38 Reports
Notice — Aug 17, 2026
Date: Aug 17, 2026
Visit Reason
This document serves to notify the facility of a granted waiver for a direct care staff member's qualifications under Pennsylvania Code § 2800.54(a)(2).
Findings
The waiver allows a specific employee to serve as direct care staff despite not meeting the standard qualification of a high school diploma or GED, based on submitted documentation of equivalent education and training. The Department will review this waiver annually during inspections to ensure compliance.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Notice — Jul 28, 2026
Date: Jul 28, 2026
Visit Reason
This document serves to notify the facility of the granted waiver request related to direct care staff qualifications under Pennsylvania Code § 2600.54(a)(2).
Findings
The waiver is granted with conditions including employment at a specified facility and documentation requirements. The Department will review the waiver annually during inspections to ensure compliance.
Report Facts
Waiver code reference: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter |
Inspection Report — Jul 14, 2026
Follow-Up
Date: Jul 14, 2026
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a previously submitted plan of correction, triggered by a renewal and complaint review.
Complaint Details
The inspection included a complaint investigation component as indicated by the inspection reason 'Renewal, Complaint'. The complaint details are not explicitly stated beyond the medication and care deficiencies found.
Findings
The facility was found to have multiple deficiencies including medication administration errors, unlocked medication carts, improper food storage and temperature issues, incomplete medical evaluations, and staff qualification deficiencies. The submitted plan of correction was fully implemented as of the follow-up inspection.
Citations (15)
182.b Prescription medication: Assisted living care aides without required medication administration training administered treatments to residents including Voltaren External Gel 1%.
183.b Medications and syringes locked: The 3rd Floor North medication cart was found unlocked and unattended with medications accessible to residents.
185.a Storage procedures: Resident blood glucose readings were incorrectly entered onto medication administration records for multiple dates.
187.a Medication record: Resident #4’s medication administration record lacked an area to document administration of Valtoco Nasal Spray.
187.d Follow prescriber’s orders: Resident #4 was administered only part of prescribed Losartan Potassium dose and missed multiple doses of Voltaren External Gel 1%.
103.f Fridge/Freezer Temps: Freezer temperatures exceeded required limits and a freezer lacked a thermometer.
103.g Storing food: Uncovered and unsealed food items were found in dry storage areas.
103.i Outdated food: Unlabeled and undated food items were found in the walk-in freezer.
132.b Safety inspection/fire drill: Fire safety inspection and drill were conducted annually but prior inspection was over a year old.
141.a Medical evaluation: Resident #3’s initial medical evaluation lacked general physical exam and vital signs documentation.
141.b1 Annual medical evaluation: Resident #4’s annual medical evaluation was missing height information.
54.a Direct care staff quals: A direct care staff person was hired without a US high school diploma, GED, or active registry status.
63.a First Aid/CPR 1:35: Overnight shifts exceeded resident-to-certified staff ratio for first aid and CPR certification.
65.j Annual training content: Direct care staff person A did not receive required annual fire safety and emergency preparedness training for 2025.
17 Record confidentiality: Medication cart was found unlocked and unattended with accessible medications and confidential health information.
Report Facts
Residents Served: 73
Current Residents Hospice: 12
Residents 60 Years or Older: 73
Residents with Intellectual Disability: 2
Residents with Mobility Need: 43
Staff Certified in First Aid/CPR: 1
Freezer Temperature: 10
Medication Administration Errors: 5
Medication Administration Errors: 5
Inspection Report — Dec 4, 2025
Complaint Investigation
Date: Dec 4, 2025
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection of the facility.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 74
Current Hospice Residents: 11
Residents Age 60 or Older: 74
Residents with Mobility Need: 49
Residents Diagnosed with Intellectual Disability: 1
Inspection Report — Nov 12, 2025
Date: Nov 12, 2025
Visit Reason
The inspection was a partial, unannounced licensing inspection conducted due to an incident.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Resident Support Staff: 0
Total Daily Staff: 127
Waking Staff: 95
Current Hospice Residents: 9
Residents Served: 79
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 48
Residents Age 60 or Older: 79
Residents Receiving Supplemental Security Income: 0
Residents with Physical Disability: 0
Inspection Report — Aug 18, 2025
Date: Aug 18, 2025
Visit Reason
The inspection was conducted as a partial, unannounced visit 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: 111
Waking Staff: 83
Residents Served: 72
Current Hospice Residents: 4
Residents Age 60 or Older: 72
Residents with Mental Illness: 1
Residents with Mobility Need: 39
Inspection Report — Jul 14, 2025
Date: Jul 14, 2025
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 79
Current Hospice Residents: 5
Residents Age 60 or Older: 79
Residents with Mental Illness: 1
Residents with Mobility Need: 44
Inspection Report — Jun 10, 2025
Renewal
Date: Jun 10, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license, with an unannounced full inspection on 06/10/2025 and an exit conference on 06/11/2025.
