Inspection Reports for
Celebration Villa of York

The facility was found to have multiple violations including failure to timely report suspected resident abuse, incomplete resident assessments, unlabeled poisonous materials, lint accumulation in dryers, and outdated resident support plans. Plans of correction were accepted and implemented with ongoing monitoring and staff training.

The inspection identified multiple deficiencies including issues with contract signatures, staff qualifications, staff orientation and training, combustible material safety, annual medical evaluations, medication storage and administration, adherence to prescriber's orders, and resident support plan documentation. Plans of correction were accepted and implemented by January 2026.

The facility was found to have multiple deficiencies including unlocked medication carts with accessible resident records and medications, unsupervised ADL services by untrained staff, unsanitary conditions in resident bathrooms, combustible materials accessible to residents, incomplete medical evaluations, improper medication storage, unlabeled medical equipment, and incomplete resident assessments. Plans of correction were accepted and implemented with ongoing monitoring and staff training scheduled.

The facility was found to have uncorrected violations under 55 Pa.Code Chapter 2600, Section 187b, Class II, resulting in a fine assessment.

The inspection was complaint-driven, triggered by allegations of resident abuse, neglect, failure to report incidents, and medication errors. The complaint was substantiated with multiple violations found, including abuse by residents and neglect by staff, resulting in staff terminations and enforcement actions.

The inspection found multiple violations including resident abuse, neglect, failure to report incidents timely, medication management deficiencies, sanitary condition issues, and incomplete resident assessments and records. Several staff members were terminated due to neglect and abuse. A provisional license was issued with required corrections and ongoing monitoring.

Multiple deficiencies were identified including failure to post the current license inspection summary, lack of CPR/First Aid trained staff during night hours, improper refrigerator/freezer temperatures, incomplete fire drill records, smoking area violations, medication management issues including self-administration assessments, storage, refusals, and follow prescriber's orders, as well as incomplete resident preadmission screenings, assessments, and support plans. Plans of correction were accepted and many were implemented by 05/01/2025.

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 licensed healthcare professionals, and annual training hours related to GLP-1 medications and diabetes management. The facility must have policies and clinical contacts in place to support safe medication administration.

The inspection was conducted due to a complaint and incident, as stated in the inspection information section.

The facility was found to have fully implemented the submitted plan of correction. Deficiencies related to medication storage, medication refusal documentation, and support plan signatures were addressed with training and ongoing monitoring.

The visit was complaint-related, triggered by concerns about medication administration and resident care. The plan of correction was accepted and fully implemented by 11/18/2024.

The facility was found to have deficiencies related to failure to report incidents timely, inadequate assistance with activities of daily living, and failure to follow prescriber's medication orders. The submitted plan of correction was determined to be fully implemented as of the follow-up review.

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 followed.

The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.

No regulatory citations or deficiencies were identified as a result of this inspection.

Multiple deficiencies were identified including abuse of a resident by staff, cleanliness issues in resident rooms, lint accumulation in dryer lint traps, lack of current rabies vaccination for a resident's pet, medication administration errors, and incomplete resident assessments and support plans. Plans of correction were accepted and implemented with follow-up scheduled.

The visit was related to complaints of abuse involving two residents. The abuse allegations were substantiated with findings of physical and verbal abuse by staff members. Staff involved were suspended or terminated accordingly.

The facility was found to have fully implemented the submitted plan of correction. Previous violations included failure to timely report an abuse incident, verbal and physical abuse by staff members, and direct care staff providing unsupervised ADL services without completing required training. Staff involved in abuse incidents were suspended or terminated, and training was conducted to prevent recurrence.

The submitted plan of correction was determined to be fully implemented. Several specific deficiencies related to medical evaluations, storage procedures, preadmission screening, and support plans were identified and addressed with corrective actions and training.

The Department has approved the renewal application and issued a regular license. It advises that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.

The facility was found to be in substantial compliance with the regulations set forth in 55 Pa. Code Chapter 2600 for Personal Care Homes, but the licensing inspector was unable to complete a full inspection due to the new legal entity status.

The invoice indicates a fine of $2,700.00 assessed for a violation coded 183b, with assessment dates from 7/24/2025 to 8/4/2025.