Inspection Reports for
Halcyon at Bridgeville

No regulatory citations or deficiencies were identified during the inspection.

The inspection was complaint-related and substantiated due to the abuse incident involving two residents on the secured dementia care unit.

The facility was found to have a substantiated abuse violation involving two residents on the secured dementia care unit resulting in hospitalizations. The submitted plan of correction was accepted and fully implemented by the follow-up date.

The facility was found to have several deficiencies including expired batteries in carbon monoxide detectors, sanitary issues such as an unlabeled disposable razor and unlabeled soap in community shower areas, a hole in drywall in a resident's room, and lack of operable bedside lighting in a resident room. All deficiencies had plans of correction accepted and were implemented by the time of the report.

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

No inspection findings or deficiencies are reported in this document; it only details financial charges and payment information.

The document details the financial charges including balance from last invoice, payments made, and total balance due for the facility's licensing assessment. No inspection findings or compliance details are included.

The visit was complaint-related and involved an incident where a resident felt dizzy, fell, and was treated disrespectfully by staff. The resident reported feeling 'Low' and 'like I wasn’t worth nothing' due to a staff comment.

The report found a violation related to the treatment of a resident who felt dizzy and fell out of a chair, with staff making a disrespectful comment that negatively affected the resident. A plan of correction was implemented including staff supervision, education, and resident interviews to ensure compliance with dignity and respect standards.

The facility was found to be in compliance overall, but several deficiencies were identified related to staff training on medication self-administration, emergency preparedness, dementia care, and medication labeling. Plans of correction were directed and implemented to address these issues.

The report found multiple deficiencies related to delayed reporting of suspected resident abuse, incomplete medication labeling, medication administration documentation errors, and failure to follow prescriber's orders. The facility submitted and implemented a plan of correction with staff education and auditing measures.

The facility was assessed a fine for uncorrected violations under 55 Pa. Code Chapter 2600, Section 187b, Class II. The fine was calculated based on a census of 52 residents and a $5 per resident per day rate over 5 calendar days.

Multiple violations were found related to resident contracts, quality management, staff training, emergency preparedness, medical evaluations, dietary needs, medication administration, and facility safety. A provisional license was issued due to failure to submit and comply with an acceptable plan of correction. Numerous deficiencies were noted with plans of correction and some not yet implemented as of the report date.

No regulatory citations or deficiencies were identified during this inspection.

The inspection was triggered by a complaint; however, no deficiencies or citations were found, indicating no substantiated issues.

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

The facility was found to have multiple deficiencies including an expired posted license, delayed reporting of suspected resident abuse, failure to conduct criminal background checks, incomplete staff qualifications documentation, lack of required direct care training, missing preadmission screening, incomplete support plans, and missing resident signatures on support plans. The submitted plan of correction was determined to be fully implemented.

The complaint investigation was substantiated with findings of physical abuse by resident #1 against resident #2, resulting in injury and hospitalization. The facility was found noncompliant in admission screening and assessment procedures related to resident #1.

The investigation found that resident #1 physically abused resident #2, resulting in a hip fracture. The facility failed to properly assess and refer resident #1 despite a history of aggressive behavior. Multiple repeat violations were noted related to abuse, assessment, and referral procedures.

The inspection was triggered by a complaint and incident. The report documents multiple medication management violations and a support plan deficiency. The plan of correction was accepted and fully implemented as of the follow-up reviews.

The inspection identified multiple medication-related deficiencies including presence of discontinued medications, missing medications from medication administration records, failure to follow prescriber's orders, and incomplete documentation of medication administration. A support plan revision deficiency was also noted related to resident supervision and monitoring.

Multiple deficiencies were identified including breaches in resident record confidentiality, privacy issues with bathroom locks, unqualified direct care staff, unsanitary conditions, lint accumulation in dryers, incomplete medical evaluations, medication storage and administration errors, failure to follow prescriber's orders, incomplete resident assessments, inadequate supervision leading to abuse, and failure to immediately implement supervision plans for alleged abuse.

The Department issued a regular license in response to the renewal application and advised that an annual inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.

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

The complaint involved allegations of neglect related to delayed response to a resident's call bell for incontinence care. The complaint was substantiated as staff failed to provide timely care and failed to report the incident promptly. Staff Person A was suspended and terminated following investigation.

The investigation found that staff failed to provide timely incontinence care to resident #1 from approximately 11:30 PM on 4/10/21 until 7:30 AM on 4/11/21, and the incident was not reported promptly to the local Area Agency on Aging or the Department of Human Services. Staff Person A was suspended and subsequently terminated. The facility implemented staff training and enhanced supervision to prevent recurrence.

The facility had multiple deficiencies including incomplete resident-home contracts, inadequate staffing for safe evacuation, snow accumulation obstructing fire exits, lack of operable bedside lamps for a resident, and locked fire exit doors requiring significant force to open. All deficiencies had plans of correction implemented by the facility.

The waiver allows the facility to use Tabula Pro’s versions of the preadmission screening and medical evaluation forms instead of the Department’s forms. The Department will review compliance with this waiver during its annual inspection.

The facility was found to be in substantial compliance but not complete compliance with applicable regulations. Several citations were noted related to sanitary conditions, surfaces, staff communication, furniture and equipment, first aid accessibility, exterior hazards, bedroom chairs, and key-locking devices, all of which were addressed with plans of correction.

The invoice details the balance due, payments made, and current charges for the facility's licensing assessment. No inspection findings or compliance information are included.