Inspection Reports for
Celebration Villa of Berwick
2050 WEST FRONT STREET,, BERWICK, PA, 18603
Back to Facility Profile28 Reports
Inspection Report — May 6, 2026
Follow-Up
Date: May 6, 2026
Visit Reason
The inspection was a follow-up visit to verify the implementation of a previously submitted plan of correction related to facility compliance.
Findings
The submitted plan of correction was determined to be fully implemented. The main finding involved a sprinkler system with multiple leaks that caused water damage and required repairs, which were ongoing with hourly fire watch rounds in place until completion.
Citations (1)
Regulation 2600.95 - Furniture and equipment must be in good repair, clean and free of hazards. The sprinkler system was shut off due to multiple leaks causing water damage and has not been fully repaired as of the inspection date.
Report Facts
Residents Served: 76
Current Residents: 44
Total Daily Staff: 83
Waking Staff: 62
Residents Age 60 or Older: 49
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 7
Residents with Physical Disability: 2
Inspection Report — Jan 21, 2026
Complaint Investigation
Date: Jan 21, 2026
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 01/21/2026.
Complaint Details
The inspection was triggered by a complaint. The plan of correction was accepted and fully implemented as of 02/23/2026.
Findings
The facility was found to have an issue with glucometer calibration and documentation of blood sugar readings. The submitted plan of correction was fully implemented and compliance was maintained.
Citations (1)
Regulation 2600.185a requires safe storage and use procedures for medications and medical equipment. The resident's glucometer readings showed incorrect dates and blood sugar readings were not documented on the Medication Administration Record.
Report Facts
Residents Served: 45
Current Hospice Residents: 2
Staff Count: 52
Waking Staff: 39
Inspection Report — Sep 4, 2025
Renewal
Date: Sep 4, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility license.
Findings
The inspection found several deficiencies including a medication cart left unattended with accessible records, an unlabeled bar of soap in a shared bathroom, missing items in the van first aid kit, and a medication not available for a resident. The submitted plan of correction was determined to be fully implemented.
Citations (4)
Medication cart was unattended with laptop screen open and medication administration records accessible.
Unlabeled used bar of soap found in shared bathroom located in room 131.
First aid kit in the van used to transport residents did not include tweezers and protective eye coverings.
Resident 1's prescribed medication Acetaminophen 325MG 650 was not available in the home at the time of inspection.
Report Facts
Residents Served: 41
Total Daily Staff: 45
Waking Staff: 34
Residents 60 Years or Older: 4
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 4
Residents with Physical Disability: 2
Inspection Report — Apr 10, 2025
Follow-Up
Date: Apr 10, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 04/10/2025 to review compliance and verify the submitted plan of correction.
Complaint Details
The inspection was complaint-related and the plan of correction was accepted and fully implemented. No substantiation status explicitly stated.
Findings
The submitted plan of correction was determined to be fully implemented as of 04/10/2025. The main deficiency involved the resident support plan lacking documentation of a two-person assist for transferring, which was corrected and updated by the Executive Director.
Citations (1)
Resident support plan did not contain information about requiring a 2 person assist for transferring.
Report Facts
Residents Served: 46
Current Hospice Residents: 2
Total Daily Staff: 53
Waking Staff: 40
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 7
Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Named in plan of correction for updating resident support plan and educating clinical leadership team | |
| Director of Nursing | Involved in ongoing review and update of resident assessment and support plans | |
| Assistant Director of Nursing | Involved in ongoing review and update of resident assessment and support plans |
Inspection Report — Mar 5, 2025
Date: Mar 5, 2025
Visit Reason
The inspection was a partial, unannounced licensing inspection conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Resident Support Staff: 7
Total Daily Staff: 57
Waking Staff: 43
Residents Served: 43
Residents with Mobility Need: 7
Residents Age 60 or Older: 43
Inspection Report — Dec 27, 2024
Date: Dec 27, 2024
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, with the reason noted as 'Incident' and the inspection type as 'Partial' and unannounced.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 50
Waking Staff: 38
Resident Support Staff: 0
Residents Served: 43
Current Hospice Residents: 0
Residents Age 60 or Older: 43
Residents with Mobility Need: 7
Residents with Physical Disability: 1
Residents Diagnosed with Mental Illness: 0
Residents Diagnosed with Intellectual Disability: 0
Residents Receiving Supplemental Security Income: 0
Notice — Nov 12, 2024
Date: Nov 12, 2024
Visit Reason
The document is a response to a request for a waiver of Pennsylvania Code § 2600.190(b) to allow unlicensed direct care staff to administer subcutaneous injections of GLP-1 agonist medications in a personal care home.
