35 Reports
Inspection Report — May 12, 2026
Complaint Investigation
Date: May 12, 2026
Visit Reason
The inspection was conducted as a complaint investigation at Highland Park Senior Living on May 12, 2026.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 91
Secured Dementia Care Unit Residents Served: 27
Hospice Current Residents: 1
Resident Support Staff: 30
Total Daily Staff: 151
Waking Staff: 113
Residents Age 60 or Older: 91
Residents with Mobility Need: 30
Residents with Physical Disability: 1
Inspection Report — Mar 17, 2026
Date: Mar 17, 2026
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 91
Secured Dementia Care Unit Residents Served: 21
Hospice Current Residents: 1
Resident Support Staff: 30
Total Daily Staff: 151
Waking Staff: 113
Inspection Report — Jan 28, 2026
Follow-Up
Date: Jan 28, 2026
Visit Reason
The inspection visit was a partial, unannounced follow-up review triggered by an incident, interim, and settlement reason to verify the submitted plan of correction was fully implemented.
Findings
The facility was found to have fully implemented the plan of correction related to failure to report an incident involving the sprinkler system and failure to follow prescriber's orders for insulin administration. Training and auditing measures were put in place to prevent recurrence.
Citations (2)
16c - The home failed to report a fire department response to a sprinkler system malfunction within 24 hours as required by regulation 2600.16c. The incident was reported late due to oversight during a winter storm.
187d - The home did not follow prescriber's orders for insulin administration when insulin was given without contacting the physician as required by the resident's order. Orders were later changed and staff were trained on proper procedures.
Report Facts
Residents Served: 91
Secured Dementia Care Unit Residents Served: 21
Hospice Current Residents: 1
Inspection Report — Dec 22, 2025
Complaint Investigation
Date: Dec 22, 2025
Visit Reason
The inspection was conducted as a complaint investigation during a partial, unannounced licensing inspection of the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 92
Secured Dementia Care Unit Residents Served: 22
Hospice Current Residents: 3
Inspection Report — Dec 18, 2025
Renewal
Date: Dec 18, 2025
Visit Reason
The inspection was a renewal visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to review compliance and verify the submitted plan of correction for the facility.
Findings
The facility was found to have multiple deficiencies including issues with direct care staff training, lighting in resident rooms, food and water supply, annual medical evaluations, medication records, follow prescriber orders, preadmission screening, and medical evaluations for secured dementia care unit residents. The submitted plan of correction was accepted and fully implemented.
Citations (8)
65d - Direct care staff persons hired after April 24, 2006, did not have documentation of completing required direct care training before providing unsupervised ADL services.
101j7 - A resident did not have access to an operable lamp or other source of lighting that can be turned on/off at bedside.
107c - The home served 96 residents but only had 75 gallons of emergency drinking water onsite, less than the required 96 gallons.
141b1 - A resident's annual medical evaluation was missing the resident's weight from the top of the form.
187a - A resident's medication administration record had a dosage discrepancy; the medication label stated 100/5mL but the MAR did not match.
187d - The home did not have documentation that the physician was contacted per order when a resident's blood glucose readings were over the specified limit.
224a - A resident's preadmission screening form did not include a determination that the resident's needs could be met by the home.
231b - A resident admitted to the Secure Dementia Care Unit did not have a completed medical evaluation prior to admission as required.
Report Facts
Residents Served: 96
Secured Dementia Care Unit Residents Served: 22
Hospice Current Residents: 3
Emergency Drinking Water Required (gallons): 96
Emergency Drinking Water Onsite (gallons): 75
Residents Age 60 or Older: 96
Residents with Mobility Need: 30
Residents with Physical Disability: 1
Inspection Report — Oct 15, 2025
Date: Oct 15, 2025
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, with the reason stated as Settlement.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 76
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 3
Resident Support Staff: 0
Total Daily Staff: 103
Waking Staff: 77
Residents Age 60 or Older: 76
Residents with Mobility Need: 27
Inspection Report — Jun 5, 2025
Complaint Investigation
Date: Jun 5, 2025
Visit Reason
The inspection was conducted on June 5, 2025, as a complaint and monitoring visit to investigate a violation related to resident privacy under 55 Pa. Code Ch. 2600.
Complaint Details
The visit was complaint-related and monitoring in nature. The violation involved unauthorized video recording and posting of residents on social media without clear consent. The complaint was substantiated by staff interviews and evidence of the video.
