Inspection Reports for
The Haven at North Hills Senior Residence

PA, 15237

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18 Reports

2018–2026

Inspection Report — Jul 29, 2026

Date: Jul 29, 2026

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: 60 Secured Dementia Care Unit Residents Served: 15 Hospice Current Residents: 10

Inspection Report — Jun 4, 2026

Complaint Investigation
Date: Jun 4, 2026

Visit Reason
The inspection was conducted as a complaint and incident investigation at THE HAVEN AT NORTH HILLS facility.

Complaint Details
The inspection was complaint-related and incident-based. The plan of correction was accepted and fully implemented by 07/28/2026.
Findings
The submitted plan of correction was found to be fully implemented. A violation was found regarding resident dignity and respect involving staff behavior in the secured dementia care unit.

Citations (1)
42c. A resident was not treated with dignity and respect when staff persons were observed looking through the resident's drawers without consent and made upsetting statements. This occurred in the home's secure dementia care unit.
Report Facts
Residents Served: 57 Secured Dementia Care Unit Residents Served: 16 Hospice Current Residents: 10 Residents with Mobility Need: 20 Residents 60 Years or Older: 57 Residents with Physical Disability: 1

Inspection Report — Oct 20, 2025

Renewal
Date: Oct 20, 2025

Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance and verify the implementation of the submitted plan of correction.

Findings
The facility had repeat violations related to sanitary conditions, refrigerator/freezer temperatures, and food storage. Corrective actions including cleaning, temperature monitoring, staff training, and audits were implemented and accepted.

Citations (3)
85a Sanitary conditions were not maintained due to a buildup of melted ice cream in the freezer of the secured dementia care unit. The area was cleaned immediately and cleaning checks were added to ensure ongoing cleanliness.
103f Refrigerator/freezer temperatures were not maintained; the refrigerator measured 44°F initially, exceeding the 40°F limit. The temperature was adjusted and logs were implemented to monitor temperatures regularly.
103g Food was stored improperly with fifteen frozen hamburger patties inside an open and unsealed Ziplock bag in the kitchen freezer. Staff received re-education and audits were scheduled to ensure proper food storage.
Report Facts
Residents Served: 59 Residents Served in Dementia Unit: 15 Current Hospice Residents: 7 Housekeeping Staff: 0 Total Daily Staff: 75 Waking Staff: 56 Frozen Hamburger Patties: 15

Inspection Report — Jul 1, 2025

Complaint Investigation
Date: Jul 1, 2025

Visit Reason
The inspection was conducted as a complaint investigation at THE HAVEN AT NORTH HILLS facility on 07/01/2025.

Complaint Details
The inspection was triggered by a complaint, 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: 54 Secured Dementia Care Unit Residents Served: 15 Current Hospice Residents: 7 Residents Age 60 or Older: 54 Residents with Mobility Need: 19 Residents with Physical Disability: 1

Inspection Report — Jan 14, 2025

Complaint Investigation
Date: Jan 14, 2025

Visit Reason
The inspection was conducted as a complaint investigation to review compliance and verify the submitted plan of correction.

Complaint Details
The visit was triggered by a complaint, and the submitted plan of correction was reviewed and determined to be fully implemented.
Findings
Two deficiencies were identified: failure to follow prescriber's medication orders resulting in delayed medication administration, and absence of posted directions for keypad operation at the secured dementia care unit exit. Both deficiencies had corrective plans implemented by 02/19/2025.

Citations (2)
Failure to follow prescriber's orders for medication administration timing.
No directions posted for keypad operation at secured dementia care unit exit.
Report Facts
Residents Served: 60 Secured Dementia Care Unit Residents Served: 15 Hospice Current Residents: 9 Residents Age 60 or Older: 60 Residents with Mobility Need: 21

Inspection Report — Mar 18, 2024

Complaint Investigation
Date: Mar 18, 2024

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

Report Facts
Residents Served: 60 Secured Dementia Care Unit Residents Served: 16 Hospice Current Residents: 8 Residents 60 Years or Older: 60 Residents with Mobility Need: 20 Total Daily Staff: 80 Waking Staff: 60

Inspection Report — May 10, 2023

Complaint Investigation
Date: May 10, 2023

Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection of the facility.

Complaint Details
The inspection was complaint-related as explicitly stated under Inspection Information with Reason: Complaint.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.

Report Facts
Residents Served: 60 Secured Dementia Care Unit Residents Served: 14 Current Hospice Residents: 8 Residents Age 60 or Older: 60 Residents with Mobility Need: 16

Inspection Report — Oct 19, 2022

Plan of Correction
Date: Oct 19, 2022

Visit Reason
The document is a follow-up review conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to determine if the submitted plan of correction for the facility was fully implemented.

Findings
The review determined that the submitted plan of correction is fully implemented and that continued compliance must be maintained.

Report Facts
Review dates: Review conducted on 10/19/2022, 10/20/2022, and 10/21/2022

Inspection Report — Mar 9, 2022

Complaint Investigation
Date: Mar 9, 2022

Visit Reason
The inspection visit on 03/09/2022 was conducted as a complaint investigation following an unannounced partial inspection.

Complaint Details
The visit was complaint-related and the plan of correction was accepted and fully implemented. No substantiation status was explicitly stated.
Findings
The inspection found a violation related to resident record entries where corrective fluid tape was used to alter medical documentation. The submitted plan of correction was accepted and fully implemented by 03/18/2022.

Citations (1)
Resident #1’s medical evaluation had corrective fluid tape used to change the medical diagnoses section and the self-administration instructions in the medication addendum section.
Report Facts
Residents Served: 50 Secured Dementia Care Unit Residents Served: 11 Hospice Residents: 4 Residents 60 Years or Older: 50 Residents with Mobility Need: 12 Total Daily Staff: 62 Waking Staff: 47

Notice — Sep 14, 2021

Date: Sep 14, 2021

Visit Reason
The document serves as a renewal notification and issuance of a regular license for The Haven at North Hills Personal Care Home, confirming receipt of the renewal application and advising of the requirement for an annual onsite inspection within the next twelve months.

