30 Reports
Inspection Report — Jul 1, 2026
Complaint Investigation
Date: Jul 1, 2026
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 07/01/2026.
Complaint Details
The inspection was triggered by a complaint and was unannounced. The plan of correction was reviewed and accepted, with follow-up submissions completed.
Findings
The facility was found to have deficiencies related to following prescriber's orders and developing support plans within 30 days. The submitted plan of correction was fully implemented as of 07/24/2026.
Citations (2)
2600.187(d): The home failed to follow the directions of the prescriber when a resident was not administered medication at bedtime on 6/15/26. Immediate correction and staff re-training were implemented.
2600.227(a): Several residents lacked a written support plan developed and implemented within 30 days of admission, failing to meet their assessed needs. Immediate correction and revision of support plans were initiated.
Report Facts
Residents Served: 107
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 9
Inspection Report — Nov 20, 2025
Date: Nov 20, 2025
Visit Reason
The inspection was an unannounced partial licensing inspection conducted as an interim review by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 86
Secured Dementia Care Unit Residents Served: 22
Hospice Current Residents: 8
Inspection Report — Oct 7, 2025
Renewal
Date: Oct 7, 2025
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements and verify the submitted plan of correction.
Findings
The facility had multiple deficiencies including delayed criminal background checks for new hires, uncovered trash receptacles, hot water temperature exceeding limits, unlabeled leftover and outdated food, missing emergency procedure postings, expired fire extinguisher inspections, incomplete resident medical evaluations, smoking area safety issues, and unlabeled OTC medications. Corrective actions were accepted and implemented with ongoing monitoring plans.
Citations (12)
51 Criminal Background Check: Criminal history checks were not requested timely for six staff members after their hire dates.
85d Trash Receptacles: An uncovered trash can was found in the kitchenette of the Secured Dementia Care Unit.
89b Hot Water Temperature: Hot water temperature in a resident bathroom measured 124.7°F, exceeding the 120°F limit.
103e Left Overs: Unlabeled and undated leftover food items were found in the Secured Dementia Care Unit kitchenette.
103i Outdated Food: Three dented cans of ketchup were found in the kitchen dry goods storage area.
123b Emergency Procedures Posted: Emergency procedures were not posted in a conspicuous and public place in the home.
131f Fire Extinguisher Inspection: Fire extinguishers in the personal care area and secured dementia unit had not been inspected since September 2025, except two in the furnace room.
141a Medical Evaluation Information: A resident's medical evaluation did not include the need for body positioning.
141b1 Annual Medical Evaluation: A resident's annual medical evaluation did not include special health or dietary needs.
144c1 Smoking Area Guidelines: Cigarette butts were found on the ground in the designated smoking area and a staff member was observed smoking near the secured dementia care building.
144c2 Smoking Area Distance: The designated smoking area was located approximately three parking spots away from four propane tanks, posing a fire hazard.
184b Labeling OTC/CAM: A package of tablets belonging to a resident was not labeled with the resident's name in the medication cart.
Report Facts
Residents Served: 84
Secured Dementia Care Unit Residents Served: 21
Hospice Current Residents: 8
Residents Age 60 or Older: 83
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 25
Hot Water Temperature: 124.7
Number of Unlabeled Plates: 3
Number of Dented Cans: 3
Distance from Smoking Area to Propane Tanks: 3
Inspection Report — Sep 4, 2025
Date: Sep 4, 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: 88
Secured Dementia Care Unit Residents Served: 21
Residents Age 60 or Older: 109
Residents with Mobility Need: 25
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Inspection Report — Mar 27, 2025
Re-Inspection
Date: Mar 27, 2025
Visit Reason
The inspection visit on 03/27/2025 was a partial, unannounced inspection conducted as an interim incident review to assess compliance and investigate violations found during prior inspections.
