32 Reports
Inspection Report — Feb 12, 2026
Complaint Investigation
Date: Feb 12, 2026
Visit Reason
The inspection was conducted as a complaint investigation at Gluco Lodge on 02/12/2026.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 36
Hospice Current Residents: 5
Residents Age 60 or Older: 36
Residents with Mobility Need: 9
Residents with Physical Disability: 1
Inspection Report — Apr 17, 2025
Renewal
Date: Apr 17, 2025
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.
Findings
The inspection identified several deficiencies including lack of fire safety training for a staff member, non-operable exhaust ventilation fan, missing inspection dates on fire extinguisher tags, improper medication storage labeling, and transcription errors in blood glucose records. All deficiencies had plans of correction accepted and were implemented by early June 2025.
Citations (5)
Staff person A did not receive fire safety training during the 2024 training year.
The electrical exhaust ventilation fan in bathroom #2 on the second floor was not operable.
Fire extinguishers in first-floor hallways #1 and #3 had inspection tags missing the year and month of last inspection or expiration date.
Resident #2's medication Latanoprost 0.005 eye drop was in the medication cart without a date of opening, violating manufacturer instructions.
The Medication Administrator Record (MAR) was not properly maintained due to incorrect transcription of blood glucose test results for residents #1 and #3.
Report Facts
Residents Served: 43
Current Hospice Residents: 3
Total Daily Staff: 46
Waking Staff: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Maintenance | Named in relation to corrective actions for ventilation fan and fire extinguisher tag deficiencies. | |
| Director of Nursing | Named in relation to medication labeling and transcription deficiencies and staff training. | |
| Administrator | Responsible for monitoring ongoing compliance and corrective actions. |
Inspection Report — Nov 5, 2024
Date: Nov 5, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Resident Support Staff: 0
Total Daily Staff: 43
Waking Staff: 32
Residents Served: 39
Current Hospice Residents: 1
Residents Age 60 or Older: 39
Residents with Mobility Need: 4
Residents with Physical Disability: 3
Residents Receiving Supplemental Security Income: 0
Residents Diagnosed with Mental Illness: 0
Residents Diagnosed with Intellectual Disability: 0
Inspection Report — Mar 26, 2024
Renewal
Date: Mar 26, 2024
Visit Reason
The inspection was conducted as a renewal and incident review to assess compliance with licensing requirements.
Findings
The facility was found to have several deficiencies including outdated food, incomplete medical evaluation documentation, inadequate first aid kit contents, and medication record errors. All deficiencies were addressed with corrective actions and plans of correction were fully implemented by the follow-up date.
Citations (4)
Container of coriander spice expired on 03-08-2024.
Resident #1's medical evaluation documentation was incomplete, missing medical information pertinent to diagnosis or treatment.
First aid kit in the vehicle lacked proper eye covering.
Resident #3's glucometer reading was incorrectly recorded on the Medication Administration Record (MAR).
Report Facts
Residents Served: 39
Total Daily Staff: 43
Waking Staff: 32
Current Hospice Residents: 1
Residents Age 60 or Older: 39
Residents with Mobility Need: 4
Residents with Physical Disability: 3
Inspection Report — Nov 14, 2023
Complaint Investigation
Date: Nov 14, 2023
Visit Reason
The inspection was conducted as a complaint investigation with partial, unannounced visits on multiple dates (11/14/2023, 11/29/2023, 12/05/2023, 12/21/2023) to review compliance and the submitted plan of correction.
Complaint Details
The visit was complaint-related and included a review of the submitted plan of correction, which was determined to be fully implemented. The resident involved discharged the facility on November 12, 2023.
Findings
The facility was found to have a deficiency related to the Resident Assessment Support Plan (RASP) not being updated to reflect the need for two staff members to assist a resident with transfers. The submitted plan of correction was accepted and fully implemented by 01/18/2024.
Citations (1)
Resident Assessment Support Plan was not updated to reflect the need of 2 staff members to assist with transferring the resident.
Report Facts
Inspection dates: 4
Residents Served: 36
Current Residents in Hospice: 1
Staffing: 40
Waking Staff: 30
Residents Age 60 or Older: 36
Residents with Mobility Need: 4
Residents with Physical Disability: 4
Inspection Report — Oct 27, 2023
Complaint Investigation
Date: Oct 27, 2023
Visit Reason
The inspection was conducted as a complaint investigation with unannounced partial inspections on 10/27/2023 and 10/30/2023.
