.Code 2600.183(b) - Prescription medications and OTC medications were unlocked and accessible in resident #5's apartment.
55 Pa.Code 2600.183(d) - Resident #9's discontinued medication was still stored in the medication cart.
55 Pa.Code 2600.225(a) - Resident #7's initial assessment was incomplete and did not include required annual assessments or updates.
55 Pa.Code 2600.227(a) - Resident #9's support plan was incomplete and not finalized until months after admission.
Report Facts
Number of Residents Served: 55
Number of Current Hospice Residents: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Terry King | Executive Director | Named in multiple findings and plans of correction throughout the report. |
Inspection Report — Jun 1, 2016
Complaint Investigation
Date: Jun 1, 2016
Visit Reason
The inspection was conducted as a partial, unannounced complaint investigation and interim licensing inspection of Barnes Place Personal Care Home on June 1 and August 4, 2016.
Complaint Details
The inspection was complaint-related and interim licensing triggered. Specific complaints included smoking policy violations, confidentiality breaches, staffing inadequacies, unsafe hot water temperatures, use of portable heaters, medication storage issues, incomplete resident assessments, and fire drill documentation deficiencies. Plans of correction were submitted and partially implemented as of the last update.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including issues with smoking policies, resident record confidentiality, direct care staffing hours, hot water temperature, use of portable heaters, medication storage, fire drill documentation, and resident assessments. Plans of correction were submitted and partially implemented.
Citations (10)
55 Pa.Code 2600.144(c) - The home permits smoking inside and outside despite a smoke-free policy, with smoking allowed at fireproof receptacles and fire extinguishers on the front porch, courtyard, and employee door areas.
55 Pa.Code 2600.17 - Resident records were not kept confidential as the door to room #100 was propped open allowing access to records containing medical diagnoses, birth dates, and social security numbers.
55 Pa.Code 2600.57(c) - Direct care staffing hours were insufficient; on multiple dates only 70-88% of required direct care hours were provided despite residents' mobility needs.
55 Pa.Code 2600.57(b) - At least 75% of personal care service hours specified must be available during waking hours, but only 68-70% were provided on several dates.
55 Pa.Code 2600.89(b) - Hot water temperatures exceeded 120°F in multiple bathrooms, with readings up to 126°F, posing a risk of burns.
55 Pa.Code 2600.127(a) - Portable space heaters were found plugged in and producing heat in resident rooms, which is prohibited.
55 Pa.Code 2600.132(c) - Fire drill records lacked actual minutes and seconds for evacuation times, only rounded times were recorded.
55 Pa.Code 2600.181(d) - Medications were stored in unlocked cabinets in resident rooms, and a resident's spouse was not assessed for ability to self-administer medication.
55 Pa.Code 2600.225(a) - Initial assessments for residents were not completed timely; one resident's assessment was completed after admission.
55 Pa.Code 2600.227(a) - A resident's written support plan was not completed within 30 days of admission.
Report Facts
Number of Residents Served: 61
Number of Residents with Mobility Needs: 18
Direct Care Hours Required: 74
Direct Care Hours Provided: 50.5
Hot Water Temperatures: 126
Hot Water Temperatures: 123
Fire Drill Dates: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Terry King | Executive Director | Named as Administrator and Executive Director involved in plans of correction and education of staff. |
| Jason McCloskey | Department Representative | Conducted on-site inspections on June 1 and August 4, 2016. |
Inspection Report — Feb 2, 2016
Complaint Investigation
Date: Feb 2, 2016
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced visit on February 2, 2016, to assess compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Complaint Details
The inspection was complaint-driven and unannounced. The violations cited were substantiated as described in the violation report.
Findings
Violations were found related to medical evaluations and resident assessments. The facility failed to complete an annual medical evaluation for one resident and did not update resident assessment plans to reflect significant changes in condition.
Citations (2)
55 Pa.Code §2600.141(b)(1): A resident did not have a medical evaluation completed annually; the last evaluation for resident #2 was on 1/7/15.
55 Pa.Code §2600.225(c): Resident #1 did not have additional assessments completed as required when significant condition changes occurred, and the resident assessment plan was not updated timely.
Report Facts
Number of Residents Served: 55
Total Daily Staff: 61
Walking Staff: 46
Number of Current Hospice Residents: 5
Residents Age 60 or Older: 55
Residents with Mobility Need: 6
Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Terry King | Executive Director | Signed plan of correction for violations |
| Cybil Bomberger | Department representative on-site during inspection |
Notice — Jan 20, 2016
Date: Jan 20, 2016
Visit Reason
The document serves as a renewal notification and license issuance for Barnes Place Personal Care Home 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.
Inspection Report — Jan 13, 2016
Annual Inspection
Date: Jan 13, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspection for Barnes Place.
Findings
The facility was found to be in compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matthew J. Jones | Director | Signed the compliance letter for the annual licensing inspection. |
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