Findings
The inspection found multiple violations including abuse, privacy breaches, improper medication administration, unsafe storage of poisonous materials, fire safety deficiencies, and maintenance issues such as obstructed egress and inaccessible fire extinguishers. Corrective actions and retraining plans were implemented, with ongoing monitoring and audits directed to ensure compliance.
Citations (16)
Resident #1 was subjected to physical and verbal abuse by staff, including being thrown onto a bed and restrained improperly in a Hoyer Lift.
Staff recorded inaccurate blood glucose readings on the Medication Administration Record (MAR).
Carbon monoxide detector was missing near the propane gas-fired furnace in the basement.
Fire extinguishers in the memory care unit were locked without accessible keys for staff.
Exit door labeled 1b in the memory care unit did not open immediately due to rusted panic bar.
Poisonous materials (Windex) were stored in an unlabeled container in the laundry room.
Toothpaste accessible to residents unsafe to handle poisonous materials was found unlocked in the dementia unit.
Residents in rooms 16 and 20 lacked operable lamps or bedside lighting.
Resident #8's heart rate was not measured prior to administration of Metoprolol as ordered.
Medical evaluations for residents lacked physician names or license numbers.
No code posted near keypad exits in the secure dementia unit.
Trash can in the secured dementia kitchen lacked a lid.
Resident #1’s glucometer was used to test another resident’s blood sugar, risking cross-contamination.
Staff recorded medication administration times inaccurately or failed to initial MAR.
Smoking area had cigarette butts mixed with dried leaves, posing fire hazard.
Fire drills were routinely held at times when additional staff were present, not meeting regulatory requirements.
Report Facts
Residents Served: 86
Residents Served in Dementia Unit: 52
Current Hospice Residents: 6
Total Daily Staff: 138
Waking Staff: 104
Deficiency Counts: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Linda Palermo | Director of Nursing | Named in relation to retraining staff on abuse, medication administration, and other compliance issues. |
| Richard Lech | Director of Maintenance | Named in relation to maintenance issues and monitoring fire safety compliance. |
| Kristyna Kiefer | Director of Secured Dementia Unit | Named in relation to immediate removal of unsafe poisonous materials. |
Inspection Report — Jan 6, 2025
Complaint Investigation
Date: Jan 6, 2025
Visit Reason
The inspection was conducted as a complaint investigation at Fritzingertown Senior Living Community on January 6, 2025.
Complaint Details
The inspection was complaint-driven and no deficiencies or regulatory 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: 90
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 9
Residents Age 60 or Older: 89
Residents with Mobility Need: 28
Residents Diagnosed with Intellectual Disability: 1
Residents Receiving Supplemental Security Income: 2
Inspection Report — Dec 31, 2024
Complaint Investigation
Date: Dec 31, 2024
Visit Reason
The inspection was conducted as a complaint investigation at Fritzingertown Senior Living Community on December 31, 2024.
Complaint Details
The inspection was complaint-driven, but no deficiencies or regulatory 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: 90
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 9
Residents Receiving Supplemental Security Income: 2
Residents Age 60 or Older: 89
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 28
Inspection Report — Dec 4, 2024
Complaint Investigation
Date: Dec 4, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation at the Fritzingertown Senior Living Community.
Complaint Details
The complaint involved an incident where one resident punched another resident in the secured dementia unit, causing injury. The incident was substantiated with medical treatment required and corrective actions implemented.
Findings
The investigation found that a resident punched another resident resulting in an injury requiring emergency room treatment. The facility responded with immediate medical assessment, updated care plans, increased monitoring, staff re-training, and ongoing behavioral monitoring.
Citations (1)
A resident punched another resident causing injury requiring sutures and emergency room treatment.
Report Facts
Residents Served: 90
Secured Dementia Care Unit Residents Served: 23
Current Hospice Residents: 9
Residents Age 60 or Older: 89
Residents with Mobility Need: 28
Residents Diagnosed with Intellectual Disability: 1
Residents Receiving Supplemental Security Income: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Named in monitoring and oversight of resident behaviors and corrective actions |
| Administrator | Administrator | Named in monitoring and oversight of resident behaviors and corrective actions |
Inspection Report — Nov 25, 2024
Plan of Correction
Date: Nov 25, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility on 11/25/2024.