Findings
The inspection identified multiple deficiencies related to resident record confidentiality, staff training, furniture and equipment safety, exterior hazards, lighting, medication management including labeling and storage, and medication record accuracy. All deficiencies had accepted plans of correction with proposed completion dates and were determined to be fully implemented by the follow-up.
Citations (9)
Resident records were found unsecured in an unlocked bin on a medication cart accessible to unauthorized persons.
Direct care staff person provided unsupervised assisted living services without completing required training and competency test.
Bed enabler on resident's bed was improperly installed and had an uncovered opening posing a hazard.
Exterior fountain water feature posed a drowning risk due to accessible water without adequate barriers.
Resident in room #119 did not have access to an operable bedside light source.
Expired medication (Tramadol) was found in the medication cart beyond its use date.
Prescription medication labels did not match physician orders in dosage or administration instructions for multiple residents.
Blood glucose readings were incorrectly recorded on residents' medication administration records.
Medication administration records did not include proper dosage form instructions for certain medications.
Report Facts
Total Daily Staff: 125
Waking Staff: 94
Residents Served: 78
Current Hospice Residents: 3
Residents with Mobility Need: 47
Residents 60 Years or Older: 78
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Inspection Report — Feb 7, 2025
Follow-Up
Date: Feb 7, 2025
Visit Reason
The visit was a follow-up inspection to review the submitted plan of correction related to a previous incident involving resident abuse and supervision of staff.
Findings
The submitted plan of correction was found to be fully implemented. The facility was required to maintain continued compliance with regulations regarding immediate development and submission of supervision plans or suspension of staff involved in abuse allegations.
Citations (2)
Failure to immediately develop and implement a plan of supervision or suspend the staff person involved in an alleged resident abuse incident.
Failure to immediately submit to the Department a plan of supervision or notice of suspension of the affected staff person involved in an alleged resident abuse incident.
Report Facts
Residents Served: 76
Current Hospice Residents: 6
Residents Age 60 or Older: 76
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 35
Residents with Physical Disability: 1
Inspection Report — Dec 13, 2024
Date: Dec 13, 2024
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 82
Current Hospice Residents: 9
Residents Age 60 or Older: 82
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 39
Inspection Report — Nov 15, 2024
Follow-Up
Date: Nov 15, 2024
Visit Reason
The inspection was conducted as a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.
Complaint Details
The visit was related to a complaint/incident involving an allegation of physical abuse by a staff person against a resident. The allegation was initially reported late to the appropriate authorities, and the staff person involved continued to work unsupervised for several hours after the allegation was made. The complaint was substantiated with repeat violations noted.
Findings
The facility was found to have fully implemented the submitted plan of correction related to delayed reporting and supervision of a resident abuse allegation. The report details corrective actions including staff training, audits, and reviews to ensure immediate reporting and supervision compliance.
Citations (3)
Failure to immediately report suspected abuse of a resident to the local Area Agency on Aging.
Failure to immediately develop and implement a plan of supervision or suspend the staff person involved in the alleged abuse incident.
Failure to report the incident or condition to the Department’s assisted living residence office or complaint hotline within 24 hours.
Report Facts
Residents Served: 82
Current Hospice Residents: 7
Residents with Mobility Need: 35
Date of Inspection: Nov 15, 2024
Plan of Correction Submission Dates: 3
Inspection Report — Jun 10, 2024
Follow-Up
Date: Jun 10, 2024
Visit Reason
The inspection visit on 06/10/2024 was a follow-up to review the submitted plan of correction related to a complaint and incident.
Complaint Details
The visit was complaint-related and involved a medication error incident reported by the facility. The resident was administered the wrong insulin type and dosage on 05/18/2024, resulting in hospital follow-up. The issue was addressed with staff education and monitoring.
Findings
The submitted plan of correction was determined to be fully implemented as of the follow-up inspection. The facility had self-reported a medication error involving administration of the wrong insulin type and took corrective actions including staff education and ongoing audits.
