59 Reports
Notice — Aug 3, 2026
Date: Aug 3, 2026
Visit Reason
The document serves to notify the facility that a waiver request to Pennsylvania Code § 2600.54(a)(2) regarding direct care staff qualifications has been granted for an employee.
Findings
The waiver is granted under specified conditions including documentation of equivalent education and training for the employee. The Department will review this waiver annually during inspections to ensure compliance.
Report Facts
Waiver reference: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter |
Inspection Report — Jun 10, 2026
Follow-Up
Date: Jun 10, 2026
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by a complaint and incident to verify the implementation of a submitted plan of correction.
Complaint Details
The inspection was complaint-related and incident-driven, focusing on privacy violations and compliance with medical evaluation requirements. The plan of correction was accepted and fully implemented.
Findings
The submitted plan of correction was determined to be fully implemented with continued compliance required. Deficiencies involved privacy violations related to unauthorized social media posting of resident photos, and failures in completing annual medical evaluations and additional assessments for residents.
Citations (3)
42s Privacy: A resident's photo was posted on Snapchat by a staff member without permission, violating resident privacy rights. The staff member was suspended and terminated, and staff training on privacy and social media policy was implemented.
141b1 Annual Medical Evaluation: A resident did not have a completed annual medical evaluation as required. The facility implemented education and auditing processes to ensure compliance.
225c Additional Assessment: A resident's most recent annual assessment was not completed as required. The facility initiated education, audits, and ongoing monitoring to ensure compliance.
Report Facts
Residents Served: 75
Secured Dementia Care Unit Residents Served: 24
Current Hospice Residents: 17
Residents Age 60 or Older: 72
Residents with Mental Illness: 2
Residents with Mobility Need: 22
Inspection Report — May 21, 2026
Follow-Up
Date: May 21, 2026
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by a complaint and incident to verify the implementation of a submitted plan of correction.
Complaint Details
The visit was complaint-related involving an incident where a resident alleged mistreatment by staff person A during toileting and transfer. The complaint was substantiated leading to corrective actions.
Findings
The submitted plan of correction was found to be fully implemented with continued compliance required. The deficiency involved mistreatment of a resident during transfer, resulting in suspension and termination of the responsible staff member and staff retraining on abuse and proper transfer techniques.
Citations (1)
42c Treatment of Residents: A resident reported that staff person A was rough and disregarded the resident's directions during toileting and transfer assistance. Immediate action included suspension and termination of staff person A and staff retraining on abuse, neglect, and exploitation.
Report Facts
Residents Served: 73
Residents Served in Secured Dementia Care Unit: 24
Current Hospice Residents: 19
Residents Age 60 or Older: 72
Residents with Mobility Need: 50
Residents Diagnosed with Mental Illness: 1
Inspection Report — Mar 19, 2026
Complaint Investigation
Date: Mar 19, 2026
Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 71
Secured Dementia Care Unit Residents Served: 24
Hospice Current Residents: 21
Notice — Dec 15, 2025
Date: Dec 15, 2025
Visit Reason
This document serves to notify Welltower OPCO Group LLC that their request to waive the Pennsylvania code requirement for direct care staff qualifications has been granted under specified conditions.
Findings
The waiver is granted based on submitted documentation showing the staff member's education from outside the United States is equivalent to a high school diploma. The Department will review compliance with waiver conditions annually during inspections.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Aug 22, 2025
Follow-Up
Date: Aug 22, 2025
Visit Reason
The inspection was conducted as a partial, unannounced incident review to verify the implementation of a submitted plan of correction.
Findings
The facility was found to have previously unsecured medication rooms and carts, which was corrected by adjusting the self-closure mechanism and retraining staff. The plan of correction was accepted and verified as fully implemented.
Citations (1)
The second-floor medication room and medication cart were found unlocked, unattended, and accessible with residents' medications.
Report Facts
Residents Served: 72
Secured Dementia Care Unit Residents Served: 22
Current Hospice Residents: 22
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 51
Residents 60 Years or Older: 72
Inspection Report — Aug 11, 2025
Date: Aug 11, 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: 70
Residents Served in Dementia Care Unit: 24
Current Hospice Residents: 19
Residents Age 60 or Older: 70
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 54
Inspection Report — May 30, 2025
Complaint Investigation
Date: May 30, 2025
Visit Reason
The inspection was conducted as a complaint and incident investigation at Hemsley House Personal & Memory Care of McCandless.
Complaint Details
The complaint involved an allegation by staff person A that staff person B was rough while washing a resident and pushing the resident into a recliner. The incident was not reported timely to the Department. The abuse allegation was later unsubstantiated by the Department.
