Inspection Reports for
Country Meadows of Allentown

430 NORTH KROCKS ROAD,, ALLENTOWN, PA, 18106

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34 Reports

2017–2026

Notice — Apr 9, 2026

Date: Apr 9, 2026

Visit Reason
This letter responds to a request from the facility to use the Safely You Falls Management Program to support fall detection and 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 camera use, and notification of resident rights, satisfying regulatory privacy requirements.

Employees mentioned
NameTitleContext
Theresa HartmanDirector, Bureau of Human Services LicensingSigned the response letter regarding the Safely You Falls Management Program.

Notice — Mar 18, 2026

Date: Mar 18, 2026

Visit Reason
This document serves as a formal notification granting a waiver to Country Meadows of Allentown for the direct care staff qualification requirement under 55 Pa.Code § 2600.54(a)(2).

Findings
The waiver allows specified staff to serve without a traditional high school diploma based on credential evaluation of foreign education. The Department will review compliance with waiver conditions annually during inspections.

Employees mentioned
NameTitleContext
Theresa HartmanBureau Director, Human Services LicensingSigned the waiver approval letter.

Notice — Feb 12, 2026

Date: Feb 12, 2026

Visit Reason
The document serves to notify Country Meadows of Allentown that their request to waive the direct care staff qualification requirement under 55 Pa.Code § 2600.54(a)(2) has been granted.

Findings
The waiver is granted under specific conditions including documentation of education and training for the staff member and annual review during inspections to ensure compliance. Failure to comply may result in termination of the waiver or other licensing actions.

Employees mentioned
NameTitleContext
Theresa HarmanBureau Director, Human Services LicensingSigned the waiver approval letter.

Notice — Jan 14, 2026

Date: Jan 14, 2026

Visit Reason
The document serves to notify Country Meadows of Allentown that their request to waive the requirement for direct care staff to have a high school diploma, GED, or active registry status has been granted due to education obtained outside the United States.

Findings
The waiver is granted under specific conditions including documentation of equivalent education and maintenance of records by the facility. The Department will review this waiver annually during inspections to ensure compliance.

Employees mentioned
NameTitleContext
Theresa HarmanBureau Director, Human Services LicensingSigned the waiver approval letter.

Inspection Report — Sep 9, 2025

Complaint Investigation
Date: Sep 9, 2025

Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident involving resident-to-resident abuse in the Secure Dementia Unit.

Complaint Details
The visit was complaint-related due to an incident of resident abuse involving inappropriate physical contact and verbal comments. The incident was reported to the Lehigh County Area Agency of Aging, PA Department of Human Services, and Upper Macungie Police Department on 2025-08-30.
Findings
The investigation found that a resident engaged in inappropriate physical contact and verbal comments toward another resident, which was not documented in the resident's support plan. The facility updated the support plan and retrained staff to address the incident and prevent recurrence.

Citations (2)
Resident engaged in physical abuse by bilaterally grabbing and squeezing another resident; incident not included in support plan.
Support plan was not revised to include resident's inappropriate behavior and recent incident.
Report Facts
Residents served: 71 Secure Dementia Unit residents served: 36 Current hospice residents: 6 Residents with mobility need: 41 Residents 60 years or older: 71 Residents with physical disability: 1

Notice — Jun 27, 2025

Date: Jun 27, 2025

Visit Reason
The document serves to notify the facility that a waiver request to 55 Pa.Code § 2600.54(a)(2) regarding direct care staff qualifications has been granted.

Findings
The waiver allows a direct care staff member educated outside the United States to serve based on credential evaluation confirming equivalency to a U.S. high school diploma. The waiver is subject to annual review during the facility's annual inspection.

Employees mentioned
NameTitleContext
Theresa HarmanBureau Director, Human Services LicensingSigned the waiver approval letter.

Inspection Report — Jan 22, 2025

Date: Jan 22, 2025

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 as a result of this inspection.

