Inspection Reports for
Magnolias of Chambersburg
745 Norland Avenue, Chambersburg, PA 17201, Chambersburg, PA, 17201
Back to Facility Profile17 Reports
Inspection Report — Mar 31, 2026
Renewal
Date: Mar 31, 2026
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.
Findings
The inspection found that the submitted plan of correction was fully implemented and compliance was maintained. Specific deficiencies included freezer temperature violations and medication management issues such as discontinued medications and unlabeled OTC medications.
Citations (3)
103f: The freezer temperature was recorded at 10 degrees Fahrenheit, exceeding the required 0 degrees. Food service staff were educated and corrective actions were taken to maintain proper freezer temperature.
183d: A discontinued medication, Atorvastatin 10mg for Resident #1, was found in the medication cart. An audit was conducted and discontinued medications were removed.
184b: An OTC medication, Refresh Tears for Resident #2, was not labeled with the resident’s name. Medication cart audits and staff training were implemented to ensure proper labeling.
Report Facts
Residents Served: 27
Staffing Hours - Total Daily Staff: 28
Staffing Hours - Waking Staff: 21
Current Hospice Residents: 3
Inspection Report — Jan 22, 2025
Renewal
Date: Jan 22, 2025
Visit Reason
The inspection was conducted as a renewal visit to review compliance and verify the submitted plan of correction was fully implemented.
Findings
The submitted plan of correction was fully implemented and continued compliance must be maintained. A deficiency was noted regarding the annual fire safety inspection and fire drill, which was corrected with a witnessed fire drill conducted on 02/10/2025.
Citations (1)
2600.132.b requires an annual fire safety inspection and fire drill conducted by a fire safety expert. The last fire drill observed by a fire safety expert was conducted on 9/13/2023, which did not meet the annual requirement.
Report Facts
Residents Served: 24
Staffing: 25
Waking Staff: 19
Hospice Residents: 2
Residents 60 Years or Older: 24
Residents with Mobility Need: 1
Inspection Report — Mar 1, 2024
Renewal
Date: Mar 1, 2024
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance and verify the submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction. Two deficiencies were noted related to medication management: one involving expired medication and another involving failure to follow a prescriber's sliding scale order. Both issues were addressed with staff education and process improvements.
Citations (2)
Resident 1 was found to have an expired medication despite being prescribed as needed.
Resident 2's sliding scale medication order was not followed correctly by a medication technician.
Report Facts
Residents Served: 23
Current Hospice Residents: 2
Resident Age 60 or Older: 23
Residents with Mobility Need: 2
Residents with Physical Disability: 1
Total Daily Staff: 25
Waking Staff: 19
Inspection Report — Aug 10, 2022
Routine
Date: Aug 10, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 08/10/2022 and 08/11/2022.
Findings
No regulatory citations were identified as a result of this inspection.
Notice — Mar 19, 2021
Date: Mar 19, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for the Personal Care Home 'Magnolias of Chambersburg - Building 2' following receipt of the renewal application dated January 27, 2021.
Findings
The Department advises that an onsite inspection will be conducted within the next twelve months as required by regulation. No findings or deficiencies are reported in this document.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report — Dec 4, 2019
Annual Inspection
Date: Dec 4, 2019
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services' annual licensing inspections for Personal Care Homes.
Findings
The facility was found to be in compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brett Swanger | Human Services Licensing Supervisor | Signed the inspection report confirming compliance. |
Notice — Jan 4, 2019
Date: Jan 4, 2019
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care Home 'Magnolias of Chambersburg - Building 2' following receipt of a renewal application.
Findings
No inspection findings are reported. The document states that an onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Inspection Report — Jan 3, 2019
Renewal
Date: Jan 3, 2019
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 Chapter 2600 for Personal Care Homes.
Findings
The inspection identified multiple violations including lack of certified first aid staff during certain shifts, unlocked poisonous materials accessible to residents, unlabeled soap bars in bathrooms, failure to conduct fire drills during specified hours, incomplete medical evaluations, unlocked medications accessible to residents, expired medications in the medication cart, and improper storage of prescription and over-the-counter medications.
Citations (8)
55 Pa.Code §2600.63(a) - No staff certified in first aid were present during specified shifts when 22 residents were in the home.
