Inspection Reports for
Beaver Meadows
5130 TUSCARAWAS ROAD,, BEAVER, PA, 15009
Back to Facility Profile17 Reports
Inspection Report — May 20, 2025
Complaint Investigation
Date: May 20, 2025
Visit Reason
The inspection was conducted as a complaint-related incident investigation at the facility.
Complaint Details
The inspection was triggered by an incident and was unannounced. No deficiencies were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 67
Waking Staff: 50
Residents Served: 51
Current Hospice Residents: 10
Residents Diagnosed with Mental Illness: 35
Residents with Mobility Need: 16
Residents Are 60 Years of Age or Older: 51
Residents with Physical Disability: 2
Inspection Report — Apr 9, 2025
Complaint Investigation
Date: Apr 9, 2025
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 violations.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 66
Waking Staff: 50
Residents Served: 50
Current Hospice Residents: 9
Residents Age 60 or Older: 50
Residents with Mobility Need: 16
Inspection Report — Aug 1, 2023
Follow-Up
Date: Aug 1, 2023
Visit Reason
The inspection visit on 08/01/2023 was conducted as a full, unannounced review for renewal and complaint reasons.
Findings
The inspection found multiple deficiencies including improper posting of licenses and emergency procedures, expired boiler certificates, fire door gaps, inadequate fire drills, missing exit signs, and incomplete resident medical evaluations and support plans. All deficiencies had plans of correction accepted and were implemented by September 2023.
Citations (8)
License inspection summary and regulation chapter were posted in a locked case, not in a conspicuous and public place.
"No smoking" sign was posted in a glass case in the recreation room, not in a public and conspicuous place; boiler certificates expired.
Interior fire doors between bedroom 100 and Nurses station east had a gap of approximately ½ inch at the bottom.
Emergency procedures were locked in a glass case in the recreation room and not posted in a conspicuous and public place.
No sleeping time fire drill conducted with minimum nursing staffing despite low staffing during certain shifts.
No exit sign over the door leading to the exterior courtyard and main entrance; multiple areas lacked exit signs showing direct visual line to nearest exit.
Resident #1's most recent medical evaluation was overdue, completed on 7/19/22 prior to inspection.
Resident #3's support plan did not address use of hoyer lift and assistance of 2 staff persons for transfers.
Report Facts
Residents served: 43
Current residents in hospice: 7
Residents diagnosed with mental illness: 22
Residents with mobility need: 16
Residents aged 60 or older: 43
Inspection Report — Nov 30, 2022
Complaint Investigation
Date: Nov 30, 2022
Visit Reason
The inspection was conducted as a complaint investigation following allegations related to medication administration errors by a staff person who held a practical nurse temporary permit.
Complaint Details
The complaint involved medication errors by staff person A during medication passes, including administering AM medications for PM use and leaving medications prescribed for one resident on another resident's counter. Resident #1 recognized and refused the medication and reported the errors. The home failed to investigate or resolve the complaint initially but later implemented corrective actions.
Findings
The investigation found that staff person A, who was not qualified to pass medication, administered medications incorrectly to resident #1, who recognized the error and refused the medication. The home failed to conduct an investigation or ensure resolution of the complaint. A plan of correction was submitted and fully implemented.
Citations (2)
Staff person A, holding a practical nurse temporary permit, was not qualified to pass medication but administered medications to resident #1 incorrectly.
The home did not conduct an investigation or ensure resolution of the medication administration complaint.
Report Facts
Residents Served: 42
Current Residents in Hospice: 6
Residents with Mobility Need: 14
Residents Age 60 or Older: 42
Residents with Physical Disability: 1
Total Daily Staff: 56
Waking Staff: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff Person A | Practical Nurse Temporary Permit Holder | Named in medication administration errors and complaint investigation |
| Administrator | Educated Nursing Care Supervisor and responsible for monitoring compliance and complaint resolution | |
| Nursing Care Supervisor | Conducted routine care conference and was educated on complaint resolution and medication administration regulations |
Inspection Report — Jun 22, 2022
Follow-Up
Date: Jun 22, 2022
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a previously submitted plan of correction, triggered by renewal, complaint, and incident reasons.
Complaint Details
The visit included complaint-related investigation regarding alleged resident abuse involving seclusion and failure to report the abuse timely. The complaint was substantiated with findings of abuse and failure to report.
Findings
The facility was found to have multiple deficiencies including failure to immediately report suspected resident abuse, unlocked and unattended electronic devices exposing resident information, resident personal equipment posing entrapment hazards, heat sources exceeding safe temperatures, improper refrigerator/freezer temperatures, obstructed egress routes, failure to conduct monthly fire drills, medication labeling issues, failure to follow prescriber's orders, prohibited seclusion practices, and incomplete resident assessments. Corrective actions and staff education were implemented with monitoring plans.