Report Facts
Total Daily Staff: 114 Waking Staff: 86 Residents Served: 74 Secured Dementia Care Unit Residents Served: 38 Current Hospice Residents: 1 Residents Age 60 or Older: 74 Residents with Mobility Need: 40

Inspection Report — Aug 22, 2024

Renewal
Date: Aug 22, 2024

Visit Reason
The inspection was conducted as a renewal inspection with an incident review, including an unannounced full inspection on 08/22/2024 and a follow-up exit conference on 08/28/2024.

Findings
The inspection identified multiple deficiencies including sanitary condition violations related to glucometer cross-use, outdated and unlabeled food items, lint accumulation posing fire hazards, incomplete medical evaluations, late annual medical evaluations, incomplete self-administration medication assessments, medication documentation errors, and support plan deficiencies such as missing signatures. All deficiencies had plans of correction accepted and were implemented by September 2024.

Citations (9)
Resident #1's glucometer was used to measure Resident #2's glucose, and Resident #2's glucometer was used to measure Resident #1's glucose.
Unlabeled and undated food items including pancakes, pizzas, salads, desserts, and outdated yogurt were found in refrigerators and freezers.
Lint was found behind the dryer in the Secure Dementia Care Unit near the sunroom, posing a fire hazard.
Resident #3's Document of Medical Evaluation did not indicate the resident’s health status; the section was blank.
Resident #4's most recent annual medical evaluation was late, with the previous evaluation completed more than one year prior.
Resident #4's assessment and support plan incorrectly stated the resident was unable to self-administer medications; an order later indicated partial ability.
Medication administration for Resident #5 was not documented in the Controlled Medication Record despite administration occurring.
Resident #4's support plan was completed late due to delayed annual medical evaluation.
Resident #1's support plan was not signed by the resident, with no indication if the resident was unable or refused to sign.
Report Facts
Residents Served: 74 Residents in Secured Dementia Care Unit: 41 Current Hospice Residents: 3 Residents with Mobility Need: 49 Residents 60 Years or Older: 74 Total Daily Staff: 123 Waking Staff: 92

Inspection Report — Jul 19, 2024

Date: Jul 19, 2024

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

Findings
No regulatory citations or deficiencies were identified during the inspections conducted on 07/19/2024 and 07/22/2024.

Report Facts
Total Daily Staff: 112 Waking Staff: 84 Residents Served: 67 Secured Dementia Care Unit Residents Served: 38 Current Hospice Residents: 3 Residents Age 60 or Older: 67 Residents with Mobility Need: 45 Residents with Physical Disability: 1

Notice — Sep 28, 2023

Date: Sep 28, 2023

Visit Reason
The document serves to grant a waiver for a direct care staff person at Country Meadows of Allentown who received their education outside of the United States, allowing them to serve despite not meeting the standard Pennsylvania education requirements.

Findings
The waiver is granted under specific conditions including documentation of education and training to be maintained by the facility. The Department will review this waiver annually during inspections to ensure compliance.

Employees mentioned
NameTitleContext
Theresa HarmanBureau Director, Human Services LicensingSigned the waiver approval letter.

Inspection Report — Jul 18, 2023

Complaint Investigation
Date: Jul 18, 2023

Visit Reason
The inspection was conducted due to a complaint involving medication administration errors and failure to follow prescriber directions at the facility.

Complaint Details
Complaint investigation revealed medication errors and failure to follow prescriber directions. Staff person A was retrained and removed from medication duties. No communicable disease exposure was detected. Documentation errors were identified and corrected.
Findings
The investigation found that a staff member used one resident's glucometer to test another resident's blood glucose, resulting in incorrect medication administration. Additional findings included failure to record vital signs before medication administration and documentation errors on the Medication Administration Record (MAR).

Citations (3)
Staff person A used resident #1's glucometer to test resident #2's blood glucose, leading to administration of medication according to the wrong prescription.
Medication administered to resident #3 without adhering to heart rate parameters; documentation errors on MAR.
Resident #4's blood pressure was not recorded prior to medication administration as required by the prescription parameters.
Report Facts
Medication doses missed: 15 Date of plan of correction acceptance: Plan of correction accepted on 08/08/2023.

