Inspection Reports for
The Addison of Garden Way Place

The inspection identified several deficiencies including uncovered trash receptacles in the kitchen, lack of protective guards on the fireplace while in use, failure to conduct a fire drill during sleeping hours within the required timeframe, and incomplete documentation of psychiatric service contact information in a resident's support plan. All deficiencies had plans of correction accepted and were implemented by the dates noted.

The inspection included a complaint investigation component; however, the submitted plan of correction was fully implemented and compliance was maintained.

The facility was found to have multiple deficiencies related to staff training, trash receptacle maintenance, and food supply. All cited deficiencies had accepted plans of correction that were fully implemented by the follow-up date.

The complaint involved an investigation by Adult Protective Services into the care, treatment, and potential abuse of a resident. The facility failed to notify the department as required.

The facility was found to have multiple deficiencies including failure to report an incident to the Department, failure to provide required assistance with activities of daily living, delayed medication administration, and incomplete initial support plans. The submitted plan of correction was accepted and fully implemented by March 14, 2025.

The visit was complaint-related as indicated by the inspection reason. The complaint involved issues with privacy, medication administration, and discharge procedures.

The inspection identified multiple deficiencies including unauthorized video monitoring signage, incomplete medication administration records, failure to follow prescriber's orders, and failure to provide required 30-day discharge notices.

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

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

The submitted plan of correction was determined to be fully implemented. One specific deficiency involved the presence of an unsealed bag of frozen hamburger patties that appeared freezer burned, which was addressed by discarding the food and providing staff training on food storage and labeling.

The facility was found to have implemented the plan of correction fully, addressing previous deficiencies related to resident personal equipment, sanitary conditions, surfaces, outdated food, first aid kit contents, resident assessments, and support plan content.

The facility was found to be in substantial compliance with applicable regulations during the partial inspection. The licensing inspector was unable to complete a full inspection because this is a new legal entity operating the home. No deficiencies were found.

The visit was complaint-related, investigating allegations of resident abuse involving staff shouting at a resident during transfer and failure to report and supervise staff appropriately. The complaint was substantiated based on observations and interviews.

The investigation found that staff failed to immediately report suspected resident abuse, did not implement a plan of supervision or suspend involved staff promptly, and did not consistently follow the resident's assistance plan for transfers. Additionally, staff were observed shouting at a resident during transfer, violating dignity and respect requirements.

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

The facility was found to have multiple deficiencies including issues with telephone access privacy, window screens, furnace inspection, presence of portable space heaters, fire extinguisher inspections, and medication management. Plans of correction were accepted and implemented to address all deficiencies.

The inspection was complaint-related, but no deficiencies were found and the complaint was not substantiated.

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

The visit was complaint-related, focusing on a failure to provide assistance with activities of daily living as per the resident's support plan. The plan of correction was accepted and fully implemented.

The facility was found to have failed to provide a resident with assistance with personal care and hygiene as indicated in the resident's assessment and support plan, specifically missing showers from 3/20/22 through 4/1/22. A plan of correction was submitted and determined to be fully implemented.

The inspection identified multiple deficiencies related to posting of licensing inspection summary, emergency telephone numbers, food storage and labeling, outdated food, pet vaccination records, and smoking area location. All deficiencies had plans of correction accepted and were implemented.

The inspection was triggered by a complaint. The plan of correction was accepted and fully implemented as of 07/21/2021.

A violation was found involving a pile of dog feces and leaves on the concrete patio near the rear entrance to the courtyard. Immediate corrective actions were taken, and a plan of correction was accepted and fully implemented.

The complaint involved an allegation that on 2/2/21 a staff person grabbed resident #1 by the arm and dragged the resident down the hall. The allegation was not reported to the local Area Agency on Aging or the Department until 2/9/21. The allegation was substantiated by the facility's failure to report timely.

The facility was found to have failed to immediately report an allegation of resident abuse that occurred on 2/2/21, with the report delayed until 2/9/21. The submitted plan of correction was accepted and fully implemented.

