Inspection Reports for
Sunrise of Paoli

PA, 19355

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29 Reports

2017–2025

Inspection Report — Dec 29, 2025

Complaint Investigation
Date: Dec 29, 2025

Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.

Complaint Details
The complaint investigation substantiated that the facility failed to timely report a resident fall incident and that a resident was abused by a staff member in the Secure Dementia Care Unit. The staff member was placed on administrative leave and subsequently terminated.
Findings
The facility failed to report a resident fall incident within the required 24-hour timeframe and an incident of resident abuse occurred in the Secure Dementia Care Unit. The facility implemented corrective actions including staff retraining and termination of the involved staff member.

Citations (2)
Regulation 2600.16c: The home did not report a resident fall incident with a fractured hip to the Department within 24 hours as required.
Regulation 2600.42b: A resident in the Secure Dementia Care Unit was physically and verbally abused by a staff member, causing trauma and ongoing fear.
Report Facts
Residents Served: 67 Secure Dementia Care Unit Residents Served: 15 Hospice Current Residents: 6 Residents Age 60 or Older: 62 Residents Diagnosed with Mental Illness: 1 Residents with Mobility Need: 45

Inspection Report — Feb 4, 2025

Follow-Up
Date: Feb 4, 2025

Visit Reason
The inspection was a complaint-related partial unannounced review conducted to verify the implementation of a submitted plan of correction.

Complaint Details
The visit was complaint-related as indicated by the inspection reason. The plan of correction was accepted and fully implemented.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies related to resident contract signatures and initial resident assessments were addressed with retraining, audits, and ongoing monitoring.

Citations (2)
The resident-home contract was not signed by the resident.
Resident assessment did not include the resident's history of a suicide attempt.
Report Facts
Residents served: 60 Secured Dementia Care Unit residents served: 17 Hospice current residents: 4 Residents age 60 or older: 60 Residents with mobility need: 36 Residents with physical disability: 2 Residents diagnosed with mental illness: 1

Inspection Report — Oct 16, 2024

Complaint Investigation
Date: Oct 16, 2024

Visit Reason
The inspection was conducted as a complaint and incident investigation to review allegations related to resident abuse and compliance with regulatory requirements.

Complaint Details
The complaint investigation substantiated physical abuse by Staff Member A, who was placed on administrative leave and subsequently terminated. The resident reported bruising and pain from the incident and expressed fear of retaliation.
Findings
The investigation found that a staff member physically abused a resident by grabbing their arm and yelling, resulting in bruising and ongoing pain. Additional deficiencies included failure to provide required medication self-administration training to direct care staff and incomplete resident records lacking required face sheets. Plans of correction were accepted and implemented, including staff termination, retraining, audits, and ongoing monitoring.

Citations (3)
Resident was physically abused by a staff member who grabbed the resident's arm and yelled, causing bruising and pain.
Direct care staff person did not receive required medication self-administration training during the 2023 training year.
Resident record did not include a face sheet with required demographic and medical information.
Report Facts
Residents Served: 59 Memory Care Residents Served: 16 Current Hospice Residents: 5 Residents Diagnosed with Mental Illness: 2 Residents with Mobility Need: 36

Employees mentioned
NameTitleContext
Staff Member ANamed in physical abuse finding and termination

Inspection Report — Jun 17, 2024

Complaint Investigation
Date: Jun 17, 2024

Visit Reason
The inspection was conducted as a complaint investigation to review compliance with care requirements and licensing regulations at the facility.

Complaint Details
The visit was complaint-related, triggered by concerns about resident care including assistance with activities of daily living, hospice licensing, abuse/neglect, and staff background checks. The complaint was substantiated as deficiencies were found.
Findings
The inspection found deficiencies related to failure to provide assistance with activities of daily living, unlicensed hospice services, neglect and abuse concerns, missing criminal background checks for staff, and a safety hazard with a smoke detector. Plans of correction were accepted and implemented.