Employees mentioned
NameTitleContext
Staff person ANamed in medication administration error involving glucometer misuse and subsequent retraining.
Director of NursingDirector of NursingProvided retraining to Staff person A and conducted training for all Medication Associates and LPNs regarding following prescriber directions.

Inspection Report — Jan 13, 2023

Date: Jan 13, 2023

Visit Reason
The inspection was a partial, unannounced licensing inspection conducted due to an incident.

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

Report Facts
Residents Served: 65 Secured Dementia Care Unit Residents Served: 30 Hospice Current Residents: 4 Resident Support Staff Hours: 65 Total Daily Staff: 163 Waking Staff: 122 Residents Age 60 or Older: 65 Residents with Mobility Need: 33 Residents with Physical Disability: 1

Inspection Report — Aug 31, 2022

Renewal
Date: Aug 31, 2022

Visit Reason
The inspection was conducted as a renewal review of the facility's license to ensure compliance with applicable regulations.

Findings
The inspection found several deficiencies including failure to post the current license inspection summary, outdated batteries in carbon monoxide detectors, missing weekly menus, incomplete medication administration training for a staff member, presence of discontinued medications, and unavailability of prescribed medication at the time of inspection. All deficiencies had accepted plans of correction that were implemented by December 7, 2022.

Citations (6)
The licensing inspection summary dated 7/7-7/8/21 was not posted in a public conspicuous area of the home.
The batteries in the carbon monoxide detector located outside the laundry room in memory care were last changed 6/10/19 and were required to be changed annually.
The menu posted in the home's memory care unit was outdated; the following week's menu was not posted.
Direct care staff member A's most recent annual medication administration practicum for 2021 was not completed.
Resident #1's discontinued PRN medication for pain and fever was still present in the medication cart.
Resident #2's prescribed PRN medication was not available at the time of the inspection.
Report Facts
Residents Served: 66 Memory Care Residents Served: 33 Resident Support Staff: 38 Total Daily Staff: 142 Waking Staff: 107 Current Hospice Residents: 7 Residents Age 60 or Older: 66 Residents with Mobility Need: 38 Residents with Physical Disability: 1

Employees mentioned
NameTitleContext
Staff member ANamed in medication administration training deficiency and plan of correction

Inspection Report — Jul 13, 2022

Date: Jul 13, 2022

Visit Reason
The inspection was conducted as a licensing inspection triggered by an incident.

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

Report Facts
Residents Served: 64 Secured Dementia Care Unit Residents Served: 34 Hospice Current Residents: 8 Total Daily Staff: 105 Waking Staff: 79

Inspection Report — Mar 15, 2022

Complaint Investigation
Date: Mar 15, 2022

Visit Reason
The inspection was conducted as a complaint investigation following a complaint received regarding failure to follow prescriber's orders related to wound care for a resident.

Complaint Details
Complaint investigation confirmed that staff did not change wound dressings daily as ordered by the prescriber, but wounds resolved without complications. Plan of correction was accepted and implemented.
Findings
The investigation found that staff failed to change the dressing on a resident's wounds daily as prescribed from 02/24/22 through 03/03/22, although the wounds were resolved without complications by 03/03/22. The submitted plan of correction was fully implemented.

Citations (1)
Failure to follow the directions of the prescriber regarding daily dressing changes for a resident's wounds from 02/24/22 through 03/03/22.
Report Facts
Residents Served: 66 Residents Served in Dementia Unit: 35 Hospice Residents: 7 Residents Age 60 or Older: 66 Residents with Mobility Need: 35 Total Daily Staff: 101 Waking Staff: 76

Employees mentioned
NameTitleContext
Michele MoskalczykHuman Services Licensing SupervisorSigned the letter confirming plan of correction implementation

Inspection Report — Jan 14, 2022

Routine
Date: Jan 14, 2022

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 or deficiencies were identified as a result of this inspection.

Inspection Report — Dec 9, 2021

Complaint Investigation
Date: Dec 9, 2021

Visit Reason
The inspection was conducted due to an incident involving resident-to-resident aggression resulting in injury.

