Inspection Reports for
Celebration Villa of Chippewa

PA

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27 Reports

2018–2026

Inspection Report — Jun 16, 2026

Renewal
Date: Jun 16, 2026

Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for Celebration Villa of Chippewa.

Findings
The facility was found to have a repeat violation involving obstructed egress at Emergency Exit #4 due to a chair blocking the door. The plan of correction was accepted and fully implemented, including staff training and daily rounds to ensure unobstructed egress paths.

Citations (1)
Regulation 2600.121a requires stairways, hallways, doorways, passageways, and egress routes to be unlocked and unobstructed. A chair outside Emergency Exit #4 blocked egress from that door, constituting a repeat violation.
Report Facts
Residents Served: 71 Secured Dementia Care Unit Residents Served: 19 Current Hospice Residents: 20 Residents Age 60 or Older: 70 Residents with Mobility Need: 25

Inspection Report — May 6, 2026

Complaint Investigation
Date: May 6, 2026

Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection.

Findings
No regulatory citations or deficiencies were identified during this inspection.

Report Facts
Residents Served: 72 Secured Dementia Care Unit Residents Served: 19 Hospice Current Residents: 8 Residents Age 60 or Older: 72 Residents with Mobility Need: 27

Inspection Report — Aug 28, 2025

Complaint Investigation
Date: Aug 28, 2025

Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection visit.

Complaint Details
The inspection was complaint-related, 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: 75 Secured Dementia Care Unit Residents Served: 20 Current Hospice Residents: 15 Residents Age 60 or Older: 75 Residents with Mobility Need: 32

Inspection Report — Jun 25, 2025

Renewal
Date: Jun 25, 2025

Visit Reason
The inspection was conducted as a full, unannounced visit for renewal, complaint, and incident reasons at Celebration Villa of Chippewa on 06/25/2025 and 06/26/2025.

Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies were found related to emergency telephone numbers not posted in the secured dementia care unit, improper food storage with an unsealed container of chicken nuggets, and failure to follow prescriber's orders for medication administration. Corrective actions, staff training, and ongoing audits were implemented with proposed completion dates ranging from 07/30/2025 to 08/15/2025.

Citations (3)
Telephone numbers for emergency management and personal care home complaint hotline were not posted nearby the telephone with an outside line in the secured dementia care unit kitchen.
An opened container of chicken nuggets was unsealed in the double freezer of the main kitchen.
Resident #1 was prescribed Levothyroxine 50mcg daily but the medication was not administered on June 2 and June 3, 2025 due to unavailability.
Report Facts
Residents Served: 72 Residents in Secured Dementia Care Unit: 19 Hospice Residents: 27 Residents with Mobility Need: 32 Total Daily Staff: 104 Waking Staff: 78

Employees mentioned
NameTitleContext
Executive Director Executive Director Named in multiple findings and responsible for training and monitoring corrective actions
Dining Director Director of Dining Services Named in food storage deficiency and responsible for disposal of unsealed food and monitoring kitchenette areas
Memory Care Coordinator Memory Care Coordinator Placed emergency numbers on telephone and involved in training and audits
Resident Care Coordinator Resident Care Coordinator Involved in training and audits related to deficiencies
Maintenance Director Maintenance Director Responsible for monitoring emergency phone number tags
Life Enrichment Director Life Enrichment Director Participated in training and audits
Sales Director Sales Director Participated in training and audits
Director of Nursing Director of Nursing Conducts medication audits
Assistant Director of Nursing Assistant Director of Nursing Conducts medication audits

Inspection Report — May 20, 2024

Complaint Investigation
Date: May 20, 2024

Visit Reason
The inspection was conducted as a complaint investigation at the facility.

Complaint Details
The inspection was complaint-related; however, no deficiencies were found and follow-up was not required.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.

Report Facts
Total Daily Staff: 104 Waking Staff: 78 Residents Served: 70 Secured Dementia Care Unit Residents Served: 18 Hospice Current Residents: 20 Residents with Mobility Need: 34 Residents with Physical Disability: 1 Residents 60 Years of Age or Older: 70

Inspection Report — Apr 25, 2024

Renewal
Date: Apr 25, 2024

Visit Reason
The inspection was conducted as a renewal licensing inspection with an incident review for Celebration Villa of Chippewa on April 25 and 26, 2024.