Complaint Details
The inspection was complaint-related and the exit conference was held on 10/30/2023. No deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 39
Resident Support Staff Hours: 39
Total Daily Staff: 88
Waking Staff: 66
Current Hospice Residents: 2
Residents Age 60 or Older: 39
Residents with Mobility Need: 10
Residents with Physical Disability: 5
Inspection Report — Mar 21, 2023
Renewal
Date: Mar 21, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the Gluco Lodge facility to review compliance with licensing requirements.
Findings
The inspection found multiple deficiencies including issues with resident refunds, criminal background checks, staff training, hot water temperature, medication labeling, medication administration records, and following prescriber's orders. Plans of correction were accepted and implemented by May 10, 2023.
Citations (8)
Failure to refund resident's estate within 30 days after death and discharge documentation errors.
Failure to issue refund to resident's estate within 30 days of discharge.
Criminal background check (FBI clearance) not obtained within 90 days of hire for staff person A.
Direct care staff person B did not receive infection control training within the required timeframe.
Hot water temperature in resident-accessible shower rooms exceeded 120°F.
Pharmacy label for resident #3's medication did not include parameters for holding medication based on vital signs.
Medication administration record (MAR) for resident #3 was not properly initialed to indicate medication administration.
Failure to follow prescriber's orders for holding medications based on resident's blood pressure and pulse readings for residents #2 and #4.
Report Facts
Staff Total Daily Staff: 48
Waking Staff: 36
FBI clearance delay: 107
Hot water temperature 1st floor shower: 127.6
Hot water temperature 2nd floor shower: 124
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Mentioned in relation to delayed FBI clearance background check | |
| Direct care staff person B | Mentioned in relation to delayed infection control training |
Inspection Report — Jun 15, 2022
Routine
Date: Jun 15, 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 — Feb 17, 2022
Renewal
Date: Feb 17, 2022
Visit Reason
The inspection was conducted as a full, unannounced visit for renewal and complaint purposes, with an exit conference held on 2022-02-18.
Findings
The inspection identified several deficiencies including sanitary conditions with dead flies near an exit, combustible storage violations with cigarette butts near the building, incomplete medical evaluation documentation, medication storage and administration issues, and failure to follow prescriber's orders. Plans of correction were accepted and implemented with ongoing monitoring.
Citations (8)
Carpet area near exit #1 had an abundance of dead flies covering it near the exit door.
Approximately 12 cigarette butts were observed in the mulch area to the right of the back porch deck.
Documentation of Medical Evaluation (DME) form dated 12/1/21 for resident #1 did not include a list of the resident’s medications.
Resident #2 did not have an annual DME completed for 2022.
Discontinued medication spray was found in the medication cart for resident #2.
Resident #2's PRN medication was not available in the medication cart to be administered if needed.
Resident #3 received insulin doses when blood sugar readings were below the prescribed threshold and missing blood sugar documentation on one date.
Resident #4's medication was administered at 8pm without prior blood pressure readings as required.
Report Facts
Residents Served: 44
Staffing Hours: 44
Waking Staff: 33
Number of cigarette butts: 12
Medication tablets remaining: 8
Inspection Dates: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Responsible for rescheduling medical evaluation and monitoring ongoing compliance. |
Notice — Mar 19, 2021
Date: Mar 19, 2021
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care Home 'Gluco Lodge' following receipt of the renewal application. It also advises 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 issuance of a regular license and outlines the Department's requirement to conduct an annual inspection within the next year.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
Inspection Report — Feb 3, 2021
Renewal
Date: Feb 3, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the GLUCO LODGE facility to verify compliance with licensing requirements.
Findings
The inspection identified several deficiencies including uncovered trash receptacle, food stored on the floor, incomplete medical evaluations, medication labeling errors, lack of medication availability, and medication record documentation errors. Plans of correction were accepted and verified through follow-up visits.
Citations (7)
Trash receptacle in the kitchen was observed without a cover.
A sealed bag of frozen chicken was observed on the floor of the walk-in freezer.
Documentation of Medical Evaluation for Resident 1 was signed but not dated by the medical professional.