Findings
The facility was found to be out of compliance with fire safety regulations, including lack of documentation for an annual fire safety inspection and fire drill, failure to meet evacuation time requirements, and failure to alternate exit routes during fire drills. The facility submitted a plan of correction which was accepted and fully implemented by 12/17/2024.
Citations (3)
No documentation that a fire safety inspection and fire drill was conducted by a fire safety expert within the past 12 months.
Evacuation times during fire drills exceeded the required 2 minutes and 30 seconds, with recorded times of 7 minutes 25 seconds and 10 minutes 40 seconds.
Fire drill records indicate the home is not alternating exit routes during monthly fire drills.
Report Facts
Residents Served: 84
Secured Dementia Care Unit Residents Served: 24
Hospice Current Residents: 6
Residents Age 60 or Older: 83
Residents with Mobility Need: 29
Residents with Mental Illness: 1
Residents with Intellectual Disability: 1
Residents with Physical Disability: 0
Residents Receiving Supplemental Security Income: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Valley Regional Fire Department Chief | Named as the individual who will perform the fire safety inspection on December 12, 2024 |
Inspection Report — Jul 23, 2024
Complaint Investigation
Date: Jul 23, 2024
Visit Reason
The inspection was conducted as a complaint investigation at the facility on 07/23/2024.
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: 91
Secured Dementia Care Unit Residents Served: 25
Hospice Current Residents: 7
Residents Age 60 or Older: 91
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 28
Residents with Physical Disability: 1
Inspection Report — Jun 10, 2024
Complaint Investigation
Date: Jun 10, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 06/10/2024.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and the follow-up was not required.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 104
Secured Dementia Care Unit Residents Served: 20
Hospice Residents: 8
Residents 60 Years or Older: 104
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 24
Residents with Physical Disability: 0
Total Daily Staff: 128
Waking Staff: 96
Inspection Report — Feb 21, 2024
Renewal
Date: Feb 21, 2024
Visit Reason
The inspection was conducted as a renewal and incident review of the Fritzingertown Senior Living Community on 02/21/2024.
Findings
The inspection identified multiple deficiencies including unsecured poisonous materials, lack of bedside lighting in resident rooms, delayed annual fire safety inspection, medication storage and administration issues, and incomplete or untimely updates to resident support plans. Plans of correction were accepted and implemented with ongoing monitoring.
Citations (6)
Activities room door in the secured dementia unit was left open with poisonous materials accessible to residents.
Resident rooms 17 and 20 did not have a bedside light within reach from the bed.
The most recent fire safety inspection was delayed beyond one year due to COVID-19 related restrictions.
Resident #1's medication was not available in the medication cart at the time of inspection.
Resident #3's support plan was not updated within 5 days after a fall requiring hospitalization and hospice placement.
Resident #2's support plan lacked documentation of a pureed diet.
Report Facts
Residents Served: 84
Residents Served in Secured Dementia Care Unit: 24
Current Residents in Hospice: 7
Residents Age 60 or Older: 84
Residents with Mobility Need: 29
Residents Diagnosed with Intellectual Disability: 1
Inspection Report — Apr 14, 2023
Date: Apr 14, 2023
Visit Reason
The inspection was conducted as a licensing inspection with 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: 80
Secured Dementia Care Unit Residents Served: 19
Hospice Current Residents: 6
Residents Age 60 or Older: 80
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 24
Inspection Report — Jan 24, 2023
Renewal
Date: Jan 24, 2023
Visit Reason
The inspection was a full, unannounced review conducted on 01/24/2023 and 01/26/2023 for renewal, complaint, and incident reasons.