Findings
The facility was found to be in compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes after corrections were made. Several deficiencies were identified related to training records, combustible materials accessibility, medication administration, and support plan documentation, all of which were corrected with plans of correction implemented by August 2, 2024.

Citations (5)
The home's records of direct care staff training did not indicate the length of each course.
A 4 ounce bottle of Skin Prep alcohol spray labeled 'Flammable' was unsecured, unattended and accessible in the Memory Care kitchenette.
Resident #1 was administered incorrect doses of Humalog insulin not following prescriber's sliding scale orders.
Resident #3's support plan did not document how a moderate need for supervision would be met.
Resident #1's July 2024 medication administration record lacked initials of staff who administered medications on specific dates.
Report Facts
Residents Served: 69 Residents Served in Secure Dementia Care Unit: 19 Total Daily Staff: 108 Waking Staff: 81 Deficiencies cited: 5

Employees mentioned
NameTitleContext
Juliet Marsala Deputy Secretary Signed the licensing letter and certificate of compliance.

Notice — Jan 17, 2024

Date: Jan 17, 2024

Visit Reason
This letter responds to a request submitted by the facility to use the Safely You Falls Management Program to support fall detection and fall management for individuals with cognitive impairment.

Findings
The Department reviewed the submitted information and determined that the informed consent process includes voluntary participation, the right to discontinue use of cameras, and that residents and responsible parties are informed of their rights, satisfying regulatory requirements around resident privacy.

Employees mentioned
NameTitleContext
Theresa Hartman Director, Bureau of Human Services Licensing Signed the letter responding to the facility's request regarding the Safely You Falls Management Program.

Inspection Report — Jul 11, 2023

Complaint Investigation
Date: Jul 11, 2023

Visit Reason
The inspection was conducted as a complaint and incident investigation following reports of violations at Celebration Villa of Chippewa.

Complaint Details
The visit was complaint-related and incident-driven, investigating allegations of neglect and abuse of a resident with a history of falls and inadequate care plans. The complaint was substantiated based on the findings.
Findings
The inspection found violations related to failure to report incidents timely, inadequate fall risk assessments and support plans, and neglect/abuse of a resident resulting in multiple falls and injuries. Plans of correction were submitted but noted as not implemented as of December 6, 2023.

Citations (3)
Failure to report an unwitnessed fall incident to the Department within 24 hours.
Resident's assessment and support plan did not address fall risk or indicate support to meet this need despite multiple medical assessments.
Resident was neglected and physically abused, including failure to maintain bed alarm and supervision, resulting in falls and injuries.
Report Facts
Residents Served: 71 Residents Served in Secure Dementia Care Unit: 20 Total Daily Staff: 108 Waking Staff: 81

Inspection Report — Apr 4, 2023

Renewal
Date: Apr 4, 2023

Visit Reason
The inspection was conducted as a renewal visit for the facility, as indicated by the reason 'Renewal' and the unannounced full inspection on 04/04/2023 and 04/05/2023.

Findings
The inspection identified several deficiencies related to facility maintenance including damaged drywall in a bathroom, missing and improperly marked exit signs, and missing posted code for a locking mechanism. All deficiencies were corrected on the day of inspection or shortly thereafter, with ongoing monthly maintenance checklists implemented to ensure continued compliance.

Citations (4)
Damaged drywall in the single use common bathroom near the shower exposing metal corner bead.
Missing exit sign on the gate in the courtyard connected to the secured dementia care unit.
Exit signs did not indicate direction to travel in two hallway locations.
No code posted for the locking mechanism on the gate in the courtyard connected to the secured dementia care unit.
Report Facts
Residents Served: 69 Residents Served in Secured Dementia Care Unit: 19 Current Hospice Residents: 28 Residents with Mobility Need: 30 Residents 60 Years or Older: 69

Employees mentioned
NameTitleContext
Maintenance Director Named as responsible for correcting deficiencies such as drywall repair, exit sign replacement, and posting locking mechanism code.
Administrator Responsible for monthly checks and documentation of maintenance issues.