Findings
The waiver outlines training requirements for direct care staff administering GLP-1 agonist injections, including completion of a Department-approved medication administration course, in-person training by a licensed health care professional, and annual training hours related to GLP-1 medications and diabetes management. The facility must have policies and clinical contacts in place to monitor and support medication administration.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Notice — Mar 25, 2024
Date: Mar 25, 2024
Visit Reason
Response to a request submitted by the facility to use the TruLoo Smart Toilet seat to automate tracking of bowel movements and urinations for clinical monitoring.
Findings
The Department reviewed the submitted information and determined that the informed consent process meets regulatory requirements for resident rights and privacy. The letter does not endorse the device but confirms compliance with privacy regulations if procedures are maintained.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Director, Bureau of Human Services Licensing | Signed the response letter regarding the TruLoo Smart Toilet seat use. |
Inspection Report — Mar 12, 2024
Complaint Investigation
Date: Mar 12, 2024
Visit Reason
The inspection was conducted as a complaint investigation with an interim exit conference on 03/12/2024 to review compliance and the submitted plan of correction.
Complaint Details
The visit was complaint-related and interim in nature. The complaint was substantiated by staff and resident interviews confirming medication administration issues.
Findings
The investigation found that staff were leaving medications in cups for residents to take without ensuring the residents actually took the medications. The submitted plan of correction was accepted and fully implemented by 04/01/2024.
Citations (1)
Staff left medications in cups for residents to take and left resident rooms without ensuring that the residents took the medications.
Report Facts
Residents Served: 45
Current Hospice Residents: 4
Residents 60 Years or Older: 45
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 7
Residents with Physical Disability: 2
Total Daily Staff: 52
Waking Staff: 39
Inspection Report — Feb 1, 2024
Follow-Up
Date: Feb 1, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident involving medication diversion and tampering.
Findings
The facility was found to have multiple deficiencies related to medication diversion by a staff member who tampered with narcotic blister packs, replacing Oxycodone with other medications. The staff member was identified, suspended, and terminated following a police investigation. The facility implemented corrective actions including staff education, medication audits, and improved storage procedures.
Citations (4)
Resident funds and property were used improperly due to medication diversion by a staff member tampering with narcotic blister packs.
Failure to implement safe storage, access, security, distribution, and use of medications by trained staff persons.
Failure to follow prescriber's orders resulting in residents not receiving prescribed Oxycodone due to diversion.
Records of active and discharged residents were not maintained confidentially, as a discarded blister pack with resident information was found accessible.
Report Facts
Residents Served: 46
Current Hospice Residents: 4
Residents 60 Years or Older: 45
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 7
Residents with Physical Disability: 2
Total Daily Staff: 53
Waking Staff: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff member C | Medication Technician | Identified as the offending staff member who diverted medications and admitted to drug diversion. |
| Executive Director | Led investigation, reported incident to Department of Human Services, and implemented corrective actions including staff education and audits. |
Inspection Report — Dec 14, 2023
Complaint Investigation
Date: Dec 14, 2023
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Complaint Details
The inspection was incident-related, indicating a complaint or concern triggered the visit.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Total Daily Staff: 54
Waking Staff: 41
Residents Served: 47
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 7
Residents Age 60 or Older: 47
Inspection Report — Oct 23, 2023
Complaint Investigation
Date: Oct 23, 2023
Visit Reason
The inspection was conducted as a complaint investigation to review the facility's compliance with regulations, specifically regarding the use of AI technology in toilets without proper waivers or consent.
Complaint Details
The visit was complaint-related, triggered by concerns about the use of AI technology toilets without proper waivers or consent. The plan of correction was accepted and fully implemented.
Findings
The facility was found to have used TrueLoo AI technology toilets without obtaining the required waiver or explicit written consent from residents, violating privacy and waiver regulations. The facility submitted and implemented a plan of correction to discontinue the use of the AI toilets and provide staff education.
Citations (2)
Use of TrueLoo AI technology toilets without obtaining a waiver as required by regulation 2600.19.
Violation of residents' privacy by using AI technology toilets without explicit written consent and without Department approval, violating regulation 2600.42s.
Report Facts
Residents Served: 50
Total Daily Staff: 59
Waking Staff: 44
Plan of Correction Completion Date: Dec 15, 2023
Inspection Report — Sep 12, 2023
Renewal
Date: Sep 12, 2023
Visit Reason
The inspection was an unannounced full renewal inspection conducted to review compliance with licensing regulations.