Complaint Details
The complaint involved an allegation of physical abuse of Resident #5 by a staff person. The internal investigation and assessment by the resident's PCP found no evidence of abuse. The case was closed and considered unfounded by the Area Agency on Aging.
Findings
The facility was found to have multiple deficiencies including failure to report incidents timely, incomplete final incident reports, expired medications in first aid kits, unlabeled medications, incorrect medication administration records, and failure to update resident support plans. Plans of correction were accepted and implemented by 02/24/2023.
Citations (6)
Failure to submit an incident report to the Department regarding Resident #4's fall and fractured ribs.
Failure to submit a final report to the Department immediately following the conclusion of an investigation regarding an allegation of physical abuse of Resident #5.
Expired bacitracin zinc ointment found in the first aid kit.
Resident #2's medication did not have a pharmacy label attached.
Medication Administration Records (MAR) for Residents #1, #2, and #3 contained incorrect dosage information.
Resident #4's Resident Assessment Support Plan (RASP) was not updated to reflect current care needs after a fall and hospitalization.
Report Facts
Residents Served: 80
Secured Dementia Care Unit Residents Served: 24
Current Hospice Residents: 7
Residents with Mobility Need: 29
Residents 60 Years or Older: 80
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Allsion Kline | Resident Care Coordinator, LPN | Interviewed resident and alleged perpetrator during abuse allegation investigation |
| Unnamed Executive Director | Executive Director | Responsible for submitting incident reports and conducting internal investigations; delayed final report submission in abuse allegation case |
| Unnamed Director of Nursing | Director of Nursing | Provided verbal re-education to staff regarding incident reporting and medication regulations; audited medication carts |
Inspection Report — Feb 1, 2022
Renewal
Date: Feb 1, 2022
Visit Reason
The inspection was conducted as a renewal inspection with an incident exit conference on 02/04/2022.
Findings
The inspection identified multiple deficiencies including failure to obtain written receipts for cash disbursements, snow and ice removal issues, outdated food usage, evacuation procedure non-compliance, smoking policy violations, medication storage and administration issues, support plan signature omissions, and missing directions for key-locking devices. Plans of correction were accepted and verified as implemented.
Citations (11)
Failure to obtain resident signatures for cash disbursements on multiple dates.
Snow and ice were present on outside walkways, ramps, and emergency exits.
Four large containers of plain Yoplait yogurt in the walk-in fridge were past the 'Best By' date.
Residents did not fully evacuate to designated fire-safe areas during inclement weather.
Employees permitted to smoke in non-designated areas; cigarette butts found outside emergency exit.
Resident #3 did not store medications in a locked area and did not lock bedroom door.
Resident #4's prescribed medication was not available at time of inspection.
Resident #5's daily heart rate was not recorded as required for medication administration.
Resident #6's medication administration record did not match prescription bottle directions.
Residents #1 and #7 did not sign their support plans without documentation of refusal or inability.
Directions for operating key-locking devices were not conspicuously posted near locked exit.
Report Facts
Residents Served: 83
Residents Served in Dementia Unit: 23
Hospice Residents: 7
Staffing Hours: 110
Waking Staff: 83
Notice — Sep 14, 2021
Date: Sep 14, 2021
Visit Reason
The document serves as a renewal notification and license issuance for the Fritzingertown Senior Living Community Personal Care Home, confirming receipt of the renewal application and advising of an upcoming annual 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 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 notification letter |
| Paula Sagan-Hahn | Executive Director | Legal entity representative who signed the renewal application |
Inspection Report — Aug 5, 2021
Renewal
Date: Aug 5, 2021
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.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michele Moskalczyk | Human Services Licensing Supervisor | Signed the inspection report letter. |
Inspection Report — Mar 9, 2021
Complaint Investigation
Date: Mar 9, 2021
Visit Reason
The inspection was conducted as a complaint investigation following reports of resident abuse by staff person B witnessed by staff person A on 02/19/2021.