Inspection Report — Dec 21, 2022

Date: Dec 21, 2022

Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.

Findings
No regulatory citations or deficiencies were identified during this inspection.

Report Facts
Residents Served: 69 Secured Dementia Care Unit Residents Served: 20 Hospice Current Residents: 23 Residents Age 60 or Older: 69 Residents with Mobility Need: 37 Resident Support Staff: 0 Total Daily Staff: 106 Waking Staff: 80

Inspection Report — Oct 18, 2022

Routine
Date: Oct 18, 2022

Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 10/18/2022.

Findings
No regulatory citations were identified as a result of this licensing inspection.

Inspection Report — Jun 6, 2022

Follow-Up
Date: Jun 6, 2022

Visit Reason
The inspection was a partial, unannounced follow-up visit to verify the implementation of a previously submitted plan of correction.

Findings
The facility was found to have fully implemented the plan of correction related to uncovered trash receptacles and medication record discrepancies. Quality assurance trainings and ongoing audits were established to maintain compliance.

Citations (3)
Uncovered metal trash can in the shared resident bathroom between resident rooms 206 and 208.
Medication Administration Record (MAR) indicated incorrect medication timing for Resident #1 (every four hours instead of every six hours).
Medications for Resident #2 were not administered as prescribed due to unavailability in the home.
Report Facts
Residents Served: 49 Memory Care Residents Served: 17 Hospice Residents: 15 Residents with Mobility Need: 24 Total Daily Staff: 73 Waking Staff: 55 Medication Audits Frequency: 5

Inspection Report — Dec 14, 2021

Renewal
Date: Dec 14, 2021

Visit Reason
The inspection was conducted as a renewal and complaint investigation visit to assess compliance with licensing regulations and to review submitted plans of correction.

Findings
Multiple deficiencies were identified including improper placement and operation of carbon monoxide detectors, failure to provide written notice of home rule changes to residents, unlabeled poisonous materials, sanitary condition issues, inadequate bathroom ventilation, missing toilet paper, improper refrigerator temperatures, incomplete medical evaluations, medication record errors, and missing emergency telephone numbers. Plans of correction were accepted and implemented for all deficiencies.

Citations (12)
Carbon monoxide detectors were improperly placed and not operable near fossil fuel burning devices.
Residents were not properly informed in writing of changes to home smoking rules.
Unlabeled poisonous materials found in cleaning supply closets.
No sanitary means of hand drying in common bathroom in secured dementia care unit (SDCU).
Trash receptacles in kitchen and bathrooms were uncovered or missing lids.
Multiple bathrooms lacked operable windows or exhaust fans for ventilation.
No toilet paper available in common bathroom in SDCU.
Refrigerator temperature in SDCU kitchen exceeded required limits.
Resident medical evaluation forms incomplete, missing ability to self-administer medications.
Medication administration records missing dosage form, dose, route, frequency, and diagnosis/purpose for resident medications.
Preadmission screening forms incomplete, missing date, signature, and admitting home name.
Emergency telephone numbers not posted in resident bedrooms.
Report Facts
Residents Served: 46 Residents Served in Secured Dementia Care Unit: 18 Current Hospice Residents: 13 Total Daily Staff: 71 Waking Staff: 53 Deficiency Completion Dates: 12

Notice — Oct 4, 2021

Date: Oct 4, 2021

Visit Reason
The document serves as a renewal notification and issuance of a regular license for the Personal Care Home 'Elmcroft of Chippewa' following receipt of the renewal application dated September 30, 2021.

Findings
No inspection findings are reported in this document; it advises that an onsite inspection will be conducted within the next twelve months as required by regulation.

Report Facts

Employees mentioned
NameTitleContext
Jamie L. Buchenauer Deputy Secretary, Office of Long-term Living Signed the renewal notification letter

Inspection Report — Jul 19, 2021

Complaint Investigation
Date: Jul 19, 2021

Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection of the facility on 07/19/2021.