Citations (11)
Failure to immediately report suspected resident abuse as required by Older Adult Protective Services Act.
Unlocked and unattended laptop and tablet with accessible resident medication and incontinence information.
Resident personal equipment (beds) posed entrapment hazards due to openings.
Wall mounted heaters exceeded 120 degrees Fahrenheit without protective guards, posing burn hazard.
Freezer temperature in west kitchenette was above required freezing temperature.
Egress route partially blocked by table and chairs, reducing clearance to approximately 37 inches.
Unannounced fire drill was not held during December 2021.
Pharmacy label for resident's medication did not include instructions per sliding scale.
Resident was administered medication not consistent with prescriber's directions.
Resident was involuntarily secluded in room with staff physically preventing door opening.
Resident assessment did not reflect significant changes in resident's condition as indicated by staff interviews.
Report Facts
Residents Served: 49
Staffing Hours: 69
Waking Staff: 52
Temperature: 165
Freezer Temperature: 3
Egress Clearance: 37
Notice — Sep 13, 2021
Date: Sep 13, 2021
Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care Home 'Beaver Meadows' following receipt of the renewal application dated August 31, 2021.
Findings
The Department issued a regular license in response to the renewal application and advises that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report — Jun 2, 2021
Renewal
Date: Jun 2, 2021
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing's licensing inspections of the facility on 06/02/2021 and 06/03/2021.
Findings
No regulatory citations were identified as a result of this inspection.
Notice — Oct 21, 2020
Date: Oct 21, 2020
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care Home 'Beaver Meadows'. It also informs 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 is a license renewal and compliance certificate issuance letter.
Report Facts
Inspection Report — Aug 26, 2019
Renewal
Date: Aug 26, 2019
Visit Reason
This document is a renewal application and license issuance for the Personal Care Home 'Beaver Meadows' pursuant to Title 55, PA Code, Chapter 2600. 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.
Report Facts
Inspection Report — Apr 30, 2019
Renewal
Date: Apr 30, 2019
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.
Findings
The inspection identified several violations related to resident contracts, resident rights acknowledgments, building maintenance, medical evaluations, medication records, and support plan updates. All cited deficiencies were addressed with corrective actions and plans of correction.
Citations (6)
55 Pa. Code 2600.25b: Resident #1's resident-home contract dated 11/12/18 was not signed by the resident.
55 Pa. Code 2600.41e: Resident #1's record lacked a statement signed by the resident acknowledging receipt of resident rights and complaint procedures.
55 Pa. Code 2600.100a: The fencing near the fish pond was not secure; the fence and post on the right side were loose and moved approximately 5 inches.
55 Pa. Code 2600.141b.1: Resident #2's most recent medical evaluation dated 8/16/18 did not include a medication addendum or indicate prescribed medications.
55 Pa. Code 2600.187a(6): Resident #2's medication administration record did not indicate the correct dose; the April 2019 medication administration record lacked instruction to administer half of the 20 meq tablet.
55 Pa. Code 2600.227c: Resident #3's most recent support plan dated 5/5/18 was not updated to include hospice services begun on 6/12/18.
Report Facts
Current Residents: 63
Resident #1 contract date: Nov 12, 2018
Resident #2 medical evaluation date: Aug 16, 2018
Fence movement: 5
Resident #3 hospice start date: Jun 12, 2018
Resident #3 support plan date: May 5, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Schneider | Administrator | Named in relation to signing contracts and approving plans of correction |
Notice — Aug 28, 2018
Date: Aug 28, 2018
Visit Reason
The document is a renewal notification letter acknowledging receipt of the renewal application for the Personal Care Home license and informing the facility of 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 notification of future inspection requirements.
Inspection Report — May 8, 2018
Renewal
Date: May 8, 2018
Visit Reason
The inspection was a renewal visit conducted by the Department’s Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.
Findings
Two violations were found: inaccurate fire drill records regarding evacuation counts and incomplete labeling on prescription medication containers. Plans of correction were submitted and partially implemented as of the report date.
Citations (2)
Regulation 55 Pa.Code 2600.132(c) - The fire drill record inaccurately indicated only 39 residents evacuated out of 62 present during the drill on 4/30/18.
Regulation 55 Pa.Code 2600.184(a) - Prescription medication containers lacked accurate pharmacy labels including resident name, medication name, prescription date, dosage instructions, and prescriber information.