Findings
Two deficiencies were identified: failure to timely report an incident of alleged staff abuse, and unclear posting of the code for the locking mechanism near the emergency exit door to the secured dementia care unit. Both deficiencies had corrective plans accepted and implemented.
Citations (2)
Failure to report an incident of alleged staff abuse to the Department within 24 hours as required.
The code for operating the locking mechanism near the emergency exit door to the secured dementia care unit was not clearly posted.
Report Facts
Residents Served: 77
Secured Dementia Care Unit Residents Served: 26
Current Hospice Residents: 24
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 55
Residents Age 60 or Older: 77
Notice — Apr 29, 2025
Date: Apr 29, 2025
Visit Reason
This document serves to grant a waiver for a direct care staff member at Sunrise of McCandless who received their education outside the United States, allowing them to meet Pennsylvania qualifications under specified conditions.
Findings
The waiver is granted under conditions requiring documentation of education and training to be maintained and available for review. 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 — Mar 4, 2025
Follow-Up
Date: Mar 4, 2025
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to a complaint incident.
Complaint Details
The visit was complaint-related, triggered by a complaint incident. The submitted plan of correction was reviewed and found fully implemented.
Findings
The facility was found to have fully implemented the submitted plan of correction addressing privacy violations, staff support plan deficiencies, incomplete medical evaluations, and medication storage procedures. Continued compliance is required.
Citations (4)
Violation of resident privacy rights when staff searched a resident's room and removed knives without consent or department permission.
Failure to meet resident needs as specified in the support plan, including improper transferring causing injury and inoperable laundry equipment.
Medical evaluation form for a resident did not indicate the date the resident was evaluated.
Medication storage and administration procedures were not properly followed, including discrepancies in narcotic count sheets.
Report Facts
Residents Served: 79
Secured Dementia Care Unit Residents Served: 26
Hospice Current Residents: 15
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 56
Residents Age 60 or Older: 79
Inspection Report — Feb 4, 2025
Date: Feb 4, 2025
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 75
Secured Dementia Care Unit Residents Served: 25
Hospice Current Residents: 21
Inspection Report — Dec 11, 2024
Complaint Investigation
Date: Dec 11, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.
Complaint Details
The visit was complaint-related as indicated by the reason 'Complaint, Incident'. No deficiencies or citations were found, implying no substantiated violations.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 78
Secured Dementia Care Unit Residents Served: 25
Hospice Current Residents: 15
Resident Demographics: 78
Resident Demographics: 25
Resident Demographics: 1
Resident Demographics: 1
Notice — Dec 5, 2024
Date: Dec 5, 2024
Visit Reason
The document serves to notify the facility that a waiver request to 55 Pa.Code § 2600.54(a)(2) regarding direct care staff qualifications has been granted.
Findings
The waiver allows a specific employee to serve as direct care staff based on education equivalency from outside the United States, with conditions for documentation and annual review during inspections.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Nov 6, 2024
Follow-Up
Date: Nov 6, 2024
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a previously submitted plan of correction, with the visit reason including renewal, complaint, and incident.
Findings
The submitted plan of correction was found to be fully implemented, with continued compliance required. Specific deficiencies related to carbon monoxide alarm battery dating and placement, food storage in sealed containers, and proper disposal of discontinued medications were addressed and corrected during the inspection.
Citations (3)
Batteries in the carbon monoxide detector in the first-floor kitchen were not dated, and a carbon monoxide detector was improperly placed on the floor near the boiler.
Frozen pie crust and frozen waffles were stored in unsealed plastic bags in the first-floor kitchen freezer.
Discontinued medication was found in the third-floor medication cart.
Report Facts
Residents Served: 78
Secured Dementia Care Unit Residents Served: 28
Current Hospice Residents: 13
Residents 60 Years or Older: 78
Residents with Mental Illness: 1
Residents with Physical Disability: 1
Residents with Mobility Need: 58
Total Daily Staff: 136
Waking Staff: 102
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dining Service Coordinator | Responsible for correcting food storage violations and conducting kitchen inspections | |
| Resident Care Director | Responsible for auditing medication carts and ensuring proper disposal of discontinued medications | |
| Wellness Nurse | Involved in medication cart audits and staff retraining on medication disposal | |
| Medication Care Manager | Involved in medication cart audits and staff retraining on medication disposal | |
| Maintenance Coordinator | Checked carbon monoxide alarms and ensured proper installation and battery dating | |
| Maintenance Assistant | Assists in checking carbon monoxide alarms twice yearly | |
| Executive Director | Verifies carbon monoxide detectors and conducts quality assurance checks on food storage |
Inspection Report — Oct 24, 2024
Complaint Investigation
Date: Oct 24, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation during an unannounced partial licensing inspection.
Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or 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: 81
Secured Dementia Care Unit Residents Served: 27
Hospice Current Residents: 14
Resident Diagnosed with Mental Illness: 1
Resident Diagnosed with Intellectual Disability: 0
Resident Have Mobility Need: 57
Resident Have Physical Disability: 1
Residents Age 60 or Older: 81
Residents Receiving Supplemental Security Income: 0
Inspection Report — Jul 25, 2024
Complaint Investigation
Date: Jul 25, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility on 07/25/2024 and 07/26/2024.
Complaint Details
The visit was complaint-related and substantiated by the finding of a privacy violation involving unauthorized photography of a resident.
Findings
The report found a violation of resident privacy where a staff member took an unauthorized photograph of a resident and shared it with other staff. The facility implemented corrective actions including staff counseling, re-training on resident rights, and ongoing education to prevent recurrence.
Citations (1)
Staff person took a photograph of resident #1 on a personal cell phone and sent it to other staff, violating resident privacy rights.
Report Facts
Residents Served: 88
Secured Dementia Care Unit Residents Served: 25
Current Hospice Residents: 14
Residents Age 60 or Older: 84
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 57
Inspection Report — May 15, 2024
Complaint Investigation
Date: May 15, 2024
Visit Reason
The inspection was conducted as a complaint investigation and incident review at the facility on 05/15/2024.
Complaint Details
The visit was complaint-related with substantiated findings of abuse and neglect. Repeat violations were noted from prior inspections dated 1/24/24 and 9/26/23.
Findings
The inspection found repeat violations related to abuse and neglect, including failure to immediately suspend a staff member accused of abuse and failure to maintain operational emergency call pendants, resulting in resident harm and hospital transfer.
Citations (2)
Failure to immediately suspend a staff person involved in an alleged abuse incident, continuing to provide care until 12:45 p.m.
Resident call pendant receivers were left uncharged and non-operational, delaying assistance to a resident in need.
Report Facts
Residents Served: 94
Secured Dementia Care Unit Residents Served: 26
Hospice Current Residents: 16
Residents with Mobility Need: 61
Residents 60 Years or Older: 94
Deficiency Repeat Violations: 2
Inspection Report — Mar 8, 2024
Complaint Investigation
Date: Mar 8, 2024
Visit Reason
The inspection was conducted as a complaint investigation at the facility.
Complaint Details
The inspection was complaint-related; however, no deficiencies were found and no follow-up was required.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Total Daily Staff: 133
Waking Staff: 100
Residents Served: 86
Secured Dementia Care Unit Residents Served: 25
Hospice Current Residents: 20
Residents Age 60 or Older: 86
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 47
Residents with Physical Disability: 1
Notice — Feb 29, 2024
Date: Feb 29, 2024
Visit Reason
The document serves to notify the facility that a waiver request to waive the requirement for direct care staff to have a high school diploma, GED, or active registry status was granted due to education obtained outside the United States.
Findings
The waiver is granted with conditions including documentation of education equivalency and maintenance of records by the facility. The Department will review compliance with these conditions annually during inspections.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Feb 14, 2024
Complaint Investigation
Date: Feb 14, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection.
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
Resident Support Staff: 148
Waking Staff: 111
Residents Served: 88
Secured Dementia Care Unit Residents Served: 25
Hospice Current Residents: 20
Residents Age 60 or Older: 88
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 60
Residents with Physical Disability: 1
Inspection Report — Jan 24, 2024
Complaint Investigation
Date: Jan 24, 2024
Visit Reason
The inspection was conducted as a complaint investigation following an allegation of abuse involving a staff person at the facility.
Complaint Details
The complaint involved an allegation of abuse by a direct care staff person towards a resident in the Secure Dementia Care Unit. The staff member was placed on administrative leave pending investigation. The resident denied any incident or injury. The abuse allegation was unsubstantiated by the Department and APS. Retraining on abuse reporting and immediate notification procedures was conducted for involved staff and ongoing training implemented.
Findings
The submitted plan of correction related to the abuse allegation was found to be fully implemented. The abuse allegation was unsubstantiated after investigation, and staff involved were retrained on abuse reporting requirements to ensure timely reporting and resident safety.
Citations (1)
Failure to immediately suspend or implement a plan of supervision for a staff person involved in an alleged abuse incident until the home's administrator was notified.
