Inspection Reports for
Harmony Haus Senior Living
1399 MERCHANT STREET,, AMBRIDGE, PA, 15003
Back to Facility Profile19 Reports
Inspection Report — Apr 13, 2026
Complaint Investigation
Date: Apr 13, 2026
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 complaint-driven and substantiated by findings related to medication errors, failure to report incidents, and contract deficiencies.
Findings
The inspection found multiple deficiencies related to medication administration, storage procedures, documentation, and failure to report incidents timely. The facility submitted a plan of correction which was accepted and implemented.
Citations (6)
2600.16c The home failed to report an incident involving a resident who was irate, screaming, and had taken pills from staff before being allotted time to take them. The incident was not reported to the Department as required within 24 hours.
2600.25a The home admitted a resident without providing a written resident home contract prior to or within 24 hours after admission.
2600.185a The home did not have an order for a medication located in the medication cart and failed to maintain medications for the evening prescribed dose as confirmed by staff interviews and cart audit.
2600.187a The medication record did not accurately reflect prescribed medications, including discrepancies in dosage and missing orders for medications administered.
2600.187b Staff failed to initial the medication administration record at the time medications were administered on multiple occasions in April 2026.
2600.187d The home failed to follow prescriber's orders by not administering prescribed medications on specified dates and administering medications without valid orders.
Report Facts
Residents Served: 26
Current Residents in Hospice: 4
Residents Age 60 or Older: 23
Residents Receiving Supplemental Security Income: 3
Residents Diagnosed with Mental Illness: 6
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 5
Residents with Physical Disability: 2
Total Daily Staff: 31
Waking Staff: 23
Inspection Report — Mar 2, 2026
Renewal
Date: Mar 2, 2026
Visit Reason
The inspection was a renewal visit conducted to assess compliance with licensing regulations and to address violations found during prior inspections.
Findings
Multiple violations were identified including issues with resident confidentiality, compliance with laws, contract signatures, quality management, training deficiencies, fire safety, medication management, and record keeping. Plans of correction were proposed with deadlines mostly in April 2026, with some not yet implemented as of August 2026.
Citations (28)
Resident records were posted publicly in the dining room, violating confidentiality requirements.
Carbon monoxide detectors were improperly installed too close to fossil-fuel burning appliances.
A resident-home contract was not signed by the resident and lacked documentation of opportunity to sign.
The home did not have an established quality management plan.
A resident record lacked a signed statement acknowledging receipt of resident rights and complaint procedures.
An employee did not have a Pennsylvania criminal background check completed before hire.
Direct care staff received only 6 hours of required 12 hours annual training during the training year.
Direct care staff did not receive required training on resident needs, dementia care, and mental health or intellectual disability care.
Direct care staff did not receive required fire safety training conducted by a fire safety expert or trained staff.
Poisonous materials were left unlocked and accessible to residents in unsecured basement and laundry areas.
Multiple laminated floorboards and ceiling tiles were damaged or raised, posing trip and fall hazards.
Lint accumulated in the lint trap of the commercial dryer, increasing fire risk.
Unannounced fire drills were not held during January and February 2026.
The last fire safety inspection and fire drill by a fire safety expert was not current.
A fire drill record did not include the year of the drill date.
A resident's medical evaluation did not indicate the date it was completed.
The home did not have a written emergency medical plan.
Residents were observed smoking outside the designated smoking area at the home's main entrance.
Resident medications were found unlocked, unattended, and accessible in an unlocked conference room.
Several residents' medications did not have dates indicating when opened, contrary to manufacturer instructions.
There was no pharmacy label on residents' individual medication containers.
The home did not develop or implement procedures for safe medication storage, access, security, and distribution.
Medication administration records did not include initials of staff administering medications at scheduled times.
Refusals to take prescribed medication were not documented or reported to the prescriber as required.
The home did not follow prescriber's orders when medication was unavailable and not administered as prescribed.
A resident was not educated on the right to refuse medication or documentation of this education was missing.
Resident assessments and support plans did not include diagnoses of muscle weakness and cardiac murmur as indicated in medical evaluations.
The home lacked policies and procedures for record accessibility, security, storage, authorized use, and release.
Report Facts
Residents Served: 26
Current Hospice Residents: 4
Residents 60 Years or Older: 26
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 4
Residents with Physical Disability: 0
Fine Per Day: 75
Inspection Report — Feb 17, 2026
Complaint Investigation
Date: Feb 17, 2026
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with licensing regulations at Harmony Haus Senior Living.
Complaint Details
The inspection was triggered by a complaint. The findings confirmed deficiencies in the activities program and calendar posting.
Findings
The facility lacked a comprehensive activities program designed to promote residents' active involvement with others and the community. The program provided limited activities and did not offer social, physical, intellectual, and recreational activities in a planned, coordinated, and structured manner.