Complaint Details
The complaint was substantiated. Staff person A witnessed staff person B physically abusing residents on 02/19/2021. The home delayed reporting the abuse to the Department until 02/22/2021. The accused employee was terminated after investigation.
Findings
The investigation substantiated that staff person B physically abused three residents by bending their fingers painfully, pushing them forcefully using a blanket, and roughly handling clothing. The abuse was not reported immediately by staff person A or the facility to the Department and Area Agency on Aging, resulting in delayed reporting. The accused employee was terminated following the investigation.
Citations (3)
Failure to immediately report suspected resident abuse as required by regulations.
Resident abuse involving physical mistreatment of three residents by staff person B.
Use of manual restraint by staff person B, restraining residents in bed for approximately 7 to 10 seconds.
Report Facts
Residents served: 85
Current hospice residents: 6
Residents served in secured dementia care unit: 18
Staff total daily: 105
Waking staff: 79
Notice — Oct 30, 2020
Date: Oct 30, 2020
Visit Reason
This document serves as a renewal notification and license issuance for the Fritzingertown Senior Living Community 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
Inspection Report — Oct 14, 2020
Complaint Investigation
Date: Oct 14, 2020
Visit Reason
The inspection was conducted as a complaint investigation with a partial, unannounced visit on 10/14/2020 to review compliance and the submitted plan of correction.
Complaint Details
The inspection was complaint-driven and included a follow-up plan of correction submission. The plan of correction was accepted and fully implemented by 10/14/2020.
Findings
The submitted plan of correction was found to be fully implemented. A discrepancy was noted in glucometer blood glucose readings for a resident, leading to re-inservicing of nursing staff and Med Techs on accurate documentation and medication storage procedures.
Citations (1)
185a - The home failed to ensure accurate documentation of blood glucose readings; the glucometer reading and log for Resident #1 on 10/13/2020 did not match. Nursing staff and Med Techs were re-inserviced on proper medication record documentation and storage procedures.
Report Facts
Residents Served: 90
Secured Dementia Care Unit Residents Served: 36
Hospice Current Residents: 6
Residents with Mental Illness: 2
Residents with Intellectual Disability: 1
Residents with Mobility Need: 36
Residents 60 Years or Older: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Linda Palermo | Director of Nursing | Re-inserviced nursing staff and Med Techs on medication documentation and storage procedures |
Inspection Report — Nov 26, 2019
Renewal
Date: Nov 26, 2019
Visit Reason
The inspection was a full, unannounced renewal inspection of Fritzingertown Senior Living Community conducted by the Pennsylvania Department of Human Services on November 26, 2019.
Findings
The inspection identified multiple regulatory violations including issues with resident record confidentiality, resident personal equipment safety, water pressure, lint removal, prohibited portable space heaters, designated meeting place evacuation procedures, smoking policy, medication labeling, medication storage, and electronic/magnetic system security. All cited deficiencies had approved plans of correction that were implemented by February 11, 2020.
Citations (11)
Regulation 2600.17: Resident records were not kept confidential as a privacy coding document exposing confidential resident information was posted in the home lobby.
Regulation 2600.81.b: The bed rail in resident room #23 lacked a cover, posing a possible limb entrapment hazard.
Regulation 2600.89.a: Bathrooms in resident rooms #9 and #10 in the secure dementia unit did not have hot water.
Regulation 2600.105.g: The GE commercial dryer in the resident laundry area had lint buildup in the lint trap, posing a fire hazard.
Regulation 2600.127.a: A DuraFlame portable space heater was found plugged in the dining room, which is prohibited.
Regulation 2600.132.h: Residents did not evacuate to a designated meeting place during fire drills in inclement weather, congregating by the doors instead.
Regulation 2600.144.b: The home’s smoking policy allowed smoking only in one outdoor location, but the resident contract did not reflect this policy.
Regulation 2600.184.a: Resident #4's levemir insulin pen was not labeled with the staff person's initials who opened it.
Regulation 2600.184.b: OTC medications and CAM belonging to residents were not labeled with the resident's name.