Findings
A violation was found where a staff member posted a video on TikTok showing residents holding signs without clear consent, violating resident privacy rights. A plan of correction was directed to train staff on cell phone use policies and enforce compliance.
Citations (1)
Staff Person A posted a video on TikTok including images of residents holding signs without full consent, violating resident privacy.
Report Facts
Residents Served: 81
Secured Dementia Care Unit Residents Served: 23
Hospice Residents: 5
Total Daily Staff: 110
Waking Staff: 83
Residents with Mobility Need: 29
Residents with Physical Disability: 1
Inspection Report — Feb 18, 2025
Complaint Investigation
Date: Feb 18, 2025
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection of Highland Park Senior Living.
Complaint Details
The inspection was complaint-related, 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: 88
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 6
Residents Age 60 or Older: 88
Residents with Mobility Need: 23
Residents with Physical Disability: 1
Resident Support Staff: 0
Total Daily Staff: 111
Waking Staff: 83
Inspection Report — Feb 11, 2025
Complaint Investigation
Date: Feb 11, 2025
Visit Reason
The inspection was a complaint investigation conducted as a partial, unannounced visit on February 11, 2025, to address allegations and concerns regarding resident care and facility compliance.
Complaint Details
The complaint investigation was substantiated with findings of neglect and mistreatment of Resident #1, including failure to provide adequate supervision, failure to complete safety checks, and failure to properly assess and document resident needs. The resident sustained a fall resulting in a closed head injury and subsequent death.
Findings
The inspection found multiple violations including failure to report a resident incident resulting in a closed head injury, incomplete documentation in a resident's support plan regarding bed rail use, and issues related to resident safety and care. The facility's license was revoked due to gross incompetence, negligence, misconduct, and failure to submit an acceptable plan of correction.
Citations (4)
Failure to submit an incident report to the Department within 24 hours after a resident sustained a closed head injury requiring hospital treatment.
Resident support plan did not document the use, need, risks, and safety measures related to a bed rail device as required by regulation.
Resident was neglected and mistreated, including failure to assess and ensure safety needs after a fall, inadequate supervision, and failure to complete required safety checks every 2 hours.
Failure to complete a preadmission screening form within 30 days prior to admission and document the resident's needs as required.
Report Facts
Residents Served: 92
Residents Served in Secured Dementia Care Unit: 23
Hospice Residents: 4
Residents with Mobility Need: 29
Residents with Physical Disability: 1
Staffing Hours - Total Daily Staff: 121
Staffing Hours - Waking Staff: 91
Inspection Report — Sep 5, 2024
Follow-Up
Date: Sep 5, 2024
Visit Reason
The inspection visit on 09/05/2024 was conducted as a partial, unannounced follow-up related to a complaint and incident at the facility.
Complaint Details
The inspection was complaint-related and incident-driven, with the plan of correction fully implemented as of the review date.
Findings
The submitted plan of correction was reviewed and determined to be fully implemented. The main deficiency involved incomplete resident fall risk assessments and support plans, which have since been updated and are now monitored regularly by the Director of Wellness and the Executive Director.
Citations (1)
Resident Assessment and Support Plan (RASP) did not indicate if the resident was a fall risk and lacked interventions to meet safety needs after witnessed and unwitnessed falls.
Report Facts
Residents Served: 149
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 4
Residents with Mobility Need: 31
Residents Age 60 or Older: 149
Residents with Physical Disability: 1
Total Daily Staff: 180
Waking Staff: 135
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jim F | Director of Wellness (DOW) | Named in training and responsible for reviewing and updating resident RASPs related to fall risk |
| Executive Director | Executive Director | Responsible for monitoring compliance of resident RASPs monthly and providing training |
Inspection Report — Aug 21, 2024
Date: Aug 21, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 96
Secured Dementia Care Unit Residents Served: 22
Hospice Current Residents: 3
Residents Age 60 or Older: 96
Residents with Mobility Need: 29
Resident Support Staff: 0
Total Daily Staff: 125
Waking Staff: 94
Inspection Report — Jul 24, 2024
Date: Jul 24, 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
Residents Served: 101
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 4
Inspection Report — Jun 18, 2024
Complaint Investigation
Date: Jun 18, 2024
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received regarding privacy concerns in the secure dementia unit.
Complaint Details
The complaint was substantiated as the investigation confirmed video recording in a secure dementia unit area, violating privacy rights.