Findings
The facility was found to have multiple deficiencies including failure to post the current license inspection summary, lack of carbon monoxide detectors near gas water heaters, incomplete annual staff training, inadequate lighting in resident rooms, outdated food items, obstructed egress routes, combustible storage near heat sources, incomplete fire drill records, medication errors including administration of non-current prescriptions, and incomplete resident support plan signatures. Plans of correction were accepted and implemented with ongoing monitoring.
Citations (11)
The home did not have the License Inspection Summary (LIS) report dated 6/1/22 posted conspicuously in the home as required.
The home’s gas fired hot water heater did not have a carbon monoxide monitor installed 15 feet from it as required by the Care Facility Carbon Monoxide Monitoring Act.
Staff persons A and B did not have annual training on emergency preparedness and resident rights for the 2022 training year. Staff person C did not have fire safety training by a fire safety expert or training on emergency preparedness for the 2022 training year.
Room 149 did not have a light source that could be reached at bedside.
In the kitchen there was freeze dried dill with a date of 5/4 on it, there was no year. There were 3 containers of sour cream in the refrigerator all expired. There was a container of Hershey’s Strawberry Syrup with an expiration date of 8/2023.
Exit #4 was blocked from egress due to a resident sitting outdoors directly in front of the exit. A row of chairs in the activity room were placed directly in the path of the exit door.
Combustible and flammable materials were located near heat sources or hot water heaters including cardboard, paint cans, and cigarette butts in the smoking area.
Fire drill records were incomplete, recorded only in minutes not minutes and seconds, and not all residents were evacuated during certain fire drills.
Medication cart contained a blister pack of tablets for resident #1 without a current order. Medication errors included administering medications not currently ordered and failure to follow prescriber's orders.
Staff person A administering insulin did not have training by a certified diabetes educator within the last 12 months.
Resident Assessment and Support Plan for Resident #5 was not signed by the resident with no indication why.
Report Facts
Residents Served: 48
Total Daily Staff: 61
Waking Staff: 46
Outdated Food Items: 3
Fire Drills Recorded in Minutes Only: 9
Residents Not Evacuated in Fire Drills: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Med Tech | Named in insulin administration training deficiency and medication administration errors |
| Director of Nursing | Named in medication cart audits and medication error corrections | |
| Executive Director | Named in multiple findings including training, monitoring, and corrective actions | |
| Maintenance Director | Named in corrective actions related to carbon monoxide detectors, combustible storage, and fire safety | |
| Dining Services Director | Named in corrective actions related to outdated food |
Inspection Report — Jul 26, 2023
Complaint Investigation
Date: Jul 26, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation to review compliance and the submitted plan of correction.
Complaint Details
The visit was complaint-related and involved an incident. The submitted plan of correction was fully implemented as of the inspection date.
Findings
The inspection found deficiencies related to resident #1's assistance with activities of daily living, sanitary conditions due to frequent incontinence, and incomplete support plan documentation. The submitted plan of correction was determined to be fully implemented.
Citations (3)
Resident #1 was not provided a replacement call bell pendant for at least one week and was not scheduled for regular toileting checks or dressed with a brief instead of underwear.
Resident #1's room had a strong odor of urine and feces due to frequent urinary and bowel incontinence.
Resident #1's support plan was not updated to reflect frequent urinary and bowel accidents and refusal of scheduled shower assistance.
Report Facts
Residents Served: 46
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 10
Residents Age 60 or Older: 46
Resident Support Staff: 0
Total Daily Staff: 56
Waking Staff: 42
Inspection Report — Apr 6, 2023
Follow-Up
Date: Apr 6, 2023
Visit Reason
The inspection visit on 04/06/2023 was a partial, unannounced incident-related review 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 details deficiencies related to abuse, support plan revisions, medical/dental support plan documentation, and support plan signatures, all of which have corrective actions and training planned or completed.
Citations (4)
Resident #1 pushed Resident #2 causing injury requiring hospital treatment; abuse prevention and wandering behavior management training planned.
Support plan for Resident #2 was not revised timely to reflect significant changes in care needs.
Resident #2's support plan medical/dental assessment was inaccurate regarding mobility and assistance needs.
Resident #1's and Resident #2's support plans were not signed by the resident or assessor.
Report Facts
Residents Served: 47
Hospice Current Residents: 4
Residents Age 60 or Older: 47
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 10
Total Daily Staff: 57
Waking Staff: 43
Inspection Report — Mar 15, 2023
Complaint Investigation
Date: Mar 15, 2023
Visit Reason
The inspection was conducted as a complaint-related investigation due to an incident at the facility.
