Inspection Reports for
Sunrise of Granite Run

PA, 19063

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20 Reports

2020–2025

Inspection Report — Sep 9, 2025

Monitoring
Date: Sep 9, 2025

Visit Reason
The visit was a monitoring inspection conducted on 09/09/2025 to review the facility's compliance with previously submitted plan of correction.

Findings
The inspection found multiple deficiencies related to sanitary conditions, outdated food, use of disposable dishes, combustible storage, and lack of a proper kitchen fire extinguisher in the temporary kitchen. All deficiencies had corrective actions implemented by 10/30/2025, with ongoing monitoring and retraining planned.

Citations (5)
Temporary freezer on second floor had an open pie box and ice tray with cups thrown inside.
Unlabeled, undated eclairs found in second-floor temporary refrigerator.
Use of paper plates and disposable cups in the temporary kitchen on the second floor on a regular basis.
Portable flame stove near window with curtains, PAM cooking spray, and Sterno candle lamp butane fuel cartridge in temporary second floor kitchen.
No fire extinguisher with minimum 2A-10BC rating in the temporary kitchen on the second floor.
Report Facts
Residents Served: 88 Secured Dementia Care Unit Residents Served: 35 Hospice Current Residents: 8 Residents Age 60 or Older: 88 Residents with Mental Illness: 2 Residents with Mobility Need: 63

Employees mentioned
NameTitleContext
Mia JohnsonReviewerReviewer of the document submission

Inspection Report — Jul 21, 2025

Renewal
Date: Jul 21, 2025

Visit Reason
The inspection was conducted as a full, unannounced visit for renewal, complaint, and incident reasons.

Findings
The inspection identified multiple deficiencies including breaches in record confidentiality, improper assistance with activities of daily living resulting in injury, missing resident rights posters, unqualified direct care staff, sanitary issues, maintenance and safety concerns, and medication storage discrepancies. Plans of correction were accepted and implemented with ongoing monitoring and retraining scheduled.

Citations (14)
Resident records were accessible on open laptops and in an unlocked office, breaching confidentiality.
Resident #2 was transferred solo despite requiring two-person assistance, resulting in a fracture.
Resident rights poster was not posted in a conspicuous and public place in the Secure Dementia Care Unit.
Direct care staff person did not have a valid high school diploma or registry status as required.
Stairwell D was littered with debris from sheetrock.
Trash outside the home was not properly contained; dumpster lids were open and trash was on the ground.
Bathrooms in rooms 102 and 110 lacked operable windows or ventilation fans.
Ice machine in the main kitchen was dirty with a yellow-brown substance inside.
Hot water temperature in resident-accessible areas exceeded 120°F.
Pathway light fixture was overturned and lying sideways on the ground in front of the front porch.
Resident in room 102 did not have access to a bedside lamp that could be turned on/off at bedside.
Clothing and debris were found behind washing machines and dryers in the laundry room, posing combustible storage risk.
Fire drill evacuation time exceeded the maximum safe evacuation time specified by a fire safety expert.
Medication count discrepancy for morphine syringes for resident #3; narcotics log did not match actual count.
Report Facts
Residents Served: 83 Residents in Secured Dementia Care Unit: 32 Hospice Residents: 6 Staffing Hours: 140 Waking Staff: 105 Fire Drill Evacuation Time: 940 Maximum Safe Evacuation Time: 900 Morphine Syringes on Hand: 20 Morphine Syringes Logged: 10

Employees mentioned
NameTitleContext
Medication Care ManagerClosed additional tabs on laptop to protect resident health information.
Reminiscence SupervisorLocked office doors and placed resident rights posters.
Resident Care DirectorConducted community walk and retraining related to confidentiality and medication storage.
Executive DirectorConducted investigations, retraining, audits, and oversaw plan of correction implementation.
Resident Care CoordinatorConducted laundry room checks and retraining on combustible storage.
Business Office CoordinatorConducted audits of employee files and fire safety training.
Maintenance AssistantReplaced exhaust fan motor and attended fire safety training.
Area Facilities ManagerCleaned debris, managed trash issues, inspected ventilation and lighting.