Citations (3)
2600.221.a The administrator did not develop a program of activities promoting each resident’s active involvement with others and the community. The program was limited and lacked planned, coordinated, and structured activities.
2600.221.b The program failed to provide social, physical, intellectual, and recreational activities in a planned, coordinated, and structured manner. Activities were limited to occasional entertainers and undated weekly events.
2600.221.c The facility did not post a current weekly activity calendar in a conspicuous and public place. The existing calendar was undated and incomplete.
Report Facts
Residents Served: 28
Current Hospice Residents: 4
Residents Age 60 or Older: 26
Residents with Mobility Need: 8
Inspection Report — Dec 2, 2025
Complaint Investigation
Date: Dec 2, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 12/02/2025.
Complaint Details
The visit was complaint-related and the plan of correction was accepted and fully implemented as of 01/09/2026.
Findings
The facility was found to have violated the resident's right to freely associate and communicate when a visitor was barred without explanation or documentation of danger. The submitted plan of correction was accepted and fully implemented by 01/09/2026.
Citations (1)
2600.42o - A resident was not informed of the reason a friend visitor was barred, and the facility could not provide documentation that the visitor posed a danger or caused disruption.
Report Facts
Residents Served: 28
Hospice Current Residents: 3
Inspection Report — Nov 4, 2025
Complaint Investigation
Date: Nov 4, 2025
Visit Reason
The inspection was conducted as a complaint investigation following an unannounced partial inspection on 11/04/2025.
Complaint Details
The complaint investigation substantiated multiple violations including resident abuse, failure to report incidents, medication errors, and documentation deficiencies.
Findings
The facility was found to have multiple violations including failure to report suspected resident abuse, medication errors, improper documentation of medication administration, failure to follow prescriber's orders, and inadequate resident assessments for self-administration of medications. The facility submitted plans of correction which were accepted and implemented.
Citations (8)
2600.15a: The home failed to immediately report suspected abuse when Staff Member A yelled at a resident and threw utensils, striking the resident.
2600.16c: The home failed to report the incident or condition to the Department’s complaint hotline within 24 hours as required.
2600.42b: A resident was verbally and physically abused by Staff Member A, who threw a butter knife striking the resident in the sternum.
2600.181c: A resident self-administered medication without assessment by a physician or certified nurse practitioner regarding ability and need for reminders.
2600.187a: Medication administrations were not documented on the Medication Administration Record for multiple residents and dates.
2600.187d: The home failed to follow prescriber's orders by administering medication orally instead of as prescribed via nebulizer.
2600.188b: Medication errors were not immediately reported to the resident, designated person, or prescriber as required.
2600.227c: The support plan was not revised to reflect a resident's ability to self-administer medications as indicated in the assessment.
Report Facts
Residents Served: 28
Total Daily Staff: 58
Waking Staff: 44
Inspection Report — Aug 26, 2025
Complaint Investigation
Date: Aug 26, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 08/26/2025.
Complaint Details
The inspection was triggered by a complaint, and the reason for the visit was explicitly stated as 'Complaint'.
Findings
The inspection identified multiple deficiencies including failure to report incidents to the Department, issues with contract signatures and rent increase notices, unsafe floor surfaces, broken door handles, and incomplete documentation of medical and behavioral care services in resident support plans. Plans of correction were accepted and implemented by 09/19/2025.
Citations (5)
Failure to report incidents to the Department within required timeframe.
Resident home contract lacked proper signatures and documentation of rent increase notices.
Two floor boards were loose and partially raised, creating a potential tripping hazard.
Front door handle and latch were broken and inoperable, held together with duct tape.
Resident support plan did not document home health services for wound care treatment.
Report Facts
Residents Served: 34
Current Hospice Residents: 3
Residents 60 Years or Older: 33
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 4
Residents with Physical Disability: 1
Total Daily Staff: 38
Waking Staff: 29
Notice — Jun 30, 2025
Date: Jun 30, 2025
Visit Reason
This document serves as a waiver approval for Harmony Haus Senior Living to use preadmission screening and medical evaluation forms from TabulaPro instead of the Department's specified forms.
Findings
The waiver is granted under the condition that the facility uses the specified alternative forms and will be reviewed during the annual inspection for compliance. Failure to comply may result in termination of the waiver or other licensing actions.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter |
Inspection Report — Apr 3, 2025
Complaint Investigation
Date: Apr 3, 2025
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection on 04/03/2025.
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
Total Daily Staff: 40
Waking Staff: 30
Residents Served: 37
Current Hospice Residents: 4
Residents Age 60 or Older: 34
Residents Receiving Supplemental Security Income: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 3
Residents with Physical Disability: 1
Residents Diagnosed with Mental Illness: 0
Inspection Report — Feb 19, 2025
Original Licensing
Date: Feb 19, 2025
Visit Reason
The inspection was conducted as a licensing inspection for a new legal entity operating the personal care home facility.