Documentation of Medical Evaluation for Resident 2 did not indicate special or dietary needs and body positioning/movement sections were left blank.
Medication bottle labeling for Furosemide did not reflect the correct dosage changes.
PRN medication Acetaminophen 325mg tablets were not available for Resident 3 if needed.
Medication Administration Record incorrectly documented administration of discontinued Benefiber Powder.
Report Facts
Residents Served: 34
Total Daily Staff: 37
Waking Staff: 28
Inspection Report — Oct 16, 2020
Renewal
Date: Oct 16, 2020
Visit Reason
The inspection was conducted as part of the licensing inspections by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to assess regulatory compliance of the facility.
Findings
No regulatory citations were identified as a result of the inspections conducted on 10/08/2020 and 10/16/2020.
Inspection Report — Sep 2, 2020
Date: Sep 2, 2020
Visit Reason
The inspection visits were conducted as licensing inspections by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on multiple dates in 2020.
Findings
No regulatory citations were identified as a result of the inspections conducted on 06/29/2020, 07/09/2020, 07/13/2020, 08/05/2020, and 09/02/2020.
Inspection Report — Jul 21, 2020
Complaint Investigation
Date: Jul 21, 2020
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 07/21/2020.
Complaint Details
The inspection was complaint-driven and the submitted plan of correction was fully implemented as of 07/21/2020.
Findings
The facility was found to be short staffed by one staff person during overnight 3rd shift hours on multiple dates, which presented an evacuation hazard in case of emergency or fire. The submitted plan of correction was determined to be fully implemented.
Citations (1)
132h - Designated Meeting Place: The home was short staffed by one staff person during overnight 3rd shift hours on 7/16/20 through 7/19/20, creating an evacuation hazard due to insufficient staff to assist residents. The lack of at least three staff overnight compromises safe evacuation in emergencies.
Report Facts
Residents Served: 47
Staffing Hours: 52
Waking Staff: 39
Residents needing one assist: 5
Completion Date: Sep 10, 2020
Inspection Report — Apr 17, 2020
Routine
Date: Apr 17, 2020
Visit Reason
The inspection was conducted as part of multiple licensing inspections by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing at the facility.
Findings
No regulatory citations were identified as a result of the inspections conducted on the listed dates.
Notice — Dec 5, 2019
Date: Dec 5, 2019
Visit Reason
The document is a renewal notice and license certificate for Gluco Lodge, a Personal Care Home, confirming the renewal application and informing about the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future inspection requirements.
Report Facts
Inspection Report — Nov 25, 2019
Renewal
Date: Nov 25, 2019
Visit Reason
The inspection was a full, unannounced renewal/incident inspection conducted on November 25, 2019.
Findings
The facility had multiple violations including failure to provide annual training for staff, improper food storage, outdated food usage, incomplete medical evaluation documentation, and medication administration policy noncompliance. Plans of correction were submitted and fully implemented by February 24, 2020.
Citations (5)
65g - Annual Training Content: A regularly scheduled RN did not receive 2018 annual training in Resident Rights and Abuse trainings.
103d - Storing Food Off Floor: Boxes of food were stored directly on the floor of the facility’s walk-in refrigerator in the main kitchen.
103i - Outdated Food: A large 64 ounce can of sliced apples was observed to have dents in the can.
141a 1-10 Medical Evaluation Information: Resident #1’s DME dated 11/08/18 did not list or attach medications and did not indicate treatment for open wounds on his legs.
185a - Implement Storage Procedures: The home did not always follow medication administration policy requiring narcotic counts at shift start and end; staff were not always completing narcotic counts.
Report Facts
Residents Served: 48
Current Residents in Hospice: 2
Residents Age 60 or Older: 48
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 3
Residents Receiving Supplemental Security Income: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nataley Perry | Administrator | Named as the Administrator and signer of plans of correction. |
Inspection Report — Oct 15, 2019
Complaint Investigation
Date: Oct 15, 2019
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received by the Pennsylvania Department of Human Services.
Complaint Details
The inspection was triggered by a complaint. The report does not state the substantiation status explicitly.
Findings
The inspection identified deficiencies related to medication storage procedures, medication records lacking diagnosis or purpose, and failure to record medication administration times. The facility submitted a plan of correction which was fully implemented.
