Inspection Reports for
Pleasant Ridge
981 PLEASANT HILL ROAD,, LEECHBURG, PA, 15656
Back to Facility Profile33 Reports
Inspection Report — Apr 30, 2026
Complaint Investigation
Date: Apr 30, 2026
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection of the facility.
Complaint Details
The inspection was complaint-related, but no deficiencies or regulatory citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 48
Current Hospice Residents: 3
Residents Receiving Supplemental Security Income: 21
Residents Diagnosed with Mental Illness: 24
Residents with Mobility Need: 20
Residents Age 60 or Older: 47
Residents Diagnosed with Intellectual Disability: 3
Residents with Physical Disability: 2
Inspection Report — Aug 4, 2025
Renewal
Date: Aug 4, 2025
Visit Reason
The inspection was conducted as a renewal and complaint investigation visit to assess compliance with licensing regulations and address complaint issues.
Complaint Details
The inspection included a complaint investigation component, but the report does not explicitly state the substantiation status of the complaint.
Findings
The inspection found deficiencies related to bathroom ventilation, menu posting, medication storage procedures, and medication administration documentation. Plans of correction were submitted and determined to be fully implemented by the follow-up date.
Citations (5)
The 2 bathrooms across from bedroom #228 did not have an operable, outside window or an operable exhaust fan for ventilation.
The menus posted in the facility only included the dates of 8/4/25 to 8/10/25.
Resident #2’s glucometer was not set to the correct time, resulting in incorrect documentation of blood glucose readings.
Resident #3’s medication administration record included an entry for Atorvastatin 10 mg instead of the prescribed 20 mg, with staff initialing entries as if administered.
Resident #2 was prescribed Toujeo 300 units/ml – 26 units at bedtime, but the medication was not administered from 7/14/25 to 7/20/25 due to unavailability.
Report Facts
Residents Served: 48
Staffing Hours: 58
Waking Staff: 44
Current Hospice Residents: 6
Residents with Mental Illness: 30
Residents 60 Years or Older: 46
Residents with Mobility Need: 10
Notice — Jul 8, 2025
Date: Jul 8, 2025
Visit Reason
The document serves to notify Pleasant Ridge that their request to waive the standard medical evaluation form requirement is granted, allowing use of an alternative form from TabulaPro.
Findings
The Department of Human Services approved the waiver under the condition that Pleasant Ridge uses the TabulaPro medical evaluation form. Compliance with this waiver will be reviewed during the annual inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing Office of Long-Term Living | Signed the waiver approval letter. |
Inspection Report — Mar 19, 2025
Original Licensing
Date: Mar 19, 2025
Visit Reason
The inspection was conducted due to a change in legal entity and as part of the initial licensing inspection for the newly licensed facility.
Findings
The facility was found to be in substantial compliance with applicable regulations, but several citations were noted including missing carbon monoxide alarms, hot water temperature exceeding limits, missing window screens, lack of bedside lighting for a resident, and missing fire department notification documentation. All deficiencies had accepted plans of correction and were implemented by early April 2025.
Citations (5)
No operable carbon monoxide alarms near the gas stove, gas dryers, and gas boilers.
Hot water temperature at a common bathroom sink measured 130.1°F, exceeding the 120°F limit.
No screen in the open window in the kitchen.
Resident #1 did not have access to a source of light that can be turned on/off at bedside.
No documentation of written notification to the local fire department regarding the home's address, bedroom locations, and evacuation assistance needs.
Report Facts
Residents Served: 47
Hot Water Temperature: 130.1
Staffing Hours: 58
Waking Staff: 44
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed the licensing letter and certificate. |
| Maintenance Director | Responsible for correcting carbon monoxide alarms, hot water temperature checks, window screen installation, and related maintenance tasks. | |
| Administrator | Notified the fire department during the inspection and responsible for ongoing notifications. |
Inspection Report — Jul 18, 2024
Complaint Investigation
Date: Jul 18, 2024
Visit Reason
The inspection was a complaint investigation conducted on 07/18/2024 to review compliance with applicable regulations at Pleasant Ridge Mature Living.
Complaint Details
The inspection was conducted as a complaint investigation with an exit conference on 07/18/2024. The submitted plan of correction was found not fully implemented as of the follow-up date.
Findings
The inspection found multiple violations including lack of food manager certification among staff, unsanitary kitchen and facility conditions, evidence of insect infestation including bed bugs, malfunctioning kitchen equipment, and improper food storage temperatures. Plans of correction were submitted but not fully implemented as of the follow-up date.