Report Facts
Residents Served: 87
Residents Served in Secured Dementia Care Unit: 27
Hospice Residents: 21
Residents with Mobility Need: 61
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Physical Disability: 1
Inspection Report — Dec 12, 2023
Date: Dec 12, 2023
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 85
Secured Dementia Care Unit Residents Served: 27
Hospice Current Residents: 22
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 57
Residents Age 60 or Older: 85
Residents with Physical Disability: 1
Total Daily Staff: 142
Waking Staff: 107
Inspection Report — Nov 27, 2023
Complaint Investigation
Date: Nov 27, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.
Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 140
Waking Staff: 105
Residents Served: 83
Secured Dementia Care Unit Residents Served: 27
Hospice Current Residents: 23
Residents with Mobility Need: 57
Residents Age 60 or Older: 83
Residents with Physical Disability: 1
Inspection Report — Sep 26, 2023
Follow-Up
Date: Sep 26, 2023
Visit Reason
The inspection visit was conducted as a follow-up to review the submitted plan of correction related to a prior incident involving resident abuse.
Complaint Details
The visit was complaint-related due to an alleged abuse incident involving two residents. The alleged perpetrator was provided 1:1 supervision and educated on behavior expectations. Resident rights and staff training on abuse prevention are ongoing.
Findings
The submitted plan of correction was determined to be fully implemented, with ongoing monitoring and staff retraining planned to prevent further incidents of abuse. The facility has implemented 1:1 supervision for the alleged perpetrator and updated resident care plans accordingly.
Citations (1)
Resident #2 touched resident #1 without permission, causing distress. This was a repeat violation from 10/21/2022.
Report Facts
Residents Served: 82
Secured Dementia Care Unit Residents Served: 18
Current Hospice Residents: 22
Residents Age 60 or Older: 82
Residents with Mental Illness: 1
Residents with Mobility Need: 39
Notice — Sep 11, 2023
Date: Sep 11, 2023
Visit Reason
The document serves to grant a waiver for a direct care staff member at Sunrise of McCandless who received their education outside the United States, allowing equivalency to a US high school diploma under specified conditions.
Findings
The waiver is granted with conditions that the staff member's education documentation be maintained and made available for review. The Department will review this waiver annually during inspections to ensure compliance.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Harman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Aug 23, 2023
Complaint Investigation
Date: Aug 23, 2023
Visit Reason
The inspection was conducted as a complaint-related incident investigation on 08/23/2023 at the facility Sunrise of McCandless.
Complaint Details
The visit was complaint-related with the reason stated as 'Incident'. No deficiencies or 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: 77
Secured Dementia Care Unit Residents Served: 24
Hospice Current Residents: 22
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 0
Residents with Mobility Need: 50
Residents with Physical Disability: 1
Residents Age 60 or Older: 77
Inspection Report — Jun 13, 2023
Follow-Up
Date: Jun 13, 2023
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to an incident.
Findings
The submitted plan of correction was determined to be fully implemented. The report details a deficiency involving inadequate assistance provided to a resident during a transfer, with corrective actions including staff termination, training, and ongoing monitoring.
Citations (1)
Resident #1's assessment and support plan required assistance of 2 staff persons for bathroom transfer; however, only one staff person assisted during the incident.
Report Facts
Residents Served: 78
Secured Dementia Care Unit Residents Served: 22
Hospice Current Residents: 21
Residents with Mobility Need: 48
Residents 60 Years or Older: 78
Residents with Physical Disability: 1
Inspection Report — Jun 1, 2023
Date: Jun 1, 2023
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 78
Secured Dementia Care Unit Residents Served: 27
Hospice Current Residents: 21
Resident Count Age 60 or Older: 78
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 56
Inspection Report — Apr 24, 2023
Follow-Up
Date: Apr 24, 2023
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident involving allegations of resident abuse.
Findings
The submitted plan of correction related to the abuse allegation was fully implemented and accepted. The facility retrained staff on abuse reporting requirements and implemented ongoing monitoring and quality management measures to ensure timely reporting of abuse allegations.
Citations (1)
Failure to immediately report suspected abuse of a resident to the local Area Agency on Aging, Protective Services.
Report Facts
Residents Served: 74
Secured Dementia Care Unit Residents Served: 18
Hospice Current Residents: 19
Residents Age 60 or Older: 74
Residents with Mobility Need: 47
Residents with Physical Disability: 1
Total Daily Staff: 121
Waking Staff: 91
Inspection Report — Mar 2, 2023
Complaint Investigation
Date: Mar 2, 2023
Visit Reason
The inspection was conducted as a complaint investigation at the facility.