Complaint Details
The inspection was triggered by a complaint as indicated by the inspection reason and was conducted as an unannounced partial inspection on 07/19/2021.
Findings
The inspection identified multiple deficiencies including insufficient personal care service hours during waking hours, inadequate staffing to meet residents' mobility needs especially during night shifts, inaccurate mobility assessments for residents, and incomplete directions for key-locking devices on secured dementia care unit exits. Plans of correction were accepted for all deficiencies.

Citations (4)
At least 75% of personal care service hours were not provided during waking hours; only 49.32 hours were provided instead of the required 53.25 hours.
Staffing was insufficient between 11:00 p.m. and 7:00 a.m. to meet residents' needs for personal care, supervision, and safe evacuation, especially for residents requiring two staff for evacuation.
Resident #1's mobility assessment was inaccurate, indicating minimal needs while requiring assistance of two staff persons for transferring.
Directions for operating magnetic lock releases on secured dementia care unit exits were incomplete, missing the inclusion of the 'star' key in the access code sequence.
Report Facts
Residents served: 47 Residents with mobility needs: 26 Required direct care hours during waking hours: 53.25 Actual direct care hours during waking hours: 49.32 Staff scheduled between 11:00 p.m. and 7:00 a.m.: 2 Residents requiring 2 staff for evacuation: 5

Inspection Report — May 6, 2021

Complaint Investigation
Date: May 6, 2021

Visit Reason
The inspection was conducted as a complaint investigation following allegations of abuse/neglect related to an incident involving Resident #1 on 04/14/2021.

Complaint Details
The complaint investigation was substantiated. Resident #1 was found to have been neglected, resulting in a serious injury from a fall in the shower. The facility delayed reporting the incident to the Department until 05/08/2021, although the incident occurred on 04/14/2021.
Findings
The investigation found that Resident #1, who required assistance with bathing, was left unattended while showering, resulting in a fall causing a serious injury (a left displaced and depressed tibial plateau fracture). The facility failed to report the incident to the Department within the required 24-hour timeframe. The administrator submitted a state reportable on 05/08/2021 and implemented corrective actions including staff training and monitoring.

Citations (2)
Failure to report an incident or condition to the Department within 24 hours as required by regulation (16c - Written Incident Report).
Resident neglect resulting in a serious injury due to lack of supervision during showering (42b - Abuse).
Report Facts
Residents served: 44 Current hospice residents: 5 Residents served in secured dementia care unit: 9 Residents aged 60 or older: 44 Residents with mobility need: 14

Inspection Report — Apr 26, 2021

Complaint Investigation
Date: Apr 26, 2021

Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection of the facility.

Complaint Details
The inspection was triggered by a complaint, but no deficiencies or regulatory citations were substantiated.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.

Report Facts
Residents Served: 43 Secured Dementia Care Unit Residents Served: 17 Hospice Current Residents: 9 Total Daily Staff: 63 Waking Staff: 47

Inspection Report — Feb 24, 2021

Complaint Investigation
Date: Feb 24, 2021

Visit Reason
Complaint investigation triggered by allegations of abuse and neglect at the facility.

Complaint Details
The investigation was initiated due to complaints of abuse and neglect involving resident #1 who eloped and suffered serious injuries. The complaint was substantiated with findings of neglect, failure to report incidents timely, and inadequate staffing.
Findings
The facility was found to have multiple violations including resident elopement resulting in hypothermia, failure to report incidents timely, inadequate staffing during waking hours, improper resident assessments, and incomplete directions for key-locking devices. Plans of correction were submitted but not fully implemented by the report date.

Citations (6)
42b Abuse: Resident #1 eloped due to failure to reactivate door alarm, resulting in hypothermia and injuries.
16c Written Incident Report: The facility failed to report an incident involving resident #1's fall within 24 hours as required.
57d Waking Hours: Facility did not provide at least 75% of personal care service hours during waking hours as required.
60a Staff/Support Plan: Staffing was insufficient during 11:00 p.m. to 7:00 a.m. to meet residents' needs including safe evacuation.
226a Mobility Assessment: Resident #1's assessment underestimated mobility needs, requiring update to reflect need for two-person transfer.
233c Key-Locking Devices: Directions for operating magnetic lock releases on secured dementia care unit exits were incomplete, missing the 'star' key instruction.
Report Facts
Residents served: 44 Residents served in secured dementia care unit: 15 Residents served: 44 Residents served in secured dementia care unit: 9 Residents served: 47 Residents served in secured dementia care unit: 17 Fine amount per day: 235 Mandated correction date: 5

Inspection Report — Feb 17, 2021

Complaint Investigation
Date: Feb 17, 2021

Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection of the facility.

