Inspection Reports for
Maidencreek Place

The submitted plan of correction was fully implemented and compliance was maintained. The report details a substantiated abuse incident involving inappropriate resident-staff interaction, resulting in termination of the employee and staff training on professional boundaries.

The facility was found to have fully implemented the plan of correction related to previous deficiencies. The report details prior violations concerning assistance with activities of daily living, staffing levels during overnight shifts, and mobility assessments, all of which have been addressed with corrective actions and training plans.

The facility was found to have multiple deficiencies including failure to issue timely refunds after resident death, improper storage of poisonous materials, unlabeled leftover food, uncovered food items, combustible materials near heat sources, and incomplete medical evaluations. All deficiencies had accepted plans of correction and were implemented by April 23, 2026.

The inspection found that the submitted plan of correction was fully implemented, addressing deficiencies related to evacuation times, medication storage and calibration, medication record documentation, and following prescriber's orders for blood glucose testing.

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

The facility was found to have multiple deficiencies related to incident reporting, fire drills, fire alarm testing, medical evaluations, menu posting, medication storage and administration, resident assessments, and support plan completion. The submitted plan of correction was accepted and fully implemented by 09/22/2025.

The waiver outlines the required training and policies for direct care staff administering GLP-1 agonist injections, including successful completion of Department-approved courses, annual training hours, monitoring, documentation, and availability of a clinical contact.

Multiple violations of 55 Pa. Code Chapter 2600 were found during the inspection, including deficiencies in staff orientation, fire safety drills, medication administration, and support plan documentation. A provisional license was issued due to these violations, with a plan of correction required.

The inspection was incident-related and no deficiencies were found, indicating no substantiated complaints.

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

The facility was found to have fully implemented the submitted plan of correction addressing issues including failure to provide immediate access to requested documents, delayed incident reporting, and staff misconduct involving verbal and physical altercations. Continued compliance is required.

The inspection found deficiencies related to medication administration training and documentation, following prescriber's orders, and support plan documentation for medical/dental needs. The submitted plan of correction was accepted and determined to be fully implemented as of the inspection date.

The inspection identified multiple deficiencies related to compliance with health and safety laws, staff qualifications and training, resident assessments, medication storage, and support plans. All deficiencies had accepted plans of correction which were implemented by 06/24/2024.

The inspection was complaint-related and included an incident involving a medication error resulting in a resident's death. The medication error was self-reported and investigated, with the neglect allegation found to be unfounded.

The inspection identified multiple deficiencies including a medication error resulting in a resident's death, inadequate staffing to meet resident needs especially during emergencies, failure to conduct monthly fire drills, outdated fire safety inspections, delayed evacuation times during fire drills, medication administration by uncertified staff, incomplete medication records, and incomplete or outdated resident assessments and support plans.

The inspection was complaint-related, but no deficiencies or regulatory citations were found.

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

The inspection was complaint-related with the reason stated as Complaint, Incident. The submitted plan of correction was accepted and implemented with follow-up audits planned.

The facility was found to have deficiencies related to support plan documentation, including failure to update a resident's support plan to reflect 1 to 1 staff observation and missing dates on resident signatures in support plans. The submitted plan of correction was accepted and implemented.

The inspection identified multiple deficiencies including failure to post the current license inspection summary, expired batteries in carbon monoxide monitors, inadequate staffing on 3rd shift, incomplete first aid/CPR training coverage, incomplete direct care staff training, improper labeling of leftover food, missed fire drills and incomplete fire drill records, medication administration and documentation errors, and incomplete resident support plans. Plans of correction were accepted and implemented with ongoing audits scheduled to ensure sustained compliance.

The inspection was triggered by a complaint and incident, as noted under Inspection Information on page 2.

The inspection identified multiple deficiencies including staff sleeping on duty, outdated medical evaluations for residents, medication storage and administration issues, failure to notify prescribers of medication refusals, and incomplete resident support plans related to falls and cognitive needs. Plans of correction were accepted and implemented with ongoing audits and education scheduled.

The visit was triggered by an incident, indicating a complaint-related reason. Specific substantiation status is not stated.