Findings
The investigation found that a resident suffered a fall near the breakfast bar area of the secure dementia unit, which was recorded by a video surveillance camera, violating the resident's right to privacy. The facility disabled the recording capabilities of the surveillance system as a corrective action.
Citations (1)
A resident's privacy was violated due to video surveillance recording in the secure dementia unit.
Report Facts
Residents Served: 99
Secured Dementia Care Unit Residents Served: 24
Current Hospice Residents: 5
Total Daily Staff: 123
Waking Staff: 92
Residents with Mobility Need: 24
Residents 60 Years or Older: 99
Inspection Report — May 8, 2024
Complaint Investigation
Date: May 8, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 05/08/2024.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and no follow-up was required.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 99
Secured Dementia Care Unit Residents Served: 24
Hospice Residents: 5
Residents Age 60 or Older: 99
Residents with Mobility Need: 31
Total Daily Staff: 130
Waking Staff: 98
Inspection Report — Jan 23, 2024
Follow-Up
Date: Jan 23, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident and interim review to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to treatment of residents, fire extinguisher inspection, following prescriber's orders, and prohibitions on certain procedures. Trainings were conducted to address dignity and respect for residents, proper restraint use, and medication administration.
Citations (4)
Staff verbally abused a resident during a combative showering incident.
Fire extinguisher in Bridges East section lacked an inspection tag.
Failure to follow prescriber's orders for insulin administration and blood glucose readings.
Use of prohibited restraints by staff restraining resident's arms during an incident.
Report Facts
Residents Served: 68
Secured Dementia Care Unit Residents Served: 23
Hospice Residents: 4
Total Daily Staff: 91
Waking Staff: 68
Residents with Mobility Need: 23
Residents 60 Years or Older: 68
Inspection Report — Nov 28, 2023
Renewal
Date: Nov 28, 2023
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements and verify the implementation of the submitted plan of correction.
Findings
The inspection found multiple deficiencies including failure to post the License Inspection Summary conspicuously, failure to report suspected resident abuse, inadequate incident reporting, treatment of residents without dignity and respect, lack of documentation for fire safety training, inability of staff to locate first aid kits, improper food labeling and storage, obstructed egress, combustible storage issues, missing fire extinguisher inspection tags, delayed fire drills during sleeping hours, incomplete medical evaluations, unsigned support plans, and delayed admission support plans. Plans of correction were accepted or directed with completion dates mostly by January 2024.
Citations (19)
The home did not have the License Inspection Summary (LIS) report dated 8/31/22 posted in a conspicuous manner in the home.
The home did not report suspected resident abuse involving staff person A bumping a wheelchair into resident #1's arm and subsequent verbal admonishment.
The home did not report the incident to the department’s regional office within 24 hours as required.
Resident #1 was not treated with dignity and respect due to staff person A's behavior.
Lack of documentation that staff persons B, C, and D attended fire safety training conducted by a fire safety expert for the 2022 training year.
Staff in the memory care unit and medication room were unable to immediately locate the first aid kit.
A glass of milk and a container of butter in the memory care kitchenette were not labeled with dates.
The ice cream freezer temperature was at 40°F, and a tub of butter was stored on the counter in the memory care kitchenette.
The exit door to the rear of the main dining room was partially blocked by a Christmas tree.
A planter with dirt and dried leaves containing extinguished cigarette butts was located next to the door leading to the memory care courtyard.
A fire extinguisher did not have an inspection tag attached during the initial walk through.
The home failed to conduct a required sleeping hour fire drill within six months as required.
Medical Evaluation (DME) forms for resident #2 were missing the resident’s weight.
The designated smoking area had numerous extinguished cigarette butts and an ashtray receptacle was placed across the patio.
The home had only the current week’s menus posted, not one week in advance as required.
Resident #3's medication order parameters were incomplete and insulin administration errors occurred for resident #4 and #5.
The support plan for resident #6 was not signed by the person completing it.
Resident #6's medical evaluation was not completed within the required timeframe prior to admission to the memory care unit.
Resident #6's admission support plan was not completed within 72 hours of admission to the secured dementia care unit.