Report Facts
Number of Residents Served: 62
Number of Current Hospice Residents: 6
Number of Hospice Residents in past year: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Schneider | Administrator | Named in relation to plan of correction and signature on violation report |
| Lisa Flinner-Alman | Department representative conducting inspection | |
| Josh Hoover | Department representative conducting inspection |
Inspection Report — Dec 21, 2017
Routine
Date: Dec 21, 2017
Visit Reason
The Department of Human Services licensing representatives conducted an inspection of the Beaver Meadows facility.
Findings
No regulatory violations were identified as a result of this inspection.
Inspection Report — Aug 31, 2017
Renewal
Date: Aug 31, 2017
Visit Reason
The document is a renewal application and license issuance for the Personal Care Home 'Beaver Meadows'. The Department of Human Services notifies that an onsite inspection will be conducted within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future inspection requirements.
Report Facts
Inspection Report — May 17, 2017
Annual Inspection
Date: May 17, 2017
Visit Reason
The inspection was an annual licensing inspection of the Beaver Meadows Personal Care Home facility conducted by the Pennsylvania Department of Human Services.
Findings
The inspection found violations related to food refrigeration temperatures, lack of annual medical evaluations for some residents, and incomplete annual assessments. Plans of correction were initiated to address these issues with training and monitoring.
Citations (3)
55 Pa.Code §2600.103(f) Food requiring refrigeration was not stored at or below 40°F; the walk-in freezer temperature was recorded as high as 27°F. Thermometers are required in refrigerators and freezers.
55 Pa.Code §2600.141(b)(1) Several residents did not have an annual medical evaluation completed; Resident #4's most recent evaluation was outdated.
55 Pa.Code §2600.226(c) Several residents did not have an annual assessment completed; Resident #4 and #5 had outdated assessments.
Report Facts
Number of Residents Served: 72
Number of Current Hospice Residents: 10
Number of Hospice Residents in past year: 15
Walking Staff: 75
Total Daily Staff: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Schneider | Administrator | Named in relation to plan of correction signatures and training implementation |
Inspection Report — Aug 30, 2016
Renewal
Date: Aug 30, 2016
Visit Reason
This document is a renewal inspection report related to the renewal application for Beaver Meadows Personal Care Home, confirming the issuance of a regular license and stating the requirement for annual onsite inspections.
Findings
The Department has approved the renewal application and issued a regular license. The Department will conduct an onsite inspection within the next twelve months to ensure compliance with applicable laws and regulations.
Inspection Report — Jul 11, 2016
Renewal
Date: Jul 11, 2016
Visit Reason
The inspection was conducted as an annual licensing renewal inspection of the Beaver Meadows Personal Care Home.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including insufficient personal care service hours, unlocked poisonous materials, unsanitary conditions, inoperable hallway lights, excessive hot water temperatures, lack of operable bedside lighting, and incomplete medication records.
Citations (8)
55 Pa.Code §2600.57(c) - The facility failed to provide the required minimum hours of personal care services for residents with mobility needs, providing only 81.25 hours instead of 90 hours on the inspection date.
55 Pa.Code §2600.57(d) - The facility did not ensure that at least 75% of personal care service hours were available during waking hours, providing only 61 to 63 hours instead of 67.5 hours.
55 Pa.Code §2600.82(c) - A gallon bottle of bleach labeled as poisonous material was unlocked and accessible to residents, and not all residents were assessed for safe use or avoidance of poisonous materials.
55 Pa.Code §2600.85(a) - The interior walls and door of the microwave in the hospitality room were covered in dried food particles, indicating unsanitary conditions.
55 Pa.Code §2600.87 - Multiple hallway lights were inoperable or bulbs burned out, compromising safe movement and evacuation for residents including those with vision impairments.
55 Pa.Code §2600.89(b) - Hot water temperatures in bathroom sinks of rooms 311, 106, and 112 exceeded the maximum 120°F limit, measuring up to 130.8°F.
55 Pa.Code §2600.101(j)(7) - Residents in rooms 304, 305, and 512 lacked operable lamps or other sources of lighting that could be turned on or off from bedside.
55 Pa.Code §2600.187(a) - Medication administration records for residents #1 and #3 did not include diagnosis or purpose for certain medications.
Report Facts
Number of Residents Served: 69
Total Daily Staff: 90
Waking Staff: 68
Hours of direct care services required: 90
Hours of direct care services provided: 81.25
Hours of personal care during waking hours required: 67.5
Hours of personal care during waking hours provided: 61
Number of residents with mobility needs: 21
Number of current hospice residents: 8
Number of hospice residents in past year: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Schneider | Administrator | Named as Administrator responsible for plan of correction and signature on multiple pages. |
| Jacqueline L. Rowe | Director | Signed the cover letter for the inspection report. |
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