Inspection Reports for
Providence Place Senior Living at the Collegeville Inn

The inspection was complaint-driven with substantiated deficiencies related to sanitary conditions, emergency telephone postings, furniture repair, egress signage, medical evaluations, medication security and administration, and key-locking device instructions.

Multiple deficiencies were found including sanitary conditions, missing emergency telephone numbers, furniture disrepair, obstructed egress signage, incomplete medical evaluations, unsecured medications, medication errors, and missing key-locking device instructions. Plans of correction were accepted and implemented by 08/14/2026.

The investigation was initiated due to complaints alleging possible abuse or neglect of a resident by a staff person. The allegations involved failure to provide toileting care and improper supervision. The facility conducted internal investigations and implemented corrective actions including staff education and reassignment.

The inspection identified multiple deficiencies including failure to immediately report suspected resident abuse, failure to submit a supervision plan for a staff member involved in alleged abuse, delayed incident reporting, inadequate assistance with activities of daily living (ADLs), neglect in toileting care, lack of operable bedside lighting, and incomplete medication records.

The inspection was complaint-related and incident-driven, focusing on verifying correction of prior deficiencies. The plan of correction was accepted and fully implemented as of the inspection date.

The facility was found to have previously cited deficiencies related to unlocked poisonous materials accessible to residents, incomplete medical evaluations missing cognitive functioning data, and medication administration errors including failure to ensure residents ingested medications and incomplete documentation. The submitted plan of correction was accepted and fully implemented by the inspection date.

The inspection identified multiple medication storage and labeling violations, including unlocked poisonous materials, expired and unlabeled medications, improper glucometer calibration, and failure to follow prescriber’s orders. Plans of correction were accepted and implemented with ongoing monitoring planned.

The waiver allows a specific employee to serve as direct care staff based on education obtained outside the United States, equivalent to a Bachelor of Science in Nursing. The waiver is subject to annual review during inspections and requires documentation to be maintained by the facility.

The inspection identified multiple deficiencies across incident reporting, personal hygiene, privacy, staff qualifications, sanitation, medication management, resident assessments, and record keeping. Plans of correction were accepted for all violations with proposed completion dates mostly by late 2025 or early 2026.

The visit was complaint-related due to an incident where one resident physically abused another. The Executive Director and Connections Director reported the incident to DHS and Area Agency on Aging, which conducted an investigation with no findings or follow-up required.

The inspection identified deficiencies related to abuse/neglect, privacy violations involving unauthorized audio-video recording, and missing emergency evacuation diagrams. Plans of correction were accepted and implemented by the facility.

The visit was complaint-related as stated under Inspection Information with Reason: Complaint. The plan of correction was fully implemented as of 06/25/2025.

The inspection identified deficiencies related to unsecured poisonous materials accessible to residents in the Secure Dementia Care Unit, unsanitary bathroom conditions in a shared resident room, and improperly labeled resident medications. Plans of correction were accepted and implemented with staff training and ongoing monitoring.

The inspection was complaint-related and incident-driven, with a follow-up on the submitted plan of correction.

The report details multiple deficiencies related to staff supervision, dignity and respect, training, sanitary conditions, medical evaluations, menu posting, medication labeling, following prescriber orders, support plan signatures, and preadmission screening. All deficiencies had plans of correction accepted and were implemented by June 6, 2025.

The facility was found to have multiple deficiencies related to abuse/neglect, safety restraints, transportation first aid kit availability, and key locking devices. The resident was injured due to an unsecured wheelchair during transport. The facility implemented corrective actions including staff training, equipment checks, and audits.

The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.

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

No regulatory citations or deficiencies were identified during this licensing inspection.

The complaint involved allegations of resident abuse due to a fall from a wheelchair and failure to report the incident timely to the local Area Agency on Aging and the Department. The complaint was substantiated with findings of delayed reporting and neglect.

The facility was found to have failed to immediately report a resident fall resulting in injury, delayed reporting to the Department, and deficiencies in following prescriber’s orders and providing first aid. Multiple corrective actions and education plans were implemented and accepted.

The report found deficiencies related to resident assessments and support plan reviews, specifically missing additional written assessments after significant resident condition changes and lack of timely quarterly reviews for residents in the special care unit. Plans of correction were submitted and fully implemented by October 17, 2024.

The visit was complaint-related, investigating incidents including a resident fall not reported timely, inadequate assistance with ADLs, resident-to-resident abuse, incomplete medical evaluations, and medication administration errors. The complaint was substantiated with multiple deficiencies found.

The inspection identified multiple deficiencies including failure to report an incident within 24 hours, inadequate assistance with activities of daily living, resident-to-resident abuse, incomplete medical evaluations, and failure to follow prescriber's orders. Plans of correction were accepted and implemented by August 8, 2024.

The inspection identified multiple deficiencies including issues with resident abuse/neglect, privacy violations, medication storage and administration, fire drill scheduling, resident assessments, and documentation. Plans of correction were accepted and implemented with follow-up audits scheduled.

The facility was found to be in compliance with the submitted plan of correction. Multiple deficiencies related to safety, sanitation, food storage, medication storage, and documentation were addressed and corrected by the time of inspection.

Multiple deficiencies were identified including unlocked poisonous materials accessible to residents, sanitary issues, lack of bedside tables, unprotected and improperly stored food, missing fire department notification documentation, medication storage issues, and missing directions for key-locking devices. All deficiencies had accepted plans of correction with completion dates in late June 2023 and implementation by July 2023.

The inspection identified multiple deficiencies including failure to post required telephone numbers, unlocked poisonous materials accessible to residents, unsanitary conditions in resident bathrooms, missing emergency telephone numbers by resident phones, improper food storage and outdated food items, incomplete medical evaluations, medication administration errors, and incomplete support plans. Plans of correction were accepted and fully implemented by August 8, 2022.

The Department issued a regular license in response to the renewal application and reminded that an annual inspection will be conducted within twelve months to ensure compliance with applicable regulations.

The inspection was complaint-driven, with the reason explicitly stated as 'Complaint' in the inspection summary. The plan of correction was fully implemented as of the latest review.

The facility was found to have multiple violations including delayed reporting of resident abuse and incidents, failure of secure dementia care unit doors, inadequate dementia-specific training for staff, incomplete medical evaluations, lack of timely quarterly support plan reviews, and insufficient measures to address wandering residents. The submitted plan of correction was determined to be fully implemented.

The waiver permits a specific employee to administer certain medications under defined conditions, including documentation and annual practicum requirements. The Department will review compliance with these conditions during its annual inspection.

The submitted plan of correction was determined to be fully implemented. The facility demonstrated compliance with regulations related to incident reporting, medication management, storage procedures, medication error reporting, and prohibited practices. Continued compliance must be maintained.

The submitted plan of correction was found to be fully implemented. The facility demonstrated compliance with corrective actions related to the use of restraints on Resident #1 during an incident on December 3, 2019.

The facility was found to be in substantial compliance with applicable regulations, but the licensing inspector was unable to complete a full inspection due to the low resident census. A follow-up re-inspection will be conducted within three months.

A regular license is being issued based on the renewal application. The Department will conduct an onsite inspection within the next twelve months as required by regulation, and enforcement action will be taken if noncompliance is found.