Inspection Report — Jul 30, 2024

Renewal
Date: Jul 30, 2024

Visit Reason
The inspection was conducted as a renewal inspection of the facility license, with an unannounced full inspection on 07/30/2024 and 07/31/2024.

Findings
The inspection found multiple deficiencies including training gaps for direct care staff, unsecured poisonous materials, malfunctioning emergency lighting, exterior hazards, improper refrigerator temperatures, lack of familiarity with emergency preparedness plan, incomplete resident medical evaluations, missing posted menus, medication record inaccuracies, improper medication storage, failure to follow prescriber's orders, and incomplete resident record content. All deficiencies had plans of correction accepted and were implemented by 09/23/2024.

Citations (12)
Direct care staff person C and direct care staff person D did not receive required annual training on meeting residents' needs.
Laundry room in the Secured Dementia Care Unit was unlocked with poisonous materials accessible to residents.
Emergency lights in stair tower D were flashing.
Several raised lips and missing bricks on walkway outside the Secured Dementia Care Unit posed tripping hazards.
Refrigerator temperature in the kitchen was above 40°F (45°F and 42°F).
Administrator was not familiar with the emergency preparedness plan for the local municipality.
Resident #1's most recent medical evaluation was not current.
Weekly menus were not posted one week in advance as required.
Resident #2's medication record did not include a current list of medications; discrepancies found in medication dosages.
Resident #3's medication card had punctured blister foil with medication still present.
Resident #4 did not receive prescribed probiotic medication for the full 10 days as ordered.
Resident #3's face sheet did not include hair color, eye color, or distinguishing marks.
Report Facts
Residents Served: 77 Secured Dementia Care Unit Residents Served: 30 Hospice Residents: 7 Total Daily Staff: 128 Waking Staff: 96 Residents with Mobility Need: 51 Residents 60 Years or Older: 77 Residents Diagnosed with Mental Illness: 2

Employees mentioned
NameTitleContext
Healthcare ManagerHealthcare Manager (HCM)Named in findings related to medical evaluations, medication audits, and staff retraining.
Executive DirectorExecutive Director (ED)Named in multiple findings related to plan of correction implementation and staff retraining.
Maintenance CoordinatorMaintenance Coordinator (MC)Named in findings related to lighting repairs and exterior hazard corrections.
Dining Services CoordinatorDining Services Coordinator (DSC)Named in findings related to refrigerator temperature and menu posting.
Resident Care DirectorResident Care DirectorNamed in medication packaging discussion.
REM Care CoordinatorREM Care CoordinatorNamed in findings related to locking poisonous materials.

Inspection Report — Jan 3, 2024

Follow-Up
Date: Jan 3, 2024

Visit Reason
The inspection was a follow-up visit to verify the implementation of a previously submitted plan of correction related to complaints and incidents at the facility.

Complaint Details
The visit was complaint-related, triggered by allegations of resident abuse including verbal and physical aggression by staff, failure to report abuse timely, and improper treatment of residents. The complaints were substantiated with multiple documented violations and staff disciplinary actions.
Findings
The facility was found to have fully implemented the submitted plan of correction addressing multiple resident abuse incidents, reporting violations, and staff training deficiencies. Several abuse incidents involving staff aggression and improper care were documented, with staff members disciplined or terminated and retraining initiated.

Citations (5)
Failure to immediately report suspected abuse incidents as required by law.
Resident abuse including verbal aggression, physical abuse, and inappropriate restraint by staff.
Failure to treat residents with dignity and respect, including staff yelling and mocking residents.
Direct care staff providing unsupervised ADL services without completing required training and competency testing.
Use of prohibited procedures including manual and mechanical restraints and chemical restraints.
Report Facts
Residents Served: 78 Staffing Hours: 132 Waking Staff: 99 Residents in Secured Dementia Care Unit: 29 Hospice Residents: 6 Residents 60 Years or Older: 77 Residents with Mobility Need: 54

Inspection Report — Sep 28, 2023

Follow-Up
Date: Sep 28, 2023

Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.

Findings
The facility was found to have fully implemented the submitted plan of correction related to timely reporting of incidents, contract signatures, and support plan signatures. Continued compliance must be maintained.