Citations (5)
Failure to provide assistance with reminders to eat and personal grooming as required by resident's assessment and support plan.
Hospice services provided by an unlicensed hospice provider whose license had expired.
Resident neglect and failure to provide required assistance and reminders, including feeding and grooming.
Staff member who pronounced a resident deceased had no criminal background or license information in the file.
Smoke detector in room 325 was hanging by a wire and not attached to the ceiling, posing a safety hazard.
Report Facts
Residents Served: 59 Secured Dementia Care Unit Residents Served: 14 Hospice Current Residents: 3 Residents Age 60 or Older: 59 Residents with Mobility Need: 33 Total Daily Staff: 92 Waking Staff: 69

Inspection Report — Jul 27, 2023

Complaint Investigation
Date: Jul 27, 2023

Visit Reason
The inspection was conducted as a complaint investigation and incident review at the facility on 07/27/2023.

Complaint Details
The visit was complaint-related, triggered by an incident where resident #1 pushed resident #2's head into a table causing a concussion. The abuse allegation was not reported using the required Act 13 document to the local area agency on aging.
Findings
Two deficiencies were identified: failure to immediately report suspected resident abuse as required by law, and failure to document in the resident's support plan the medical and behavioral care services needed. Both deficiencies had corrective plans of action accepted and implemented by 08/22/2023.

Citations (2)
Failure to immediately report suspected abuse of a resident as required by the Older Adult Protective Services Act and related regulations.
Failure to document in the resident’s support plan the medical, dental, vision, hearing, mental health or other behavioral care services needed or referrals as determined necessary.
Report Facts
Residents served in Secured Dementia Care Unit: 17 Residents diagnosed with mental illness: 2 Residents with mobility need: 34 Residents with current resident status in hospice: 6

Employees mentioned
NameTitleContext
Dan BevanInterim Regional DirectorProvided training on frequent RASP/ISP updates with Wellness team.
Katelyn MetzgerResident Care DirectorNamed in training and monitoring of plan of correction implementation.

Inspection Report — Feb 27, 2023

Renewal
Date: Feb 27, 2023

Visit Reason
The inspection was conducted as a renewal inspection combined with complaint and incident reasons, including a plan of correction submission review.

Findings
The inspection identified multiple deficiencies related to staff qualifications, training, safety, medication administration, and facility safety measures. All deficiencies had plans of correction accepted and were implemented by April 27, 2023.

Citations (13)
Direct care staff person A did not have a US high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Direct care staff persons A and B did not receive training in Medication self-administration during training year 2022.
Poisonous materials (hand soap) were unlocked, unattended, and accessible to residents in the secure dementia care unit bedroom.
No emergency telephone numbers including nearest hospital and fire department were posted on or by telephones in resident bedrooms.
First aid kit in Reminiscence did not include a thermometer.
Outdated or unlabeled food items (tuna sandwiches, crab cakes, pretzel nuggets) were found in the Reminiscence kitchen and walk-in freezer.
A chair blocked emergency egress at the emergency exit in the dining area.
Fire extinguisher in the bus had not been inspected by a fire safety expert since 11/2021.
During a fire drill, the home's total evacuation time exceeded the maximum safe evacuation time specified by a fire safety expert.
First aid kit in the bus used to transport residents did not include a thermometer.
Prescription medications and syringes were unlocked, unattended, and accessible in resident 1's bedroom; resident 1 is not capable of self-administering medications.
Medication administration record did not document the time medication was administered for resident 1.
The home did not fully follow prescriber's orders for medication administration for residents 1 and 2, with missed or incomplete doses documented.
Report Facts
Residents Served: 50 Deficiencies cited: 13

Inspection Report — Dec 1, 2022

Follow-Up
Date: Dec 1, 2022

Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident at the facility 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 resident abuse, activities of daily living assistance, and staff training deficiencies. The report details incidents of verbal and emotional abuse by staff, failure to report abuse, and inadequate assistance with oral care, all of which were addressed through staff termination, retraining, and additional training plans.

