Inspection Reports for
Paramount Senior Living at Peters Township
240 Cedar Hill Dr, Canonsburg, PA 15317, United States, PA, 15317
Back to Facility Profile50 Reports
Inspection Report — May 21, 2026
Complaint Investigation
Date: May 21, 2026
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with licensing regulations at Paramount Senior Living at Peters Township.
Complaint Details
The inspection was triggered by a complaint. The violation regarding obstructed egress was substantiated and corrected immediately.
Findings
The inspection found a violation where a chair was blocking the right emergency exit door in the main dining room. Immediate corrective action was taken, and ongoing education and inspections were planned to maintain compliance.
Citations (1)
2600.121.a Stairways, hallways, doorways, passageways and egress routes must be unlocked and unobstructed. A chair was blocking the right emergency exit door in the main dining room.
Report Facts
Residents Served: 88
Secured Dementia Care Unit Residents Served: 15
Hospice Current Residents: 13
Notice — Mar 31, 2026
Date: Mar 31, 2026
Visit Reason
The document serves to notify the facility of the approval of a waiver request under Pennsylvania Code § 2600.54(a)(2) for a direct care staff person who received their education outside the United States.
Findings
The waiver is granted with conditions including documentation of equivalency to a U.S. high school diploma and annual review during the facility's annual inspection to ensure compliance. Failure to comply may result in termination of the waiver or other licensing actions.
Notice — Jan 9, 2026
Date: Jan 9, 2026
Visit Reason
The document serves to notify the facility of the granted waiver for a direct care staff member's educational qualifications under 55 Pa.Code § 2600.54(a)(2).
Findings
The waiver is granted with conditions requiring documentation of the staff member's education equivalency to be maintained and reviewed annually during inspections. Noncompliance may result in waiver termination or licensing action.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Notice — Jul 21, 2025
Date: Jul 21, 2025
Visit Reason
This document serves to notify Paramount Senior Living at Peter's Township LLC that their request to waive the educational qualification requirement for a direct care staff person has been granted under 55 Pa.Code § 2600.19.
Findings
The waiver is granted with conditions including documentation of equivalency to a Bachelor of Journalism degree and maintenance of such documentation in personnel files. The Department will review this waiver annually during inspections to ensure compliance.
Inspection Report — May 1, 2025
Complaint Investigation
Date: May 1, 2025
Visit Reason
The inspection was conducted as a complaint investigation at the facility on 05/01/2025.
Complaint Details
The inspection was complaint-related as stated under Inspection Information with Reason: Complaint. No deficiencies or citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified during this complaint investigation inspection.
Report Facts
Residents Served: 82
Secured Dementia Care Unit Residents Served: 13
Hospice Current Residents: 16
Resident Diagnosed with Mental Illness: 80
Resident Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 55
Residents Age 60 or Older: 82
Residents Receiving Supplemental Security Income: 0
Residents with Physical Disability: 0
Total Daily Staff: 137
Waking Staff: 103
Inspection Report — Feb 25, 2025
Date: Feb 25, 2025
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 during this inspection.
Report Facts
Residents Served: 89
Secured Dementia Care Unit Residents Served: 15
Hospice Current Residents: 14
Residents with Mobility Need: 63
Residents Age 60 or Older: 89
Residents Diagnosed with Intellectual Disability: 1
Residents Diagnosed with Mental Illness: 0
Residents with Physical Disability: 0
Residents Receiving Supplemental Security Income: 0
Total Daily Staff: 152
Waking Staff: 114
Notice — Nov 15, 2024
Date: Nov 15, 2024
Visit Reason
This document serves to notify the facility of the granted waiver for a direct care staff member who received their education outside the United States, exempting them from the high school diploma or GED requirement under 55 Pa.Code § 2600.54(a)(2).
Findings
The waiver is granted under specific conditions including documentation of educational equivalency and record-keeping requirements. The Department will review this waiver annually during inspections to ensure compliance.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — May 15, 2024
Follow-Up
Date: May 15, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 05/15/2024 to review the submitted plan of correction related to an incident at the facility.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. The deficiency involved a staff member being rough with a resident during a shower, and corrective actions including suspension, education, and monitoring were completed.
Citations (1)
Staff person A was rough with a resident and appeared to be rushing the resident through the shower process.