Citations (3)
185a - Implement Storage Procedures: Resident #1's narcotic medications were not consistently counted at shift changes as required by facility policy, with discrepancies noted in pill counts and missed counts on 10/14/19 and 10/15/19.
187a - Medication Record: Resident #1's medication administration records from July 2019 lacked diagnosis or purpose for multiple medications.
187b - Date/Time of Medication Admin.: Medication administration records for 10/15/19 were not initialed at the time medications were administered, indicating failure to document administration times properly.
Report Facts
Residents Served: 50
Current Hospice Residents: 1
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 5
Total Daily Staff: 55
Waking Staff: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nataley Perry | Administrator | Named in plan of correction signatures and related to medication deficiencies. |
Notice — Oct 4, 2019
Date: Oct 4, 2019
Visit Reason
The document serves to notify the facility administrator that a waiver of specific Pennsylvania Code regulations related to admission, resident medical evaluation, preadmission screening, and dementia care unit prescreening has been granted to Gluco Lodge.
Findings
The waiver is granted under conditions that the facility uses specified documentation forms in lieu of the Department’s forms and that the waiver will be reviewed annually during the facility's annual inspection to ensure compliance.
Report Facts
Waiver references: 55
Inspection Report — Jun 5, 2019
Complaint Investigation
Date: Jun 5, 2019
Visit Reason
The inspection was conducted as a complaint investigation of Gluco Lodge to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Complaint Details
The inspection was complaint-driven and identified medication-related violations. The plan of correction was partially implemented with adequate progress as of 9-27-19.
Findings
The inspection identified violations related to medication storage procedures and medication record keeping, including incomplete narcotic counts and improper documentation of medication administration. Plans of correction were partially implemented with adequate progress noted.
Citations (3)
2600 185a. The home failed to complete the narcotic count for zolpidem tartrate medication as required, and the medication was administered without marking the narcotic count sheet.
2600 187a. Medication records lacked current orders for PRN hydrocortisone cream and missing initials for administration of Lantus and Novolog insulin on specified dates.
2600 187b. Medication administration times were not properly recorded; zolpidem tartrate was initialed but not administered, and insulin administration was not initialed at the time of administration.
Report Facts
Residents Served: 43
Current Residents in Hospice: 1
Residents 60 Years or Older: 43
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 5
Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Natalie Perry | Administrator | Signed plans of correction and named as administrator in the report |
Notice — Dec 6, 2018
Date: Dec 6, 2018
Visit Reason
This document serves as a renewal notification and issuance of a regular license for Gluco Lodge, a Personal Care Home, following receipt of the renewal application dated December 6, 2018.
Findings
No inspection findings are reported in this document. It confirms the license issuance and states that the Department will conduct an onsite inspection within the next twelve months as required by law.
Report Facts
Inspection Report — Nov 27, 2018
Annual Inspection
Date: Nov 27, 2018
Visit Reason
The inspection was conducted as an annual renewal inspection of the Gluco Lodge personal care home to assess compliance with 55 Pa. Code Chapter 2600.
Findings
Violations of the Personal Care Homes regulations were found related to medication administration, staff qualifications, medication labeling, reporting medication errors, and pre-admission screening. Plans of correction were submitted addressing these issues to ensure continued compliance.
Citations (6)
55 Pa.Code §2600.16(c) - The home failed to report a medication error incident to the Department's personal care home complaint hotline within 24 hours as required.
55 Pa.Code §2600.54(a) - A direct care staff person hired on 4/12/18 did not have a high school diploma, GED, or active Pennsylvania nurse aide registry status.
55 Pa.Code §2600.184(b) - Resident #2's aspirin medication did not include the resident's name on the label.
55 Pa.Code §2600.187(d) - The home did not follow the directions of the prescriber for resident #1's medication; the resident was not in the building at the prescribed times and the dialysis center was not notified.
55 Pa.Code §2600.188(b) - A medication error was not immediately reported to the resident, the resident's designated person, and the prescriber as required.
55 Pa.Code §2600.224(a) - Resident #2's pre-admission screening did not include the date it was completed or whether the resident can safely avoid poisons.