Citations (1)
Failure to follow prescriber's orders resulting in administration of the wrong insulin type and dosage.
Report Facts
Residents Served: 84
Current Hospice Residents: 3
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 11
Total Daily Staff: 95
Waking Staff: 71
Medication Error Date: May 18, 2024
Medication Pass Competencies: 4
Plan of Correction Completion Date: Jul 19, 2024
Inspection Report — Dec 11, 2023
Renewal
Date: Dec 11, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the facility to review compliance and verify the implementation of the submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies were identified related to fire drill record keeping, medication management including current medications, medication labeling, and storage procedures, with directed plans of correction and ongoing audits to ensure compliance.
Citations (4)
Fire drill records did not include evacuation time in minutes and seconds for numerous fire drills.
Resident #1 had discontinued medication still present in the residence.
Resident #2's medication label had incorrect dosage instructions compared to the medication administration record.
Resident #3's glucometer was not set to the correct time, leading to incorrect documentation of blood glucose readings.
Report Facts
Residents Served: 80
Total Daily Staff: 123
Waking Staff: 92
Current Residents in Hospice: 5
Residents Age 60 or Older: 80
Residents with Mental Illness: 1
Residents with Intellectual Disability: 1
Residents with Mobility Need: 43
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wesley Robinson | Administrator | Named as facility administrator. |
| Director of Resident Care | Named in relation to medication error findings and corrective actions. |
Inspection Report — Aug 31, 2023
Date: Aug 31, 2023
Visit Reason
The inspection was conducted as a partial, unannounced licensing inspection due to an incident at the facility on 08/31/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 79
Current Hospice Residents: 5
Residents Age 60 or Older: 79
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 4
Residents with Physical Disability: 0
Resident Support Staff: 0
Total Daily Staff: 83
Waking Staff: 62
Inspection Report — Jul 7, 2023
Complaint Investigation
Date: Jul 7, 2023
Visit Reason
The inspection was conducted as a complaint investigation at Cumberland Crossing Manor on 07/07/2023.
Complaint Details
The inspection was triggered by a complaint; however, no deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified during this unannounced partial inspection.
Report Facts
Residents Served: 82
Current Hospice Residents: 4
Residents Age 60 or Older: 82
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 43
Inspection Report — Jan 26, 2023
Complaint Investigation
Date: Jan 26, 2023
Visit Reason
The inspection was conducted as a complaint investigation and incident review related to allegations of resident abuse and neglect at Cumberland Crossing Manor.
Complaint Details
The complaint involved allegations that staff person A sprayed cold water in resident #1's face causing bleeding and distress, failed to report the abuse immediately, and continued to work unsupervised. Resident #1 also reported other incidents of intimidation and physical abuse by staff person A. Protective Services investigation found no substantiation initially, but further details emerged during licensing investigation. Staff person A was terminated. The facility implemented education and auditing to prevent recurrence.
Findings
The investigation found that staff person A sprayed cold water in a resident's face causing injury and distress, failed to immediately report the abuse, and continued to work unsupervised after the incident. Additional incidents of intimidation and abuse by staff person A were reported. The facility implemented education, audits, and corrective actions including suspension and termination of staff person A. Deficiencies were noted in abuse reporting, supervision, incident reporting, and resident assessment documentation.
Citations (5)
Failure to immediately report suspected resident abuse to the Local Area Agency on Aging.
Failure to immediately suspend or implement a supervision plan for staff person involved in alleged abuse.
Failure to report the incident to the Department’s assisted living residence office within 24 hours.
Resident subjected to neglect, intimidation, and physical/verbal abuse by staff person A.
Written initial assessment did not include medical condition, care services, or agency information for resident with wounds/ulcers.
Report Facts
Residents Served: 78
Current Hospice Residents: 4
Residents with Mobility Need: 40
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Inspection Report — May 2, 2022
Renewal
Date: May 2, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility license for Cumberland Crossing Manor.
Findings
The inspection identified several deficiencies including unlocked resident face sheets and medications, outdated fire safety inspection and fire drill, incomplete fire drill records, prolonged evacuation times during fire drills, and a medication administration error due to unavailable medication. Plans of correction were submitted and implemented for all deficiencies.
Citations (6)
Numerous resident face sheets were unlocked, unattended, and accessible at the 2nd floor nurses station.