Report Facts
Residents Served: 85
Secured Dementia Care Unit Residents Served: 14
Hospice Current Residents: 12
Residents with Mobility Need: 49
Residents Diagnosed with Intellectual Disability: 2
Total Daily Staff: 134
Waking Staff: 101
Residents 60 Years or Older: 85
Inspection Report — Mar 13, 2024
Follow-Up
Date: Mar 13, 2024
Visit Reason
The inspection visit on 03/13/2024 was a partial, unannounced follow-up inspection triggered by a complaint and incident to verify the implementation of a previously submitted plan of correction.
Complaint Details
The inspection was complaint-related, involving allegations of resident abuse and neglect. The plan of correction addressed these issues with measures including medical notifications, staff education on abuse and neglect, behavior monitoring, and supervision enhancements.
Findings
The submitted plan of correction related to abuse and neglect in the secured dementia care unit was found to be fully implemented. The report details multiple incidents of inappropriate resident behavior and outlines extensive corrective actions including staff education, behavior monitoring, and supervision improvements.
Citations (1)
Resident was observed being fondled by another resident in the secured dementia care unit, with multiple incidents of inappropriate resident behaviors documented.
Report Facts
Residents Served: 87
Secured Dementia Care Unit Residents Served: 14
Hospice Residents: 12
Residents with Mobility Need: 53
Residents Diagnosed with Intellectual Disability: 2
Staffing Hours - Total Daily Staff: 140
Staffing Hours - Waking Staff: 105
Inspection Report — Feb 7, 2024
Complaint Investigation
Date: Feb 7, 2024
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 02/07/2024 and 02/08/2024.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and follow-up was not required.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 85
Secured Dementia Care Unit Residents Served: 14
Hospice Current Residents: 9
Residents Age 60 or Older: 85
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 51
Residents with Physical Disability: 1
Total Daily Staff: 136
Waking Staff: 102
Inspection Report — Jun 27, 2023
Date: Jun 27, 2023
Visit Reason
The inspection was a licensing inspection conducted 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: 89
Memory Care Residents Served: 15
Hospice Current Residents: 11
Residents with Mobility Need: 40
Residents Age 60 or Older: 89
Residents Diagnosed with Intellectual Disability: 1
Residents Diagnosed with Physical Disability: 1
Inspection Report — Jun 5, 2023
Renewal
Date: Jun 5, 2023
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements at Paramount Senior Living at Peters Township.
Findings
The report found multiple deficiencies including unlocked confidential resident records, unsigned resident contracts, incomplete medical evaluations, outdated prescription medications, and fire safety inspection and evacuation time issues. All deficiencies had plans of correction submitted and were noted as implemented by July 2023.
Citations (8)
Resident medical information and communications log were unlocked and accessible in a common area.
Resident #4's resident-home contract was not signed by the resident.
Fire safety inspection and fire drill were not conducted annually as required; previous inspection was over 2 years old.
Evacuation times during fire drills exceeded the maximum allowed time of 2 minutes 30 seconds.
Resident #5's medical evaluation did not include pulse rate or immunization history.
A discontinued medication was present in resident #5's medication cart.
Resident #5's preadmission screening form lacked signature and determination that the home can meet resident's needs.
Resident #5's medical evaluation did not indicate the need for secured dementia care unit placement.
Report Facts
Residents Served: 86
Secured Dementia Care Unit Residents Served: 11
Evacuation Time: 3.67
Evacuation Time: 6.75
Current Evacuation Time: 7.5
Inspection Report — Oct 12, 2022
Follow-Up
Date: Oct 12, 2022
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility.
Complaint Details
The visit was incident-related, involving an investigation of alleged abuse between two residents. The incident was not initially reported to the Department. The plan of correction was accepted and fully implemented.
Findings
The submitted plan of correction related to an incident involving alleged abuse was fully implemented. The facility was found to be in compliance with the required corrective actions, including staff education and monitoring of emergency services on-site.
Citations (1)
Failure to report an incident of alleged abuse to the Department's personal care home regional office within 24 hours as required by Regulation 16c.