Report Facts
Number of Residents Served: 42
Total Daily Staff: 44
Waking Staff: 33
Number of Residents Receiving Supplemental Security Income: 2
Number of Residents Age 60 or Older: 42
Number of Residents with Mental Illness: 4
Number of Residents with Mobility Need: 2
Number of Residents with Physical Disability: 1
Number of Current Hospice Residents: 1
Number of Hospice Residents in Past Year: 15
Inspection Report — Nov 29, 2017
Renewal
Date: Nov 29, 2017
Visit Reason
The inspection was an annual licensing inspection conducted on November 29, 2017, as part of the renewal process for Gluco Lodge.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, primarily related to staff training, documentation, fire safety, medication administration, and facility maintenance. Plans of correction were submitted for each violation with partial implementation status noted.
Citations (10)
55 Pa.Code §2600.65(a) - Staff Person A did not have training in required fire safety and emergency preparedness topics prior to the first work day.
55 Pa.Code §2600.65(f) - Staff Persons B and C's 2016 annual training did not include required topics on Medication Self Administration and Personal Care Service Needs.
55 Pa.Code §2600.65(g) - Staff Person C's 2016 annual training did not include the required topic Older Adults Protective Services Act.
55 Pa.Code §2600.85(e) - Dumpster lid outside Hall #1's exit was observed open at 9:45am, posing a potential pest control issue.
55 Pa.Code §2600.88(a) - Dining room had 6 areas where warped wood flooring caused a potential trip hazard.
55 Pa.Code §2600.124 - Letter to local fire department did not include the total capacity of the home.
55 Pa.Code §2600.132(e) - Fire drills were conducted during sleeping hours but not every 6 months as required.
55 Pa.Code §2600.183(d) - Medications for residents #1 and #2 were not dated when opened; resident #3's medication had an expired date.
55 Pa.Code §2600.187(a) - Resident #2's blood glucose test administration was not properly documented on the Medication Administration Record.
55 Pa.Code §2600.227(g) - Resident #4's support plan dated 10/24/2017 was not signed by the resident or the person completing the assessment.
Report Facts
Number of Residents Served: 32
Number of Current Hospice Residents: 1
Number of Residents 60 Years or Older: 31
Inspection Report — Dec 14, 2016
Renewal
Date: Dec 14, 2016
Visit Reason
The inspection was an annual licensing renewal inspection conducted by the Pennsylvania Department of Human Services for Gluco Lodge, a Personal Care Home.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including issues with posting inspection summaries, quality management reviews, staff clearance documentation, heat source safety, sanitary conditions, fire safety, medication administration, and resident evaluations. Plans of correction were submitted for all violations with partial implementation progress noted.
Citations (17)
Regulation 2600.3(c): The personal care home did not post the current licensing inspection summaries dated 4/14/16, 5/24/16, 7/13/16, and 8/3/16 in a public conspicuous area.
Regulation 2600.26(b): The quality management review conducted on 7/15/16 did not include a review of complaint procedures and resident council meetings.
Regulation 2600.52: A staff person did not hold permanent residency in Pennsylvania for two consecutive years prior to employment and the home failed to regularly supervise and document observations during the provisional hire period.
Regulation 2600.84: The metal grate on the fireplace in the activity area measured 180 degrees Fahrenheit, posing a burn hazard to residents.
Regulation 2600.85(a): Resident #1's glucometer contained dried blood, indicating unsanitary conditions.
Regulation 2600.105(g)(1): The lint trap of the Amana clothes dryer contained approximately ½ inch layer of lint, posing a fire hazard.
Regulation 2600.125(a): Combustible materials including a pink sock, two dryer sheets, a plastic glove, and lint approximately 10 feet long were located near dryer vent tubes, posing a fire hazard.
Regulation 2600.127(a): A portable fireplace producing heat was used in the home's activity area, which is prohibited.
Regulation 2600.132(h): Residents did not evacuate to a designated meeting place during fire drills; some stayed in the vestibule area instead of exiting the building.
Regulation 2600.141(a)(1): Resident #2 did not have a medical evaluation completed within required timeframes due to emergency admission and PCP unavailability.
Regulation 2600.144(c)(1): The home's designated smoking area had a plastic cup in the receptacle used for extinguished cigarette butts, posing a fire hazard.
Regulation 2600.182(c): Resident #3's medication administration records showed multiple documentation errors and improper medication handling; staff were not following proper medication administration steps.
Regulation 2600.183(b): Resident #3's prescribed medication was kept in an unsecured refrigerator and room without locking mechanisms.