Complaint Details
The complaint was substantiated based on the incident where Resident #1 pushed Resident #2 resulting in injury. The facility's plan of correction was reviewed and accepted.
Findings
The investigation found that Resident #1 pushed Resident #2, causing Resident #2 to fall and sustain a broken femur. The facility implemented a plan of correction including increased monitoring, medical evaluation, and behavioral management updates.

Citations (2)
Resident #1 pushed Resident #2 causing a broken femur, violating abuse prevention requirements.
Resident #1's support plan (RASP) was not updated to reflect current behaviors and management strategies.
Report Facts
Residents Served: 70 Residents Served in Secured Dementia Care Unit: 36 Hospice Residents: 4 Waking Staff: 80 Total Daily Staff: 106

Inspection Report — Aug 23, 2021

Routine
Date: Aug 23, 2021

Visit Reason
The inspection was conducted as a routine licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 08/23/2021 and 08/27/2021.

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

Notice — Jul 30, 2021

Date: Jul 30, 2021

Visit Reason
The document serves as a renewal notification and license issuance for Country Meadows of Allentown Personal Care Home, confirming receipt of the renewal application and advising 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 license renewal notice and certificate of compliance.

Report Facts

Employees mentioned
NameTitleContext
Jamie L. BuchenauerDeputy Secretary, Office of Long-term LivingSigned the renewal notification letter

Inspection Report — Jul 7, 2021

Renewal
Date: Jul 7, 2021

Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.

Findings
The inspection identified several deficiencies including lack of documentation for fire safety orientation for some staff, absence of operable bedside lamps for a resident, emergency exit door requiring excess force to open, outdated fire department notification, combustible storage hazard, failure to test smoke detectors monthly, and medication storage and transcription errors. Plans of correction were accepted and follow-up documentation was submitted and implemented.

Citations (7)
The home could not locate verification that Staff person A, Staff person B, and Staff person C received the trainings required by fire safety orientation regulation 65a.
Resident #1 did not have access to a source of light that can be turned on/off at bedside at time of inspection.
The emergency exit door located near the home's dining room required excess force to open.
The home's notice to the fire department was not current to the number of residents residing in the home's evacuation needs.
There was a small piece of cardboard wedged between the leftmost dryer and the wall in the laundry area, posing a possible fire hazard.
The home was not testing their smoke detectors and fire alarms monthly for operability.
Resident #2 had a PRN medication order that was unavailable in the medication cart at time of inspection; Resident #3 had an incorrect transcription of blood glucose reading on the MAR.
Report Facts
Residents Served: 65 Residents in Secured Dementia Care Unit: 37 Residents in Hospice: 7 Residents with Mobility Need: 47 Residents with Physical Disability: 3

Employees mentioned
NameTitleContext
Gabrielle OrdiwayNamed as Staff Member C who is no longer employed at the facility.

Inspection Report — Mar 5, 2021

Renewal
Date: Mar 5, 2021

Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing's licensing inspections for the facility.

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

Inspection Report — Sep 1, 2020

Routine
Date: Sep 1, 2020

Visit Reason
The inspection was conducted as a 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.

Inspection Report — Jul 21, 2020

Routine
Date: Jul 21, 2020

Visit Reason
The inspection was a licensing inspection conducted 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 — Jun 23, 2020

Date: Jun 23, 2020

Visit Reason
This document serves as a renewal notification and license issuance for Country Meadows of Allentown Personal Care Home, confirming receipt of the renewal application and advising 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 license renewal notice with an enclosed certificate of compliance.

Report Facts

Inspection Report — May 12, 2020

Date: May 12, 2020

Visit Reason
The inspection visits were conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on multiple dates in 2020 to assess regulatory compliance of the facility.

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

Inspection Report — Feb 20, 2020

Renewal
Date: Feb 20, 2020

Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.

Findings
The submitted plan of correction was found to be fully implemented. The inspection included review of posting of inspection summaries, sleeping hour drills, fire drills, medication administration, and resident support plans.