The most recent fire safety inspection and supervised fire drill conducted by a fire safety expert was completed on 10/29/20, not within the required annual timeframe.
The fire drill record for the drill conducted on 1/31/22 did not include the number of staff persons who participated and incorrectly recorded resident evacuation numbers.
The residence does not have a maximum safe evacuation time specified in writing by a fire safety expert within the past year, and evacuation times during fire drills exceeded 2 minutes 30 seconds, with times ranging from 6 minutes 1 second to 10 minutes 19 seconds.
Numerous over-the-counter topical medications were unlocked, unattended, and accessible in a filing cabinet at the 2nd floor nurses station.
Resident #6 was prescribed Lorazepam 0.5mg tablets but did not receive the medication from 4/21/22 through 5/3/22 because the medication was not available in the residence.
Report Facts
Residents Served: 75
Current Hospice Residents: 3
Evacuation Time: 361
Evacuation Time: 619
Evacuation Time: 447
Evacuation Time: 512
Residents Evacuated: 72
Residents Refused Evacuation: 3
Inspection Report — Aug 11, 2021
Complaint Investigation
Date: Aug 11, 2021
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or substantiated issues were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 82
Hospice Residents: 10
Residents 60 Years or Older: 82
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 42
Residents with Physical Disability: 1
Notice — May 17, 2021
Date: May 17, 2021
Visit Reason
The document serves as a certificate of compliance and a renewal notice for the Assisted Living Home Cumberland Crossing Manor, confirming the facility's license renewal and advising that an annual inspection will be conducted 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 and outlines the requirement for an annual inspection.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notice letter |
Inspection Report — Mar 30, 2021
Renewal
Date: Mar 30, 2021
Visit Reason
The inspection was conducted as a renewal visit to review compliance and verify the submitted plan of correction for Cumberland Crossing Manor.
Findings
The inspection found sanitary condition issues including a pervasive urine odor in a resident's room, lack of operable bedside lighting for a resident, and a delayed annual resident assessment. Plans of correction were accepted and implemented with audits and staff education planned.
Citations (3)
Resident #1's room had a pervasive and pungent odor of urine.
Resident #2 did not have access to a source of light that can be turned on at bedside.
Resident #3's annual assessment was delayed; previous assessment was completed on 3/2/2020 but signed on 3/30/2021.
Report Facts
Residents Served: 82
Total Daily Staff: 112
Waking Staff: 84
Current Residents in Hospice: 3
Residents Age 60 or Older: 82
Residents with Mobility Need: 30
Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Grant | COO | Mentioned as facility administrator contact |
| Jon Kimberland | Author of the inspection report letter | |
| Director of Resident Care | Director of Resident Care | Provided ADL staff education and signed annual assessment |
| Resident Support Coordinator | Resident Support Coordinator | Involved in resident assessment process |
| Maintenance Director | Maintenance Director | Installed bedside lighting and reviewed regulations with staff |
| Lead Housekeeper | Lead Housekeeper | Responsible for auditing new residents' rooms for compliance |
| Administrator | Administrator | Provided education and oversight of audits and compliance |
Inspection Report — Oct 7, 2020
Complaint Investigation
Date: Oct 7, 2020
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 10/07/2020 and 10/08/2020.
Complaint Details
The inspection was complaint-driven and included an exit conference on 10/08/2020. The plan of correction was accepted and fully implemented.
Findings
The submitted plan of correction was found to be fully implemented. A deficiency was identified related to the resident support plan not documenting required safety checks for a resident with a history of falls, which was later corrected and education provided to staff.
Citations (1)
Support plan requirement 227.d was violated as Resident #1's most recent support plan did not document twice daily bedroom safety checks despite a history of frequent falls. The plan was updated and staff educated to ensure proper documentation and care.
Report Facts
Residents Served: 95
Current Hospice Residents: 8
Residents Age 60 or Older: 95
Residents with Mobility Need: 39
Inspection Report — Jun 30, 2020
Renewal
Date: Jun 30, 2020
Visit Reason
This document is a renewal license issued in response to the facility's May 29, 2020 renewal application to operate an Assisted Living Home. The Department 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 following the renewal application and outlines the Department's plan to conduct an annual inspection within the next year.
Report Facts
Inspection Report — Feb 25, 2020
Complaint Investigation
Date: Feb 25, 2020
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced visit to Cumberland Crossing Manor on February 25, 2020.