Report Facts
Residents Served: 86
Secured Dementia Care Unit Residents Served: 16
Hospice Current Residents: 15
Residents Age 60 or Older: 86
Residents with Mobility Need: 46
Residents Diagnosed with Intellectual Disability: 1
Residents with Physical Disability: 1
Inspection Report — Mar 4, 2022
Renewal
Date: Mar 4, 2022
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 20, 2022
Complaint Investigation
Date: Jan 20, 2022
Visit Reason
The inspection was conducted as a complaint investigation following an unannounced partial inspection on 01/20/2022.
Complaint Details
The inspection was complaint-driven as indicated by the reason 'Complaint' and the partial unannounced inspection on 01/20/2022.
Findings
Multiple deficiencies were identified related to medication administration errors, failure to report incidents, incomplete criminal background checks, inadequate staff qualifications and training, improper medication storage, and incomplete medication documentation. Plans of correction were accepted with completion dates mostly by 03/31/2022.
Citations (15)
Resident #1 and #2 did not receive prescribed medications due to unavailability and incidents were not reported to the Department.
Criminal background check was not completed for staff person A.
Direct care staff persons B and C lacked required qualifications such as high school diploma or nurse aide registry status.
Direct care staff persons B, C, and D did not complete and pass the Department-approved direct care training course and competency test.
Loose pills were found in medication carts indicating improper medication storage.
Medication procedures did not address documentation using paper MARs; facility was using paper MARs instead of electronic records.
Medication errors were not immediately reported to residents, designated persons, or prescribers.
Documentation of medication errors and prescriber's response was not maintained in resident records.
No system was in place to identify and document medication errors and patterns of errors.
No documentation of follow-up action taken to prevent future medication errors.
Staff person D administered medications without completing the required annual practicum.
OTC medication (Boudreaux's Butt Paste) was not labeled with resident's name.
Resident #1's medication administration records did not indicate diagnosis or purpose for daily medications.
Medication administration records lacked initials of staff administering medications on multiple dates for several residents.
Prescriber's orders were not followed; resident #3 was given a substitute medication instead of the prescribed ointment.
Report Facts
Residents Served: 39
Current Hospice Residents: 2
Resident Mobility Need: 5
Total Daily Staff: 44
Waking Staff: 33
Medication Errors: 3
Inspection Report — Sep 28, 2021
Renewal
Date: Sep 28, 2021
Visit Reason
The inspection was conducted as a full, unannounced visit for renewal, complaint, and incident reasons from 09/28/2021 to 10/01/2021.
Findings
The inspection identified several deficiencies including an obstructed emergency exit door, unlocked medications accessible to a resident, incomplete resident assessments, and missing preadmission screening documentation. All deficiencies were corrected with plans of correction accepted and implemented.
Citations (4)
The automatic sliding glass door for the first floor emergency exit did not open to the outside.
Resident #1's prescription medication was unlocked and accessible on the resident's nightstand.
The assessment dated 1/20/21 for resident #2 was blank in areas under Cognitive and Behavioral Needs including Understanding Instructions, Short-Term Memory, and Long-Term Memory.
Resident #3 was admitted to the secured dementia care unit without a completed written cognitive preadmission screening.
Report Facts
Residents Served: 69
Residents Served in Dementia Care Unit: 14
Hospice Residents: 6
Residents 60 Years or Older: 68
Residents with Mobility Need: 44
Residents with Physical Disability: 3
Total Daily Staff: 113
Waking Staff: 85
Inspection Report — Apr 20, 2021
Renewal
Date: Apr 20, 2021
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 — Apr 5, 2021
Renewal
Date: Apr 5, 2021
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.
Notice — Mar 14, 2021
Date: Mar 14, 2021
Visit Reason
This document serves as a certificate of compliance and notification of license renewal for Paramount Senior Living at Peters Township, confirming the facility's authorized operation and advising that an annual inspection will be conducted within the next twelve months.
Findings
The Department has issued a regular license in response to the renewal application and will conduct an onsite inspection within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janet Stockhausen | Compliance Nurse | Recipient of the renewal application response letter |
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report — Nov 13, 2020
Complaint Investigation
Date: Nov 13, 2020
Visit Reason
The inspection was conducted as a complaint investigation at Paramount Senior Living at Peters Township.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 78
Secured Dementia Care Unit Residents Served: 15
Hospice Current Residents: 9
Residents Age 60 or Older: 77
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 53
Residents with Physical Disability: 1
Inspection Report — Oct 26, 2020
Renewal
Date: Oct 26, 2020
Visit Reason
The inspection was a licensing inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing for Paramount Senior Living at Peters Township.