The report details multiple violations related to resident abuse reporting, staff supervision, medical evaluations, use of restraints, support plan documentation, and record content. The facility submitted a plan of correction which was accepted and implemented by March 9, 2023.

The inspection identified multiple deficiencies related to quality management plan content, staff training, fire safety orientation, medication management including storage, labeling, documentation, and adherence to prescriber's orders. Plans of correction were accepted and implemented by 02/28/2023.

The visit was complaint-related and included a follow-up on the plan of correction. The submitted plan of correction was determined to be fully implemented as of 02/28/2022.

The facility was found to have a deficiency related to the support plan for Resident #1, which was not updated to reflect frequent incontinence checks, staff assistance with brief changes, and use of a wander guard. The plan of correction was submitted and fully implemented by 02/28/2022.

The submitted plan of correction was determined to be fully implemented with continued compliance required. The deficiency involved a staff member not treating a resident with dignity and respect, which was addressed through staff re-education and ongoing resident interviews to monitor compliance.

No inspection findings are reported in this document; it is a license renewal letter and certificate of compliance confirming the facility's authorized capacity and licensing status.

The inspection identified deficiencies including lack of thermometers in refrigerators/freezers, failure to post menus one week in advance, and inaccuracies in residents' medication self-administration documentation. Plans of correction were accepted and implemented with ongoing monitoring.

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

No regulatory citations were identified as a result of the licensing inspections conducted on December 9, 10, 14, 15, 16, and 17, 2020.

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

The visit was complaint-related. The complaint involved Resident #1's support plan not reflecting current care needs. The plan of correction was approved and fully implemented.

The facility was found to have an outdated Resident Assessment and Support Plan (RASP) for Resident #1, which did not reflect current care needs related to irritability, agitation, and judgment. The submitted plan of correction was fully implemented as of August 11, 2020.

No regulatory citations were identified as a result of these inspections.

No inspection findings are reported in this document as it is a license renewal notice.

The inspection identified violations related to smoking policies and medication administration. The facility was found with cigarette butts outside the designated smoking area, a resident smoking outside the designated area, and a medication administration record discrepancy involving insulin dosing.

No inspection findings are reported in this document. It serves as a license renewal notification and certificate of compliance for the facility.

The visit was complaint-related due to an incident of physical abuse. The staff member admitted to pushing the resident and was terminated. Retraining was provided to all employees. The incident was reported to the Area Agency on Aging and documented as a reportable incident.

The inspection found a violation of 55 Pa.Code §2600.42(b) where a staff member physically pushed a resident, resulting in the resident falling to the floor. The facility denied wrongdoing but took corrective actions including staff termination and retraining.

The inspection identified multiple violations related to fire drill procedures, staff training on medication self-administration, notification to the local fire department, and medication storage and documentation. Plans of correction were submitted with partial implementation and ongoing monitoring.

No inspection findings are reported in this document. It confirms the issuance of a regular license and outlines the requirement for an annual onsite inspection within the next twelve months.

The facility was found to have violations related to resident privacy under 55 Pa.Code Chapter 2600. A physical therapist from an outside agency removed a resident's shirt in a manner that violated the resident's right to privacy.

Multiple violations were found related to carbon monoxide alarms, complaint procedures, privacy, criminal background checks, staffing, poisonous materials storage, sanitation, fire safety, pet vaccinations, smoking policy, medication administration, medication storage, resident assessments, and support plans. Plans of correction were submitted and partially implemented as of April 29, 2017.

The complaint involved allegations of abuse against residents #1 and #2 observed by staff persons A, B, and C. The home failed to report the allegations timely to the Area Agency on Aging and the Department. Staff person C was terminated following investigation.

Multiple violations related to abuse reporting and resident treatment were found, including failure to report allegations timely and inappropriate staff behavior. Plans of correction were initiated including staff termination and improved reporting compliance.

The facility was found to be in substantial compliance with applicable regulations but was unable to complete a full inspection as it is a new legal entity. Violations were found related to fire safety evacuation times and designated meeting places during fire drills.