Citations (4)
Failure to immediately report suspected abuse of resident #1 by staff person A and failure of staff person B to report the incident.
Resident #1 did not receive required assistance with oral care as indicated in the resident’s assessment and support plan.
Emotional abuse and intimidation of resident #1 by staff person A, witnessed by staff person B who failed to report the incident.
Staff training plan lacked detailed training on providing oral care and the different types of abuse.
Report Facts
Residents Served: 33 Residents Served in Dementia Unit: 11 Total Daily Staff: 49 Waking Staff: 37 Residents Age 60 or Older: 44 Residents with Mobility Need: 16

Inspection Report — Jun 8, 2022

Complaint Investigation
Date: Jun 8, 2022

Visit Reason
The inspection was conducted as a complaint investigation at the facility.

Complaint Details
The inspection was complaint-related and the follow-up type was noted as not required.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.

Report Facts
Total Daily Staff: 73 Waking Staff: 55 Residents Served: 48 Secured Dementia Care Unit Residents Served: 11 Residents Age 60 or Older: 48 Residents with Mobility Need: 25 Residents Receiving Supplemental Security Income: 0 Residents Diagnosed with Mental Illness: 0 Residents Diagnosed with Intellectual Disability: 0 Residents with Physical Disability: 0

Inspection Report — May 17, 2022

Complaint Investigation
Date: May 17, 2022

Visit Reason
The inspection was conducted as a complaint and incident investigation with unannounced partial inspections on multiple dates.

Complaint Details
The inspection was complaint and incident related, with an exit conference held on 05/23/2022. No deficiencies were found.
Findings
No deficiencies or regulatory citations were identified during the inspection.

Report Facts
Residents Served: 46 Residents Served in Dementia Unit: 11 Hospice Residents: 6 Residents Age 60 or Older: 46 Residents with Mobility Need: 32 Residents with Physical Disability: 2 Total Daily Staff: 78 Waking Staff: 59

Inspection Report — Mar 21, 2022

Complaint Investigation
Date: Mar 21, 2022

Visit Reason
The inspection was conducted as a complaint investigation with unannounced partial inspections on 03/21/2022 and 03/29/2022.

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 in Secured Dementia Care Unit: 12 Resident Support Staff: 75 Waking Staff: 56 Residents with Mobility Need: 28 Residents 60 Years or Older: 47

Inspection Report — Mar 10, 2022

Complaint Investigation
Date: Mar 10, 2022

Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial review of the facility.

Complaint Details
The visit was complaint-related and incident-driven, with follow-up on plan of correction submissions. The complaint involved resident safety and behavior management issues.
Findings
The inspection identified multiple deficiencies including a malfunctioning electromagnetic lock on a secured dementia unit door allowing a resident to exit without triggering an alarm, failure to implement positive interventions for resident behavior, incomplete support plans lacking documentation of aggression needs and signatures, and missing conspicuous posting of directions for key-locking devices. Plans of correction were accepted and implemented with ongoing monitoring.

Citations (6)
The back door on the home's 3rd floor secured dementia unit opened without entering the keycode or triggering the alarm.
Staff failed to implement positive interventions including redirection and de-escalation techniques for resident exhibiting aggressive behavior.
Resident #1's support plan did not document how the need for aggression would be met.
Resident #1's support plan lacked a signature page.
Directions for operating the home's locking mechanism were not conspicuously posted near the back door from the Secure Dementia Care Unit.
Support plan for resident #1 was not revised to address changes in aggressive behavior.
Report Facts
Residents Served: 47 Residents Served in Secured Dementia Care Unit: 12 Total Daily Staff: 75 Waking Staff: 56 Residents with Mobility Need: 28 Residents 60 Years or Older: 47

Employees mentioned
NameTitleContext
Claire MendezSigned the letter confirming plan of correction implementation.
Reminiscence CoordinatorConducted retraining, observations, and revisions related to deficiencies and plans of correction.
Personal Care CoordinatorAssisted in reviewing and updating resident support plans.
Maintenance CoordinatorAssisted in posting directions for locking mechanisms.
Staff ATested the malfunctioning door lock after the incident.
Staff BInvolved in incident with resident's aggressive behavior and failure to implement positive interventions.