Report Facts
Residents Served: 101
Secured Dementia Care Unit Residents Served: 23
Current Hospice Residents: 4
Residents Age 60 or Older: 101
Residents with Mobility Need: 32
Total Daily Staff: 133
Waking Staff: 100
Inspection Report — Mar 3, 2023
Date: Mar 3, 2023
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, triggered by an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 105
Secured Dementia Care Unit Residents Served: 24
Current Hospice Residents: 5
Residents Age 60 or Older: 105
Residents with Mobility Need: 53
Inspection Report — Aug 31, 2022
Renewal
Date: Aug 31, 2022
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements for Highland Park Senior Living.
Findings
The inspection identified multiple deficiencies including failure to timely report incidents, improper maintenance of carbon monoxide detector batteries, physical facility issues such as a hole in a wall, improper fire drill scheduling, medication administration record transcription errors, failure to complete significant change assessments, and incomplete updates to resident support plans. Plans of correction were accepted and implemented with ongoing monitoring.
Citations (7)
Failure to report incidents to the Department within 24 hours as required.
Carbon monoxide detector batteries were not changed and dated annually as required.
Hole in the wall in Room 112 measuring approximately 3 inches by 3 inches.
Fire drills were routinely conducted between the 24th and 31st of the month, not on varied days and times.
Medication Administration Records (MAR) contained transcription errors of blood glucose test results.
Significant change assessment and support plan was not completed for a resident after hospitalization and change in care needs.
Resident support plan was not updated to reflect measures to ensure safety after multiple falls.
Report Facts
Residents Served: 106
Residents in Secured Dementia Care Unit: 21
Current Hospice Residents: 8
Residents with Mobility Need: 46
Total Daily Staff: 152
Waking Staff: 114
Number of Falls for Resident #10: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Wellness | Named in relation to incident reporting deficiencies and plans of correction. | |
| Administrator | Responsible for monitoring ongoing compliance and staff training. | |
| Nursing Supervisor | Responsible for conducting weekly MAR audits and monitoring documentation compliance. | |
| Maintenance Supervisor | Responsible for ensuring CO2 monitor battery maintenance and facility upkeep. |
Inspection Report — Aug 9, 2021
Renewal
Date: Aug 9, 2021
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on 08/09/2021 and 08/10/2021 to assess compliance with licensing requirements for Highland Park Senior Living.
Findings
Multiple deficiencies were identified related to resident record confidentiality, criminal background checks, annual staff training, locking of poisonous materials, trash management, medical evaluations, medication labeling and administration, preadmission screening, and admission support plans. Plans of correction were accepted and documented as implemented.
Citations (11)
License inspection summaries posted on a bulletin board included resident privacy coding sheet exposing confidential information.
Criminal background check was not requested timely for a staff member.
Staff person did not receive required annual training on Older Adult Protective Services Act for 2019.
Kitchen area door in memory care unit was unlocked with poisonous materials accessible to residents.
Trash can in memory care unit courtyard was overflowing and uncovered, risking pest infestation.
Medical evaluation form for a resident was completed more than 30 days after admission.
Prescription medications and insulin pens were not properly labeled or pharmacy labels did not match medication administration records.
Blood glucose readings were incorrectly documented on insulin flow sheets.
Medication administration records were incomplete or did not match physician orders; some medications were not held or administered according to prescribed parameters.
Cognitive preadmission screening for a resident was completed more than 72 hours prior to admission to secured dementia care unit.
Admission support plan for a resident was completed more than 72 hours after admission to secured dementia care unit.
Report Facts
Residents Served: 92
Secured Dementia Care Unit Residents Served: 20
Hospice Residents: 16
Residents with Mobility Need: 30
Total Daily Staff: 122
Waking Staff: 92
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in criminal background check deficiency. | |
| Staff person B | Named in annual training deficiency related to Older Adult Protective Services Act. | |
| Nursing supervisor | Responsible for conducting weekly medication cart audits and ensuring compliance with medication storage and documentation. | |
| Administrator | Responsible for monitoring compliance with confidentiality, criminal background checks, training, and other corrective actions. |
Inspection Report — Jun 30, 2020
Renewal
Date: Jun 30, 2020
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 06/30/2020 and 07/01/2020.
Findings
No regulatory citations were identified as a result of this licensing inspection.
Inspection Report — Apr 6, 2020
Renewal
Date: Apr 6, 2020
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.
Inspection Report — Jan 10, 2020
Complaint Investigation
Date: Jan 10, 2020
Visit Reason
The inspection was conducted as a complaint and incident investigation at Highland Park Senior Living.