Complaint Details
The inspection was complaint-related and the exit conference was held on 03/02/2023. No deficiencies were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 72
Residents Served in Dementia Unit: 18
Hospice Residents: 16
Residents Age 60 or Older: 72
Residents with Mobility Need: 47
Total Daily Staff: 119
Waking Staff: 89
Inspection Report — Jan 20, 2023
Date: Jan 20, 2023
Visit Reason
The inspection was conducted as a licensing inspection due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified during this unannounced partial inspection.
Report Facts
Residents Served: 72
Secured Dementia Care Unit Residents Served: 20
Hospice Current Residents: 16
Residents Age 60 or Older: 70
Residents with Mental Illness: 1
Residents with Mobility Need: 47
Inspection Report — Jan 10, 2023
Renewal
Date: Jan 10, 2023
Visit Reason
The inspection was conducted as a full, unannounced review for renewal and complaint reasons at the facility Sunrise of McCandless.
Findings
Multiple deficiencies were identified including expired license posting, uncovered trash outside, holes in walls, missing or damaged window screens, unplugged bedside lamps, unlabeled and undated leftover food, blocked emergency egress, incomplete fire drill records, unsecured medications, mislabeled resident medications, incomplete preadmission screening forms, and missing signatures on support plans. Plans of correction were accepted and implemented with ongoing monitoring and retraining.
Citations (14)
Home's license posted behind the front desk expired and current license was not posted.
Multiple areas of uncovered trash outside the home including garbage cans and cigarette butts.
Two holes in the wall behind resident #1’s bed with plaster covering the floor.
No screens present in 8 windows in main dining room and damaged screens in dining room and other areas.
Resident #2's bedside lamp was not plugged in and no other source of light at bedside.
Unlabeled and undated leftover food items found in kitchen and ancillary refrigerators.
Food stored in unsealed packages in main kitchen freezers.
Outdated or undated frozen food items found in kitchen and SDCU kitchenette freezer.
Two large rolled-up bath towels blocking emergency exit egress doors in main dining room.
Fire drill record did not include amount of time for evacuation.
Tube of ointment found unlocked, unattended, and accessible on resident #1's counter.
Resident medications not labeled correctly per pharmacy label and medication administration record.
Resident #2's preadmission screening form was completed after admission date.
Support plans for residents #1, #3, and #4 missing required signatures.
Report Facts
Residents Served: 73
Residents Age 60 or Older: 72
Residents with Mobility Need: 50
Residents with Mental Illness: 1
Inspection Report — Oct 21, 2022
Plan of Correction
Date: Oct 21, 2022
Visit Reason
The document is a follow-up review of the facility's submitted plan of correction after a prior inspection.
Findings
The Pennsylvania Department of Human Services determined that the submitted plan of correction is fully implemented and compliance must be maintained.
Inspection Report — May 17, 2022
Follow-Up
Date: May 17, 2022
Visit Reason
The inspection was an unannounced partial review conducted due to an incident involving a resident fall during transfer with a Hoyer lift.
Findings
The report found that a resident fell due to a strap dislodging from a Hoyer lift sling, resulting in hospitalization. The facility implemented a comprehensive plan of correction including staff retraining on proper use of the Hoyer lift, safety checks of equipment, and ongoing monitoring and spot checks through October 2022.
Citations (1)
Failure to properly use a Hoyer lift resulting in resident fall and injury.
Report Facts
Residents served: 72
Secured Dementia Care Unit residents served: 20
Hospice current residents: 16
Residents age 60 or older: 70
Residents with mobility need: 47
Residents diagnosed with mental illness: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff member A | Named in relation to the incident involving improper use of Hoyer lift | |
| Staff member B | Named in relation to the incident involving improper use of Hoyer lift |
Inspection Report — Mar 23, 2022
Routine
Date: Mar 23, 2022
Visit Reason
The inspection was conducted as a routine licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Inspection Report — Feb 23, 2022
Renewal
Date: Feb 23, 2022
Visit Reason
The inspection was conducted as a renewal visit for the facility license, including a full unannounced inspection on 02/23/2022 and 02/24/2022.
Findings
The inspection identified multiple deficiencies including maintenance issues such as a missing shower faucet handle exposing a metal rod, inadequate bedside lighting for a resident, failure to conduct monthly fire drills for two months, medication labeling and availability errors, and incomplete resident support plan documentation. Plans of correction were accepted and implemented with completion dates by 04/01/2022.
Citations (7)
The shower in the shared bathroom of resident room #2 was missing the handle for the faucet, exposing a metal rod and had a hole around the rod in the tile wall exposing sharp edges that are a potential skin tear hazard.
Resident #1 does not have access to a source of light that can be turned on/off at bedside.