Complaint Details
The visit was complaint-related with the reason stated as 'Incident'. No deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 56
Waking Staff: 42
Residents Served: 46
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 10
Residents 60 Years of Age or Older: 46
Inspection Report — Oct 19, 2022
Complaint Investigation
Date: Oct 19, 2022
Visit Reason
The inspection was conducted as a complaint and incident investigation at Celebration Villa of Berwick on 10/19/2022.
Complaint Details
The inspection was complaint-related and incident-based. The plan of correction was accepted on 12/07/2022 and fully implemented by 02/22/2023.
Findings
The facility was found to have a deficiency related to the failure to update Resident #1's support plan regarding behaviors towards other residents and how the home would meet the resident's needs. The submitted plan of correction was fully implemented as of 02/22/2023.
Citations (1)
Resident #1's RASP had not been updated regarding the resident's behaviors towards other female residents or how the home is going to meet the resident's needs.
Report Facts
Residents Served: 47
Current Hospice Residents: 1
Resident Support Staff: 6
Total Daily Staff: 59
Waking Staff: 44
Residents Age 60 or Older: 47
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 6
Inspection Report — Aug 9, 2022
Monitoring
Date: Aug 9, 2022
Visit Reason
The inspection was a monitoring visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to assess compliance at the facility.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 47
Current Hospice Residents: 0
Residents Age 60 or Older: 47
Residents with Mobility Need: 15
Residents with Physical Disability: 1
Inspection Report — Jun 1, 2022
Renewal
Date: Jun 1, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found multiple deficiencies related to resident confidentiality, emergency preparedness, medical evaluations, medication administration, and record content. All deficiencies had plans of correction submitted and were verified as implemented on-site.
Citations (8)
Resident #1’s dialysis schedule was posted on the medication cart accessible to unauthorized persons.
The home’s exterior garbage dumpster was found open with the lid up, allowing potential infestation.
Resident room #133 did not have required emergency telephone numbers posted near the phone.
Resident room #135 had 3 throw rugs in the bathroom creating a slip-fall risk.
Fire drill evacuation time exceeded the allowed time; fire drills did not alternate evacuation routes; residents did not fully evacuate during overnight fire drills.
Resident #2 did not have annual medical evaluations completed for years 2020, 2021, and 2022.
Resident #3 had medications left unattended at bedside during inspection.
Resident records for residents #4, #5, #6, and #7 did not indicate if they had identifiable marks.
Report Facts
Residents Served: 47
Staffing Hours: 53
Waking Staff: 40
Residents with Mobility Need: 6
Residents 60 Years or Older: 47
Residents Diagnosed with Mental Illness: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| NJAMIN | Administrator | Named in relation to education and monitoring for multiple deficiencies including confidentiality, emergency preparedness, and record content. |
| Unnamed Med-Tech | Med-Tech | Counseled for failure to administer medication and leaving medication unattended. |
| Maintenance Director | Educated on fire drill evacuation times, alternating evacuation routes, and full evacuation during overnight fire drills. | |
| Director of Nursing | Educated med-techs on medication administration regulations and was educated on annual medical evaluation compliance. |
Inspection Report — Feb 2, 2022
Complaint Investigation
Date: Feb 2, 2022
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with regulations at Celebration Villa of Berwick.
Complaint Details
The inspection was triggered by a complaint as noted in the Inspection Information section on page 2.
Findings
The inspection found violations related to insufficient showers for residents, failure to test smoke detectors monthly, failure to conduct unannounced fire drills in December 2021 and January 2022, and lack of a supervised fire drill by a fire safety expert since March 2020. Plans of correction were submitted and accepted with completion dates in early 2022, and evidence of compliance was documented by November 4, 2022.
Citations (4)
The home currently has one working shower for 27 residents, with 19 residents having their own personal shower.
The home has not tested the fire alarms monthly from 4/20/21 to 1/22.
The home did not conduct a fire drill in December 2021 and January 2022.
The home has not had a supervised fire drill conducted by a fire safety expert since 3/12/20.
Report Facts
Residents Served: 46
Current Residents in Hospice: 4
Residents with Mental Illness: 1
Residents with Mobility Need: 7
Residents Age 60 or Older: 49
Total Daily Staff: 53
Waking Staff: 40
Inspection Report — Jul 9, 2021
Renewal
Date: Jul 9, 2021
Visit Reason
The document is a renewal license issued in response to the May 13, 2021 renewal application to operate the Personal Care Home Elmcroft of Berwick. The Department advises that an onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
The license renewal was granted and a regular license issued. The Department will conduct an inspection within the next twelve months and take enforcement action if noncompliance is found.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed letter regarding license renewal and inspection requirements |
Inspection Report — May 11, 2021
Renewal
Date: May 11, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The facility was found to have deficiencies related to emergency exterior lighting, incomplete annual medical evaluations, and improper medication storage. Plans of correction were accepted and implemented, with follow-up reviews confirming compliance.