Citations (3)
Failure to timely report alleged physical abuse incidents to the Department within 24 hours.
Resident-home contract was not signed by the resident.
Residents did not sign their support plans despite participation in their development.
Report Facts
Residents Served: 81 Residents in Secured Dementia Care Unit: 30 Hospice Residents: 7 Residents 60 Years or Older: 80 Residents Diagnosed with Mental Illness: 3 Residents Diagnosed with Intellectual Disability: 2 Residents with Mobility Need: 58 Residents with Physical Disability: 1 Total Daily Staff: 139 Waking Staff: 104

Inspection Report — Jul 31, 2023

Complaint Investigation
Date: Jul 31, 2023

Visit Reason
The inspection was conducted as a complaint investigation following an unannounced partial inspection on 07/31/2023.

Complaint Details
The inspection was complaint-driven as indicated by the reason 'Complaint' and the visit was a partial unannounced inspection on 07/31/2023.
Findings
Multiple deficiencies were identified including unlocked poisonous materials accessible to residents, unsanitary conditions with urine found on a bathroom floor, broken shower floor water retainer posing a tripping hazard, unfinished bathroom ceiling repair, and missed meal delivery to a resident.

Citations (5)
Unlocked poisonous materials (soaps) accessible to residents not assessed as capable of safely using or avoiding poisons.
Urine found on the floor next to the toilet in resident 3's restroom.
Resident 2's shower floor plastic water retainer was broken and in poor condition, creating a tripping hazard.
Bathroom ceiling for resident 2 had an unfinished repair that had not been painted or sanded.
Resident 4 reported a missed meal delivery; meal was eventually provided after delay.
Report Facts
Residents Served: 77 Residents Served in Dementia Unit: 24 Current Hospice Residents: 8 Residents Age 60 or Older: 77 Residents with Mobility Need: 68

Inspection Report — Apr 10, 2023

Complaint Investigation
Date: Apr 10, 2023

Visit Reason
The inspection was conducted as a complaint and incident investigation to review compliance with resident care and staffing requirements.

Complaint Details
The visit was complaint-related and involved an incident where a resident experienced delayed response to a call bell. The plan of correction was accepted and fully implemented.
Findings
The inspection found that a resident did not receive a response to a call bell for an hour and 43 minutes due to mismanagement of direct care staff. The facility submitted a plan of correction which was accepted and fully implemented.

Citations (1)
Resident #1 did not receive a response to a pushed call bell for an hour and 43 minutes due to mismanagement of available direct care staff.
Report Facts
Residents served: 78 Residents served: 29 Current residents: 9 Time delay: 103 Total daily staff: 140 Waking staff: 105

Inspection Report — Feb 22, 2023

Complaint Investigation
Date: Feb 22, 2023

Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection.

Complaint Details
The inspection was triggered by a complaint; however, no deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.

Report Facts
Total Daily Staff: 127 Waking Staff: 95 Residents Served: 73 Secured Dementia Care Unit Residents Served: 29 Hospice Current Residents: 6 Residents Diagnosed with Mental Illness: 3 Residents Diagnosed with Intellectual Disability: 2 Residents with Mobility Need: 54 Residents Aged 60 Years or Older: 73 Residents Receiving Supplemental Security Income: 0 Residents with Physical Disability: 0

Inspection Report — Jan 11, 2023

Renewal
Date: Jan 11, 2023

Visit Reason
The inspection was an unannounced full renewal inspection with an incident review conducted from 01/11/2023 to 01/13/2023.

Findings
The facility was found to have multiple deficiencies including issues with resident refunds after death, abuse incidents, privacy violations related to video recording, bathroom ventilation problems, furniture and equipment maintenance, elevator certification, exterior hazards, lighting in resident rooms, lint accumulation in dryers, fire drill compliance, medical evaluation documentation, menu change notifications, service description accuracy, and support plan documentation and signatures. Plans of correction were accepted and implemented by 03/02/2023.