An unannounced fire drill was not held during the months of December 2021 and January 2022.
Resident #2’s medication label did not match what was prescribed.
Resident #3’s prescribed medication was not available in the facility.
The assessment for resident #1 did not indicate whether the resident is able to safely use and avoid poisonous material; this area was blank.
Resident #1's support plan was not signed by the resident nor indicated if the resident was unable or unwilling to sign.
Report Facts
Residents Served: 12
Total Daily Staff: 16
Waking Staff: 12
Deficiency Completion Date: Apr 1, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Contacted regarding the missing shower faucet handle and bedside lighting issues. | |
| Administrator | Responsible for auditing resident rooms, assessments, support plans, and overseeing plans of correction. | |
| Licensed Nursing Staff Member | Involved in medication labeling correction and auditing medication carts. | |
| Primary Care Physician | Contacted to correct medication orders for residents. | |
| Certified Registered Nurse Practitioner | Corrected medication order for Resident #3. |
Inspection Report — Nov 30, 2021
Plan of Correction
Date: Nov 30, 2021
Visit Reason
The inspection was a partial, unannounced review triggered by an incident, with follow-up visits to assess the implementation of the submitted plan of correction.
Findings
The facility was found to have repeated violations related to improper assistance with activities of daily living and abuse due to staff not following resident support plans, specifically involving improper transfer techniques requiring two staff persons and use of mechanical lifts. The submitted plan of correction was determined to be not fully implemented as of the latest review.
Citations (3)
Staff person independently transferred resident requiring two-person mechanical lift assistance, resulting in bruises and improper care.
Resident was neglected and physically abused due to improper use of Hoyer lift and failure to follow support plans.
Resident assessment and support plans were not updated to reflect current needs and services.
Report Facts
Residents Served: 72
Residents in Secured Dementia Care Unit: 24
Hospice Residents: 8
Total Daily Staff: 125
Waking Staff: 94
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Larry Mazza | Signed the letter regarding plan of correction implementation |
Notice — Sep 24, 2021
Date: Sep 24, 2021
Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care Home 'Sunrise of McCandless' following receipt of the renewal application dated September 21, 2021. It also advises that an annual inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document; it is a license renewal notice and certificate of compliance confirming the facility's authorized capacity and service type.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
Inspection Report — Aug 5, 2021
Renewal
Date: Aug 5, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 08/05/2021 and 08/06/2021 for the facility Sunrise of McCandless.
Findings
No regulatory citations or deficiencies were identified as a result of this licensing inspection.
Inspection Report — Mar 25, 2021
Renewal
Date: Mar 25, 2021
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing licensing inspections on 03/25/2021 and 03/31/2021 for the facility Sunrise of McCandless.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report — Feb 17, 2021
Renewal
Date: Feb 17, 2021
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing's licensing inspections of the facility on 02/17/2021 and 02/18/2021.
Findings
No regulatory citations were identified as a result of this inspection.
Notice — Dec 30, 2020
Date: Dec 30, 2020
Visit Reason
This document serves as a renewal notification and certificate of compliance for the Personal Care Home 'Sunrise of McCandless'. It informs the facility that a regular onsite inspection will be conducted within the next twelve months as required by state regulations.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following receipt of the renewal application.
Report Facts
Notice — May 18, 2020
Date: May 18, 2020
Visit Reason
The document serves to notify the facility of an approved increase in licensed capacity from 100 to 153 residents following a recent request to adjust the use of physical space.
Findings
The Department granted approval for a revised license increasing the facility's capacity to 153 residents. The expiration date of the license remains unchanged.
Report Facts
Inspection Report — Feb 26, 2020
Routine
Date: Feb 26, 2020
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of the Sunrise of McCandless facility on February 26, 2020.
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 23, 2020
Routine
Date: Jan 23, 2020
Visit Reason
The Department’s Bureau of Human Services Licensing Representatives conducted an inspection of the facility 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.
Inspection Report — Nov 18, 2019
Complaint Investigation
Date: Nov 18, 2019
Visit Reason
The inspection was conducted as a complaint and incident investigation at Sunrise of McCandless.
Complaint Details
The inspection was triggered by a complaint and incident. The violation involved failure to follow the resident's support plan for safe transferring.
Findings
The assessment and support plan for resident #1 indicated the need for assistance with transferring, but direct care staff transferred the resident without using the required mechanical lift device on two occasions. A plan of correction was submitted and fully implemented.
Citations (1)
Regulation 2600 23a requires assistance with activities of daily living as indicated in the resident’s assessment and support plan. Resident #1 was transferred without the use of a mechanical lift device contrary to the plan on two occasions.