Regulation 2600.185.a: Resident #5’s medication (ativan and PRN milk of magnesium) was not available at the time of inspection.
Regulation 2600.233.d: The magnetic lock on the Evergreen courtyard gate was disengaged due to weather-related door apparatus shift, creating an unsafe area.
Report Facts
Residents Served: 119
Secured Dementia Care Unit Residents Served: 39
Hospice Current Residents: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paula Sagan-Hahn | Executive Director | Signed plans of correction for all deficiencies |
| Allison Kline | LPN Resident Care Coordinator | Replaced enabler cover and involved in medication audit |
| Linda Palermo | Director of Nursing BSN, RN | Responsible for auditing medication carts weekly and monitoring compliance |
| David Stash | Maintenance Director | Adjusted magnetic lock on gate to ensure proper functioning |
Notice — Aug 30, 2019
Date: Aug 30, 2019
Visit Reason
This document serves as a renewal notification and certificate of compliance for Fritzingertown Senior Living Community, confirming the facility's licensed capacity and renewal of its Personal Care Home license.
Findings
The Department of Human Services has approved the renewal application and issued a regular license for the facility. The document notes that an annual onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Inspection Report — Jul 17, 2019
Complaint Investigation
Date: Jul 17, 2019
Visit Reason
The inspection was conducted as a complaint investigation following an incident involving a resident injury and other related concerns.
Complaint Details
The complaint investigation was substantiated based on findings of physical abuse and failure to report an injury. The facility was found to have used prohibited mechanical restraints and failed to update the resident's support plan accordingly.
Findings
The inspection found multiple violations related to incident reporting, resident abuse, use of mechanical restraints, and failure to update support plans. The facility submitted plans of correction which were partially implemented at the time of the report.
Citations (4)
2600.16c The home failed to report a resident's injury requiring staples to the Department's regional office as required within 24 hours.
2600.42b A resident was physically abused when a staff member slapped him on the head during an incident.
2600.202 Mechanical restraints were used on a dementia resident by dressing him in a jumpsuit with buttons and zippers to prevent inappropriate urination.
2600.234d The resident's support plan was not updated to reflect increased episodes of aggression and inappropriate voiding behavior.
Report Facts
Residents Served: 119
Residents Served in Dementia Unit: 40
Current Hospice Residents: 4
Residents Age 60 or Older: 119
Residents with Mobility Need: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paula Sagan-Hahn | Executive Director | Signed plans of correction and involved in facility response to violations |
Inspection Report — Sep 12, 2018
Renewal
Date: Sep 12, 2018
Visit Reason
The inspection was conducted as a renewal and complaint investigation of the Fritzingertown Senior Living Community.
Findings
The inspection found violations related to hot water temperature, medication labeling, and medication administration documentation. Plans of correction were submitted and partially implemented with adequate progress noted.
Citations (3)
55 Pa.Code 2600.89(b) - Hot water temperature in resident room #61 measured 127.7 degrees, exceeding the 120°F limit.
55 Pa.Code 2600.184(b) - OTC medication bacitracin was not labeled with the resident's name as required.
55 Pa.Code 2600.187(a) - Medication record for resident #2 lacked documentation of blood glucose readings and insulin units administered as required.
Report Facts
Number of Residents Served: 120
Total Daily Staff: 167
Waking Staff: 125
Number of Residents Served in Secured Dementia Care Unit: 40
Number of Current Hospice Residents: 7
Number of Hospice Residents in past year: 45
Residents 60 Years or Older: 120
Residents with Mental Illness: 2
Residents with Intellectual Disability: 2
Residents with Mobility Need: 47
Residents with Physical Disability: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paula Sagan-Hahn | Executive Director | Named as Administrator and Legal Entity Representative signing plan of correction |
| Jason Harvey | Inspector conducting the violation report |
Inspection Report — Aug 29, 2018
Renewal
Date: Aug 29, 2018
Visit Reason
The document is a renewal application and license issued to operate the Fritzingertown Senior Living Community Personal Care Home. The Department will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
This document does not contain inspection findings but confirms issuance of a regular license and outlines the requirement for an annual inspection within twelve months.