Citations (15)
Resident refund after death was not issued within required timeframe.
Physical and verbal abuse of a resident by staff member.
Use of video recording devices without proper resident notification or signage.
Bathrooms lacked operable ventilation fans due to inoperable rooftop exhaust fans.
Bathroom off personal care dining room flooded and overflowed twice during inspection.
Elevator did not have a current certificate of operation at time of inspection.
Fallen lamp post with shattered glass and electrical hazard in parking lot.
Resident rooms 137 and 240 lacked operable bedside lighting.
Accumulation of lint in commercial dryer lint trap.
Unannounced fire drills were not held during December 2022 and June 2022.
Resident medical evaluation documentation did not reflect current medication self-administration ability.
Menu change not posted in advance; dessert substitution without notice.
Written description of services included transportation service that was not available due to bus inspection status.
Resident support plan did not document wheelchair need and had inaccurate medication self-administration status.
Residents #5 and #6 did not sign their support plan signature pages.
Report Facts
Residents Served: 71 Secured Dementia Care Unit Residents Served: 27 Hospice Current Residents: 5 Total Daily Staff: 121 Waking Staff: 91 Residents 60 Years or Older: 71 Residents Diagnosed with Mental Illness: 2 Residents Diagnosed with Intellectual Disability: 2 Residents with Mobility Need: 50 Bus Inspection Expiration: 2024

Inspection Report — Apr 12, 2022

Follow-Up
Date: Apr 12, 2022

Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident, with a focus on verifying the implementation of a previously submitted plan of correction.

Findings
The facility was found to have multiple deficiencies including insufficient waking hours staffing, direct care staff providing unsupervised ADL services without completing required training, incomplete resident records, inappropriate treatment of residents by staff, and missing resident signatures on support plans. The submitted plan of correction was accepted and fully implemented with ongoing monitoring.

Citations (5)
At least 75% of the personal care service hours were not provided during waking hours; only 109 of 115.5 required hours were provided.
Direct care staff person provided unsupervised ADL services without completing and passing the Department-approved direct care training course and competency test.
Resident #1's record did not include a copy of the incident reportable.
Staff person A was disrespectful to Resident #1 by yelling and making inappropriate statements in the dining room.
Resident #1 participated in the development of the support plan but did not sign the support plan.
Report Facts
Residents Served: 85 Required direct care hours: 115.5 Provided direct care hours during waking hours: 109 Total Daily Staff: 154 Waking Staff: 116

Notice — Sep 16, 2021

Date: Sep 16, 2021

Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care Home 'Sunrise of Granite Run' following receipt of the renewal application dated September 14, 2021.

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

Report Facts

Employees mentioned
NameTitleContext
Jamie L. BuchenauerDeputy Secretary, Office of Long-term LivingSigned the renewal notification letter.

Inspection Report — Sep 13, 2021

Renewal
Date: Sep 13, 2021

Visit Reason
The inspection was conducted as a renewal inspection of the facility license for Sunrise of Granite Run.

Findings
Multiple deficiencies were identified related to housekeeping, maintenance, food storage, medical evaluations, medication storage, treatment of residents, and sanitary conditions. Plans of correction were accepted and implemented with ongoing monitoring.

Citations (11)
Housekeeping tasks incomplete with soiled laundry and trash improperly placed in hallways and bathrooms.
Trash dumpster outside the home was uncovered with trash spilling over.
Caulking around sinks and toilets in bathrooms was not in good repair in multiple locations.
Emergency telephone numbers were not posted on or by telephones in rooms 217 and 236.
Ice cream containers in the freezer were opened and unsealed.
A dented can of slow cooked baked beans was found in the kitchen.
Resident medical evaluations did not include special health or dietary needs for residents #2 and #3.
Glucometer for resident #1 was not calibrated to the correct year.
Staff member was observed addressing maintenance coordinator with disrespectful language in front of residents and others.
Glucometer for resident #1 had undocumented numbers stored in the machine.
Ice cream freezer had spilled ice cream and stains.
Report Facts
Residents Served: 74 Residents Served in Dementia Unit: 23 Hospice Residents: 6 Residents with Mobility Need: 68 Residents 60 Years or Older: 74 Residents Diagnosed with Mental Illness: 4 Residents Diagnosed with Intellectual Disability: 2 Residents with Physical Disability: 1