Inspection Report — Nov 3, 2021

Renewal
Date: Nov 3, 2021

Visit Reason
The inspection was a renewal and provisional licensing inspection conducted unannounced on 11/03/2021 at the Sunrise of Paoli facility.

Findings
The inspection identified multiple deficiencies including unsecured poisonous materials accessible to residents, unsanitary conditions such as a dirty ice machine and stained carpets, lint accumulation in the dryer, unlabeled medications, incomplete staff training documentation, and improper refrigerator temperatures. Plans of correction were accepted for all deficiencies with completion dates set for 12/10/2021.

Citations (8)
Poisonous materials were unlocked and accessible to residents in the Memory Care unit.
Ice machine in the main kitchen had a brown substance around the door and on the inside plastic; carpets at Exit Stair C were stained and discolored.
Significant amount of lint found in the main dryer's lint trap.
No pharmacy label on the bottle of Apetamin vitamin syrup found in the Memory Care unit.
OTC medication (Apetamin Vitamin syrup) was not labeled with the resident's name.
Staff person A lacked documentation of successful completion of Department-approved diabetes patient education program within the last 12 months.
Medication administration training record for staff person A did not include documentation of successful completion of handwashing or gloving.
Temperature in the small refrigerator in the main kitchen was 54°F, exceeding the required 40°F or below.
Report Facts
Residents Served: 54 Residents Served in Dementia Care Unit: 14 Hospice Residents: 5 Waking Staff: 69 Total Daily Staff: 92

Employees mentioned
NameTitleContext
Staff person AMedication Care ManagerNamed in findings related to incomplete diabetes patient education and medication administration training.
Maintenance CoordinatorResponsible for removing poisonous materials, cleaning lint traps, and overseeing carpet replacement.
Reminiscence CoordinatorProvided staff training on poisonous materials and medication labeling.
Dining Services CoordinatorResponsible for cleaning the ice machine and monitoring refrigerator temperatures.
Executive DirectorInvolved in reviewing and monitoring plans of correction.

Inspection Report — Aug 25, 2021

Follow-Up
Date: Aug 25, 2021

Visit Reason
The inspection visit on 08/25/2021 was a partial, unannounced follow-up to verify the implementation of a previously submitted plan of correction as part of provisional monitoring.

Findings
The submitted plan of correction was determined to be fully implemented, and the facility was found to be in compliance at the time of the follow-up inspection.

Report Facts
Total Daily Staff: 85 Waking Staff: 64 Residents Served: 52 Residents Served in Dementia Unit: 14 Residents Age 60 or Older: 52 Residents with Mobility Need: 33

Inspection Report — Apr 8, 2021

Monitoring
Date: Apr 8, 2021

Visit Reason
The inspection was an unannounced partial monitoring and interim inspection conducted on 04/08/2021 to assess compliance with licensing regulations at the Sunrise of Paoli facility.

Findings
The inspection found deficiencies related to staff orientation in general fire safety and emergency preparedness, as well as training on resident rights, emergency medical plans, and mandatory reporting of abuse and neglect. Plans of correction were accepted with completion dates set for May 18, 2021.

Citations (2)
Staff persons did not receive orientation on evacuation procedures, staff duties during fire drills and emergency evacuation, designated meeting place, smoking safety procedures, use of fire extinguishers, smoke detectors, fire alarms, telephone use and notification of emergency services.
Staff persons did not complete training on resident rights, emergency medical plan, mandatory reporting of abuse and neglect under the Older Adult Protective Services Act, and reporting of reportable incidents and conditions within 40 scheduled working hours.
Report Facts
Residents Served: 48 Secured Dementia Care Unit Residents Served: 16 Residents with Mobility Need: 30 Residents Age 60 or Older: 48 Total Daily Staff: 78 Waking Staff: 59

Inspection Report — Dec 30, 2020

Renewal
Date: Dec 30, 2020

Visit Reason
The document is a renewal license issued in response to the December 16, 2020 renewal application to operate the 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 confirms issuance of a regular license following the renewal application and outlines the requirement for a future annual inspection.