Report Facts
Residents Served: 87
Dementia Unit Residents Served: 26
Hospice Current Residents: 4
Residents Age 60 or Older: 86
Residents with Mobility Need: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beverly Bowser | Executive Director | Named in relation to the plan of correction and investigation |
Inspection Report — Oct 16, 2019
Follow-Up
Date: Oct 16, 2019
Visit Reason
The visit was conducted as a follow-up to verify the implementation of a previously submitted plan of correction for Sunrise of McCandless.
Findings
The submitted plan of correction was determined to be fully implemented as of November 22, 2019. The facility corrected issues related to a resident contract date and medication administration documentation.
Citations (2)
Regulation 2600.25.a: The resident contract was signed but lacked a date for when the resident signed it.
Regulation 2600.187.a: The medication administration record showed a discrepancy in the dosage of Simvastatin administered compared to the physician's order.
Report Facts
Residents Served: 84
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beverly Bowser | Executive Director | Named in plan of correction signature and related to findings on contract and medication record |
Notice — Sep 10, 2019
Date: Sep 10, 2019
Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care Home 'Sunrise of McCandless' following receipt of a renewal application. It also informs that an onsite annual inspection will be conducted within the next twelve months as required by state regulations.
Findings
No inspection findings are reported in this document. It is a license renewal notice and certificate of compliance.
Report Facts
Inspection Report — Jul 22, 2019
Complaint Investigation
Date: Jul 22, 2019
Visit Reason
The inspection was a complaint investigation triggered by an allegation of resident abuse reported on July 12, 2019.
Complaint Details
The complaint was substantiated. On 7/12/19, resident #1 reported physical assault by an unidentified female staff member. The allegation was reported to staff person B on 7/12/19 but was not reported to the Area Agency on Aging or the Department until 7/15/19.
Findings
The investigation found that a resident was physically assaulted by an unidentified female staff member and that the allegation was not reported to the Area Agency on Aging or the Department in a timely manner. The facility was cited for failure to immediately report suspected abuse as required by regulations.
Citations (2)
55 Pa.Code §2600.15(a) - The home failed to immediately report suspected abuse of a resident as required by the Older Adult Protective Services Act and related regulations.
55 Pa.Code §2600.16(c) - The home failed to report the incident or condition to the Department's personal care home regional office or complaint hotline within 24 hours as required.
Report Facts
Residents Served: 86
Residents in Secured Dementia Care Unit: 28
Current Hospice Residents: 20
Staff Total Daily: 146
Waking Staff: 110
Residents Age 60 or Older: 86
Residents with Mental Illness: 4
Residents with Mobility Need: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beverly A. Bowser | Executive Director (Administrator) | Named in the Plan of Correction as the legal entity representative and signer responsible for retraining staff on abuse reporting. |
Inspection Report — Apr 5, 2019
Routine
Date: Apr 5, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of the facility to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
No regulatory citations or deficiencies 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 — Feb 7, 2019
Routine
Date: Feb 7, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of the facility 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. |
Inspection Report — Oct 30, 2018
Renewal
Date: Oct 30, 2018
Visit Reason
The inspection was a renewal inspection conducted by the Department’s Bureau of Human Services Licensing on October 30, 2018, for the facility Sunrise of McCandless.
Findings
Two violations of 55 Pa. Code Chapter 2600 were found related to sanitary conditions: lack of paper towels in the 3rd floor medication room restroom and uncovered trash in the kitchen of the Secured Dementia Care Unit.
Citations (2)
55 Pa.Code §2600.85(a) - Sanitary conditions shall be maintained. There were no paper towels or other method of hand drying in the public restroom near the 3rd floor medication room.
55 Pa.Code §2600.85(d) - Trash in kitchens and bathrooms shall be kept in covered trash receptacles. The trash can in the kitchen of the Secured Dementia Care Unit was uncovered and full of various food trash.
Report Facts
Number of Residents Served: 97
Number of Residents Served in Secured Dementia Care Unit: 27
Number of Current Hospice Residents: 22
Number of Hospice Residents in past year: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beverly Bowser | Executive Director | Named as Administrator and signer of Plan of Correction |
| Josh Hoover | Inspector who authored violation report |
Inspection Report — Oct 2, 2018
Complaint Investigation
Date: Oct 2, 2018
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident involving alleged abuse at the facility.
Complaint Details
The complaint investigation was substantiated based on resident #1's report and staff observations. The abuse involved repeated pinching and twisting of the resident's nipples by staff member B. The facility did not report the abuse timely to the required agencies.