Citations (12)
No staff had a nationally recognized food manager certification despite serving breakfast and lunch to 44 residents.
Hand washing sink and surrounding areas in the main kitchen were covered with grime and food particles; multiple areas had dirt, grime, food particles, and pest evidence.
Multiple plungers soiled with toilet paper and feces were found in various bathrooms.
Rotten/moldy tomatoes found in cooler #1; repeated violation.
Over 20 live bed bugs and bed bug carcasses found on mattresses and bedding in bedrooms #216 and #227.
Trash can in main kitchen lacked a lid; dumpster lid was not covering the dumpster properly.
Floors, walls, and ceiling of main kitchen had multiple food stains, crumbs, and grease stains; hole in wall near bedroom #230.
Water dripping from ceiling of cooler #1 onto food containers; cold-water handle missing in bathroom sink.
Oven in main kitchen stove was inoperable.
Grease and grime on floor between dish sink and food serving table; toilet plunger stored on kitchen floor; crumbs and grime on metal shelves.
Freezer #4 temperature was 20°F, above required 0°F for frozen food; repeated violation.
Dishwasher water temperature was 90°F, below required minimum of 120°F.
Report Facts
Residents served: 47
Residents served breakfast and lunch: 44
Live bed bugs: 20
Freezer temperature: 20
Dishwasher water temperature: 90
Inspection Report — Feb 21, 2024
Follow-Up
Date: Feb 21, 2024
Visit Reason
The inspection was a follow-up visit triggered by a complaint and incident to verify the implementation of a previously submitted plan of correction.
Complaint Details
The inspection was complaint-related, triggered by a complaint and incident. Substantiation status is not explicitly stated.
Findings
The submitted plan of correction was determined to be fully implemented with continued compliance required. Deficiencies involved treatment of residents, sanitary conditions, and additional resident assessments.
Citations (3)
Resident displayed physical affection to other residents by kissing their hands and faces despite staff instructions not to do so.
Sanitary conditions were not maintained, including food particles and liquid spills on the dining room floor, a soiled rag on the countertop, and stained carpeting near the refrigerator.
Resident assessments did not include significant behavioral changes such as inappropriate physical affection and self-harm behavior using disposable razors.
Report Facts
Residents Served: 51
Current Hospice Residents: 10
Staffing Hours: 63
Waking Staff: 47
Residents Receiving Supplemental Security Income: 19
Residents 60 Years or Older: 50
Residents Diagnosed with Mental Illness: 14
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 12
Residents with Physical Disability: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Resident Care | Conducted staff training on treating residents with dignity and respect and sanitation; performed privacy interviews and sanitation checks. | |
| Kitchen Manager | Responsible for performing sanitation checks daily for one month, then weekly thereafter. | |
| Resident Care Supervisor | Performed audits on resident support plans and will check every two months thereafter. |
Inspection Report — Jan 25, 2024
Complaint Investigation
Date: Jan 25, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 01/25/2024.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and no follow-up was required.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 50
Current Residents in Hospice: 6
Resident Support Staff: 0
Total Daily Staff: 61
Waking Staff: 46
Residents Receiving Supplemental Security Income: 22
Residents 60 Years or Older: 49
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 11
Residents with Physical Disability: 1
Inspection Report — Dec 6, 2023
Renewal
Date: Dec 6, 2023
Visit Reason
The inspection was a renewal visit conducted on 12/06/2023 to review compliance with licensing requirements for Pleasant Ridge Mature Living.
Findings
The facility was found to have multiple deficiencies including failure to post the current license inspection summary, unsecured resident records, incomplete fire safety training for staff, maintenance issues such as leaking pipes and door latches, lack of nonskid surfaces on exterior ramps, improper placement of bedside lamps, refrigerator/freezer temperature violations, obstructed egress routes, inadequate fire drills, unposted menu changes, and medication labeling discrepancies. Plans of correction were submitted and implemented by 02/21/2024.
Citations (11)
The most recent license inspection summary was not posted in a conspicuous and public place in the home.
Resident records were unsecured and accessible in an unlocked medical records room.
Direct care staff persons did not receive fire safety training completed by a fire safety expert during the 2022 training year.
Leaking boiler tank and water pipe causing wet floor areas and water damage; door latches removed preventing secure closure.
No nonskid surface on wooden landing and wooden ramp outside emergency exit door between bedrooms #206 and #207.
Resident bedside lamp was not within reach and could not be turned on/off from bedside.
Kitchen storage room freezer temperatures exceeded required limits and lacked thermometers.