Employees mentioned
NameTitleContext
Personal Care Coordinator (PCC)Named in housekeeping deficiency plan of correction.
HousekeeperNamed in housekeeping deficiency plan of correction and disciplinary action.
Maintenance Coordinator (MC)Named in multiple deficiencies including trash cleanup, telephone numbers audit, and treatment of residents incident.
Dining Services Coordinator (DSC)Named in food storage and outdated food deficiencies.
Health Care Manager (HCM)Named in medical evaluation, glucometer calibration, and sanitary conditions deficiencies.
Executive Director (ED)Named in education and quality management meetings related to deficiencies.
Wellness TeamNamed in education and monitoring related to medical and glucometer deficiencies.

Inspection Report — Jul 23, 2021

Complaint Investigation
Date: Jul 23, 2021

Visit Reason
The inspection was conducted as a complaint investigation at the facility Sunrise of Granite Run.

Complaint Details
The inspection was complaint-related; however, no deficiencies or citations were found, and the complaint was not substantiated.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.

Report Facts
Residents Served: 68 Secured Dementia Care Unit Residents Served: 24 Total Daily Staff: 130 Waking Staff: 98 Residents Diagnosed with Mental Illness: 3 Residents Diagnosed with Intellectual Disability: 2 Residents with Mobility Need: 62 Residents 60 Years or Older: 68

Inspection Report — May 17, 2021

Follow-Up
Date: May 17, 2021

Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident, to review the submitted plan of correction for the facility.

Findings
The facility was found to have deficiencies related to resident treatment, sanitary conditions, and support plan documentation. The submitted plan of correction was determined to be not fully implemented as of the inspection date.

Citations (3)
Resident #1 was not treated with dignity and respect by staff, who responded inappropriately when the resident needed assistance with bowel incontinence care.
The exterior of the toilet bowl in resident #1's bathroom was streaked with feces and was not cleaned during the inspection.
The home updated resident #1's support plan but could not provide the signature page for the update.
Report Facts
Residents Served: 70 Secured Dementia Care Unit Residents Served: 24 Total Daily Staff: 128 Waking Staff: 96

Inspection Report — Mar 9, 2021

Complaint Investigation
Date: Mar 9, 2021

Visit Reason
The inspection was conducted as a complaint and incident investigation with a partial, unannounced inspection.

Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or regulatory citations were substantiated.
Findings
No regulatory citations or deficiencies were identified as a result of the inspection conducted on multiple dates in March 2021.

Report Facts
Inspection Dates: 6 Total Daily Staff: 114 Waking Staff: 86 Residents Served: 69 Secured Dementia Care Unit Residents Served: 23 Current Hospice Residents: 11 Residents Age 60 or Older: 69 Residents Diagnosed with Mental Illness: 2 Residents Diagnosed with Intellectual Disability: 1 Residents with Mobility Need: 45

Notice — Dec 30, 2020

Date: Dec 30, 2020

Visit Reason
This document serves as a renewal notice and certificate of compliance for the Personal Care Home 'Sunrise of Granite Run' valid from January 1, 2021 to January 1, 2022. It also informs the facility that an annual onsite inspection will be conducted 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 based on the renewal application and states that enforcement action will be taken if noncompliance is found during future inspections.

Report Facts

Inspection Report — Jun 30, 2020

Follow-Up
Date: Jun 30, 2020

Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.

Findings
The facility was found to have fully implemented the submitted plan of correction related to timely incident reporting and assistance with activities of daily living. The report confirms compliance with regulatory requirements following the incident involving resident #1.

Citations (2)
2600.16c requires reporting incidents to the Department within 24 hours. Resident #1 sustained a head injury on 6/24/20, but the incident report was not submitted within 24 hours. The facility disputed the timing based on treatment confirmation and submitted the report by 6/26/20.
2600.23a requires assistance with activities of daily living as per resident's assessment. Resident #1 required standby assistance with mobility but staff person B walked ahead during a transfer, resulting in a fall and serious injury.
Report Facts
Residents Served: 92 Residents Served in Memory Unit: 28

Inspection Report — Feb 28, 2020

Follow-Up
Date: Feb 28, 2020

Visit Reason
The visit was a follow-up review to verify that the previously submitted plan of correction was fully implemented following an incident-related partial inspection.