Complaint Details
The inspection was complaint-driven and unannounced. The plan of correction addressed medication errors and was approved and implemented by April 27, 2020.
Findings
The submitted plan of correction was found to be fully implemented as of the follow-up review on April 27, 2020. The facility demonstrated compliance with medication administration and documentation requirements.
Citations (1)
Medication administration errors were identified, including incorrect topical ointment application and missed doses. The facility implemented corrective actions including education and audits to prevent recurrence.
Report Facts
Residents Served: 94
Current Hospice Residents: 2
Total Daily Staff: 122
Waking Staff: 92
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wesley Robinson | Administrator | Named in plan of correction and signature on documents |
Inspection Report — Jan 15, 2020
Routine
Date: Jan 15, 2020
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of Cumberland Crossing Manor to assess compliance with 55 Pa. Code Chapter 2800 relating to Assisted Living Residence.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Inspection Report — Jul 29, 2019
Complaint Investigation
Date: Jul 29, 2019
Visit Reason
The inspection was conducted as a complaint investigation following an incident reported by a resident alleging abuse by staff.
Complaint Details
The complaint involved an allegation that on 7/6/19, a resident reported staff person B pushed and insulted her while providing personal care. Investigations by Protective Services, internal review, and DHS were conducted with all outcomes unsubstantiated.
Findings
The investigation found that the allegation of abuse was not reported timely to the local Area Agency on Aging and the Department. The accused staff member was suspended pending investigation, which was ultimately unsubstantiated. Education on mandatory reporting and resident rights was provided to staff.
Citations (2)
The facility failed to immediately report an allegation of abuse to the local Area Agency on Aging as required. The home also did not report the allegation to the Department within the required timeframe.
The facility did not immediately suspend or place the accused staff person on a plan of supervision after the abuse allegation was reported. The staff member continued to work unsupervised for several days.
Report Facts
Residents Served: 99
Total Daily Staff: 135
Waking Staff: 101
Residents Age 60 or Older: 99
Residents with Intellectual Disability: 1
Residents with Physical Disability: 1
Residents with Mobility Need: 36
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wesley Robinson | Administrator | Signed plan of correction and named in report |
| Debora McConnell | On-site Department representative during inspection |
Inspection Report — May 13, 2019
Annual Inspection
Date: May 13, 2019
Visit Reason
The inspection was an annual licensing inspection conducted by the Department’s Bureau of Human Services Licensing on May 13 and May 14, 2019, with reasons noted as Renewal and Complaint.
Findings
The inspection identified multiple violations related to assisted living residence regulations under 55 Pa. Code Ch. 2800. The facility was required to correct all cited deficiencies and maintain continued compliance.
Citations (14)
2800.42.s. Security camera angles were not properly adjusted to ensure resident privacy on the 2nd and 3rd floor south hallways.
2800.86.b. A ventilation fan in the south wing bathroom was inoperable as of May 10, 2019.
2800.95. Bed canes were unsecured; maintenance secured all bed canes immediately after inspection.
2800.100.a. New procedures were developed to assess resident safety around the water feature, including use of wander guards and video monitoring.
2800.101.j. Resident refused replacement mattress; a replacement was ordered and staff educated on mattress condition communication.
2800.103.g. Food items such as chicken and fish were improperly stored; items were placed in resealable bags and staff educated on proper storage and dating.
2800.107.c. Dietary manager ordered additional emergency water to exceed required gallons; inventory of emergency water is performed semi-annually.
2800.121.a. Maintenance repaired door corrosion to ensure smooth operation and emergency egress functionality.
2800.132.c. Monthly fire drills were routinely refused by some residents; education and documentation of refusals were implemented with plans for observation of future drills.
2800.162.c. Weekly menus were not posted for the upcoming week; menus are now posted and audited weekly for compliance.
2800.183.b. Licensed nursing staff found medicated treatments improperly stored; treatments were removed and staff educated on proper storage and treatment guidelines.
2800.184.4. Medication labeling errors were found for multiple residents; staff educated and weekly audits of EMAR and medication labels were implemented.
2800.187.d. Medication error for resident #6 was discovered; family and PCP notified, pharmacy contacted, and staff educated on proper medication order approval and audits.
2800.227.g. Resident support plans were not signed by residents or did not indicate refusal; support coordinator explained plans and will conduct weekly audits to ensure completion and signatures.