Citations (6)
The licensing inspection summary dated 2/21/19 was not visibly posted in the home until identified during the inspection.
Sleeping hour drills were conducted during normal sleeping hours, but sleeping hours were not clearly posted at the reception desk until after the inspection.
During a recent fire drill, residents were not evacuated outside due to weather, contrary to fire safety expectations.
Resident #1's medication administration record lacked documentation of blood pressure and heart rate parameters as ordered.
Resident #2 did not receive blood glucose monitoring at lunch on 2/15/20 due to being out with family.
Resident #3's support plan was not completed within 72 hours of admission, delayed until 10/7/19 after admission on 9/24/19.
Report Facts
Residents Served: 81 Secured Dementia Care Unit Residents Served: 28 Hospice Current Residents: 5

Employees mentioned
NameTitleContext
Denise M. LangmanExecutive DirectorNamed as responsible party in multiple plans of correction

Inspection Report — Oct 30, 2019

Renewal
Date: Oct 30, 2019

Visit Reason
The inspection was an unannounced renewal inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Services Licensing to review compliance at Country Meadows of Allentown.

Findings
The inspection identified several violations including improper placement of a carbon monoxide monitor, lint accumulation in dryers, incomplete fire drill records, failure to evacuate a resident during a fire drill, and a medication administration error. All plans of correction were fully implemented as of November 22, 2019.

Citations (5)
Regulation 2600. The carbon monoxide monitor in the memory care unit laundry room was not placed at least 15 feet from the gas dryer as required by the Care Facilities Carbon Monoxide Monitor Act.
Regulation 2600, 105g. A thin layer of lint was found in the lint baskets of two industrial dryers in the laundry room, posing a possible fire hazard.
Regulation 2600, 132c. Fire drill logs did not record the time it took for residents to evacuate to a fire safe area or outside the building.
Regulation 2600, 132h. A resident on the memory care unit refused to evacuate to a fire safe area during a fire drill on 2/5/19.
Regulation 2600, 187d. A medication error occurred when a resident's blood pressure was below the threshold for holding medication, but the medication was still administered.
Report Facts
Residents Served: 74 Secured Dementia Care Unit Residents Served: 37 Current Hospice Residents: 3 Residents with Mobility Need: 45 Residents Age 60 or Older: 74 Residents with Physical Disability: 7

Employees mentioned
NameTitleContext
Diana PonterioSr. Vice PresidentSigned plans of correction for all violations
Bonnie MforejAdministratorNamed as facility administrator in violation report

Inspection Report — May 10, 2019

Renewal
Date: May 10, 2019

Visit Reason
This document is a renewal application and license issuance for Country Meadows of Allentown Personal Care Home. The Department notifies the facility 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 notification and confirmation of the facility's capacity and regulatory compliance requirements.

Report Facts

Inspection Report — Oct 18, 2018

Annual Inspection
Date: Oct 18, 2018

Visit Reason
The inspection was an unannounced full renewal inspection with an incident trigger 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 confidentiality breaches, resident abuse, incomplete hospice documentation, and inadequate updating of resident support plans. Plans of correction were submitted with partial implementation noted.

Citations (5)
Regulation 2600.17 requires resident records to be confidential and accessible only to authorized persons. The facility posted a resident privacy coding document containing resident names on the campus, violating confidentiality.
Regulation 2600.42(b) prohibits neglect, intimidation, abuse, or corporal punishment. Resident #1 was involved in five incidents of physical altercations from 07/22/18 to 09/28/18, including staff elbowing causing bruising.
Regulation 2600.227(d) requires documentation of medical and hospice services. Resident #3 began hospice services on 09/28/18 but the hospice provider name and plan were not documented in the resident's record.
Regulation 2600.234(d) mandates annual revision of support plans as resident conditions change. Resident #1's RASP dated 03/18/18 was not updated to reflect discontinuation of private duty aide or address needs after incidents.
Resident #5's RASP did not reflect falls on multiple dates or document interventions properly. The resident's support plan was not revised to meet needs or ensure safety after incidents of aggression and falls.
Report Facts
Number of Residents Served: 76 Number of Current Hospice Residents: 3 Number of Hospice Residents in past year: 10 Staffing Hours - Total Daily Staff: 114 Staffing Hours - Waking Staff: 66

Employees mentioned
NameTitleContext
Bonnie MfarejAdministratorNamed as facility administrator on page 2.
Diana PonterioSr. VP of Ops / Regulatory ComplianceSigned plan of correction documents on pages 3-6.
Anne O'HaireInspection report author listed on pages 3-6.