Complaint Details
The inspection was triggered by an incident complaint involving alleged abuse of a resident, which was substantiated by the findings.
Findings
The plan of correction was determined to be fully implemented. The report details multiple violations related to abuse, treatment of residents, privacy, sanitary conditions, staff training, and annual training content, all of which have corrective actions in place.

Citations (7)
42b. A resident was verbally and physically abused by staff who yelled and hit the resident's arm, identified as a bad arm due to surgery.
42c. A resident was not treated with dignity and respect when staff yelled and hit the resident on her arm during the night.
42s. Staff failed to protect resident privacy by not reporting alleged abuse and leaving the resident unattended while crying and complaining.
85a. Sanitary conditions were not maintained due to a strong odor of urine in the restroom that was not cleaned during the inspection.
65f. A direct care staff person did not receive required training in medication self-administration and safe management techniques during 2019.
65g. Staff person C did not receive training in the Older Adults Protective Services Act during training year 2019.
236. A direct care staff person working in the secured dementia care unit had only 5 hours of required 6 hours of annual dementia care training during 2019.
Report Facts
Residents Served: 92 Memory Unit Residents Served: 28 Direct Care Staff Training Hours: 5

Employees mentioned
NameTitleContext
Susan W. CacioppoExecutive DirectorNamed as the legal entity representative and signer of the plan of correction documents related to abuse and training violations.
Staff AInvolved in abuse incident and placed on administrative leave.
Staff BInvolved in abuse incident and placed on administrative leave; failed to report alleged abuse.
Staff person CDirect care staff who did not receive required training in medication administration, safe management, and Older Adults Protective Services Act.

Inspection Report — Feb 3, 2020

Plan of Correction
Date: Feb 3, 2020

Visit Reason
The inspection was conducted due to a change in legal entity for the Sunrise of Granite Run facility.

Findings
Multiple violations were identified including resident record confidentiality breaches, inadequate first aid/CPR training coverage, incomplete administrator training documentation, unsanitary conditions, damaged window screens, missing emergency evacuation diagram details, combustible storage hazards, incomplete medication administration training records, and untimely resident assessments. Plans of correction were submitted and determined to be fully implemented as of June 30, 2020.

Citations (9)
2600.17 Resident records confidentiality was breached when a medication administration laptop was left unattended displaying resident information.
2600.63a Only one staff person certified in first aid and CPR was present overnight for 89 residents, violating staffing requirements.
2600.64a The administrator lacked documentation of completing the required 100-hour administrator training course and competency test.
2600.85a Room #234 had a strong odor of urine indicating unsanitary conditions.
2600.92 The window screen in room #132 was frayed and in disrepair.
2600.123c The emergency evacuation diagram lacked a line of travel on the posted floor plan for 89 residents.
2600.125a Combustible materials including cardboard boxes and wooden pictures were stored near boilers, creating a fire hazard.
2600.190c Medication administration training records for staff persons B, C, and D did not include dates.
2600.225a Resident #1's initial assessment was completed after admission, not within the required 15 days.
Report Facts
Residents served: 89 Residents served in Dementia Care Unit: 27 Current Hospice Residents: 8 Residents aged 60 or older: 89 Residents diagnosed with mental illness: 6 Residents diagnosed with intellectual disability: 2 Residents with mobility need: 52 Residents with physical disability: 3

Employees mentioned
NameTitleContext
Susan W. CacioppoExecutive DirectorSigned multiple plans of correction and legal entity representative
Susan W. CacioppoExecutive DirectorNamed in plan of correction for re-educating staff on medication confidentiality and training

Notice — Jan 2, 2020

Date: Jan 2, 2020

Visit Reason
Issuance of a new license for the Sunrise of Granite Run personal care home facility.

Findings
The facility was found to be in substantial compliance with applicable regulations under 55 Pa. Code Chapter 2600 for Personal Care Homes at the time of review.

Report Facts

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