Findings
No regulatory citations or deficiencies were identified as a result of the inspection conducted on 10/26/2020.
Notice — Oct 16, 2020
Date: Oct 16, 2020
Visit Reason
This document grants a waiver to Paramount Senior Living at Peters Township for the requirement that a new administrator complete a Department-approved orientation program, due to the program's unavailability.
Findings
The waiver allows the designated administrator to serve without attending the orientation program while it remains unavailable, with conditions for scheduling attendance once the program is available and maintaining documentation of qualifications.
Inspection Report — Jul 8, 2020
Complaint Investigation
Date: Jul 8, 2020
Visit Reason
The inspection was conducted as a complaint investigation and incident review at Paramount Senior Living at Peters Township.
Complaint Details
The inspection was triggered by a complaint and incident, with a follow-up plan of correction submission required.
Findings
The inspection found violations related to the facility's fee schedule and resident-home contracts, specifically regarding unclear charges for level of care services and improper billing for masks that residents did not receive daily.
Citations (2)
25c2 - Fee Schedule: Residents were charged daily rates for level of care services without clear disclosure of charges, included services, or level determination in contracts. The facility billed residents $3/day for masks in June 2020, but residents did not receive new masks daily.
42v - Resident-Home Contract: The facility billed residents $3/day for masks without providing new masks daily, violating the resident's right to receive contracted services.
Report Facts
Residents Served: 82
Residents Served in Dementia Unit: 17
Hospice Residents: 9
Daily Mask Charge: 3
Daily Rate Level of Care I: 15
Daily Rate Level of Care II: 25
Inspection Report — Jan 31, 2020
Routine
Date: Jan 31, 2020
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of Paramount Senior Living at Peters Township to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
No regulatory citations were identified as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Larry Mazza | Human Services Licensing Supervisor | Signed the inspection report letter. |
Document — Jan 14, 2020
Date: Jan 14, 2020
Visit Reason
The document is a letter approving an increase in the licensed capacity of Paramount Senior Living at Peters Township from 109 to 120 residents.
Findings
The documents indicate no violations or deficiencies in the self-inspection checklist related to physical site accommodations and safety regulations.
Report Facts
Inspection Report — Dec 27, 2019
Routine
Date: Dec 27, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of Paramount Senior Living at Peters Township to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
No regulatory citations were identified as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jason Williams | Human Services Licensing Supervisor | Signed the inspection report letter. |
Notice — Nov 27, 2019
Date: Nov 27, 2019
Visit Reason
The document serves as a renewal notice for the Personal Care Home license of Paramount Senior Living at Peters Township and informs about the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application.
Report Facts
Inspection Report — Nov 21, 2019
Follow-Up
Date: Nov 21, 2019
Visit Reason
The visit was a follow-up review to verify that the previously submitted plan of correction for an incident was fully implemented.
Findings
The plan of correction related to an abuse incident involving a resident was found to be fully implemented. Continued compliance must be maintained.
Citations (1)
Regulation 42.b prohibits neglect, intimidation, abuse, mistreatment, or corporal punishment. On 11/16/19, staff member A physically restrained and verbally abused resident #1 in the secured dementia care unit.
Report Facts
Residents Served: 91
Secured Dementia Care Unit Residents Served: 24
Hospice Current Residents: 11
Total Daily Staff: 153
Waking Staff: 115
Residents with Mobility Need: 62
Residents 60 Years or Older: 91
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tyler Funa | Executive Director | Named in plan of correction and signature on violation report |
Inspection Report — Oct 15, 2019
Renewal
Date: Oct 15, 2019
Visit Reason
The inspection was conducted as a renewal inspection to review compliance with licensing regulations and verify the implementation of submitted plans of correction.
Findings
The facility had multiple violations related to resident privacy, fire safety training, sanitary conditions, first aid knowledge, medication labeling, storage procedures, and follow prescriber's orders. Plans of correction were submitted and partially or fully implemented by the dates indicated.
Citations (11)
Regulation 42.s: Residents #1 and #6 shared a room with two portable commodes that did not provide privacy during toileting.