The complaint involved an allegation of abuse against direct care staff person B regarding resident #1, which was not reported timely to the local Area Agency on Aging or the Department. The staff member continued to provide unsupervised care after the allegation. The complaint was substantiated with findings of delayed reporting and failure to suspend the staff member immediately.

The facility was found to have delayed reporting an allegation of abuse against a staff member and failed to immediately suspend or supervise the staff involved. The submitted plan of correction was accepted and fully implemented, including audits and staff education to ensure compliance with abuse reporting laws.

The inspection was complaint-driven and unannounced. The submitted plan of correction was reviewed and determined to be fully implemented.

The facility was found to have fully implemented the submitted plan of correction related to a menu change violation where residents were not notified of a meal substitution prior to service.

No inspection findings are reported in this document. It confirms issuance of a regular license and outlines the Department's requirement to conduct an annual inspection.

The visit was complaint-related involving an alleged physical abuse claim during a resident transfer. The complaint was substantiated as staff transferred the resident alone despite the care plan requiring two staff.

The submitted plan of correction was determined to be fully implemented. The facility addressed issues related to improper resident transfers and abuse allegations by providing staff training and implementing monitoring procedures.

The facility was found to have unsanitary conditions in a resident bathroom with feces and dried blood present. The submitted plan of correction was determined to be fully implemented after cleaning and staff in-service.

The complaint investigation was substantiated based on interviews and evidence that a staff member sexually abused a resident and the facility failed to report the incident to protective services and the Department as required.

The investigation found that a resident alleged sexual abuse by a staff member who had put his hand down the resident's shirt and fondled her. The home was aware of the incident but failed to report it to protective services as required by law. A plan of correction was submitted and fully implemented.

No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application.

Multiple violations of state regulations were found, including issues with resident record confidentiality, privacy, resident personal equipment safety, first aid kit completeness, bedroom furnishings, lighting, refrigerator/freezer temperatures, and medication management. Plans of correction were partially implemented with ongoing monitoring.

The inspection was triggered by a complaint and was an unannounced partial survey. The violations found were related to medical evaluations, medication labeling, preadmission screening, and resident assessments.

Multiple violations of 55 Pa. Code Ch. 2600 were found related to incomplete medical evaluations, medication labeling errors, incomplete preadmission screenings, and inadequate resident assessments. Plans of correction were partially implemented with ongoing audits and education.

No inspection findings are reported in this document. It serves as a license renewal and notification letter with the certificate of compliance.

The inspection identified violations related to missing 2017 annual training records for staff, improper labeling of prescription medication, and incorrect calibration of a glucometer. Plans of correction were submitted and partially implemented with adequate progress noted.

The inspection was complaint-driven and substantiated by findings of noncompliance in staff background checks and training requirements.

The facility was found to have violations including failure to complete FBI background checks for staff, insufficient annual training hours for direct care staff, and lack of training in medication self-administration, safe management techniques, and falls prevention. Plans of correction were submitted and partially implemented with ongoing monitoring.

No inspection findings are reported in this document. It confirms that a regular license is being issued and outlines the requirement for an annual onsite inspection within the next twelve months.

The inspection was triggered by an incident involving alleged abuse of resident #1 by staff person B on 10/15/2017. The allegation was substantiated by the findings.

Two violations related to abuse reporting and staff conduct were found. The facility failed to immediately report suspected abuse and did not implement a plan of supervision or suspension of the involved staff member.

The inspection found multiple violations related to medical evaluations, preadmission screening, and resident record documentation. Plans of correction were submitted and partially implemented as of late November 2017.

No inspection findings are reported in this document. It is a license renewal notice confirming the issuance of a regular license and outlining the Department's inspection requirements.

The inspection included complaint investigation as one of the reasons for inspection. Specific substantiation status is not stated.

The inspection identified multiple violations related to resident rights documentation, staff training hours, medication administration training, sanitary conditions including mold, food storage violations, first aid kit deficiencies, and expired rabies vaccination for a resident's cat. Plans of correction were submitted and partially or fully implemented for all violations.

No inspection findings are reported in this document. It serves as a license renewal notification and confirmation of the facility's capacity and regulatory compliance requirements.