Emergency exit door was obstructed by a large piece of particle board.
Fire drills were not conducted with only two staff persons during overnight shifts in the past year.
Menu changes were not posted in a conspicuous and public place in advance of the meal.
Medication labeling discrepancy with conflicting dosage instructions on pharmacy labels.
Report Facts
Residents Served: 50
Resident Records Boxes: 25
Wet Area Length: 8
Particle Board Size: 35
Particle Board Width: 31
Freezer Temperature: 50
Freezer Temperature: 2
Freezer Temperature: 12
Freezer Temperature: 3
Inspection Report — Aug 22, 2023
Complaint Investigation
Date: Aug 22, 2023
Visit Reason
The inspection was conducted as a complaint investigation at Pleasant Ridge Mature Living on 08/22/2023.
Complaint Details
The inspection was complaint-driven, but no deficiencies or regulatory citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 42
Current Hospice Residents: 8
Resident Support Staff: 0
Total Daily Staff: 51
Waking Staff: 38
Residents Receiving Supplemental Security Income: 18
Residents Age 60 or Older: 41
Residents Diagnosed with Mental Illness: 13
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 9
Residents with Physical Disability: 2
Inspection Report — Jul 25, 2023
Complaint Investigation
Date: Jul 25, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation during unannounced licensing inspections on 07/25/2023 and 07/26/2023.
Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 47
Current Hospice Residents: 7
Resident Support Staff Daily Hours: 58
Waking Staff Daily Hours: 44
Residents Receiving Supplemental Security Income: 18
Residents Age 60 or Older: 45
Residents Diagnosed with Mental Illness: 13
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 11
Residents with Physical Disability: 4
Inspection Report — Jul 12, 2023
Complaint Investigation
Date: Jul 12, 2023
Visit Reason
The inspection was conducted as a complaint investigation following an incident involving resident #1 who fell from a Hoyer lift during transfer.
Complaint Details
The visit was complaint-related due to an incident where resident #1 fell from a Hoyer lift during transfer and was injured. The complaint was substantiated by findings of failure to report the incident and improper transfer assistance.
Findings
The facility failed to report the incident to the Department within 24 hours and did not follow the required assistance protocol for transferring resident #1, who requires two staff persons for transfers. Additionally, a criminal background check was not completed timely for a staff member.
Citations (3)
Failure to report an incident involving resident #1 falling from a Hoyer lift to the Department within 24 hours.
Resident #1 was transferred with a Hoyer lift by only one staff member instead of two as required, resulting in a fall and injury.
Pennsylvania criminal background check was not completed timely for staff person B.
Report Facts
Residents Served: 47
Hospice Current Residents: 7
Residents Receiving Supplemental Security Income: 20
Residents Age 60 or Older: 46
Residents Diagnosed with Mental Illness: 13
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 10
Residents with Physical Disability: 3
Inspection Report — Jun 6, 2023
Date: Jun 6, 2023
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 06/06/2023, with the reason stated as 'Incident'.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 44
Current Residents in Hospice: 7
Resident Support Staff: 0
Total Daily Staff: 55
Waking Staff: 41
Residents Receiving Supplemental Security Income: 20
Residents Age 60 or Older: 42
Residents Diagnosed with Mental Illness: 5
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 11
Residents with Physical Disability: 4
Inspection Report — Feb 23, 2023
Complaint Investigation
Date: Feb 23, 2023
Visit Reason
The inspection was conducted as a complaint investigation at Pleasant Ridge Mature Living on 02/23/2023.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and no follow-up was required.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 48
Current Hospice Residents: 5
Residents Receiving Supplemental Security Income: 18
Residents 60 Years or Older: 44
Residents Diagnosed with Mental Illness: 14
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 12
Residents with Physical Disability: 3
Total Daily Staff: 60
Waking Staff: 45
Inspection Report — May 10, 2022
Renewal
Date: May 10, 2022
Visit Reason
The inspection was conducted as a renewal and complaint investigation of Pleasant Ridge Mature Living on 05/10/2022 and 05/11/2022.
Complaint Details
The inspection included a complaint investigation as indicated by the reason for visit: Renewal, Complaint.
Findings
The inspection found multiple deficiencies including delayed access to staff records, lack of recent quality management review, late criminal background checks, insufficient emergency water supply, outdated fire safety inspection, incomplete medical evaluations, missing medication administration documentation, failure to follow prescriber's orders, and missing posted activity calendars.
Citations (11)
Delayed provision of staff person C's record to the Department agent because it was stored offsite.