Regulation 2600.183(b): Resident #4's prescribed eye drops had expired as of 10/2015 and Resident #5's medication had expired as of 9/2016.
Regulation 2600.187(a): Resident #6's blood glucose reading was not documented with units; Resident #5's medication administration was not documented on certain dates; Resident #7's blood sugar was elevated but documentation was incomplete.
Regulation 2600.187(c): Resident refusals of medication were not properly documented or reported to the prescriber within required timeframes.
Regulation 2600.187(d): The home did not follow prescriber directions for Resident #5's medication administration.
Report Facts
Number of Residents Served: 38
Number of Staff: 41
Waking Staff: 31
Number of Current Hospice Residents: 2
Number of Hospice Residents in past year: 10
Number of Residents 60 Years of Age or Older: 39
Number of Residents with Mental Illness: 4
Number of Residents with Mobility Need: 3
Number of Residents with Physical Disability: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Perry | Administrator | Named as legal entity representative and signatory on violation reports and plans of correction |
Notice — Nov 23, 2016
Date: Nov 23, 2016
Visit Reason
Response to a waiver request related to qualifications for direct care staff persons at Gluco Lodge personal care home.
Findings
The waiver request for 55 Pa.Code § 2600.54(a) was denied because the staff member's education exceeds the criteria for a high school diploma. The facility must keep a copy of the educational documentation.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tara Pride | Director of Regulatory Implementation | Signed the waiver response letter. |
Inspection Report — Jul 13, 2016
Date: Jul 13, 2016
Visit Reason
The inspection was an interim licensing inspection conducted by the Pennsylvania Department of Human Services on July 13, 2016, to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including privacy breaches, missing antiseptic in the first aid kit, and failure of residents to evacuate during fire drills. Plans of correction were submitted and partially implemented as of September 2016.
Citations (3)
55 Pa.Code 2600.17 - Resident records must be confidential and not accessible to unauthorized persons. The resident privacy coding was attached to the Licensing Inspection Summary posted on the home's bulletin board.
55 Pa.Code 2600.96(a) - The home must have a first aid kit with specified supplies. The first aid kit in the director of nursing office did not contain antiseptic.
55 Pa.Code 2600.132(h) - Residents must evacuate to a designated meeting place during fire drills. Multiple residents did not evacuate or hear the fire alarm during drills conducted in April 2016.
Report Facts
Number of Residents Served: 41
Total Daily Staff: 45
Waking Staff: 34
Number of Current Hospice Residents: 2
Number of Hospice Residents in Past Year: 5
Residents Age 60 or Older: 37
Residents with Mental Illness: 3
Residents with Mobility Need: 4
Residents with Physical Disability: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Perry | Administrator | Named as facility administrator and legal entity representative signing violation reports |
| Jesse Hummel | Department representative conducting inspection | |
| Jason Harvey | Department representative conducting inspection |
Inspection Report — May 24, 2016
Monitoring
Date: May 24, 2016
Visit Reason
The inspection was a monitoring visit conducted by the Department of Human Services to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Findings
The inspection found violations related to medication administration documentation, specifically incomplete recording of blood glucose levels and insulin administration for diabetic residents. A plan of correction involving a computer-based documentation system and periodic audits was implemented.
Citations (2)
55 Pa.Code 2600.187(a) - Medication records lacked complete documentation of blood glucose levels and insulin administration for diabetic residents. Readings and doses were not consistently recorded on the Medication Administration Record (MAR).
55 Pa.Code 2600.187(d) - The home failed to follow the directions of the prescriber regarding insulin administration. Insulin doses administered did not match the prescribed sliding scale orders.
Report Facts
Number of Residents Served: 41
Total Daily Staff: 45
Waking Staff: 34
Number of Current Hospice Residents: 2
Number of Hospice Residents in Past Year: 3
Residents Age 60 or Older: 38
Residents with Mental Illness: 3
Residents with Mobility Need: 4
Residents with Physical Disability: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Hahn | Director of Nursing | Named as legal entity representative signing the plan of correction. |
Inspection Report — May 12, 2016
Renewal
Date: May 12, 2016
Visit Reason
The document is a renewal license issued to Gluco Lodge to operate as a Personal Care Home. The Department of Human Services will conduct an onsite inspection within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It primarily serves as a license renewal notification and outlines the requirement for a future inspection.