55 Pa.Code §2600.82(c) - An unlocked bottle of nail polish remover was accessible to residents, including Resident #1, who were not assessed for safe use of poisons.
55 Pa.Code §2600.102(i) - Two common bars of soap in a tub room were not labeled or marked as required.
55 Pa.Code §2600.132(g) - The home did not conduct a fire drill between 4:01 pm and 5:05 am during calendar year 2018.
55 Pa.Code §2600.141(a)(2) - The medical evaluation for Resident #1 did not include weight, pulse rate, temperature, or blood pressure.
55 Pa.Code §2600.183(b) - Resident #2 had unlocked medication and syringes accessible in his bedroom without assessment for self-administration.
55 Pa.Code §2600.183(d) - Expired medications for Residents #2, #3, and #4 were found in the medication cart.
55 Pa.Code §2600.183(e) - An unopened bottle of Latanoprost eyedrops was improperly stored outside the recommended refrigeration temperature range.
Report Facts
Number of Residents Served: 22
Number of Current Hospice Residents: 2
Number of Hospice Residents in past year: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tressia Day | Executive Director | Named as Administrator and Legal Entity Representative signing violation and plan of correction documents. |
| Kellie Cargile | Department representative conducting the inspection. | |
| Jason McCloskey | Department representative conducting the inspection. |
Inspection Report — Jan 18, 2018
Renewal
Date: Jan 18, 2018
Visit Reason
The inspection was an annual licensing inspection conducted as part of the facility's renewal process.
Findings
The inspection found violations related to medication management, specifically a discontinued medication remaining on the medication cart. A plan of correction was submitted addressing the removal of discontinued medications and implementation of weekly audits.
Citations (1)
55 Pa.Code §2600.183(d) - Only current prescriptions, OTC, sample and CAM for individuals living in the home may be kept in the home. A container of Amitriptylin 10 mg for Resident 1, discontinued prior to October 2017, was found on the medication cart.
Report Facts
Number of Residents Served: 16
Total Daily Staff: 20
Waking Staff: 15
Number of Residents 50 Years of Age or Older: 16
Number of Residents with a Mobility Need: 4
Number of Hospice Residents in Past Year: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tressia Day | Executive Director | Named in plan of correction and signature on violation report. |
Inspection Report — Dec 21, 2017
Renewal
Date: Dec 21, 2017
Visit Reason
This document is a renewal application response for the Personal Care Home 'Magnolias of Chambersburg - Building 2' and notifies the facility of the upcoming annual onsite inspection required by Pennsylvania regulations.
Findings
The Department issued a regular license renewal and informed the facility that an onsite inspection will be conducted within the next twelve months to ensure compliance with Title 55, PA Code, Chapter 2600. No findings or deficiencies are reported in this document.
Report Facts
Inspection Report — Jun 7, 2017
Date: Jun 7, 2017
Visit Reason
The inspection was an interim, partial, unannounced licensing inspection of the Personal Care Home facility to assess compliance with 55 Pa.Code Chapter 2600.
Findings
Two violations were found related to medication management and adherence to prescriber directions. The facility submitted a plan of correction addressing these issues.
Citations (2)
Regulation 55 Pa.Code §2600.183(d): Medication Lantus INJ 100ML for Resident #1 was not marked with an opening date as required by manufacturer's instructions.
Regulation 55 Pa.Code §2600.187(d): Staff Person A recorded a blood sugar reading on Resident #2's medication administration record but did not complete the blood sugar check and fabricated the reading.
Report Facts
Total Daily Staff: 19
Walking Staff: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tressia S Day | Executive Director | Signed plan of correction and legal entity representative. |
Inspection Report — Mar 16, 2017
Complaint Investigation
Date: Mar 16, 2017
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident at the facility, with unannounced visits on March 16 and March 31, 2017.
Complaint Details
The visit was complaint-related due to an incident involving Resident 1 smoking unsupervised and outside the designated smoking area. Staff interviews confirmed the resident routinely smoked in undesignated areas.
Findings
Two violations related to smoking policies were found: failure to obtain a physician's order for a resident's supervised smoking and failure to prevent smoking in an undesignated outdoor area. Plans of correction were submitted addressing fire safety policies and smoking area enforcement.