Report Facts

Inspection Report — Dec 10, 2020

Complaint Investigation
Date: Dec 10, 2020

Visit Reason
The inspection was conducted as a complaint investigation following allegations related to resident neglect and failure to provide CPR during a medical emergency.

Complaint Details
The complaint investigation was triggered by allegations that staff failed to provide CPR to a resident found unresponsive without a pulse and without a DNR order. The investigation substantiated neglect due to deprivation of services and failure to follow emergency medical policies.
Findings
The investigation found that staff failed to provide CPR to an unresponsive resident without a DNR order, violating abuse and neglect regulations and emergency medical plan requirements. Additional deficiencies included failure to orient new staff on fire safety and emergency preparedness, and incomplete training on resident rights and mandatory abuse reporting within required hours.

Citations (5)
Resident was neglected due to deprivation of services when CPR was withheld by certified staff during a medical emergency.
Certified CPR staff failed to provide CPR in accordance with training and policy despite instructions from supervisor and 911 operator.
The home's written emergency medical plan was not properly followed regarding CPR initiation for an unresponsive resident without a DNR order.
Several staff persons did not receive orientation on fire safety and emergency preparedness topics on their first day of work.
Several staff persons did not complete training on resident rights, emergency medical plan, mandatory abuse reporting, and incident reporting within 40 scheduled working hours.
Report Facts
Residents Served: 52 Residents Served in Secure Dementia Care Unit: 16 Staffing Hours: 77 Waking Staff: 58 Residents with Mobility Need: 25 Inspection Dates: 5

Inspection Report — Jun 11, 2020

Renewal
Date: Jun 11, 2020

Visit Reason
The inspection was conducted as part of licensing inspections by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on multiple dates in June 2020.

Findings
No regulatory citations were identified as a result of the inspections conducted on 06/11/2020, 06/18/2020, 06/22/2020, 06/23/2020, and 06/25/2020 at the facility.

Inspection Report — Jan 14, 2020

Renewal
Date: Jan 14, 2020

Visit Reason
The inspection was conducted as a renewal inspection to review compliance with licensing requirements at Sunrise of Paoli.

Findings
The inspection identified multiple violations across various regulatory areas including smoking policies, resident contracts, resident rights acknowledgments, staff orientation, furniture and equipment maintenance, food safety, emergency procedures, fire safety, and resident record content. Plans of correction were submitted and approved with implementation verified.

Citations (17)
2600.18 - The home has an indoor smoking area attached to the home which is not permitted under the Clean Indoor Air Act for personal care homes.
2600.25b - The resident-home contract for Resident #1 was not signed by the resident until after the contract date.
2600.41e - Residents #2 and #3 did not sign the Resident Rights until after admission.
2600.64a - Staff Member A had not successfully completed the orientation program approved and administered by the Department prior to initial employment.
2600.95 - The left arm rest of the recliner in room 220 was dirty and covered with grime.
2600.101o - The baseboards in bedroom 220 were cracking and in need of repair.
2600.103e - Unlabeled and undated food items were found in the main kitchen walk-in refrigerator and 3rd floor activity area kitchen.
2600.103f - There was no thermometer in the freezer compartment of the 3rd floor activity area refrigerator.
2600.103g - A bag of pecans and a bag of dried couscous on the dry food shelf were opened and unsealed.
2600.103i - A dented can of corn beef hash was located on the rack of canned goods in the main kitchen.
2600.107c - There was an insufficient amount of non-perishable protein for the 3-day emergency supply dinner menu.
2600.107d - The written emergency procedures had not been submitted annually to the local emergency management agency; the most recent letter was dated 8/15/17.
2600.131f - The fire extinguisher in the designated smoking room on the 1st floor had not been inspected by a fire safety expert since November 2018.
2600.132b - The fire safety expert letter dated 10/30/19 incorrectly listed the fire drill evacuation time; the actual drill times exceeded the approved maximum.
2600.227g - Support plans had not been signed for Residents #1, 2, 3, 4, 5, and 6.
2600.252 - Resident #1's record did not list eye or hair color accurately and had 'wait list' entered instead.
2600.125a - Cardboard boxes of resident records were stored within 5 inches of a boiler and in stacks within 30 inches of the boiler in the 3rd floor attic.
Report Facts
Residents Served: 76 Secured Dementia Care Unit Residents Served: 25 Hospice Current Residents: 10

Inspection Report — Jan 7, 2020

Complaint Investigation
Date: Jan 7, 2020

Visit Reason
The inspection was conducted as a complaint investigation following allegations of abuse involving a staff person and a resident.