Regulation 65.g: Direct care staff person A received fire safety training via video without onsite staff accompaniment by a fire safety expert.
Regulation 65.i: Staff training records lacked documentation of actual dates and lengths of required training courses.
Regulation 85.a: Resident #7's glucometer was used to measure blood glucose levels of residents #8 and #9, and a strong urine smell was noted in resident room #202.
Regulation 96.b: Staff persons B, C, and D did not know the location of the home's first aid kit.
Regulation 184.a: Resident #5's medication containers lacked proper pharmacy labels with directions for administration.
Regulation 185.a: Multiple residents' glucometers were not calibrated to the current date and time, and medication administration records contained discrepancies.
Regulation 187.d: Resident #7 received incorrect insulin dosage due to errors in sliding scale calculator use and documentation.
Regulation 183.d: Resident #1 had a bottle of medication with a label indicating it was no longer prescribed.
Regulation 184.a: Resident #1's Ipratropium-albuterol medication was not properly labeled with directions and had an unchanged sticker.
Regulation 187.d: Resident #2's blood glucose readings and medication administration records contained discrepancies and incorrect entries.
Report Facts
Residents Served: 83
Secured Dementia Care Unit Residents Served: 22
Hospice Current Residents: 10
Resident Support Staff: 143
Waking Staff: 107
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nancy Scenna | President Care Manager | Named as Legal Entity Representative and signer of plans of correction |
Inspection Report — Jul 23, 2019
Complaint Investigation
Date: Jul 23, 2019
Visit Reason
The inspection was conducted as a result of an incident complaint involving resident care at Paramount Senior Living at Peters Township.
Complaint Details
The inspection was triggered by an incident complaint involving resident #1 on 7/14/19, where staff used inappropriate physical restraint and failed to use positive interventions. The complaint was substantiated as violations were found.
Findings
The facility was found to have violations related to positive interventions and prohibitions, specifically involving inappropriate staff behavior during incontinence care of a resident. The facility failed to use positive interventions and improperly restrained a resident.
Citations (2)
Regulation 201: The facility failed to use positive interventions to modify or eliminate a resident's behavior during incontinence care, including staff muffling the resident's screams and covering the resident's mouth.
Regulation 202: The facility prohibited manual restraints but staff used a manual restraint by covering and muffling the resident's mouth during care.
Report Facts
Residents Served: 91
Secured Dementia Care Unit Residents Served: 25
Hospice Current Residents: 10
Residents Age 60 or Older: 90
Residents with Mobility Need: 64
Residents with Physical Disability: 1
Inspection Report — May 1, 2019
Routine
Date: May 1, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of the facility on May 1, 2019.
Findings
No regulatory citations with 55 Pa. Code Ch. 2600 relating to Personal Care Homes were identified as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Larry Mazza | Human Services Licensing Supervisor | Signed the inspection report letter. |
Inspection Report — Jan 28, 2019
Complaint Investigation
Date: Jan 28, 2019
Visit Reason
The inspection was conducted as a complaint investigation due to an incident involving resident rights violations at Paramount Senior Living at Peters Township.
Complaint Details
The complaint was substantiated based on observed inappropriate staff behavior toward resident #1, including verbal disrespect and yelling.
Findings
The inspection found that staff person A made inappropriate and disrespectful comments to resident #1 on multiple occasions. The facility was cited for violating regulation 2600.42(c) regarding treating residents with dignity and respect.
Citations (1)
Regulation 55 Pa.Code §2600.42(c) was violated when staff person A made inappropriate and disrespectful comments to resident #1, including yelling and harsh tones during the resident's shower and phone use.
Report Facts
Number of Residents Served: 87
Number of Current Hospice Residents: 18
Number of Hospice Residents in past year: 50
Residents Age 60 or Older: 86
Residents with Mobility Need: 53
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nancy Scenna | Administrator | Signed plan of correction and legal entity representative |
Notice — Dec 7, 2018
Date: Dec 7, 2018
Visit Reason
The document serves as a renewal approval for the Personal Care Home license for Paramount Senior Living at Peters Township, confirming the facility's compliance and outlining the requirement for annual inspections.
Findings
The Department of Human Services has approved the renewal application and issued a regular license. The letter states that annual onsite inspections will be conducted to ensure ongoing compliance with Title 55, PA Code, Chapter 2600.