Report Facts
Current Residents: 97
Residents Served: 97
Staff Count: 129
Waking Staff: 97
Residents with Mobility Need: 32
Residents Age 60 or Older: 97
Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wesley Robinson | Administrator | Signed multiple plans of correction and referenced in findings |
Notice — Apr 15, 2019
Date: Apr 15, 2019
Visit Reason
The document serves as a renewal notification and license issuance for Cumberland Crossing Manor, an assisted living facility, following receipt of a renewal application dated March 20, 2019.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license and outlines the requirement for an annual onsite inspection within the next twelve months.
Report Facts
Inspection Report — Aug 16, 2018
Complaint Investigation
Date: Aug 16, 2018
Visit Reason
The inspection was conducted as a complaint investigation of Cumberland Crossing Manor under 55 Pa.Code Ch. 2800 relating to Assisted Living Residence.
Complaint Details
The inspection was complaint-driven. Specific complaints involved improper medication administration and incomplete medication records. The plan of correction was partially implemented with adequate progress as of 11/15/18.
Findings
Violations were found related to medication administration, specifically improper administration of intramuscular injections and incomplete medication administration records. A plan of correction was submitted and partially implemented to address these issues.
Citations (2)
Regulation 182(b): Resident #1 was prescribed Cyanocobalamin Injection 1000mcg monthly, but staff person A was not qualified to administer the injection on 7/23/18. Only licensed staff or qualified personnel may administer intramuscular injections.
Regulation 187(b): The June 2018 medication administration record for Resident #1 did not include the initials of the staff who administered the medication, violating documentation requirements.
Report Facts
Number of Residents Served: 98
Number of Current Hospice Residents: 3
Number of Hospice Residents in Past Year: 12
Residents Age 60 or Older: 98
Residents with Mobility Need: 32
Residents with Physical Disability: 1
Notice — Jun 26, 2018
Date: Jun 26, 2018
Visit Reason
Issuance of a new license due to the facility's change of address from 9350 Babcock Boulevard to 1201 Cumberland Road, Pittsburgh, Pennsylvania.
Findings
The document confirms the issuance of a license for Cranberry Place to operate Cumberland Crossing Manor as an assisted living facility with a maximum capacity of 115 residents. The license expiration date remains unchanged.
Report Facts
Inspection Report — May 14, 2018
Renewal
Date: May 14, 2018
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living residence to assess compliance with 55 Pa. Code Ch. 2800.
Findings
The annual inspection identified multiple violations related to posting of inspection summaries, fire drill evacuation times, tuberculosis skin test documentation, medication administration, and medication storage labeling. Plans of correction were submitted and partially implemented as of May 14, 2019.
Citations (5)
On 5/14/2018, the most current license inspection summary dated 4/27/2017 was not posted in the home.
The home exceeded the maximum evacuation time of 11 minutes 15 seconds during fire drills on 5/12/2018 and 3/22/2018.
Resident #1's medical evaluation dated 3/13/2018 shows the last tuberculin skin test was in 2014, and Resident #2's records lack clear dates for tuberculin skin tests.
Resident #3 was administered medication beyond the expiration date; medication was opened on 4/10/2018 but administered through 5/14/2018.
Resident #2's Humalog medication bag lacked sliding scale coverage label on 5/15/2018, and Resident #4's medication bag lacked a pharmacy label on 5/15/2018.
Report Facts
Number of Residents Served: 101
Number of Current Hospice Residents: 4
Number of Hospice Residents in past year: 13
Residents 60 Years or Older: 101
Residents with Intellectual Disability: 1
Residents with Mobility Need: 29
Residents with Physical Disability: 1
Notice — Mar 9, 2018
Date: Mar 9, 2018
Visit Reason
This document serves as a renewal approval for the assisted living facility Cumberland Crossing Manor following the submission of a renewal application dated March 9, 2018.
Findings
The Department confirms issuance of a regular license and states that an onsite annual inspection will be conducted within the next twelve months to ensure compliance with Title 55, PA Code, Chapter 2800.
Report Facts
Inspection Report — Jan 19, 2018
Routine
Date: Jan 19, 2018
Visit Reason
The Department's Bureau of Human Services representatives conducted an inspection of Cumberland Crossing Manor on January 19, 2018.
Findings
No regulatory violations with 55 Pennsylvania Code Chapter 2800 (relating to Assisted Living Residence) were identified as a result of this inspection.
Inspection Report — Dec 1, 2017
Routine
Date: Dec 1, 2017
Visit Reason
The Department of Human Services licensing representatives conducted an inspection of Cumberland Crossing Manor on December 1, 2017.
