Inspection Reports for
Luther Ridge at Seiders Hill

The facility was found to have multiple deficiencies including failure to post the current license inspection summary, expired batteries in carbon monoxide monitors, incomplete criminal background checks, insufficient CPR-trained staff during night shifts, incomplete new hire training, improper food storage, incomplete medical evaluations, smoking area violations, and medication storage issues.

The inspection was complaint-driven and incident-related, with multiple citations issued for failures in incident reporting, confidentiality, contract completeness, medical evaluations, emergency response, medication documentation, resident assessments, and discharge notification.

The facility was cited for multiple deficiencies including untimely incident reporting, failure to maintain resident confidentiality, incomplete resident contracts, incomplete medical evaluations, delayed emergency response to a resident fall, incomplete medication administration documentation, failure to update resident assessments, and failure to provide timely discharge notices. All cited deficiencies had corrective plans implemented by March 23, 2026.

The facility was found to have several deficiencies including lack of operable bathroom ventilation, inoperable bedside lighting for a resident, outdated emergency procedures, and delayed annual fire drill. All cited deficiencies had plans of correction accepted and were implemented by late October 2025.

The facility was found to be in substantial compliance with the regulations, with citations noted on ventilation, lighting, emergency procedure submission, and fire drill timeliness. The submitted plan of correction was fully implemented and accepted.

The inspection was complaint-related and interim in nature, conducted to verify correction of previous deficiencies. The plan of correction was accepted and fully implemented as of the inspection date.

The facility was found to have fully implemented the submitted plan of correction. Deficiencies cited included issues with resident contracts, insufficient staffing during overnight hours, trash receptacle management, inoperable elevator, and unlabeled over-the-counter medications.

The inspection was complaint-related and interim in nature. The submitted plan of correction was reviewed and determined to be fully implemented.

The facility was found to have multiple deficiencies including an undated resident contract, insufficient staffing for emergency evacuation during the third shift, an open dumpster lid, an inoperable elevator, and unlabeled over-the-counter medications in the medication cart. All cited issues had plans of correction accepted and were implemented by August 11, 2025.

The facility was found to be in compliance overall, with several deficiencies cited related to contract signatures, staffing levels, administrator training, staff training, equipment maintenance, fire drills, medication labeling and storage, resident assessments, and record storage. All deficiencies had plans of correction implemented by late July 2025.

The inspection was triggered by a complaint and incident, but no deficiencies or citations were found.

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

The visit was complaint-related and substantiated as the facility failed to provide required supervision and safeguards for a resident with multiple falls.

The facility was found to have neglected a resident with a significant fall history by not providing 24-hour direct supervision as indicated in the assessment and support plan. Staff have since been educated on charting and fall prevention, and the plan of correction was fully implemented by March 3, 2025.

The visit was complaint-related and involved investigation of neglect concerning a resident's fall history and supervision. The plan of correction was accepted and implemented.

The facility was found to have neglected a resident with a significant fall history, including multiple falls resulting in serious injuries without implementing additional safeguards or providing required 24-hour direct supervision. Staff have since been educated on proper charting and fall prevention.

Violations were found related to compliance with 55 Pa. Code Chapter 2800 for Assisted Living Residences, requiring correction by specified dates to maintain compliance and avoid license revocation.

The facility was found to have fully implemented the submitted plan of correction addressing medication administration violations, including failure to record medication administration properly and administering medication in error. Continued compliance must be maintained.

The facility was found to have fully implemented the submitted plan of correction related to medication administration errors involving staff person A. Continued compliance is required.

The invoice details Class II and Class III violations with associated fines totaling $7,904.00, reflecting regulatory noncompliance.

Complaint investigation with substantiated violations related to resident abuse, privacy, medication errors, staffing, and safety.

Multiple deficiencies were identified including resident abuse, ADL assistance failures, privacy violations, fire safety violations, medication administration errors, documentation issues, staffing inadequacies, and environmental concerns such as sanitation and maintenance.

The facility was found to have uncorrected violations under 55 Pa. Code Chapter 2600, specifically sections 187d and 227d, resulting in assessed fines based on a census of 76 residents.

On 2/4/23, Staff member B was observed pushing Resident #1 into a room and engaging in inappropriate sexual contact. Staff B was suspended and terminated. The incident was reported to Protective Services and Pennsylvania State Police, who are conducting an active criminal investigation. Protective Services cited the facility with Caregiver Neglect. Resident interviews and skin assessments were negative. The facility implemented immediate corrective actions including staff training and ongoing monitoring.

Multiple violations were found including failure to post required documents, incomplete policies, untimely medical evaluations, inadequate quality management plans, missing criminal background checks, incomplete staff training and orientation, fire safety deficiencies, improper medication administration, and resident record issues. A serious abuse/neglect complaint was substantiated resulting in staff termination and ongoing criminal investigation.

The visit was complaint-related and involved substantiated repeated violations concerning incident reporting delays, failure to update assessments after significant resident changes, and missing signatures on support plans.

The facility was found to have repeated violations related to incident reporting, assessment of significant changes in residents, and support plan signatures. The submitted plan of correction was accepted and fully implemented by the follow-up date.