The home had not conducted a quality management review within the past year.
Criminal history checks for staff person A and staff person B were completed months after their hire dates.
The home did not maintain at least a 3-day supply of emergency drinking water; only 56 gallons were on-site instead of the required 135 gallons.
The most recent fire safety inspection and fire drill conducted by a fire safety expert was completed on 4/15/21, not within the past year.
Resident #1's medical evaluation update lacked date, time, and person spoken to on the medical evaluation next to the correction.
The only menu posted was dated 5/9/22 through 5/15/22, not posted weekly in advance.
Medication administration records for residents #1 and #2 lacked initials of staff who administered medications on specified dates.
Resident #1's blood glucose was not taken before lunch on 5/3/22, so insulin administration per sliding scale could not be verified.
The home did not have a current weekly activity calendar posted in a public and conspicuous place.
Resident #1’s preadmission screening did not include a determination that the home can meet the needs of the resident.
Report Facts
Residents Served: 45
Emergency Drinking Water: 56
Required Emergency Drinking Water: 135
Staffing Hours: 58
Waking Staff: 44
Hospice Residents: 7
Residents Age 60 or Older: 42
Residents Diagnosed with Mental Illness: 15
Residents with Mobility Need: 13
Residents with Physical Disability: 2
Notice — Oct 13, 2021
Date: Oct 13, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for Pleasant Ridge Mature Living, a Personal Care Home, pursuant to Title 55, PA Code, Chapter 2600.
Findings
The Department has accepted the renewal application and issued a regular license. It advises that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report — May 26, 2021
Renewal
Date: May 26, 2021
Visit Reason
The inspection was conducted as a renewal inspection of Pleasant Ridge Mature Living to assess compliance with licensing requirements.
Findings
The inspection found several deficiencies including missing resident contract signatures, direct care staff lacking required qualifications and training, exterior hazards such as a hole and sharp board on the deck, lint accumulation in the dryer posing fire risk, missing emergency procedures posting, and incomplete resident support plans regarding home health services. Plans of correction were submitted and implemented to address these issues.
Citations (7)
Resident #1 did not sign resident-home contract.
Direct care staff person A does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Direct care staff person B began providing unsupervised ADL services before completing required training and competency test.
There was a 7" by 7" hole in the eighth floor board from the ramp on the side deck posing a trip and fall hazard; a board on the deck railing was separated and sticking up approximately 1.5 inches posing a laceration hazard.
Approximately 1/4 inch accumulation of lint in the lint trap of the commercial dryer in the laundry room.
The home's and municipality's emergency procedures were not posted in a conspicuous and public place in the home.
Resident #2's support plan did not include services provided by Concordia Home Health nursing.
Report Facts
Residents Served: 41
Current Residents in Hospice: 9
Total Daily Staff: 53
Waking Staff: 40
Hole Size: 7
Hole Size: 7
Board Protrusion: 1.5
Lint Accumulation: 0.25
Notice — Oct 6, 2020
Date: Oct 6, 2020
Visit Reason
The document serves to notify Pleasant Ridge Mature Living LLC that their request to waive 55 Pa.Code § 2600.141(a) regarding resident medical evaluation documentation has been granted under specified conditions.
Findings
The waiver allows the facility to use Tabula Pro’s medical evaluation form instead of the Department’s form. The Department will review compliance with this waiver during its annual inspection and may terminate the waiver or take licensing action if conditions are not met.
Notice — Sep 15, 2020
Date: Sep 15, 2020
Visit Reason
The document serves as a renewal notification and license issuance for Pleasant Ridge Mature Living, a Personal Care Home, following receipt of the renewal application dated September 11, 2020.
Findings
No inspection findings are reported in this document. It confirms that a regular license is being issued and advises that an onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Inspection Report — Jul 28, 2020
Routine
Date: Jul 28, 2020
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 — May 4, 2020
Complaint Investigation
Date: May 4, 2020
Visit Reason
The inspection was conducted as a complaint investigation with unannounced visits on May 4, 5, and 6, 2020.
Complaint Details
The inspection was triggered by a complaint and was unannounced. The violation involved medication administration errors for resident #1.
Findings
A medication administration violation was found involving resident #1 not receiving prescribed Tylenol doses as ordered. The submitted plan of correction was fully implemented and compliance was maintained.
Citations (1)
Regulation 2600 187.d requires following prescriber directions. Resident #1 was prescribed Tylenol 500mg and 325mg at specific times but was only administered partial doses from 4/14/20 through 5/4/20. This violation was a repeat from 10/4/2019 and 1/31/2019.