Citations (2)
55 Pa.Code §2600.144(c) - The home failed to obtain a physician's order for Resident 1's ability to smoke supervised or unsupervised, violating the established smoking policy.
55 Pa.Code §2600.144(c)(1) - The home failed to prevent Resident 1 from smoking outside the designated smoking area, creating a fire hazard.
Report Facts
Number of Residents Served: 21
Total Daily Staff: 21
Walking Staff: 16
Residents Age 60 or Older: 21
Residents with Physical Disability: 3
Residents Who Smoke: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tressia Day | Executive Director | Named in Plan of Correction as responsible for smoking policy enforcement and monitoring. |
| Michael Showers | Department representative conducting the inspection on March 16 and March 31, 2017. |
Inspection Report — Jan 31, 2017
Renewal
Date: Jan 31, 2017
Visit Reason
The inspection was conducted as an annual licensing renewal inspection of the personal care home facility.
Findings
The inspection identified multiple violations related to staff certification in CPR and first aid, medication administration records, sanitary conditions, and fire hazard risks. Plans of correction were submitted addressing each violation with steps to prevent recurrence.
Citations (4)
55 Pa.Code §2600.63(a) - At least one staff person trained in first aid, CPR, and obstructed airway techniques was not present from 2 am to 6 am when 23 residents were in the home.
55 Pa.Code §2600.85(a) - One glucometer was used for blood sugar checks on two different residents, and medication administration records did not include all glucometer readings for Resident #1.
55 Pa.Code §2600.105(g)(1) - Lint was accumulated in the lint traps and drums of Maytag and Amana dryers in the laundry room, creating a fire hazard.
55 Pa.Code §2600.187(a) - Medication administration records lacked the diagnosis or purpose for medications administered to Residents #1, #2, and #3.
Report Facts
Total Daily Staff: 24
Working Staff: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tressia Day | Executive Director | Named as Legal Entity Representative signing plans of correction and noted as Executive Director in multiple findings. |
| Sheila O'Gara | Administrator | Named as Administrator on page 2. |
| Kelly Comstock | Department Representative conducting inspection on 1/31/2017. | |
| Cybil Bemberger | Department Representative conducting inspection on 1/31/2017. |
Inspection Report — Jan 9, 2017
Renewal
Date: Jan 9, 2017
Visit Reason
The document is a renewal application and license issuance for the Personal Care Home 'Magnolias of Chambersburg - Building 2'. The Department will conduct an onsite inspection within the next twelve months as part of the annual inspection requirement.
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 — Feb 1, 2016
Renewal
Date: Feb 1, 2016
Visit Reason
The document is a renewal license issued in response to the facility's renewal application to operate a Personal Care Home. The Department advises that an onsite inspection will be conducted within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It serves as a license renewal notice and notification of future inspection requirements.
Report Facts
Inspection Report — Jan 11, 2016
Annual Inspection
Date: Jan 11, 2016
Visit Reason
The visit was an annual licensing inspection conducted by the Pennsylvania Department of Human Services on January 11, 2016, to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Findings
Violations related to 55 Pa.Code Chapter 2600 were found during the inspection. Specifically, a deficiency was noted regarding a resident's medical evaluation not being completed within the required timeframe.
Citations (1)
55 Pa.Code §2600.141(a)(1) requires a medical evaluation by a qualified professional within 60 days prior to admission or within 30 days after admission. Resident #1, admitted on 10/18/2015, had a medical evaluation completed on 8/3/2015, which was outside the required timeframe.
Report Facts
Number of Residents Served: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sheila C. O'Gara | Administrator and Executive Director | Named as Administrator on page 2 and signed Plan of Correction on page 3. |
| Israel Springs | Department Representative | Conducted on-site inspection on 01/11/2016 as stated on page 2. |
Notice — April 7, 2020
Date: April 7, 2020
Visit Reason
This document serves as a renewal notification and certificate of compliance for the Personal Care Home facility, indicating the license is being issued in response to the renewal application and informing about the requirement for annual inspections.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license and outlines the Department's obligation to conduct annual inspections within the next twelve months.
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