Report Facts
Inspection Report — Oct 16, 2018
Routine
Date: Oct 16, 2018
Visit Reason
The Department’s Bureau of Human Services representatives conducted an inspection of the facility to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
No regulatory violations were identified as a result of this inspection.
Inspection Report — Aug 28, 2018
Renewal
Date: Aug 28, 2018
Visit Reason
The inspection was a renewal inspection conducted on August 28 and 29, 2018, to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.
Findings
The inspection identified multiple violations related to resident confidentiality, storage of poisonous materials, medication management, pre-admission screening, initial assessments, support plans, and resident record documentation. Plans of correction were submitted and partially implemented as of April 18, 2019.
Citations (7)
55 Pa.Code §2600.17 - Resident records were not kept confidential as multiple resident names were publicly posted at the home's reception desk.
55 Pa.Code §2600.82(c) - Six tablets of Polident Denture Cleaner were unlocked and accessible in a resident's shared bedroom in the secured dementia care unit.
66 Pa.Code §2600.185(a) - Blood glucose reading histories were deleted monthly instead of being retained as required.
66 Pa.Code §2600.224(a) - The pre-admission screening form for resident #5 did not indicate that the resident's needs could be met by the home.
66 Pa.Code §2600.225(a) - The initial assessment for resident #9 did not address diagnoses of hypertension, delirium, depression, anxiety, or psychosis.
66 Pa.Code §2600.227(c) - The support plan for resident #10 lacked the hospice provider's name and contact information and did not indicate which services the hospice agency would provide.
66 Pa.Code §2600.251(b) - Entries in resident #9's record were altered using correction fluid, violating documentation standards.
Report Facts
Number of Residents Served: 90
Total Daily Staff: 143
Working Staff: 107
Number of Current Hospice Residents: 18
Number of Hospice Residents in Past Year: 55
Inspection Report — Jun 14, 2018
Routine
Date: Jun 14, 2018
Visit Reason
The Department's Bureau of Human Services Licensing representatives conducted an inspection of the facility on June 14, 2018.
Findings
No regulatory violations with 55 Pa. Code Ch. 2600 (relating to Personal Care Homes) were identified as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Larry Mazza | Human Services Licensing Supervisor | Signed as the Human Services Licensing Supervisor on the inspection report. |
Inspection Report — May 30, 2018
Routine
Date: May 30, 2018
Visit Reason
The Department's Bureau of Human Services Licensing representatives conducted an inspection of the facility on May 30, 2018.
Findings
No regulatory violations with 55 Pa. Code Ch. 2600 (relating to Personal Care Homes) were identified as a result of this inspection.
Inspection Report — Apr 27, 2018
Routine
Date: Apr 27, 2018
Visit Reason
The Department's Bureau of Human Services representatives conducted an inspection of Paramount Senior Living at Peters Township on April 27, 2018.
Findings
No regulatory violations with 55 Pa. Code Ch. 2600 (relating to Personal Care Homes) were identified as a result of this inspection.
Inspection Report — Jan 12, 2018
Routine
Date: Jan 12, 2018
Visit Reason
The Department of Human Services licensing representatives conducted an inspection of the facility on January 12, 2018.
Findings
No regulatory violations were identified as a result of this inspection.
Notice — Nov 29, 2017
Date: Nov 29, 2017
Visit Reason
The document serves as a renewal notification for the Personal Care Home license of Paramount Senior Living at Peters Township, confirming the issuance of a regular license and advising of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document as it is a license renewal notice.
Report Facts
Inspection Report — Nov 16, 2017
Routine
Date: Nov 16, 2017
Visit Reason
The Department of Human Services licensing representatives conducted an inspection of the facility on November 16, 2017.
Findings
No regulatory violations were identified as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brent Sutherland | Acting Regional Licensing Director | Signed the inspection report letter. |
Inspection Report — Nov 7, 2017
Complaint Investigation
Date: Nov 7, 2017
Visit Reason
The inspection was conducted due to an incident involving an allegation of abuse at the facility.
Complaint Details
The complaint involved an allegation by Resident #1 on 11/5/2017 of abuse by staff person B. The allegation was substantiated by the facility's investigation and corrective actions were taken including suspension of staff person B and staff training.