Report Facts
Residents Served: 42
Current Residents in Hospice: 11
Total Daily Staff: 53
Waking Staff: 40
Inspection Report — Feb 6, 2020
Renewal
Date: Feb 6, 2020
Visit Reason
The inspection was a full, unannounced renewal visit conducted to review compliance with licensing regulations.
Findings
The facility had multiple deficiencies including missing policies, safety hazards, and medication administration issues. All cited violations had approved plans of correction that were implemented by the time of the report.
Citations (16)
Regulation 2600 16.b: The home did not have a written policy on prevention, reporting, notification, investigation, and management of reportable incidents.
Regulation 2600 18: The facility lacked carbon monoxide detectors as required by The Care Facility Carbon Monoxide Alarm Standards Act.
Regulation 2600 25.b: The resident-home contract for resident #1 dated 6/1/19 was not signed by the resident.
Regulation 2600 60.a: On 1/25/20, 1/29/20, and 1/31/20, staffing was insufficient to safely evacuate all residents in an emergency.
Regulation 2600 82.c: A 6-ounce bottle of nail polish remover was unlocked and accessible in room 204, posing a poisoning risk.
Regulation 2600 85.d: Trash cans in shared resident bathrooms lacked lids and contained trash.
Regulation 2600 95: A mirror and soap dispenser were falling off walls in resident bathrooms and hallways.
Regulation 2600 96.a: The first aid kit in the second floor nursing station was missing a thermometer, scissors, and tweezers.
Regulation 2600 101.j: Residents #2 and #3 did not have operable bedside lighting that could be turned on/off.
Regulation 2600 102.i: There was no soap in the second floor shared bathroom and the soap dispenser cover was falling off.
Regulation 2600 103.f: Food requiring refrigeration was not properly stored; temperatures in freezers and coolers were above required levels.
Regulation 2600 130.e: Resident #8 was unable to hear the fire alarm system due to nerve deafness and the home lacked an approved signaling device.
Regulation 2600 183.b: Lancets and glucose test strips for resident #5 were unlocked and accessible in the dining room closet.
Regulation 2600 187.d: Resident #6 did not receive prescribed Fluticasone and Acetaminophen medications as ordered on multiple occasions.
Regulation 2600 191: There was no documentation of resident education on the right to question or refuse medication for residents #1, #6, and #7.
Regulation 2600 254.b: The home did not have a policy addressing record accessibility, security, storage, authorized use, and release.
Report Facts
Residents served: 52
Total Daily Staff: 68
Waking Staff: 51
Current Residents in Hospice: 10
Residents with Mobility Needs: 16
Inspection Report — Oct 4, 2019
Complaint Investigation
Date: Oct 4, 2019
Visit Reason
The inspection was conducted as a complaint investigation following an unannounced visit to the facility.
Complaint Details
The inspection was triggered by a complaint. The report details violations related to sanitary conditions and resident care, including failure to follow prescriber orders and incomplete documentation. The facility's plan of correction was fully implemented.
Findings
The inspection identified multiple violations related to sanitary conditions, follow prescriber's orders, preadmission screening, and support plan revisions. The facility submitted plans of correction which were fully implemented as of December 3, 2019.
Citations (4)
85a. Sanitary conditions shall be maintained. A pungent odor of raw sewage was present in the maintenance room due to sump pump issues and infrequent replacement of bio-block agents.
187d. The home shall follow the directions of the prescriber. Resident #1 was provided alcohol contrary to a physician's order limiting alcohol consumption due to history of ETOH dependency.
224a. A determination shall be made within 30 days prior to admission and documented on the preadmission screening form. Resident #1's preadmission screening form was incomplete and did not indicate if the home could meet the resident's needs.
227c. The support plan shall be revised within 30 days upon completion of the annual assessment or upon changes in the resident's needs. Resident #1's support plan did not address alcohol dependency and related behaviors.
Report Facts
Residents Served: 53
Current Residents in Hospice: 14
Residents Receiving Supplemental Security Income: 24
Residents 60 Years or Older: 19
Residents Diagnosed with Mental Illness: 17
Residents Diagnosed with Intellectual Disability: 3
Residents with Mobility Need: 22
Residents with Physical Disability: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Butker-Venzin | Administrator | Named as facility administrator and signer of plans of correction |
| Jon Kimberland | Human Services Licensing Supervisor | Signed the cover letter confirming plan of correction implementation |
| Karen Georgoulis | Department representative conducting the on-site inspection |
Notice — Sep 10, 2019
Date: Sep 10, 2019
Visit Reason
The document serves as a renewal approval notice for Pleasant Ridge Mature Living's application to operate a Personal Care Home 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 and outlines the Department's obligation to conduct an annual inspection.