Report Facts
Inspection Report — Aug 23, 2018
Complaint Investigation
Date: Aug 23, 2018
Visit Reason
The inspection was conducted as a complaint investigation of Fritzingertown Senior Living Community on August 23, 2018.
Complaint Details
The inspection was triggered by a complaint. The deficiency involved failure to document and address a resident's combative and exit-seeking behaviors and the use of a wanderguard.
Findings
The inspection found violations of 55 Pa. Code Chapter 2600 related to personal care homes, specifically a deficiency in documenting the resident's need for a wanderguard and addressing combative and exit-seeking behaviors. A plan of correction was submitted including staff re-education and ongoing monitoring.
Citations (1)
Regulation 55 Pa.Code §2600.227(d) was violated because the resident's support plan did not indicate the need for a wanderguard or address frequent combative and exit-seeking behaviors. Nursing staff overlooked documenting the application of the wanderguard until symptoms occurred and the resident was hospitalized.
Report Facts
Number of Residents Served: 122
Total Daily Staff: 171
Waking Staff: 128
Number of Residents Served in Secured Dementia Care Unit: 43
Number of Current Hospice Residents: 8
Number of Hospice Residents in Past Year: 12
Number of Residents Age 60 or Older: 122
Number of Residents with Mental Illness: 2
Number of Residents with Intellectual Disability: 2
Number of Residents with Mobility Need: 49
Number of Residents with Physical Disability: 0
Inspection Report — Sep 19, 2017
Renewal
Date: Sep 19, 2017
Visit Reason
The inspection was an annual licensing inspection conducted on September 19, 2017, for renewal of the facility license.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including issues with resident privacy, staff qualifications, training hours, hot water temperature, medication administration, and safety procedures. Plans of correction were submitted and partially implemented with ongoing monitoring.
Citations (19)
55 Pa.Code 2600.17 - Resident records were not kept confidential as the privacy coding statement was removed from the home's reception area.
55 Pa.Code 2600.54(a) - A direct care staff person did not have a high school diploma, GED, or active registration on the Pennsylvania nurse aide registry.
55 Pa.Code 2600.64(c) - The administrator completed only 19 of the required 24 hours of annual training for the 2016-2017 year.
55 Pa.Code 2600.89(b) - Hot water temperature in the bathroom of room 60 measured 125°F, exceeding the 120°F limit.
55 Pa.Code 2600.102(i) - Room 34 had an unlabeled bar of soap and no separate soap dispenser.
55 Pa.Code 2600.103(e) - Leftover pears, pineapples, and butter in the kitchen refrigerator were not labeled.
55 Pa.Code 2600.103(g) - A bag of chips and cereal in the kitchen cabinet were not sealed.
55 Pa.Code 2600.105(g)(2) - The external dryer vent duct had multiple handfuls of lint.
55 Pa.Code 2600.132(c) - The fire drill record from 10/18/16 incorrectly documented the number of residents present and evacuated.
55 Pa.Code 2600.141(a)(2) - A medical evaluation was altered after faxing without consent, with missing or unclear information.
55 Pa.Code 2600.144(c) - The home's smoking policy did not clearly identify smoking areas or provide proper signage and receptacles.
55 Pa.Code 2600.144(c)(1) - Cigarette butts were scattered near the northwest corner smoking area, lacking proper receptacles and signage.
55 Pa.Code 2600.183(d) - The home's first aid kit contained triple antibiotic ointment expired in May 2017.
55 Pa.Code 2600.184(a) - Prescription medication pen for resident #10 lacked the resident's name and staff initials on the label.