Findings
The investigation found that staff member B repeatedly pinched resident #1's nipples and provided unsupervised care during certain hours. The facility failed to immediately report the suspected abuse to the appropriate authorities as required by regulation.
Citations (4)
Regulation 55 Pa.Code §2600.15(a): The home failed to immediately report suspected abuse of a resident to the local Area Agency on Aging as required.
Regulation 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.
Regulation 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.
Regulation 55 Pa.Code §2600.42(b): Resident #1 was physically abused by staff member B who repeatedly twisted the resident's nipples causing pain and embarrassment.
Report Facts
Number of Residents Served: 99
Number of Current Hospice Residents: 20
Number of Residents 60 Years of Age or Older: 98
Number of Residents with Mental Illness: 4
Number of Residents with Mobility Need: 67
Number of Residents Served in Secured Dementia Care Unit: 30
Number of Hospice Residents in Past Year: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beverly A. Bowser | Executive Director (Administrator) | Named as legal entity representative signing the plan of correction and involved in corrective actions. |
| Michael Marini | Department representative conducting the inspection on 10/02/2018. |
Inspection Report — Aug 28, 2018
Complaint Investigation
Date: Aug 28, 2018
Visit Reason
The inspection was conducted as a result of an incident complaint at the Sunrise of McCandless personal care home.
Complaint Details
The visit was triggered by an incident complaint. The violation involved staff behavior during a resident's hygiene routine. No substantiation status is explicitly stated.
Findings
The inspection found a violation of 55 Pa.Code §2600.42(c) where a resident was not treated with dignity and respect during a hygiene routine, resulting in a loud argument involving staff and the resident's spouse. Staff person A was removed from the area and later employment was terminated.
Citations (1)
55 Pa.Code §2600.42(c) - A resident was not treated with dignity and respect during a hygiene routine, leading to a loud argument involving staff and the resident's spouse. Staff person A was removed from resident care following the incident.
Report Facts
Number of Residents Served: 100
Number of Current Hospice Residents: 22
Number of Hospice Residents in Past Year: 41
Number of Residents Age 60 or Older: 99
Number of Residents with Mental Illness: 4
Number of Residents with Mobility Need: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beverly Bowser | Executive Director | Named as the legal entity representative signing the Plan of Correction. |
| Josh Hoover | On-site inspector for the violation report dated 08/28/2018. | |
| Lauren Spagna | On-site inspector for the violation report dated 08/28/2018. |
Notice — Aug 23, 2018
Date: Aug 23, 2018
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care Home Sunrise of McCandless. It informs the facility that the Department will conduct an annual onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It is a license renewal notice and certificate of compliance.
Report Facts
Inspection Report — Feb 2, 2018
Routine
Date: Feb 2, 2018
Visit Reason
The Department's Bureau of Human Services representatives conducted an inspection of the facility on February 2, 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 |
|---|---|---|
| Jason Williams | Human Services Licensing Supervisor | Signed the inspection report letter. |
Inspection Report — Jan 25, 2018
Complaint Investigation
Date: Jan 25, 2018
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident involving suspected abuse of a resident.
Complaint Details
The complaint investigation was substantiated based on the finding that the home did not immediately report suspected abuse of resident #1 to the AAA as required.
Findings
The investigation found that a resident with dementia had unexplained bruising and abrasions, and the home failed to immediately report the suspected abuse to the local Area Agency on Aging (AAA).
Citations (1)
55 Pa.Code §2600.15(a) requires immediate reporting of suspected resident abuse. The home failed to immediately report suspected abuse of a resident with dementia to the local AAA after staff observed unexplained bruising and abrasions.
Report Facts
Number of Residents Served: 100
Number of Current Hospice Residents: 18
Number of Hospice Residents in past year: 30
Number of Residents 60 Years or Older: 100
Number of Residents with Mental Illness: 3
Number of Residents with Mobility Need: 65
Total Daily Staff: 165
Waking Staff: 124
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beverly Bowser | Executive Director | Named in the Plan of Correction and signature on violation report. |
Inspection Report — Jan 19, 2018
Routine
Date: Jan 19, 2018
Visit Reason
The Department of Human Services licensing representatives conducted an inspection of the facility Sunrise of McCandless on January 19, 2018.
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. |
Notice — Dec 15, 2017
Date: Dec 15, 2017
Visit Reason
Notification of corporate restructuring and issuance of a new license reflecting the change in the legal entity name for the facility Sunrise of McCandless.
Findings
The document confirms the issuance of a new license for the facility with a maximum capacity of 100 persons and a secure dementia care unit capacity of 30. No deficiencies or inspection findings are reported.
Report Facts
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