Citations (3)
Emergency exterior lighting is not provided on the rear wooden fire escape closest to the shed, posing a safety risk during emergency evacuation.
An annual medical evaluation for resident #1 did not include required information such as date evaluated, date form completed, height, weight, pulse rate, or temperature.
An Anoro inhaler belonging to resident #1 was not dated as to when it was first used, contrary to manufacturer requirements.
Report Facts
Residents Served: 46
Total Daily Staff: 54
Waking Staff: 41
Deficiencies cited: 3
Inspection Report — Jun 23, 2020
Routine
Date: Jun 23, 2020
Visit Reason
The inspection was conducted as a routine licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Notice — May 5, 2020
Date: May 5, 2020
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care Home 'Elmcroft of Berwick' following receipt of the renewal application dated April 14, 2020. It also advises that an onsite annual inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license and states that enforcement action will be taken if noncompliance is found during future inspections.
Inspection Report — Jun 19, 2019
Renewal
Date: Jun 19, 2019
Visit Reason
The inspection was a full, unannounced renewal inspection conducted by the Department’s Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Ch. 2600 for Personal Care Homes.
Findings
The inspection identified multiple violations related to staff training, fire safety, emergency preparedness, and equipment maintenance. Plans of correction were submitted addressing orientation, training, fire drills, first aid kit contents, and emergency exit functionality.
Citations (9)
65a - FS Orientation 1st Day: Staff person A hired 3/12/2019 did not have first-day training on evacuation procedures, fire drills, smoking safety, fire extinguishers, smoke detectors, and emergency notification.
65b - Rights/Abuse 40 Hours: Staff person A did not receive initial training on emergency medical plan and mandatory reporting of abuse and neglect under the Older Adult Protective Services Act.
65f - Training Topics: Direct care Staff person B did not receive annual training on Medication Self-Administration in training year 2018.
65g - Annual Training Content: Staff persons A and B did not receive annual fire safety training conducted by a fire safety expert in 2018.
96a - First Aid Kit: The first aid kit in the home's front lobby did not contain eye coverings.
121a - Unobstructed Egress: The emergency exit door from the dining room did not open easily at time of inspection, posing a potential hazard.
132b - Safety Inspection/Fire Drill: The last fire safety inspection/fire drill by a fire safety expert was on 10/19/2018, exceeding the annual timeframe required.
132f - Alternate Exit Routes: The home did not alternate exit routes during fire drills for all 16 drills conducted from 1/28/18 through 5/17/19.
132g - Fire Drills Days/Times: The home routinely staffs 2 people on overnight shifts but has not conducted fire drills with more than 2 staff or at varied times as required.
Report Facts
Residents Served: 34
Total Daily Staff: 39
Waking Staff: 29
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rachel Bingaman | Administrator | Signed plans of correction for multiple deficiencies |
Notice — Mar 28, 2019
Date: Mar 28, 2019
Visit Reason
The document serves as a renewal approval for the Personal Care Home license of Elmcroft of Berwick and notifies 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 confirms issuance of a regular license following the renewal application.
Report Facts
Inspection Report — Jun 22, 2018
Original Licensing
Date: Jun 22, 2018
Visit Reason
The inspection was conducted as a new licensing inspection for Elmcroft of Berwick, a Personal Care Home, to assess compliance with 55 Pa. Code Chapter 2600.
Findings
The facility was found to be in substantial compliance with regulations. One violation was noted regarding a resident contract not signed by the resident, which was corrected during the inspection.
Citations (1)
55 Pa.Code §2600.25(b) - The contract for resident #1 was not signed by the resident. There was no mark in lieu of signature despite a court order stating the resident is incompetent.
Report Facts
Number of Residents Served: 40
Number of Current Hospice Residents: 1
Number of Hospice Residents in past year: 6
Resident Support Staff: 60
Total Daily Staff: 104
Waking Staff: 78
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Kelly | Administrator | Named in violation report and plan of correction |
Notice — June 27, 2023
Date: June 27, 2023
Visit Reason
This document serves as a license renewal notification and certificate of compliance for Celebration Villa of Berwick, a Personal Care Home. It informs the facility that the Department will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following receipt of the renewal application.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed the license renewal notification letter. |
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