Complaint Details
The inspection was triggered by a complaint, but no substantiation or deficiencies were noted.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.

Report Facts
Residents Served: 46 Memory Care Residents Served: 16 Hospice Current Residents: 10 Total Daily Staff: 62 Waking Staff: 47

Inspection Report — Jan 22, 2021

Renewal
Date: Jan 22, 2021

Visit Reason
The inspection visits on 01/22/2021, 03/09/2021, 03/24/2021, and 03/29/2021 were conducted as part of the Pennsylvania Department of Human Services licensing inspections for the facility.

Findings
No regulatory citations were identified as a result of these inspections.

Notice — Dec 3, 2020

Date: Dec 3, 2020

Visit Reason
This document serves as a license renewal approval and notification that the Department will conduct an annual 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 the renewal application.

Report Facts

Inspection Report — Aug 6, 2020

Complaint Investigation
Date: Aug 6, 2020

Visit Reason
The inspection was a partial, unannounced visit conducted due to a complaint and incident involving the facility.

Complaint Details
The inspection was triggered by a complaint and incident, as stated under the inspection reason. No substantiation status is provided.
Findings
The inspection found multiple deficiencies including inadequate staffing during early morning hours affecting resident dignity and safety, a hole in the ceiling posing a hazard, and inaccuracies in resident support plans particularly regarding hospice services and mobility assessments. Plans of correction were accepted and implemented.

Citations (4)
42c - Treatment of Residents: Midnight shift staff routinely awaken and dress residents between 4:00 a.m. and 4:30 a.m. despite residents' complaints about early wake times. This practice was ended and staff were educated on resident rights.
60a - Staff/Support Plan: On multiple dates, only two staff were present during early morning hours, insufficient to meet residents' personal care and emergency evacuation needs as specified in their assessments.
88a - Surfaces: There was an approximate 3' x 3' hole in the ceiling in the hallway outside resident bedroom #202, posing a hazard.
234b - Support Plan Needs Elements: A resident receiving hospice services had a support plan that did not reflect hospice services or frequency and incorrectly indicated mobility with a cane or walker instead of a wheelchair.
Report Facts
Residents Served: 63 Residents Served in Secured Dementia Care Unit: 17 Hospice Residents: 12 Residents with Mobility Needs: 19 Residents Requiring 2 Staff for Evacuation: 3 Staff Present During Early Morning: 2

Inspection Report — Oct 23, 2019

Renewal
Date: Oct 23, 2019

Visit Reason
The inspection was a renewal visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Services Licensing, to review the facility's compliance with licensing regulations.

Findings
The facility had multiple violations including unsecured room dividers causing tripping hazards, missing emergency telephone numbers in resident rooms, incomplete fire drill records, improper medication labeling, inaccurate glucometer calibration, incomplete resident assessments, and incorrect key-locking device instructions. All plans of correction were approved and fully implemented as of January 7, 2020.

Citations (7)
Regulation 88a: A 5-foot, 3-panel room divider blocking a hallway was not secured and could tip over, creating a tripping hazard.
Regulation 91: Emergency telephone numbers were not posted on or near the cordless phone in resident room #308.
Regulation 132c: Fire drill records for drills on 6/26/19 and 3/26/19 did not indicate if drills were conducted in the a.m. or p.m.
Regulation 184a: A vial of insulin in the medication cart lacked a proper pharmacy label indicating dosage and administration instructions.
Regulation 185a: Resident #3's glucometer was not calibrated to the correct date and time during medication administration.
Regulation 225c: Resident #5's annual assessment was not updated to include bed bolsters to prevent falls as indicated in hospice recertifications.
Regulation 233c: Directions for operating the locked gate to the Secure Dementia Care Unit's outdoor patio were incorrect and did not match the posted numeric code.
Report Facts
Residents Served: 69 Memory Care Residents Served: 19 Hospice Current Residents: 19

Employees mentioned
NameTitleContext
Theresa Ryhal Administrator Named in multiple findings and plan of correction approvals

Notice — Sep 25, 2019

Date: Sep 25, 2019

Visit Reason
This document serves as a renewal notification for the Personal Care Home license of Elmcroft of Chippewa and informs 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 is a licensing renewal letter with an enclosed certificate of compliance.