Findings
The facility was found to be in substantial compliance with applicable regulations, with no regulatory citations identified during the inspection.
Report Facts
Total daily staff: 43
Waking staff: 32
Residents served: 39
Current residents: 5
Residents 60 years or older: 34
Residents with mobility need: 4
Residents with physical disability: 1
Residents receiving Supplemental Security Income: 5
Inspection Report — Feb 9, 2024
Renewal
Date: Feb 9, 2024
Visit Reason
The inspection was an unannounced full renewal inspection conducted to review compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including improper placement of carbon monoxide alarms, incorrect personal needs allowance contracts, incomplete staff training, sanitary condition issues, refrigerator temperature violations, outdated food storage, improper fire drill exit routes, smoking area violations, and medication storage issues. All deficiencies had plans of correction accepted and were implemented by April 10, 2024.
Citations (10)
Carbon monoxide detector was approximately 8 feet from the gas furnace instead of the required minimum 15 feet.
Resident #1's contract indicated a personal needs allowance of $0, which is non-compliant.
Staff person A did not complete safe management techniques training in 2023.
Staff persons A and B did not complete fire safety training nor falls and accident prevention training in 2023.
A used towel was observed on a shower chair in a common bathroom.
Double refrigerator in the kitchen measured 42°F, exceeding the required maximum of 40°F.
Opened box of ice cream and chicken patties were undated in the freezer.
Front door exit was used on six consecutive fire drills instead of alternating exit routes.
Residents were observed smoking outside the designated smoking area near the main entrance.
An opened medication belonging to resident #1 did not have an opened date, violating storage requirements.
Report Facts
Residents Served: 39
Current Residents in Hospice: 3
Total Daily Staff: 44
Waking Staff: 33
Residents Receiving Supplemental Security Income: 6
Residents Diagnosed with Mental Illness: 5
Residents with Mobility Need: 5
Residents 60 Years or Older: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Physical Disability: 1
Inspection Report — Sep 12, 2023
Complaint Investigation
Date: Sep 12, 2023
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 09/12/2023.
Complaint Details
The inspection was triggered by a complaint. The plan of correction was accepted and fully implemented as of 09/12/2023.
Findings
The submitted plan of correction related to medication administration documentation deficiencies was fully implemented and compliance was maintained. The deficiency involved missing staff initials on medication administration records for Resident #1 in September 2023.
Citations (1)
Resident #1's September 2023 medication administration record did not include the initials of the staff person who administered the medications on specified dates and times.
Report Facts
Residents Served: 40
Total Daily Staff: 46
Waking Staff: 35
Residents Diagnosed with Mental Illness: 11
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 6
Residents with Physical Disability: 1
Residents Receiving Supplemental Security Income: 5
Residents Age 60 or Older: 38
Inspection Report — Apr 11, 2023
Plan of Correction
Date: Apr 11, 2023
Visit Reason
The inspection was conducted as a result of a renewal and complaint review of the facility on 04/11/2023 and 04/12/2023.
Findings
The submitted plan of correction was found to be fully implemented. Deficiencies included improper food storage, lack of sleeping time fire drills with minimal staff, improper medication storage and dating, and failure to document resident refusal to sign support plans. Corrective actions included staff training, implementation of weekly checks, conducting appropriate fire drills, and improved documentation procedures.
Citations (4)
An eight-ounce bag of cheese and a sixteen-ounce bag of lunch meat in the kitchen refrigerator was opened and unsealed.
The home has not held a sleeping time fire drill in the past 12 months with only 2 staff persons on the 9:30pm-7:00am shift.
Medications for Resident #1 and Resident #2 were opened and not dated when first opened, not following manufacturer's expiration instructions.
Resident #3's support plan was not signed by the resident and the home did not document the resident's inability or refusal to sign.
Report Facts
Residents Served: 36
Current Residents in Hospice: 5
Total Daily Staff: 39
Waking Staff: 29
Resident Supplemental Security Income: 7
Residents Age 60 or Older: 35
Residents Diagnosed with Mental Illness: 16
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 3
Residents with Physical Disability: 2
Inspection Report — Jan 11, 2022
Renewal
Date: Jan 11, 2022
Visit Reason
The inspection visit occurred as a renewal and complaint investigation at Harmony Haus Senior Living.
Findings
The facility was found to have deficiencies related to quality management, furniture and equipment maintenance, and lighting. The submitted plan of correction was determined to be fully implemented with continued compliance required.
Citations (4)
The home had not conducted a quality management review within the last year.
The lower door of resident #1's nightstand was split and cracked, posing a safety hazard.
