Inspection Reports for
Horizons Personal Care
1451 FRANKSTOWN ROAD,, JOHNSTOWN, PA, 15902
Back to Facility Profile5 Reports
Inspection Report — Jul 15, 2026
Renewal
Date: Jul 15, 2026
Visit Reason
The inspection was conducted as a renewal and complaint investigation of Horizons Personal Care facility.
Findings
The inspection identified multiple deficiencies including failure to post the current license inspection summary, unsecured resident records and medications, outdated emergency procedures, improper locking devices on egress doors, delayed fire evacuation times, incomplete self-administration medication assistance, missing PRN medications, unqualified staff administering medications, and outdated resident dietary assessments.
Citations (10)
3c - The facility did not post the current license inspection summary dated 4/8/26 in a conspicuous and public place.
17 - Resident records and medications were found unlocked, unattended, and accessible in nurse's stations, violating confidentiality requirements.
107d - The home's written emergency procedures were not reviewed, updated, or submitted annually to the local emergency management agency.
121b - All egress doors were equipped with magnetic locking devices and residents were not educated on keypad use, preventing independent exit.
132d - Fire drill evacuation time on 5/27/26 was 12 minutes 46 seconds, exceeding the home's maximum evacuation time of 12 minutes.
181c - Resident #5 was not provided documented assistance to self-administer medications as assessed by a physician.
185a - Resident #6's prescribed Acetaminophen medication was not available in the home on the inspection date.
190a - Staff person A administered medications without completing the required Department-approved medication administration course.
202 - Prohibited procedures included magnetic locking devices on egress doors without resident education, limiting safe egress.
225c - Resident #7's assessment was not updated to reflect a physician-ordered pureed diet, despite prior dietary needs indicating mechanical soft diet.
Report Facts
Residents Served: 51
Current Hospice Residents: 12
Fire Drill Evacuation Time: 766
Fire Drill Evacuation Time: 266
Medication Administration Dates: 4
Inspection Report — Apr 8, 2025
Complaint Investigation
Date: Apr 8, 2025
Visit Reason
The inspection was conducted as a complaint investigation at Horizons Personal Care on 04/08/2025.
Complaint Details
The inspection was complaint-related and the findings indicate no deficiencies were found, implying the complaint was not substantiated.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 57
Waking Staff: 43
Resident Support Staff: 0
Residents Served: 48
Current Residents Hospice: 9
Residents Age 60 or Older: 48
Residents with Mobility Need: 9
Inspection Report — Feb 19, 2025
Renewal
Date: Feb 19, 2025
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.
Findings
The facility was found to have several deficiencies including lack of quality management plan review, incomplete fire drills during sleeping hours, inadequate smoking area safeguards, missing determinations on preadmission screening forms, and incomplete support plans. All deficiencies had plans of correction accepted and were implemented by the dates specified.
Citations (5)
No record of a quality management plan review being completed.
The last fire drill conducted during sleeping hours was on 11/29/24 with no prior documented sleeping hour fire drills.
The designated smoking area for staff lacks proper safeguards to prevent fire hazards including fireproof receptacles, extinguishing procedures, and fire extinguishers.
Resident #2’s preadmission screening form does not include a determination that the resident's needs can be met by the services provided by the home.
Resident #1's most recent support plan does not include their hospice determination or hospice needs.
Report Facts
Residents Served: 50
Current Hospice Residents: 10
Residents with Mobility Need: 9
Total Daily Staff: 59
Waking Staff: 44
Inspection Report — Apr 4, 2024
Renewal
Date: Apr 4, 2024
Visit Reason
The inspection was conducted as a renewal review of the facility's license and compliance status.
Findings
The submitted plan of correction was fully implemented, with no outstanding deficiencies at the time of the review. Two specific deficiencies were cited related to criminal background checks and unobstructed egress, both of which were corrected by the proposed completion dates.
Citations (2)
Staff member A lacked a Pennsylvania State Police clearance on file.
Two exit doors at the rear of the building had magnetic locks but lacked posted codes to unlock and exit.
Report Facts
Residents Served: 48
Current Residents in Hospice: 8
Residents Age 60 or Older: 49
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 4
Residents with Physical Disability: 0
Inspection Report — Feb 15, 2023
Renewal
Date: Feb 15, 2023
Visit Reason
The inspection was conducted as a renewal visit with a change in capacity for Horizons Personal Care facility.
Findings
The inspection found multiple deficiencies including unsigned resident-home contracts, medication storage and administration issues, lack of resident education on medication refusal rights, and discrepancies in resident assessments. Plans of correction were submitted and accepted with implementation dates in early 2023.
Citations (5)
Resident-home contracts for Resident #1 and Resident #2 were not signed by the residents.
Medication was not available for Resident #3 as prescribed; glucometer was not calibrated; discrepancies between Medication Administration Record and glucometer readings.
A small bottle of betameth dip was observed in medication cart for Resident #2 without a current order.
Residents #1, #2, and #3 had not been educated on their right to refuse medication if they believe there may be a medication error.
Resident #2’s Documentation of Medical Evaluation did not correlate with Resident Assessment-Support Plan regarding ability to safely use or avoid poisonous materials.
Report Facts
Residents Served: 26
Total Daily Staff: 26
Waking Staff: 20
Current Hospice Residents: 5
Residents Age 60 or Older: 26
Residents with Physical Disability: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed approval letter for license capacity increase |
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