Complaint Details
The visit was complaint-related and involved a resident with unauthorized medication detected in a toxicology screening.
Findings
The submitted plan of correction was found to be fully implemented. The facility must maintain continued compliance.
Citations (1)
A resident was found to have Oxycodone medication in her system without a prescription or history of such medication at the facility since 12/01/17.
Report Facts
Residents Served: 81
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Koryn Mascioli | Administrator | Signed the plan of correction and is the Executive Director |
Inspection Report — Aug 7, 2019
Renewal
Date: Aug 7, 2019
Visit Reason
The inspection was a renewal visit conducted by the Department’s Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Ch. 2600 for Highland Park Senior Living.
Findings
Violations related to the home's fire drill log and glucometer calibration were found. The fire drill log lacked documentation of alternate routes, and a resident's glucometer was not calibrated correctly.
Citations (2)
The home's fire drill log did not state the specific routes used during fire drills and did not demonstrate practicing alternate routes.
A resident's glucometer was not calibrated correctly, showing incorrect blood glucose test times.
Report Facts
Residents Served: 89
Secured Dementia Care Unit Residents Served: 24
Hospice Current Residents: 7
Notice — Jun 13, 2019
Date: Jun 13, 2019
Visit Reason
The document serves as a renewal approval for Highland Park Senior Living's license to operate a Personal Care Home and notifies that an annual onsite inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the renewal approval letter. |
Inspection Report — Nov 14, 2018
Complaint Investigation
Date: Nov 14, 2018
Visit Reason
The inspection was conducted as a result of an incident reported at the facility.
Complaint Details
The inspection was triggered by an incident. Staff person B was immediately terminated following investigation. All staff were educated on Resident Rights and Resident Abuse Policy on 12-6-18. The facility does not condone any form of resident abuse and will thoroughly investigate all accusations.
Findings
Violations of 55 Pa. Code Ch. 2600 related to Personal Care Homes were found during the inspection. The facility was required to correct all violations by specified dates and maintain compliance.
Report Facts
Number of Residents Served: 84
Number of Residents Served in Secured Dementia Care Unit: 23
Number of Current Hospice Residents: 6
Number of Hospice Residents in Past Year: 12
Number of Residents Age 60 or Older: 83
Number of Residents with Mobility Need: 9
Inspection Report — Aug 3, 2018
Renewal
Date: Aug 3, 2018
Visit Reason
The inspection was a renewal visit conducted by the Department of Human Services Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Ch. 2600 for Highland Park Senior Living.
Findings
Multiple violations were found related to facility maintenance, food safety, and medication management. Plans of correction were submitted addressing issues such as uncovered trash receptacles, hot water temperature exceeding 120°F, dented food cans, and medication availability.
Citations (4)
55 Pa.Code §2600.85(d) - The trash can in the secured dementia care unit's kitchen did not have a lid.
55 Pa.Code §2600.89(b) - Hot water temperatures in resident rooms exceeded 120°F, with readings of 123.3°F, 121°F, and 121°F in three rooms.
55 Pa.Code §2600.103(j) - One dented can of Monarch Brand pork and beans was found in the kitchen.
55 Pa.Code §2600.185(a) - Medication prescribed to resident #1 was not on-hand at the time of inspection.
Report Facts
Number of Residents Served: 70
Number of Residents Age 60 or Older: 78
Number of Residents with Physical Disability: 150
Number of Residents with Mobility Need: 33
Number of Residents with Mental Illness: 1
Number of Current Hospice Residents: 4
Number of Hospice Residents in Past Year: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Koryn Gallagher | Administrator | Named in plans of correction and signature on violation reports |
Notice — Jun 8, 2018
Date: Jun 8, 2018
Visit Reason
The document is a response to a renewal application to operate a Personal Care Home and informs the facility of 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 notification of license issuance and renewal requirements.
Report Facts
Notice — Apr 10, 2018
Date: Apr 10, 2018
Visit Reason
The document serves as a revised license issued due to the facility's recent adjustment of the use of physical space, resulting in a revised licensed capacity.
Findings
The revised license confirms the facility's licensed capacity as 150 persons or the maximum capacity permitted by the Certificate of Occupancy, whichever is smaller. The license remains effective until October 5, 2018.
Report Facts
Inspection Report — Aug 2, 2017
Renewal
Date: Aug 2, 2017
Visit Reason
The inspection was conducted as an annual licensing renewal inspection of Highland Park Senior Living.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including failure to report incidents timely, physical hazards, improper medication equipment calibration, incomplete medication administration records, and inadequate support plan updates. Plans of correction were submitted and partially implemented.