Complaint Details
The complaint investigation was substantiated based on staff statements and resident injuries documented. The allegation involved physical abuse by staff person A against resident #1 on 12/28/19.
Findings
The investigation found that staff person A allegedly abused resident #1 by hitting him and denying the abuse. The facility failed to immediately suspend the staff person and did not document the incident in the resident's record. Multiple injuries to the resident were documented.

Citations (3)
2600.15.b: The home failed to immediately suspend staff person A after an allegation of abuse involving resident #1 was made on 12/28/19. No supervisor or manager was on duty to suspend the staff person promptly.
2600.42.b: Staff person A physically abused resident #1 by hitting his head against the wall despite resident resistance. Staff person B and C confirmed the incident and staff person A denied the abuse.
2600.252: Resident #1's record did not include documentation of the 12/28/19 reportable incident of abuse.
Report Facts
Residents Served: 77 Secured Dementia Care Unit Residents Served: 25 Hospice Current Residents: 10 Residents Diagnosed with Mental Illness: 1 Residents with Mobility Need: 48 Residents Age 60 or Older: 77

Employees mentioned
NameTitleContext
Rahman CarllExecutive DirectorNamed in plan of correction and response to abuse allegation

Inspection Report — Oct 21, 2019

Routine
Date: Oct 21, 2019

Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of the Sunrise of Paoli facility on October 21, 2019.

Findings
No regulatory citations with 55 Pa. Code Ch. 2600 relating to Personal Care Homes were identified as a result of this inspection.

Notice — Sep 10, 2019

Date: Sep 10, 2019

Visit Reason
The document serves as a renewal approval for the Personal Care Home license and notifies that an annual 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 the renewal application.

Report Facts

Inspection Report — Sep 5, 2019

Complaint Investigation
Date: Sep 5, 2019

Visit Reason
The inspection was conducted as a complaint investigation at Sunrise of Paoli on September 5, 2019.

Complaint Details
The inspection was complaint-driven and violations were substantiated as described in the violation report.
Findings
Violations of 55 Pa. Code Ch. 2600 related to treatment of residents and criminal background checks were found. The facility was cited for aggressive staff behavior towards residents and failure to have required criminal background checks completed at the time of employment.

Citations (2)
55 Pa. Code §2600.42c: Staff aggressively yelled at residents causing distress and took a resident's glass of juice without consent. This was a repeat violation from prior dates.
55 Pa. Code §2600.51: Agency staff began working without the required Pennsylvania Criminal Background check completed at the time of employment.
Report Facts
Residents Served: 77 Residents Served in Dementia Unit: 25

Employees mentioned
NameTitleContext
Keelan McCurdySr. Director of OperationsSigned the Plan of Correction documents related to the violations.

Inspection Report — Jul 2, 2019

Complaint Investigation
Date: Jul 2, 2019

Visit Reason
The inspection was conducted as a complaint investigation following an incident reported at the Sunrise of Paoli personal care home.

Complaint Details
The investigation was triggered by a complaint alleging suspected abuse involving resident #1, including inappropriate photography and failure to notify the resident's designated person timely. The complaint was substantiated with multiple violations found.
Findings
Multiple violations related to resident abuse, neglect, and failure to report incidents timely were found. The facility was cited for inadequate staff response to suspected abuse, improper treatment of residents, and failure to maintain resident dignity and privacy.