55 Pa.Code 2600.184(b) - OTC medication and CAM for resident #2 were not labeled with the resident's name.
55 Pa.Code 2600.185(a) - Resident #3's blood glucose readings were incorrectly documented, with discrepancies in recorded values.
55 Pa.Code 2600.187(a) - Resident #7's medication administration records lacked dose information and proper documentation for insulin administration.
55 Pa.Code 2600.187(d) - Resident #8 did not receive prescribed medication as documented, and insulin administration was not properly recorded.
55 Pa.Code 2600.233(c) - Codes for keypads were not posted near the devices for emergency egress.
Report Facts
Number of Residents Served: 120
Number of Residents Served in Secured Dementia Care Unit: 41
Number of Current Hospice Residents: 7
Number of Hospice Residents in past year: 50
Number of Staff: 168
Number of Waking Staff: 126
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paula Sagan-Hahn | Administrator | Named in multiple findings and plan of correction signatures |
| Ryan Novak | Surveyor | Conducted the inspection |
Inspection Report — Sep 12, 2017
Renewal
Date: Sep 12, 2017
Visit Reason
The document is a renewal application and license issuance for Fritzingertown Senior Living Community to operate as a Personal Care Home. The Department notifies 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 serves as a license renewal confirmation and notification of future annual inspection requirements.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paula Sagan-Hahn | Executive Director | Named as recipient of the renewal letter. |
| Jacqueline L. Rowe | Director | Signed the renewal letter. |
| Robert E. Robinson | Issuing Officer | Signed the certificate of compliance. |
Inspection Report — Sep 27, 2016
Renewal
Date: Sep 27, 2016
Visit Reason
The inspection was conducted as part of the annual licensing renewal for Fritzingertown Senior Living Community on September 27, 2016 and November 8, 2016.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 related to Personal Care Homes were identified, including missing emergency telephone numbers, incomplete first aid kit, inaccurate fire department notification, incomplete medical evaluations, expired medications, improper medication storage and administration, and inadequate posting of directions for secured dementia unit gates. Plans of correction were submitted with partial implementation status as of December 31, 2016.
Citations (8)
55 Pa.Code 2600.91 - Emergency telephone numbers for hospital, police, fire, ambulance, poison control, and complaint hotline were not posted on or by a telephone with an outside line near resident #1's desk in room 301.
55 Pa.Code 2600.96(a) - The first aid kit in the facility's 2007 Ford Van lacked antiseptic and a breathing shield.
55 Pa.Code 2600.124 - The home's letter to the fire department dated 7/11/16 was inaccurate regarding the number of residents with mobility needs and must be corrected and updated.
55 Pa.Code 2600.141(a)(2) - The medical evaluation for resident #1 dated 3/29/2016 was incomplete with blank general physical exam fields.
55 Pa.Code 2600.183(d) - Medication for resident #2, Trazodone 25 mg, expired on 9/24/2016 and was not administered; expired medication was returned to pharmacy on inspection day.
55 Pa.Code 2600.185(a) - Resident #4's Imodium 2 mg capsule every 6 hours as needed was not available to be administered as PRN; physician order was obtained to discontinue unnecessary medication.
55 Pa.Code 2600.187(a) - Medication administration record for resident #3 was not initialed on 9/2/16 for several medications, making it unclear if they were administered.
55 Pa.Code 2600.233(c) - Directions for operation of two exterior gates to the secured dementia unit were not conspicuously posted; staff had difficulty unlocking gates during inspection.
Report Facts
Number of Residents Served: 125
Number of Residents Served in Secured Dementia Care Unit: 40
Number of Current Hospice Residents: 10
Number of Hospice Residents in past year: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paula Sagan-Hahn | Administrator | Named as legal entity representative signing plans of correction. |
Inspection Report — Sep 13, 2016
Renewal
Date: Sep 13, 2016
Visit Reason
The document is a renewal of the facility's license to operate a Personal Care Home. The Department received a renewal application and will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and outlines the Department's intent to conduct an annual inspection within the next year.
Report Facts
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