Citations (8)
55 Pa.Code §2600 2600.16(c) - The home failed to report incidents or conditions to the Department's personal care home regional office within 24 hours as required by law.
55 Pa.Code §2600 2600.100(a) - A grassy downward slope near Emergency Exit Door A posed a potential fall hazard for residents and staff.
55 Pa.Code §2600 2600.121(a) - Scaffolding, lumber, and a cement brick blocked egress from the home's secured dementia care unit courtyard exit.
55 Pa.Code §2600 2600.125(a) - Lint accumulation behind dryers in the main laundry room posed a fire hazard.
55 Pa.Code §2600 2600.185(a) - The home did not implement procedures for safe use of medical equipment; glucometers were not calibrated correctly and readings were inconsistent.
55 Pa.Code §2600 2600.187(a) - Medication administration records for residents were not properly initialed or documented.
55 Pa.Code §2600 2600.227(d) - Resident support plans were not updated to reflect current needs or changes in condition.
55 Pa.Code §2600 2600.233(c) - Directions for operating the home's locking mechanism on the secured dementia care unit door were not conspicuously posted.
Report Facts
Number of Residents Served: 76
Number of Current Hospice Residents: 1
Number of Residents Served in Secured Dementia Care Unit: 24
Number of Hospice Residents in past year: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Koryn Gallagher | Administrator | Named as Administrator and legal entity representative signing multiple violation reports and plans of correction. |
| Gerald Dumas | Inspector | Department representative on-site during inspection. |
| Kimberli Foulkes | Inspector | Department representative on-site during inspection. |
Notice — Jun 19, 2017
Date: Jun 19, 2017
Visit Reason
The document is a renewal approval letter for Highland Park Senior Living LLC's application to operate a Personal Care Home, confirming the license issuance and explaining 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 — Jan 31, 2017
Complaint Investigation
Date: Jan 31, 2017
Visit Reason
The inspection was conducted as a complaint investigation at Highland Park Senior Living.
Complaint Details
The inspection was triggered by a complaint. The violation was substantiated as the posted menu did not match the actual food served.
Findings
The inspection found a violation related to the failure to post an accurate weekly menu in advance as required by regulation 55 Pa.Code Chapter 2600. The posted menu did not reflect what was actually served on the inspection date.
Citations (1)
Regulation 55 Pa.Code §2600.162(c) requires menus stating the specific food served at each meal to be prepared and posted one week in advance. The posted menu was outdated and did not reflect the actual menu served on 01/31/17.
Report Facts
Number of Residents Served: 68
Total Daily Staff: 83
Waking Staff: 62
Number of Residents Served in Secured Dementia Care Unit: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristin Angelicola | Administrator | Named as facility administrator and legal entity representative signing the plan of correction |
| Gerald Dumas | Department of Human Services representative on-site during inspection |
Inspection Report — Aug 10, 2016
Renewal
Date: Aug 10, 2016
Visit Reason
The inspection was a renewal licensing inspection of Highland Park Senior Living LLC, conducted to assess compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Findings
The inspection identified multiple violations related to contract signatures, storage of poisonous materials, lighting accessibility, medication orders and administration, and medication storage and documentation. Plans of correction were submitted addressing each violation with steps to ensure compliance and resident safety.
Citations (8)
Regulation 55 Pa.Code §2600.25(b): The resident's contract dated 6/13/16 was not signed by the payer.
Regulation 55 Pa.Code §2600.82(b): Poisonous materials were stored unlocked in a janitor's closet accessible to residents, posing a safety risk.
Regulation 55 Pa.Code §2600.101(0)(7): The lamp in Room #160 was not accessible from bedside, limiting resident's ability to control lighting.
Regulation 55 Pa.Code §2600.183(d): Resident #2's medication order for ibuprofen 200mg was expired as of 2/2016.
Regulation 55 Pa.Code §2600.185(a): The home lacked complete procedures for safe storage, access, security, distribution, and use of medications by trained staff.
Regulation 55 Pa.Code §2600.187(a): Multiple residents had incomplete or missing medication administration records, including missing signatures and unrecorded vital signs.
Regulation 55 Pa.Code §2600.187(a): Medication records lacked consistent documentation of orders, administration, and staff initials, risking medication errors.