The inspection was complaint-related, triggered by allegations including dignity violations, medication errors, and care deficiencies. The complaint was substantiated with multiple violations found.

Multiple violations were found related to resident dignity, personal hygiene, medical evaluations, support plan documentation, medication administration, staff training, fire safety, and record keeping. Several plans of correction were submitted and monitored with some deficiencies not yet fully implemented.

The inspection was complaint-driven and incident-related, conducted on 08/23/2023 with an exit conference the same day. The violations found led to a provisional license being issued.

The inspection found multiple violations related to personal hygiene assistance, annual medical evaluations, preliminary support plan signatures, timely completion of annual assessments, and confidentiality of resident records. A provisional license was issued due to these violations with required corrective actions.

Multiple violations were found related to staff training deficiencies, medication storage, expired insulin administration training, and incomplete resident assessments. The facility's certificate of compliance was revoked and replaced with a first provisional license based on an acceptable plan of correction.

Multiple violations were found related to staff training deficiencies, medication storage, insulin administration training expiration, and incomplete resident assessments. The facility was issued a provisional license due to these violations and required to correct all deficiencies by specified dates.

Multiple violations were found related to medication administration, staff training, safety inspections, resident care plans, and documentation. Several corrective actions were proposed and some were implemented by the time of the report.

The inspection was complaint-driven and incident-related, as stated in the inspection information section. The plan of correction was accepted and fully implemented by the facility.

The inspection identified multiple deficiencies including delayed call bell response causing incontinence, inadequate staffing during night shifts affecting evacuation readiness, failure to conduct monthly and sleeping hours fire drills, inconsistent fire drill scheduling, incomplete resident evacuation documentation, and medication administration documentation errors.

The inspection was complaint-related, but no deficiencies or citations were found, and follow-up was not required.

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

The facility was found to have multiple deficiencies including expired boiler certificates, incomplete staff training, obstructed egress due to snow and ice, inaccurate fire department notification, medication administration errors, and incomplete resident support plan reviews. All deficiencies had plans of correction submitted and were implemented by the dates noted.

The inspection was complaint-related and incident-driven. The plan of correction was fully implemented as of the last review.

Two deficiencies were identified: delayed response to resident call bells and incomplete documentation of PRN medication effectiveness. The facility submitted and implemented a plan of correction to address these issues.

No regulatory citations or deficiencies were identified as a result of the inspection conducted over three days from April 5 to April 7, 2021.

The inspection was complaint-related and incident-driven. The plan of correction was not fully implemented as of the inspection dates.

The facility's submitted plan of correction was found not fully implemented. Specifically, the Resident Assessment and Support Plan (R.A.S.P.) for a resident did not address episodic behavioral issues, and the facility had not submitted evidence of compliance or verification of corrective actions.

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

The submitted plan of correction was determined to be fully implemented. The facility maintained compliance with dignity and respect requirements after addressing a staff member's inappropriate behavior toward a resident.

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

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

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

The Department confirms receipt of the renewal application and issues a regular license. It advises that an annual onsite inspection will be conducted within the next twelve months as required by state regulations.

The visit was complaint-related due to an incident involving a resident fall and delayed incident reporting. The complaint was substantiated as violations were found.

Two violations were identified: failure to timely report an incident involving a resident fall and failure to update a resident's support plan after significant behavioral changes. Both plans of correction were fully implemented by January 10, 2020.

The waiver request for qualifications of direct care staff persons has been approved. Documentation submitted meets the educational requirement for a direct care staff worker.

The facility was found to be in compliance with 55 Pa. Code Chapter 2800 relating to Assisted Living Residence.

No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.

Several violations were found including a privacy coding document exposing confidential resident information, expired CO2 detector batteries, lint buildup posing fire hazards, non-fire retardant chair covers in the smoking area, loose medication pills, and unclean glucometer equipment. Plans of correction were initiated for each violation with partial implementation noted.

The investigation was triggered by an incident on 2/25/2018 when Resident #1 eloped from the home and suffered a fall. The resident was admitted to a hospital and later passed away. The facility did not adequately address prior elopement behaviors noted on 8/30/2017 and 12/10/2017.

A resident eloped from a common area and suffered a fall, resulting in hospitalization and death. The facility failed to adequately address the resident's elopement risk and behaviors.

No inspection findings are reported in this document. It serves as a license renewal confirmation and notice of future inspection requirements.

Multiple violations of 55 Pa.Code Ch. 2800 were found, including failure to report suspected abuse, unsecured medication cart, delayed resident refund, improper handling of resident funds, staff misconduct, refusal to participate in fire drills, and failure to update resident support plans. Plans of correction were partially implemented with ongoing oversight by the administrator.

The request to admit a resident with a gastric tube as an excludable condition was returned for additional supporting documentation, specifically an Assessment-Support Plan.

No inspection findings are reported in this document. It is a licensing and renewal notification letter with an enclosed certificate of compliance.

Violations of 55 Pa.Code Ch. 2800 related to admission documentation and medication administration were found. Plans of correction were submitted addressing medical evaluation timing and administration of PRN medication without consent.

No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.

The Department has received 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.

The invoice details Class II and Class III fines totaling $14,592.00 for violations under 55 PA Code § 2600, with a total balance due of $25,536.00 including previous balances.