Inspection Report — Aug 28, 2019
Complaint Investigation
Date: Aug 28, 2019
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced visit to Pleasant Ridge Mature Living.
Complaint Details
The inspection was triggered by a complaint and was unannounced. The report does not state substantiation status.
Findings
Multiple violations of 55 Pa. Code Ch. 2600 were found, including issues with resident personal equipment, sanitary conditions, surfaces, furniture and equipment, bed linens, lighting, tub/shower accessibility, grab bars, and soap dispensers. Plans of correction were partially implemented with adequate progress noted.
Citations (9)
2600.81b Resident personal equipment such as wheelchairs had multiple cracks and worn areas exposing padding, causing resident discomfort.
2600.85a Sanitary conditions were poor with inoperable paper towel dispensers, feces-like substance on shower chair, mold, and soap residue in common bathrooms.
2600.88a Floors, walls, ceilings, windows, doors, and other surfaces had missing ceiling tiles, water leaks, bubbled paint, and rust stains.
2600.95 Furniture and equipment were in disrepair including clogged toilets, insecure towel holders, damaged shower stall floors, and broken shower curtains.
2600.101j Bed linens and pillows were not properly maintained; pillows lacked cases and mattresses lacked fitted sheets.
2600.101j7 Resident bedside lamps were not operable and lacked a source of light that could be turned on/off at bedside.
2600.102c The facility had insufficient accessible showers/tubs for the resident census, with some shower floors in serious disrepair.
2600.102d Grab bars were missing at toilets, failing to provide residents safe assistance during toileting.
2600.102i Soap dispensers were not operable or labeled, and soap was unavailable at some bathroom sinks.
Report Facts
Residents Served: 53
Current Hospice Residents: 14
Staff Count: 75
Waking Staff Count: 56
Residents with Supplemental Security Income: 24
Residents Age 60 or Older: 19
Residents Diagnosed with Mental Illness: 17
Residents Diagnosed with Intellectual Disability: 3
Residents with Mobility Need: 22
Residents with Physical Disability: 4
Number of Showers/Tubs: 8
Accessible Showers/Tubs: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Butker-Venzin | Administrator | Named as facility administrator in violation report header |
| Karen Georgoulis | Department Representative | On-site inspector for the inspection visit |
| Jon Kimberland | Human Services Licensing Supervisor | Signed the cover letter for the inspection report |
Inspection Report — Jan 31, 2019
Renewal
Date: Jan 31, 2019
Visit Reason
The inspection was a renewal visit conducted by the Pennsylvania Department of Human Services Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.
Findings
Multiple violations were found including lack of carbon monoxide detectors, broken door knob locking devices, incomplete fire safety training, unlocked poisonous materials, uncovered dumpster lids, incomplete fire drill documentation, medication labeling errors, missed medication administration, and incomplete resident assessments.
Citations (9)
55 Pa.Code §2600.18 requires a carbon monoxide detector for fossil fuel burning devices. The home did not have a carbon monoxide detector for the fossil fuel burning range and boiler located on different floors.
55 Pa.Code §2600.42(6) requires privacy during bathing, dressing, and medical procedures. A door knob locking device on a common bathroom door was broken and did not engage to provide privacy.
55 Pa.Code §2600.65(g) requires direct care staff to complete annual fire safety and emergency preparedness training. Staff person A did not complete the required training for the 2018 annual training year.
55 Pa.Code §2600.82(c) requires poisonous materials to be locked and inaccessible to residents. An unlocked, unattended bottle of cleaner was accessible in a common bathroom and residents were assessed as unable to safely recognize or use poisons.
55 Pa.Code §2600.85 requires trash to be kept in covered receptacles. A large dumpster was left uncovered on one side despite being filled with approximately 10 large garbage bags.
55 Pa.Code §2600.132(c) requires a written fire drill record including resident and staff counts and alarm status. The home’s documentation of an emergency evacuation drill lacked these details.
55 Pa.Code §2600.184(a) requires prescription medication containers to have pharmacy labels with resident name, medication name, date issued, dosage instructions, and prescriber name/title. Medication labels did not indicate correct dosing instructions for two residents.
55 Pa.Code §2600.187(d) requires following prescriber directions. Resident blood pressure checks were missed on multiple dates and medications were not administered as prescribed due to unavailable medication and timing errors.