Regulation 55 Pa.Code §2600.2600.187(d): Resident #5 missed a scheduled blood glucose test; Resident #6 had incomplete insulin administration documentation; Resident #10 missed blood glucose tests.
Report Facts
Number of Residents 60 Years or Older: 41
Number of Residents with Mobility Need: 19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Jane Dugas | Administrator | Named as legal entity representative and signer of plans of correction |
| Jacqueline L. Rowe | Director | Signed licensing letter |
| Cindy Yellenic | Inspector conducting the violation report | |
| Ryan Novak | Inspector present during on-site inspection |
Inspection Report — May 26, 2016
Complaint Investigation
Date: May 26, 2016
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident at the facility.
Complaint Details
The inspection was triggered by an incident where a resident exited the building unsafely through the emergency exit on 05-16-16, exposing them to hazards. The violation was substantiated with a plan of correction approved.
Findings
The inspection found a violation of 55 Pa.Code Chapter 2600 regarding the exterior emergency exit from the secured dementia unit lacking a safety barrier, creating a potential hazard for residents. A plan of correction was submitted to build a natural border to prevent residents from exiting into an unsafe area.
Citations (1)
55 Pa.Code §2600(a) - The home's west-facing emergency exit from the secured dementia unit lacks a safety barrier, exposing residents to potential injury from a nearby construction site and a busy highway.
Report Facts
Number of Residents Served: 22
Total Daily Staff: 33
Waking Staff: 25
Number of Residents Served in Secured Dementia Care Unit: 11
Number of Current Hospice Residents: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anne O'Haire | Department Representative | Conducted the inspection on 05/26/2016 |
| Mary Jane Dugas | Executive Director | Signed the plan of correction |
Inspection Report — Mar 4, 2016
Original Licensing
Date: Mar 4, 2016
Visit Reason
The inspection was conducted as a licensing inspection for Highland Park Senior Living, a new personal care home not yet serving four or more residents.
Findings
The facility was found to be in substantial compliance with regulations but was unable to complete a full inspection due to low census. Several violations were noted including fire alarm incident reporting, fire drill documentation, smoking area hazards, medication administration staffing, and locking mechanism signage.
Citations (8)
55 Pa.Code §2600.16(c): The home did not submit an incident report to the Department after a fire alarm was accidentally triggered on 2/25/16 at 2:10pm.
55 Pa.Code §2600.132(b): The home did not complete a supervised fire drill conducted by a fire safety expert annually.
55 Pa.Code §2600.132(c): The fire drill conducted on 3/3/16 did not include seconds in the documentation as required.
55 Pa.Code §2600.144(c)(1): Approximately 8 cigarette butts were found in the mulch next to the residents' designated smoking area, posing a fire hazard.
55 Pa.Code §2600.144(c)(2): The smoking area was not located a safe distance from heat sources, combustible materials, and common walkways, posing a fire hazard.
55 Pa.Code §2600.182(b): On 2/28/16 and 2/29/16, the home did not have anyone trained to pass medications; residents #1 and #2 had orders for PRN medications.
55 Pa.Code §2600.233(c): Directions for operating the home's locking mechanism were not conspicuously posted near the gate and door leading into the home from the courtyard.
55 Pa.Code §2600.251(b): Fire drill logs for drills conducted on 1/18/16 and 2/28/16 were missing white out and were not permanent, legible, dated, and signed by the person making the entry.
Report Facts
Residents Served: 3
Total Daily Staff: 3
Waking Staff: 2
Cigarette Butts Found: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristen Angelicola | Legal Entity Representative | Signed multiple violation reports and plans of correction. |
| Matthew J. Jones | Director | Signed licensing letter dated March 2, 2016. |
| Ryan Novak | Inspector | Conducted the inspection on March 4, 2016. |
Notice — August 22, 2025
Date: August 22, 2025
Visit Reason
Issuance of a first provisional license for Highland Park Senior Living in accordance with a Settlement Agreement to resolve a revocation appeal.
Findings
The document outlines the terms of the Settlement Agreement including the issuance of a provisional license with restrictions on admissions and capacity, staff training requirements, and implementation of safety and monitoring systems.
Report Facts
Admission Limits: 2
Admission Limits per week: 5
Training Completion Date: 2025
Training Completion Date: 2024
Training Completion Date: 2025
System Installation Completion Date: 2025
Camera Installation Date: 2025
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