15 Reports
Notice — Oct 11, 2024
Date: Oct 11, 2024
Visit Reason
The document serves to notify the facility that their request to waive the educational qualification requirement for a direct care staff person has been granted under Pennsylvania regulations.
Findings
The waiver is granted under specific conditions including documentation of equivalency to a US high school diploma and maintenance of such documentation in personnel files. The Department will review compliance with these conditions annually during inspections.
Inspection Report — Aug 27, 2024
Renewal
Date: Aug 27, 2024
Visit Reason
The inspection was conducted as a renewal visit with an incident review, including a follow-up on a previously submitted plan of correction.
Findings
The inspection found multiple deficiencies including failure to report suspected resident abuse, unsecured resident personal equipment, unlocked poisonous materials accessible to residents, discontinued medications kept in the home, and incomplete documentation of medication administration parameters. Plans of correction were accepted and implemented by the facility.
Citations (5)
Failure to immediately report suspected abuse of a resident following a physical altercation between two residents.
Resident's bedside mobility device was not securely fastened to the bed.
Poisonous materials (eye glass cleaner) were unlocked and accessible in a resident's room without all residents assessed as capable of safe use.
Discontinued medication (Oxycodone) was found in the home's controlled substances lock box.
Incomplete documentation of blood sugar readings and blood pressure parameters for residents on medication.
Report Facts
Residents Served: 124
Residents Served in Dementia Unit: 29
Hospice Residents: 5
Residents with Mobility Need: 45
Residents 60 Years or Older: 124
Total Daily Staff: 169
Waking Staff: 127
Inspection Report — Sep 27, 2023
Follow-Up
Date: Sep 27, 2023
Visit Reason
The visit was a partial, unannounced follow-up inspection conducted due to an incident, to review the submitted plan of correction and verify compliance.
Findings
The inspection found that the submitted plan of correction related to incidents of alleged resident abuse, failure to timely report incidents, and medication management was fully implemented. Multiple deficiencies related to abuse reporting, resident supervision, chemical restraint use, and additional assessments were identified and addressed with corrective actions.
Citations (5)
Failure to immediately report an alleged sexual abuse incident to the local area agency on aging.
Failure to report an alleged sexual abuse incident to the Department within required timeframes.
Resident #1 exhibited increased sexual behavior and inappropriate touching; inadequate supervision and delayed implementation of 24/7 private duty staffing.
Use of psychotropic medications to lower Resident #1's sexual drive and behaviors without proper classification as chemical restraint.
Resident #1's assessment was not updated timely to reflect need for 24/7 1:1 supervision and behavioral changes.
Report Facts
Residents Served: 126
Residents Served in Dementia Unit: 32
Total Daily Staff: 158
Waking Staff: 119
Inspection Report — May 16, 2023
Follow-Up
Date: May 16, 2023
Visit Reason
The visit was a follow-up to verify that the submitted plan of correction was fully implemented following previous inspections conducted on 05/16/2023, 05/17/2023, and 05/18/2023.
Findings
The facility was found to have implemented the submitted plan of correction. However, deficiencies related to medication administration and documentation were identified, including late administration of medications and failure to follow prescriber's orders, with corrective actions and monitoring plans outlined.
Citations (2)
Resident 1's morning medications were not administered at the prescribed time, but the medication administration record was marked as if they were given on time.
Resident 1's medications prescribed to be administered upon awakening and before bed were not administered as ordered, including a medication not given at bedtime.
Report Facts
Residents Served: 116
Secured Dementia Care Unit Residents Served: 34
Hospice Current Residents: 8
Residents with Mobility Need: 57
Residents 60 Years or Older: 116
Residents with Physical Disability: 1
Total Daily Staff: 173
Waking Staff: 130
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Named in medication administration and documentation deficiencies and corrective actions |
| Campus Executive Director | Campus Executive Director | Involved in observation and auditing of medication administration and documentation |
Notice — Nov 8, 2022
Date: Nov 8, 2022
Visit Reason
The document serves to approve the facility's request to participate in a research study assessing the Tango Belt device for fall injury mitigation in at-risk adult residents.
Findings
The Department approved the study participation contingent on use of the submitted consent form and adherence to resident privacy and rights policies. The approval does not constitute endorsement and may be revoked at any time.
Inspection Report — May 3, 2022
Renewal
Date: May 3, 2022
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements at COUNTRY MEADOWS OF YORK.
Findings
The submitted plan of correction was found to be fully implemented following the inspection. Deficiencies related to medication storage and administration, prescriber order compliance, and key-locking device signage were identified and corrected with plans of correction accepted and implemented.
Citations (3)
The Glucometer readings for Residents #1 and #2 were not recorded on their Medication Administration Records (MAR).
The prescribed medication for Resident #3 to be administered at bedtime was not available for administration on 5/4/21.
The keypad number for exit door #42 leading from the Secure Dementia Care Unit to the Personal Care Hallway was not posted.
Report Facts
Residents Served: 117
Secured Dementia Care Unit Residents Served: 33
Hospice Current Residents: 8
Residents Diagnosed with Mental Illness: 4
Residents with Mobility Need: 54
Residents with Physical Disability: 1
Resident Support Staff Hours: 0
Total Daily Staff: 171
Waking Staff: 128
Inspection Report — Oct 12, 2021
Routine
Date: Oct 12, 2021
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 — Jul 30, 2021
Renewal
Date: Jul 30, 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, Country Meadows of York, pursuant to Title 55, PA Code, Chapter 2600.
Findings
The Department issued a regular license following the renewal application and advised that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diana Ponterio | VP of Operations and Regulatory Compliance | Recipient of the renewal license letter |
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal license letter |
Inspection Report — Mar 5, 2020
Routine
Date: Mar 5, 2020
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of the facility on March 5, 2020, to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Inspection Report — Aug 7, 2019
Annual Inspection
Date: Aug 7, 2019
Visit Reason
The inspection was conducted as part of the Bureau of Human Services Licensing annual inspection for Country Meadows of York.
Findings
The facility was found to be in compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes during the inspection conducted on August 7 and 8, 2019.
Notice — May 10, 2019
Date: May 10, 2019
Visit Reason
This document serves as a renewal notification for the license to operate the Personal Care Home facility Country Meadows of York. It informs the facility of the Department's intent to conduct an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document as it is a license renewal notice, not an inspection report.
Report Facts
Inspection Report — Aug 14, 2018
Annual Inspection
Date: Aug 14, 2018
Visit Reason
The visit was an annual licensing inspection conducted by the Department's Bureau of Human Services Licensing on August 14 and 15, 2018.
Findings
The facility was found to be in compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes during the inspection.
Notice — May 15, 2018
Date: May 15, 2018
Visit Reason
The document serves as a renewal notification and license issuance for Country Meadows of York 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 an administrative notice confirming license renewal and outlining future inspection requirements.
Report Facts
Notice — Aug 28, 2017
Date: Aug 28, 2017
Visit Reason
Issuance of a new license due to a change in the legal entity name of the facility.
Findings
The document certifies the licensed capacity and authorizes operation of the facility under the new legal entity name. No inspection findings or deficiencies are reported.
Report Facts
Notice — June 23, 2020
Date: June 23, 2020
Visit Reason
This document serves as a renewal notification and license issuance for Country Meadows of York 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.
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