Findings
The investigation found that Resident #1 alleged abuse by staff person B, including verbal and physical actions. The facility took immediate corrective actions including staff suspension, staff training, and ongoing monitoring to prevent recurrence.
Citations (2)
55 Pa.Code 2600.15(a) - The home failed to immediately report suspected abuse of a resident as required by regulations.
55 Pa.Code 2600.15(b) - The home failed to develop and implement a plan of supervision or suspend the staff person involved in the alleged abuse incident immediately.
Report Facts
Number of Residents Served: 90
Number of Residents Served in Secured Dementia Care Unit: 23
Number of Current Hospice Residents: 12
Number of Hospice Residents in past year: 45
Number of Residents Age 60 or Older: 89
Number of Residents with Mobility Need: 40
Inspection Report — Sep 6, 2017
Renewal
Date: Sep 6, 2017
Visit Reason
The inspection was conducted as a renewal and complaint investigation for Paramount Senior Living at Peters Township on September 6-8, 2017.
Complaint Details
The inspection included a complaint investigation as indicated by the reason for inspection and multiple findings related to resident care and facility conditions.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including issues with resident record confidentiality, administrator orientation, sanitary conditions, food storage, medication management, and resident assessments. Plans of correction were partially implemented with adequate progress noted.
Citations (8)
55 Pa.Code §2600.17 - Resident records were not kept confidential; medication administration records and other resident information were accessible on an unattended medication cart.
55 Pa.Code §2600.64(a) - The administrator on duty had not completed the Department-approved orientation course by the required date.
55 Pa.Code §2600.85(a) - The deep fryer in the kitchen was filled with dark oil and out of service for 2 to 3 weeks; cereal containers had sticky residue.
55 Pa.Code §2600.103(g) - Food items in the kitchen walk-in freezer were open and unsealed, including chicken breasts, fish patties, and chicken drumsticks.
55 Pa.Code §2600.185(a) - The home failed to develop and implement safe storage and use procedures for medications and medical equipment.
55 Pa.Code §2600.225(a) - Resident #6's initial assessment did not address the need for a wheelchair to ambulate.
55 Pa.Code §2600.225(c) - Resident #1's, #7's, and #9's significant change assessments were not updated with additional permitted foods or mobility needs.
55 Pa.Code §2600.227(c) - Resident #10 and #11's support plans were not revised within 30 days of the annual assessment or significant change.
Report Facts
Number of Residents Served: 94
Total Daily Staff: 135
Waking Staff: 101
Number of Residents Served in Secured Dementia Care Unit: 24
Number of Current Hospice Residents: 12
Number of Hospice Residents in Past Year: 40
Number of Residents Age 60 or Older: 93
Number of Residents with Mobility Need: 41
Number of Residents with Physical Disability: 1
Inspection Report — Mar 24, 2017
Routine
Date: Mar 24, 2017
Visit Reason
The Department of Human Services licensing representatives conducted an inspection of Paramount Senior Living at Peters Township on March 24, 2017.
Findings
No regulatory violations were identified as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susie Pollock | Regional Licensing Director | Signed the inspection report letter. |
Inspection Report — Mar 17, 2017
Routine
Date: Mar 17, 2017
Visit Reason
The Department of Human Services licensing representatives conducted an inspection of Paramount Senior Living at Peters Township on March 17, 2017.
Findings
No regulatory violations were identified as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susie Pollock | Regional Licensing Director | Signed the inspection report letter. |
Notice — Nov 22, 2016
Date: Nov 22, 2016
Visit Reason
Notification of receipt of renewal application and information about 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 outlines the Department's inspection requirements.
Report Facts
Inspection Report — Sep 26, 2016
Routine
Date: Sep 26, 2016
Visit Reason
The Department of Human Services licensing representatives conducted an inspection of Paramount Senior Living at Peters Township.
Findings
No regulatory violations were identified as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susie Pollock | Regional Licensing Director | Signed the inspection report letter. |
Inspection Report — Aug 29, 2016
Annual Inspection
Date: Aug 29, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections on August 29 and 30, 2016, for Paramount Senior Living at Peters Township.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including issues with sanitary conditions, missing emergency telephone numbers, inoperable bedside lamps, and failure to follow prescriber directions for medications. Plans of correction were submitted and partially or fully implemented.