55 Pa.Code §2600.225(c) requires residents to have additional assessments annually and as needed. Resident #3’s assessment was incomplete and did not include multiple medical diagnoses and conditions.
Report Facts
Number of Residents Served: 42
Total Daily Staff: 65
Walking Staff: 49
Number of Current Hospice Residents: 13
Inspection Report — Jul 5, 2018
Renewal
Date: Jul 5, 2018
Visit Reason
The document is a renewal license issued in response to the facility's July 5, 2018 renewal application to operate a Personal Care Home. The Department advises that an onsite annual inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and states that future inspections will be conducted to ensure compliance.
Report Facts
Inspection Report — Feb 1, 2018
Renewal
Date: Feb 1, 2018
Visit Reason
The inspection was a renewal visit conducted on February 1, 2018, February 5, 2018, and June 26, 2018, to assess compliance with 55 Pa. Code Chapter 2600 for Pleasant Ridge Mature Living.
Findings
Multiple violations of 55 Pa. Code Chapter 2600 were found, including confidentiality breaches, missing influenza awareness postings, unsigned contracts, incomplete criminal background checks, improper use of glucometers, food storage temperature issues, incomplete fire drill documentation, menu posting deficiencies, and medication administration errors. Plans of correction were partially implemented with adequate progress noted.
Citations (11)
55 Pa.Code §2600.17 - Resident records included resident names on a privacy coding document posted on the bulletin board, violating confidentiality.
55 Pa.Code §2600.18 - Influenza Awareness information was not posted in a public place in the facility as required by law.
55 Pa.Code §2600.25(b) - A resident contract change did not include the signature of the administrator or the resident.
55 Pa.Code §2600 - A direct care staff person worked without a required PA State Police criminal background check.
55 Pa.Code §2600.85(a) - The home glucometer was used to measure blood glucose levels for multiple residents without proper labeling and documentation.
55 Pa.Code §2600.103(f) - The temperature of the desert freezer in the kitchen was 10 degrees Fahrenheit, exceeding the required maximum of 0°F.
55 Pa.Code §2600.132(e) - The most recent sleeping hour fire drill was conducted on 3/22/17, but monitoring of the fire drill record was inadequate.
55 Pa.Code §2600 - The week in advance menu was not posted in a conspicuous and public place in the home as required.
55 Pa.Code §2600.181(c) - A resident's medication administration documentation was incomplete and the resident was no longer in the home.
55 Pa.Code §2600.185(a) - Resident's blood glucose testing was ordered twice weekly but documentation was missing for a blood glucose reading.
55 Pa.Code §2600.187(a) - Medication records did not include required information such as diagnosis for prescribed medications and proper documentation of medication administration exceptions.
Report Facts
Number of Residents Served: 38
Number of Current Hospice Residents: 14
Number of Hospice Residents in Past Year: 30
Residents Receiving Supplemental Security Income: 9
Residents Age 60 or Older: 4
Residents with Mental Illness: 8
Residents with Intellectual Disability: 3
Residents with Mobility Need: 25
Residents with Physical Disability: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Balker | Administrator | Named as facility administrator in report header and involved in findings and plans of correction |
| Karen Georgoulis | Inspector | Department representative conducting the inspection |
| Vicky Summers | Inspector | Department representative conducting the inspection |
Inspection Report — Nov 1, 2017
Complaint Investigation
Date: Nov 1, 2017
Visit Reason
The inspection was conducted as a complaint investigation based on allegations of abuse and improper care at Pleasant Ridge Mature Living.
Complaint Details
The complaint investigation was triggered by allegations of abuse involving a direct care staff member and a resident. The allegations were investigated and found to be unfounded, but deficiencies in supervision and restraint practices were identified.
Findings
The investigation found violations related to abuse allegations involving direct care staff and improper use of restraints. Plans of correction were partially implemented with ongoing monitoring and reeducation of staff.
Citations (3)
Regulation 2600.15(b) - The home failed to immediately develop and implement a plan of supervision or suspend staff involved in an alleged abuse incident.
Regulation 2600.202 - Staff person manually restrained a resident inappropriately during an aggressive episode, violating prohibitions on physical restraint.
Regulation 2600.225(c) - Resident assessments were not conducted as required, including annual and condition-change assessments.