Findings
No regulatory violations were identified as a result of this inspection.
Inspection Report — Apr 27, 2017
Annual Inspection
Date: Apr 27, 2017
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections on April 27 and 28, 2017, with reasons for inspection including renewal and complaint.
Findings
Multiple violations of 55 Pa.Code Ch. 2800 related to assisted living residences were found, including issues with medication administration confidentiality, staff orientation and training, fire safety drill timing, and documentation of resident support plans. Plans of correction were partially implemented with adequate progress noted.
Citations (10)
2800.17 - Resident records confidentiality was violated when medication administration records were left unlocked and unattended on the second floor medication cart.
2800.65(e) - Ancillary staff person did not receive orientation training within 40 scheduled working hours on emergency medical plan and reporting of reportable incidents.
2800.65(f) - Direct care staff completed only 9.5 hours of the required 16 hours of annual training related to dementia-specific topics during 2016.
2800.65(j) - Direct care and ancillary staff did not receive required annual training on Resident Rights and The Older Adult Protective Services Act during 2016.
2800.65(j) - Direct care staff and ancillary staff did not receive required fire safety training during 2016.
2800.65(j) - Direct care staff person completed multiple web-based trainings but did not complete required trainings on delirium, dementia care, abuse prevention, and Elder Justice Act.
2800.69 - Ancillary staff did not receive at least 2 hours of dementia-specific training during 2016 as required.
2800.183(d) - Medication prescribed to resident #3 was discontinued but stored improperly on the first floor medication cart.
2800.132(d) - The facility failed to meet the required fire drill evacuation time of 12 minutes and 30 seconds during the past year.
2800.227(c) - Quarterly support plan reviews for residents #6, #7, and #8 were not completed timely as required.
Report Facts
Number of Residents Served: 99
Number of Current Hospice Residents: 2
Number of Hospice Residents in past year: 21
Inspection Report — Mar 21, 2017
Renewal
Date: Mar 21, 2017
Visit Reason
The document is a renewal application and license issuance for Cumberland Crossing Manor, an assisted living facility, confirming the facility's authorization to operate and the Department's requirement to conduct an annual onsite inspection within the next twelve months.
Findings
The document does not report any inspection findings but confirms the renewal of the facility's license and the Department's intent to conduct an annual inspection within the next year.
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Inspection Report — May 17, 2016
Renewal
Date: May 17, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing renewal inspections on May 17, 18, and 19, 2016 for Cumberland Crossing Manor, an assisted living residence.
Findings
Violations related to medication management were found, including discontinued medications remaining in medication carts and missing initials on medication administration records. Plans of correction were partially implemented with ongoing monitoring and education.
Citations (2)
183d - Only current prescription, OTC medications, sample and CAM for individuals living in the residence may be kept in the residence. Discontinued medications were found in the medication cart after the discard date.
187a - A medication record shall include resident's name, drug allergies, name, strength, dosage form, dose, route, frequency, administration times, duration, special precautions, diagnosis, date/time of administration, and staff initials. Medication administration records lacked required staff initials for multiple medications on 5/18/16.
Report Facts
Number of Residents Served: 97
Number of Current Hospice Residents: 3
Number of Hospice Residents in past year: 4
Residents 60 Years of Age or Older: 97
Residents with Intellectual Disability: 1
Residents with Mobility Need: 26
Residents with Physical Disability: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cheryl Fester | Administrator | Named as legal entity representative and signatory on plan of correction |
| Jacqueline L. Rowe | Director | Signed cover letter regarding inspection results |
Notice — Mar 29, 2016
Date: Mar 29, 2016
Visit Reason
The document serves as a renewal notification and license issuance for Cumberland Crossing Manor, an assisted living facility, following receipt of the renewal application dated March 9, 2016.
Findings
The Department of Human Services confirms issuance of a regular license for the facility and advises that an annual onsite inspection will be conducted within the next twelve months to ensure compliance with applicable laws and regulations.
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Notice — September 1, 2020
Date: September 1, 2020
Visit Reason
This document serves as a renewal notice and certificate of compliance for Cumberland Crossing Manor, an assisted living home, confirming the facility's license renewal and advising that an annual inspection will be conducted within the next twelve months.
Findings
The Department has issued a regular license in response to the renewal application and will conduct an onsite inspection within the next twelve months to ensure compliance with applicable regulations.
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