Citations (4)
2600.85(a) - Sanitary conditions were not maintained; a soiled brief was found on the floor and glucometers were not properly labeled. The facility replaced glucometers and improved disposal practices to correct this.
2600.91 - Telephone numbers for emergency services were not posted at the 2nd floor nurse's station. A sticker with appropriate numbers was placed on the phone to correct this.
2600.101(j)(7) - Resident #2's bedside lamp was inoperable. The lamp was made operable by plugging it in properly.
2600.187(d) - The home failed to follow prescriber directions for resident #1's medications, resulting in missed doses. PRN medication policies were reinforced and monitored to ensure timely administration.
Report Facts
Number of Residents Served: 94
Total Daily Staff: 134
Waking Staff: 101
Number of Current Hospice Residents: 12
Number of Hospice Residents in Past Year: 39
Number of Residents Served in Secured Dementia Care Unit: 30
Number of Residents Age 60 or Older: 93
Number of Residents with Mobility Need: 40
Inspection Report — Apr 14, 2016
Complaint Investigation
Date: Apr 14, 2016
Visit Reason
The inspection was conducted as a complaint and incident investigation at Paramount Senior Living at Peters Township.
Complaint Details
The complaint involved allegations of abuse by a staff member toward a resident, including rude and threatening behavior. The facility initially did not report the incident until after notification by the resident's daughter. The staff member was suspended and then terminated following investigation.
Findings
The facility was found to have violations related to abuse reporting, failure to immediately report suspected abuse, and failure to treat a resident with dignity and respect. The violations involved a staff member verbally abusing a resident and the facility's delayed reporting of the incident.
Citations (4)
55 Pa.Code 2600.15(a) - The home failed to immediately report suspected abuse of a resident by a staff member and comply with reporting requirements.
55 Pa.Code 2600.15(b) - The home failed to develop and implement a plan of supervision or suspend a staff person involved in an alleged abuse incident.
55 Pa.Code 2600.16(c) - The home failed to report the incident to the Department's personal care home regional office or complaint hotline within 24 hours as required.
55 Pa.Code 2600.42(c) - A resident was not treated with dignity and respect when a staff member spoke rudely and yelled repeatedly at the resident, causing the resident to feel threatened and treated like a dog.
Report Facts
Number of Residents Served: 92
Number of Current Hospice Residents: 13
Number of Residents Served in Secured Dementia Care Unit: 25
Number of Residents 60 Years or Older: 91
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Derek Culbertson | Administrator | Signed plan of correction and involved in follow-up and corrective actions |
| Janet Stockhausen | Administrator | Named as administrator in report header |
| Patricia Bartlett | Department of Human Services Licensing representative conducting inspection | |
| Karen Georgoulis | Department of Human Services Licensing representative conducting inspection |
Inspection Report — Jan 25, 2016
Complaint Investigation
Date: Jan 25, 2016
Visit Reason
The inspection was conducted due to complaint and incident reports at the facility.
Complaint Details
The inspection was triggered by complaints and incidents. The investigation found substantiated violations related to staff training, medication management, and resident support plans.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including incomplete direct care staff training, missing medication accountability, and inadequate resident support plans. The facility submitted plans of correction with partial implementation progress noted.
Citations (3)
Regulation 55 Pa.Code 2600.65(d): Direct care staff hired after April 24, 2006 did not complete the required Department-approved training course and competency test before providing unsupervised ADL services.
Regulation 55 Pa.Code 2600.185(a): The home failed to develop and implement procedures for safe storage, access, security, distribution, and use of medications by trained staff. Medication cards and narcotic count sheets were missing for multiple residents.
Regulation 55 Pa.Code 2600.227(c): Resident support plans were not revised within 30 days of the annual assessment or changes in resident needs, resulting in inadequate supervision and protection for residents with inappropriate behaviors.
Report Facts
Number of Residents Served: 94
Number of Residents Served in Secured Dementia Care Unit: 30
Number of Current Hospice Residents: 16
Number of Hospice Residents in Past Year: 28
Total Daily Staff: 134
Waking Staff: 101
Residents Age 60 or Older: 93
Residents with Mobility Need: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Derek Culbertson | Executive Director | Signed plan of correction and legal entity representative |
| Janet Stockhausen | Administrator | Named as facility administrator in violation report header |
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