Report Facts
Number of Residents Served: 46
Total Daily Staff: 73
Waking Staff: 55
Number of Current Hospice Residents: 18
Number of Hospice Residents in Past Year: 40
Inspection Report — Oct 13, 2017
Renewal
Date: Oct 13, 2017
Visit Reason
This document is a renewal application and license issuance for Pleasant Ridge Mature Living, a Personal Care Home, confirming the facility's authorization to operate and the Department's requirement to conduct 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 notification of future annual inspection requirements.
Inspection Report — Feb 3, 2017
Renewal
Date: Feb 3, 2017
Visit Reason
The inspection was an annual licensing renewal inspection conducted by the Pennsylvania Department of Human Services on February 3, 2017, for Pleasant Ridge Mature Living.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including issues with resident contracts, staff training, sanitary conditions, first aid kit contents, food storage temperatures, fire drills, medical evaluations, and medication administration. Plans of correction were submitted and partially or fully implemented for all violations.
Citations (10)
55 Pa.Code 2600.25(a)(1) - Resident contracts were not completed within 24 hours after admission for two residents.
55 Pa.Code 2600.65(g) - A staff person did not receive annual fire safety training during the 2016 training year.
55 Pa.Code 2600.86(a) - An uncovered urinal sitting on a resident's nightstand contained 200 cc of urine.
55 Pa.Code 2600.96(a) - The first aid kit in the first floor laundry room and nurse station did not include scissors or adhesive tape.
55 Pa.Code 2600.103(f) - The freezer labeled "desserts" measured 20 degrees Fahrenheit, above the required temperature.
55 Pa.Code 2600.132(e) - A sleeping hour fire drill was not conducted within the required 8-month interval.
55 Pa.Code 2600.132(f) - Fire drill logs showed all exits were used, but alternate exit routes were not always maintained during drills.
55 Pa.Code 2600.141(a)(1) - Resident #1 did not have a completed medical evaluation after admission.
55 Pa.Code 2600.190(a) - Staff administering medications to resident #1 had not completed required Department-approved medication administration courses within the past 2 years.
55 Pa.Code 2600.225(a) - Resident #1 did not have a written initial assessment documented within 15 days of admission.
Report Facts
Number of Residents Served: 43
Number of Current Hospice Residents: 13
Number of Hospice Residents in past year: 34
Number of Residents who Receive Supplemental Security Income: 7
Number of Residents Age 60 or Older: 39
Number of Residents with Mental Illness: 8
Number of Residents with Intellectual Disability: 2
Number of Residents with Mobility Needs: 21
Number of Residents with Physical Disability: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Venzen | Administrator | Signed multiple plans of correction and legal entity representative on violation reports |
| Jason Williams | DHS Licensing Supervisor | Mentioned in medication administration deficiency regarding supervision and training |
Inspection Report — Jul 11, 2016
Renewal
Date: Jul 11, 2016
Visit Reason
The document is a renewal application and license issuance for Pleasant Ridge Mature Living, LLC to operate a Personal Care Home. The Department of Human Services notifies that an onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future inspection requirements.
Inspection Report — May 3, 2016
Renewal
Date: May 3, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections and renewal of the facility license.
Findings
The facility was found to be in compliance with 55 Pa.Code Chapter 2600 after corrections were made. Several violations were identified related to infestation, exterior hazards, and egress route locking devices, all of which were corrected during or shortly after the inspection.
Citations (3)
55 Pa.Code §2600.85(b) - There were two active bee's nests and two hornet's nests located in the eaves above the 2nd floor patio.
55 Pa.Code §2600.100(a) - The outside cement pad at the entrance door was not level with the asphalt and presented a tripping hazard to residents entering or exiting the home.
55 Pa.Code §2600.121(b) - The exterior gate leading to the parking lot from the second floor was locked magnetically and required a code to enter and exit without written approval from authorities.
Report Facts
Number of Residents Served: 41
Total Daily Staff: 62
Walking Staff: 47
Number of Current Hospice Residents: 13
Number of Hospice Residents in Past Year: 43
Residents Receiving Supplemental Security Income: 10
Residents Age 60 or Older: 38
Residents with Mental Illness: 10
Residents with Intellectual Disability: 1
Residents with Mobility Need: 21
Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Butkar | Administrator | Named as legal entity representative signing plans of correction. |
| Denise Gillespie | Department representative conducting the inspection. | |
| Dale Rosenblat | Department representative conducting the inspection. |
Notice — August 28, 2023
Date: August 28, 2023
Visit Reason
This document serves as a license renewal notification and certificate of compliance for Pleasant Ridge Mature Living, a Personal Care Home. It informs the facility that the Department will conduct an onsite annual inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license in response to the renewal application.
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