Report Facts

Inspection Report — Dec 6, 2018

Renewal
Date: Dec 6, 2018

Visit Reason
The inspection was a full, unannounced renewal and provisional inspection of the Elmcroft of Chippewa personal care home conducted by the Pennsylvania Department of Human Services Bureau of Human Services Licensing.

Findings
Multiple violations of 55 Pa. Code Chapter 2600 were found, including unsecured special diet binders, unlocked poisonous materials, lack of sanitary hand drying means, absence of toilet paper, lint accumulation in dryer lint trap, and medication administration training issues. Plans of correction were submitted and partially implemented as of January 2019.

Citations (6)
55 Pa.Code §2600.17 - Resident records confidentiality was violated when a red binder labeled 'H.V. Speciality Diets' containing sensitive information for residents #1, #2, and #3 was found unlocked and unattended in the memory care unit kitchenette.
55 Pa.Code §2600.82(c) - Poisonous materials were unlocked and accessible under the sink in the secure dementia care unit, including Ecolab detergent, Germ-X hand sanitizer, and palmolive dish soap.
55 Pa.Code §2600.85(a) - Sanitary conditions were not maintained as there were no paper towels or other means of hand drying available in the common bathroom of the secured dementia care unit.
55 Pa.Code §2600.102(h) - Toilet paper was not available in the common bathroom of the secured dementia care unit.
55 Pa.Code §2600.105(g)(1) - Fire hazard risk was present due to an accumulation of approximately 1/8 inch of lint in the lint screen well of the dryer in the laundry area by the kitchen.
55 Pa.Code §2600.190(a) - Medication administration training was invalid because staff person C left employment, and staff person B administered medications without proper employment verification.
Report Facts
Number of Residents Served in Secured Dementia Care Unit: 17 Number of Current Hospice Residents: 23 Number of Hospice Residents in Past Year: 46 Number of Residents 60 Years or Older: 70 Number of Residents with Mental Illness: 1 Number of Residents with Mobility Need: 19

Employees mentioned
NameTitleContext
Theresa Ryhal Executive Director Named as legal entity representative signing plans of correction
Staff person B Administered medications improperly and removed from medication administration role
Staff person C Completed medication administration training but left employment making training invalid

Inspection Report — Jun 12, 2018

Original Licensing
Date: Jun 12, 2018

Visit Reason
The inspection was conducted due to a new legal entity operating the home and a licensing inspection by the Department's Bureau of Human Services Licensing.

Findings
The facility was found to be in substantial compliance with regulations but had violations that required correction. The violations related to fire door operation, emergency exit obstructions, emergency evacuation diagram orientation, and key-locking device instructions.

Citations (4)
55 Pa Code 2600.95 - Fire doors in hallway 200 did not release from the magnetic system and close automatically upon fire alarm activation.
55 Pa Code 2600.121(a) - A 6-inch wide yellow plastic bell was velcroed across emergency exit door frames, obstructing exits near bedroom #315 and the library.
55 Pa Code 2600.123(c) - The emergency evacuation diagram near the front desk was not oriented to the building.
55 Pa Code 2600.233(c) - No directions to operate the key pad were posted near the keypad by the courtyard door in the secured dementia care unit.
Report Facts
Number of Residents Served: 73 Number of Current Hospice Residents: 20 Number of Hospice Residents in past year: 35

Employees mentioned
NameTitleContext
Theresa Ryhal Administrator Named as the legal entity representative and signatory on violation reports and plans of correction.
Laurie Garrigan Department representative on-site during inspection.

Notice — July 28, 2026

Date: July 28, 2026

Visit Reason
This document serves as a renewal notification and license issuance for Celebration Villa of Chippewa, a 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

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