Notice — Apr 22, 2016
Date: Apr 22, 2016
Visit Reason
Response to a waiver request for qualifications of direct care staff under Pennsylvania Code Chapter 2600 for a personal care home.
Findings
The waiver request was returned for additional information because the submitted documentation did not include a detailed transcript listing specific courses taken to earn a diploma. Alternatives for substantiating education were provided.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tara Pride | Director of Regulatory Implementation | Signed the letter responding to the waiver request. |
Inspection Report — Apr 14, 2016
Complaint Investigation
Date: Apr 14, 2016
Visit Reason
The inspection was conducted due to a complaint and renewal inspection of Gluco Lodge, a personal care home, to assess compliance with 55 Pa.Code Chapter 2600 regulations.
Complaint Details
The inspection was complaint-driven with substantiated violations related to resident neglect, improper medication administration, and inadequate care for wounds and decubitus ulcers.
Findings
Multiple violations were found including improper use and documentation of glucometers, medication record deficiencies, failure to post licensing inspection summaries, inadequate wound care and decubitus ulcer management, lack of staff qualifications, incomplete medical evaluations, and fire safety inspection lapses. Plans of correction were partially implemented with ongoing compliance efforts.
Citations (15)
55 Pa.Code §2600.42(b) - Residents were subjected to improper glucometer use and sharing, risking inaccurate blood glucose readings and potential Hepatitis B transmission.
55 Pa.Code §2600.85(a) - Sanitary conditions were not maintained as glucometers were used improperly and not cleaned between uses.
55 Pa.Code §2600.187(a) - Medication records lacked required details including resident name, drug allergies, medication name, dosage, administration times, and staff initials.
55 Pa.Code §2600.187(d) - The home failed to follow prescriber directions for blood glucose testing and insulin administration, resulting in inaccurate documentation and missed tests.
55 Pa.Code §2600.3(c) - The facility did not post current licensing inspection summaries in a conspicuous public place as required.
55 Pa.Code §2600.8(b) - The facility failed to provide quarterly financial transaction statements to resident #1's designated person as required.
55 Pa.Code §2600.42(b) - A resident was neglected with a stage one decubitus ulcer that was not properly treated or documented, leading to worsening condition and emergency room visit.
55 Pa.Code §2600.54(a) - A direct care staff member was hired without a high school diploma, GED, or active Pennsylvania nurse aide registry status.
55 Pa.Code §2600.65(f) - Staff did not receive required annual training on care for residents with mental illness during 2015.
55 Pa.Code §2600.97 - The elevator certificate of operation was expired and not available, violating safety regulations.
55 Pa.Code §2600.132(c) - The home failed to maintain a monthly fire drill log and did not alternate exit routes during drills as required.
55 Pa.Code §2600.141(a)(2) - Medical evaluations for residents lacked required height, temperature, and body positioning information.
55 Pa.Code §2600.183(d) - The home did not properly label over-the-counter medications with resident names.
55 Pa.Code §2600.185(a) - Narcotic medication counts were inaccurate due to documentation errors in narcotic sheets.
55 Pa.Code §2600.225(c) - The facility failed to conduct and document annual and as-needed resident assessments for decubitus ulcers.
Report Facts
Number of Residents Served: 41
Total Daily Staff: 45
Waking Staff: 34
Number of Current Hospice Residents: 2
Number of Hospice Residents in Past Year: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Perry | Administrator | Named in relation to plans of correction and signature on multiple violation reports. |
| Kelly Hahn | LPN | Named as legal entity representative signing plans of correction. |
Notice — Jan 28, 2016
Date: Jan 28, 2016
Visit Reason
The document is a response to a waiver request related to qualifications for direct care staff persons under 55 Pa.Code Ch. 2600 for a personal care home.
Findings
The waiver request was reviewed and determined not to be needed because the individual successfully completed a Bachelor's degree exceeding the high school diploma criteria.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tara Pride | Director of Regulatory Implementation | Signed the letter responding to the waiver request. |
Inspection Report — December 7, 2017
Renewal
Date: December 7, 2017
Visit Reason
The document is a renewal application and license issuance for Gluco Lodge, a Personal Care Home, with a stated requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license and states that the Department will conduct an inspection within the next twelve months.
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