Citations (13)
2600.15d - The home failed to immediately notify the resident's designated person of suspected abuse involving a photo of resident #1 until 7-2-19.
2600.15d - Resident #1's designated person was not notified timely about the abuse accusation; staff received in-service training on abuse reporting.
2600.16c - The home failed to report an incident involving resident #1's photo to the department until 7-2-19.
2600.42b - Resident #1 was left alone on a bed wearing only an incontinent product and a towel; staff took a photo and shared it improperly.
2600.42b - Staff persons involved were placed on administrative leave; one staff was terminated following investigation.
2600.42c - Staff person A showed no respect for resident #1 by using a personal cell phone to take a photo and sharing it with others.
2600.42c - Staff person A was placed on administrative leave and later terminated following investigation.
2600.42s - Resident #1's privacy was violated when staff person A took a photo while the resident was only wearing an incontinent product and a towel.
2600.42s - The photo was shared via text message to other staff persons B, D, and E.
2600.201 - Resident #2 was verbally aggressive toward resident #3; the home failed to develop a safe management technique or safety plan for resident #3.
2600.201 - The home updated the support plan for resident #2 to address verbal aggression and implemented supervision and interventions.
2600.227d - The support plan for resident #2 did not indicate how the resident could be verbally aggressive or how to assist the resident appropriately.
2600.227d - The home submitted a plan to correct the support plan documentation for resident #2.
Report Facts
Residents Served: 77 Residents Served in Dementia Unit: 27 Current Hospice Residents: 7 Total Daily Staff: 130 Walking Staff: 98

Employees mentioned
NameTitleContext
Keelan McCurdyAdministratorNamed as facility administrator
Casey EdmondstonExecutive Director (Administrator)Signed plan of correction and involved in training and corrective actions
Mia JohnsonHuman Services Licensing SupervisorDepartment representative overseeing inspection

Inspection Report — May 7, 2019

Complaint Investigation
Date: May 7, 2019

Visit Reason
The inspection was conducted as a result of an incident complaint at the Sunrise of Paoli personal care home.

Complaint Details
The inspection was triggered by an incident complaint. No substantiation status is explicitly stated.
Findings
The inspection found violations related to the failure to conspicuously post directions for operating the home's locking mechanism near the Secure Dementia Care Unit door.

Citations (1)
55 Pa. Code § 2600.233(c) requires directions for operating key-locking devices to be conspicuously posted. On 05/07/2019, these directions were not posted near the Secure Dementia Care Unit door.
Report Facts
Residents Served: 75 Secure Dementia Care Unit Residents Served: 23

Employees mentioned
NameTitleContext
Keelan McCurdyDirector of OperationsSigned the plan of correction and reviewed the requirement with the coordinator team.

Inspection Report — Mar 11, 2019

Complaint Investigation
Date: Mar 11, 2019

Visit Reason
The inspection was conducted as a Complaint/Incident investigation by the Department’s Bureau of Human Services Licensing on March 11, 2019.

Complaint Details
The complaint investigation was substantiated. Staff persons A and B were immediately removed from resident areas and placed on administrative leave pending investigation. The allegation was substantiated after interviews with staff and the resident.
Findings
Violations of 55 Pa. Code Chapter 2600 related to Personal Care Homes were found, including failure to obtain a resident's signature on a contract, failure to treat a resident with dignity and respect, and failure to address frequent refusals of care in the resident's support plan.

Citations (5)
55 Pa.Code §2600.25(b): The contract for resident #1 was not signed by the resident.
55 Pa.Code §2600.42(c): Staff persons A and B were removed and placed on administrative leave pending investigation after allegations from resident #1 were substantiated.
55 Pa.Code §2600.42(c): Staff persons A and B returned to work after reeducation and training on resident rights, behavioral expressions, and abuse.
55 Pa.Code §2600.42(c): Resident #1 was forced to shower against their wishes and was disrespected by staff despite being able to ambulate independently.
55 Pa.Code §2600.227(d): Resident #1's support plan did not address frequent refusals of care related to bathing and dressing.
Report Facts
Number of Residents Served: 75 Number of Residents Served in Secured Dementia Care Unit: 22 Total Daily Staff: 122 Waking Staff: 92

Employees mentioned
NameTitleContext
Rita EllisExecutive DirectorSigned plan of correction and legal entity representative

Inspection Report — Feb 5, 2019

Annual Inspection
Date: Feb 5, 2019

Visit Reason
The inspection was an annual licensing inspection conducted on February 5, 6, and 11, 2019, including renewal and incident triggers.

Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found related to resident abuse allegations, missing influenza posters, unsigned resident contracts, incomplete resident records, inadequate staff background checks, missing first aid kit items, unsafe transportation practices, medication administration errors, and failure to meet resident service needs.

Citations (14)
2600.15(b) - The home failed to develop and implement a plan of supervision or suspend a staff person involved in an abuse allegation before allowing return to work.
2600.18 - The home did not post the required influenza information poster in a public place year-round.
2600.25(b) - Contracts for residents #2 and #3 were not signed by the residents.
2600.41(e) - Resident #2 and #3 records did not contain signed statements acknowledging receipt of resident rights and complaint procedures.
2600.52 - Staff person B's federal criminal history record was not requested as required by law.
2600.96(a) - The first aid kit in the Reminiscence Unit lacked a thermometer and breathing shield.
2600.171(b)(1) - Staff did not properly secure resident #4's seatbelt during transportation, risking safety.
2600.181(f) - Resident #3's medication list was incomplete and did not include all current medications.
2600.183(d) - Olopatadine eye drops found in resident #5's medication cart were not a current prescription.
2600.185(a) - The home failed to follow safe procedures for medication and medical equipment use when staff did not write the open date on resident #6's medication pen.
2600.187(a)(13) and (14) - Staff did not record required information at the time medication was administered to resident #7.
2600.191 - Residents #2 and #3 were not educated on their right to refuse medication or medication errors.
2600.223(a) - The home failed to provide a secure environment when resident #8 was found outside the Reminiscence Unit unsupervised.
2600.224(a) - The pre-admission screening form for resident #3 did not include a determination that the home could meet the resident's service needs.
Report Facts
Number of Residents Served: 75 Number of Current Hospice Residents: 9 Number of Hospice Residents in past year: 34

Employees mentioned
NameTitleContext
Rita EllisAdministrator, Executive DirectorNamed as legal entity representative and signer of plans of correction.

Notice — Aug 23, 2018

Date: Aug 23, 2018

Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care Home 'Sunrise of Paoli' pursuant to Title 55, PA Code, Chapter 2600.

Findings
The Department has received the renewal application and issued a regular license. The Department will conduct an onsite annual inspection within the next twelve months to ensure compliance.

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Inspection Report — Mar 27, 2018

Complaint Investigation
Date: Mar 27, 2018

Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident involving resident neglect and abuse allegations.

Complaint Details
The complaint investigation was substantiated based on findings that staff verbally abused a resident and failed to report the incident timely as required.
Findings
Violations of 55 Pa. Code Chapter 2600 were found related to resident neglect, intimidation, verbal abuse, and failure to report incidents timely. Staff members were found to have verbally abused a resident and failed to report the incident as required.

Citations (2)
Regulation 55 Pa.Code §2600.42(b): A resident was verbally abused by staff who threatened to 'smack the shit out of' the resident. This behavior constitutes neglect and abuse.
Regulation 55 Pa.Code §2600.16(c): Staff failed to report the incident of abuse to the Department's personal care home complaint hotline within 24 hours as required by law.
Report Facts
Number of Residents Served: 82 Number of Current Hospice Residents: 8 Number of Hospice Residents in past year: 46 Number of Residents 60 Years or Older: 82 Number of Residents with Mental Illness: 5 Number of Residents with Mobility Need: 52

Notice — Dec 15, 2017

Date: Dec 15, 2017

Visit Reason
The document serves as a license renewal notice and certificate of compliance for Sunrise of Paoli, reflecting a corporate restructuring and change in the legal entity name.

Findings
The document confirms the issuance of a new license with a maximum capacity of 110 residents and a secure dementia care unit capacity of 25 beds. No inspection findings or deficiencies are reported.

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