The lower door of resident #2's nightstand was missing a knob.
Resident #2 did not have access to a source of light that could be turned on/off at bedside; the bedside lamp was missing a lightbulb.
Report Facts
Residents Served: 36
Total Daily Staff: 40
Waking Staff: 30
Notice — Dec 27, 2021
Date: Dec 27, 2021
Visit Reason
The document serves to notify Harmony Haus Senior Living that their request to waive certain Pennsylvania Department of Human Services preadmission and medical evaluation form requirements has been granted under specified conditions.
Findings
The waiver allows the facility to use preadmission screening and medical evaluation forms from Tabula Pro instead of the Department’s forms. The Department will review compliance with this waiver during its annual inspection and may terminate the waiver or take licensing action if conditions are not met.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeanne Parisi | Bureau Director, Human Services Licensing | Signed the waiver approval letter |
Inspection Report — Sep 13, 2021
Plan of Correction
Date: Sep 13, 2021
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility on 09/13/2021, followed by a plan of correction submission review.
Findings
A privacy violation occurred when a staff member posted a photo of residents on social media with an inappropriate caption. The staff member resigned, and the facility implemented staff training on HIPAA, confidentiality, and resident rights. Weekly interviews with staff and residents were initiated to ensure compliance with privacy standards.
Citations (1)
Privacy violation involving posting a photo of residents on social media with an inappropriate caption.
Report Facts
Residents Served: 30
Current Hospice Residents: 2
Residents 60 Years or Older: 29
Residents Diagnosed with Mental Illness: 11
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 1
Residents with Physical Disability: 0
Total Daily Staff: 31
Waking Staff: 23
Notice — May 3, 2021
Date: May 3, 2021
Visit Reason
This document serves as a renewal notification and issuance of a regular license for Harmony Haus Senior Living, a Personal Care Home, following receipt of the renewal application dated January 27, 2021.
Findings
The Department has approved the renewal application and issued a regular license. The Department will conduct an onsite inspection within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report — Feb 8, 2021
Renewal
Date: Feb 8, 2021
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.
Findings
The submitted plan of correction was found to be fully implemented. Several deficiencies were identified including delayed incident reporting, late criminal background checks, maintenance issues with an emergency exit door, expired fire extinguisher inspection sticker, and missing posted menus. All deficiencies had corrective plans accepted and were implemented by the facility.
Citations (5)
Delayed reporting of resident death to the Department until 2/8/2021 at approximately 9:30 a.m.
Criminal history check for Clerical Staff Person A was not requested until the hire date 2/8/2021.
First-floor emergency exit door near room did not close completely, allowing cold air to enter.
Fire extinguisher mounted on the wall across from room # was last inspected December 2018.
Menus posted were outdated; no menu posted for weeks 2/7/21 to 2/13/21 and 2/14/21 to 2/21/21.
Report Facts
Residents Served: 21
Total Daily Staff: 24
Waking Staff: 18
Number of Fire Extinguishers: 12
Inspection Report — Oct 14, 2020
Renewal
Date: Oct 14, 2020
Visit Reason
The inspection was a full, unannounced renewal inspection conducted to review compliance with licensing regulations at Harmony Haus Senior Living.
Findings
The inspection identified several deficiencies including improper food storage, obstructed emergency egress, incomplete medical evaluations, undated medication, failure to follow prescriber's orders, and undated preadmission screening forms. Plans of correction were accepted and implemented for all deficiencies.
Citations (7)
103.g Food shall be stored in closed or sealed containers. An undated, unsealed five-pound paper bag of flour was found in the pantry.
121.a Stairways, hallways, doorways, passageways and egress routes must be unlocked and unobstructed. The emergency exit path was obstructed by laundry hampers and trash bags.
141.a Medical evaluations must include pulse and temperature. Evaluations for residents #1 and #3 lacked pulse and temperature documentation.
162.c Menus must be posted one week in advance with dates. The posted menus did not indicate the date of the menus.
183.e Medications must be stored properly and dated when opened. Resident #1's eye drops were not dated when opened.
187.d The home shall follow prescriber's orders. Residents #1 and #2 had blood glucose checks more frequently than prescribed.
224.a Preadmission screening must be dated. Resident #3's preadmission screening was not dated when completed.
Report Facts
Residents Served: 14
Staff: 16
Waking Staff: 12
Residents with Mental Illness: 8
Residents with Intellectual Disability: 1
Inspection Report — May 14, 2020
Original Licensing
Date: May 14, 2020
Visit Reason
The inspection was conducted as part of the initial licensing process for the newly opened Harmony Haus Senior Living personal care home.
Findings
The facility was found to be in substantial compliance with applicable regulations, but the inspection was incomplete because the home was new and not yet serving four or more residents. A re-inspection will be conducted within three months to ensure full compliance.
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