Notice — Aug 15, 2018

Date: Aug 15, 2018

Visit Reason
The document serves as a revised license issued due to the home's recent adjustment of the use of physical space, indicating a revision of the facility's capacity.

Findings
The certificate confirms the licensed capacity of the facility as 218 persons, with a secure dementia care unit capacity of 60. The license remains valid until August 31, 2018, unless revoked for non-compliance.

Report Facts

Employees mentioned
NameTitleContext
Jacqueline L. RoweDirectorSigned the letter issuing the revised license.

Inspection Report — Aug 9, 2018

Complaint Investigation
Date: Aug 9, 2018

Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident involving resident altercation on August 9, 2018.

Complaint Details
The complaint investigation was substantiated based on the incident where Resident #1 assaulted Resident #2 resulting in injury. The facility took corrective actions including separation of residents, 24-hour aides, and staff training.
Findings
The investigation found that on May 7, 2018, Resident #1 hit Resident #2 causing an injury requiring stitches. The facility implemented corrective actions including separating the residents, providing 24-hour aides, and scheduling staff training.

Citations (1)
55 Pa.Code §2600.42(b) - A resident may not be neglected, intimidated, physically or verbally abused, mistreated, or disciplined in any way. Resident #1 hit Resident #2 causing an injury above the eye requiring 4 stitches.
Report Facts
Number of Residents Served: 73 Number of Residents Served in Secured Dementia Care Unit: 40 Number of Current Hospice Residents: 0 Number of Hospice Residents in Past Year: 4 Staff Total Daily: 113 Staff Waking: 85

Employees mentioned
NameTitleContext
Ryan NovakInspectorConducted the inspection on August 9, 2018
Diana PonterioSr. VP of Operations / Regulatory ComplianceSigned the plan of correction

Notice — May 22, 2018

Date: May 22, 2018

Visit Reason
This document serves as a renewal notification and license issuance for Country Meadows of Allentown LLC to operate a Personal Care Home. It 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 license renewal approval letter with an enclosed certificate of compliance.

Report Facts

Inspection Report — Jul 18, 2017

Renewal
Date: Jul 18, 2017

Visit Reason
The inspection was a licensing inspection conducted on July 18, 2017, for renewal and incident purposes at Country Meadows of Allentown, LLC.

Findings
The inspection identified multiple violations related to resident confidentiality, dignity and respect, facility safety hazards, exit door functionality, and resident assessment documentation. Plans of correction were submitted and partially implemented with ongoing monitoring by facility leadership.

Citations (6)
2600.17 - Resident records were found unattended and accessible to unauthorized persons in a common area of the secured dementia unit.
2600.42(c) - A resident was slapped on the buttocks by staff, demonstrating a lack of dignity and respect despite no physical injury.
2600.100(a) - A warped and jutting picnic table in the patio area posed a safety hazard to residents.
2600.121(a) - The exit door of the exercise/rehabilitation room did not open easily and required excessive pressure to exit.
2600.225(a) - Resident #2's initial assessment was completed in error and the resident was not admitted to the facility at that time.
2600.234(a) - Resident #3's support plan was not finalized within 72 hours of admission to the secured dementia unit.
Report Facts
Number of Residents Served: 75 Number of Residents Served in Secured Dementia Care Unit: 37 Number of Current Hospice Residents: 1 Number of Hospice Residents in Past Year: 9 Number of Residents 60 Years or Older: 75 Number of Residents with Mental Illness: 9 Number of Residents with Mobility Need: 37

Employees mentioned
NameTitleContext
Carolyn TomlinsonAdministratorNamed as facility administrator on violation report
Elaine BussolettiVP of OperationsSigned multiple plans of correction and legal entity representative
Jason HarveyDepartment of Human Services inspector conducting the inspection

Report — October 11, 2018

October 11, 2018

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