Findings
No inspection findings are reported in this document; it is a licensing and renewal notification letter along with a certificate of compliance.

Report Facts

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

Inspection Report — Jul 12, 2021

Renewal
Date: Jul 12, 2021

Visit Reason
The inspection was conducted as a renewal inspection of THE HAVEN AT NORTH HILLS facility on 07/12/2021 and 07/13/2021 to assess compliance with licensing requirements.

Findings
The submitted plan of correction was determined to be fully implemented. Several deficiencies were identified including missing fee schedule attachments in resident contracts, lack of bed hold charges in contracts, absence of resident rights poster during painting, unlocked poisonous materials accessible to residents, inoperable bedside lamp, medication storage and availability issues, and incomplete hospice contact information in support plans. All deficiencies had corrective actions with completion dates and documentation submitted.

Citations (7)
Resident-home contract for resident #1 did not include the fee schedule of actual amounts charged for available services; addendum M was missing.
Resident-home contract for resident #1 did not include charges for holding a bed during an absence.
The Department's resident rights poster was not posted in a conspicuous and public place in the home on 7/12/21.
A tube of Remedy Phytoplex Protectant 2 Guard was unlocked, unattended and accessible to residents in resident #3's bathroom; not all residents assessed capable of safely using poisons.
Resident #3's bedside lamp was inoperable with no other source of lighting that could be turned on/off from bedside.
Resident #1's prescribed medication Nystatin-100,000 UN/GM powder was not available in the home for administration on 7/13/21.
Resident #1's support plan did not include the hospice company or contact information despite receiving hospice services.
Report Facts
Residents Served: 49 Secured Dementia Care Unit Residents Served: 13 Hospice Current Residents: 9 Total Daily Staff: 63 Waking Staff: 47 Residents with Mobility Need: 14

Inspection Report — Feb 16, 2021

Complaint Investigation
Date: Feb 16, 2021

Visit Reason
The inspection was conducted as a complaint investigation to review compliance related to a submitted plan of correction.

Complaint Details
The visit was complaint-related, focusing on the availability of resident records. The complaint was substantiated as records were delayed in being provided to the designated person.
Findings
The submitted plan of correction was found to be fully implemented, with records made available to a resident's designated person after a delay. Continued compliance must be maintained.

Citations (1)
Resident #1's designated person requested access to the resident's record in writing on or around 12/15/20 and by telephone on 12/31/20, but records were not provided until 2/16/21.
Report Facts
Residents Served: 43 Residents Served in Secured Dementia Care Unit: 11 Current Hospice Residents: 7 Residents Age 60 or Older: 43 Residents with Mobility Need: 12

Notice — Oct 7, 2020

Date: Oct 7, 2020

Visit Reason
The document serves as a renewal notification and license issuance for The Haven at North Hills Personal Care Home. It informs the facility that an annual onsite inspection will be conducted within the next twelve months as required by regulation.

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

Report Facts

Inspection Report — Jul 31, 2019

Annual Inspection
Date: Jul 31, 2019

Visit Reason
Annual inspection conducted by the Department’s Bureau of Human Services Licensing on July 31, 2019 and August 2, 2019 to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.

Findings
Multiple violations were found related to carbon monoxide detector placement, emergency telephone number posting, contract rescission rights, medication labeling, preadmission screening, no objection statements, key-locking device codes, and record entry legibility. Plans of correction were approved with varying implementation statuses.

Citations (9)
The Care Facility Carbon Monoxide Alarms Standards Act requires carbon monoxide alarms to be installed near fossil-fuel burning devices; no detectors were initially present in the home despite a gas stove in the kitchen.
Emergency telephone numbers for hospital, police, fire, and poison control were not posted on or by the telephone in the 1st floor dining room and resident bedroom 217.
The resident contract dated 4/10/19 for resident #4 did not include the right to rescind the contract within 72 hours after signature.
Resident #2 in bedroom 306 did not have an operable lamp or other source of lighting that can be turned on/off from bedside.
Resident #3 was prescribed Clonazepam 0.5mg twice daily as needed, but medication label indicated once daily; PRN dose was discontinued after PCP contact.
Resident #5 was admitted to the secured dementia care unit on 7/25/19 but the required written cognitive preadmission screening was completed late on 7/27/19.
Resident #5 and the resident's designated person had no documentation that they had not objected to the admission to the secured dementia care unit.
No code was posted for the locking mechanism on the door leading from the secured dementia care unit to the patio.
Correction fluid was used on the 2nd page of resident #2's credit/debit memo dated 7/9/18, obscuring original text.
Report Facts
Residents Served: 67 Carbon Monoxide Detectors: 9 Staff Daily Total: 86 Staff Waking: 65

Employees mentioned
NameTitleContext
Jennifer GrossAdministratorNamed as facility administrator in violation report

Notice — Jul 12, 2019

Date: Jul 12, 2019

Visit Reason
This document serves as a renewal notification and license issuance for The Haven at North Hills Personal Care Home pursuant to Title 55, PA Code, Chapter 2600.

Findings
The Department has received the renewal application and issued a regular license. An onsite inspection is required at least once every twelve months to ensure compliance with applicable laws and regulations.

Report Facts

Inspection Report — Apr 5, 2019

Complaint Investigation
Date: Apr 5, 2019

Visit Reason
The inspection was conducted as a complaint investigation at The Haven at North Hills personal care home.

Complaint Details
The visit was complaint-related. The deficiency involved failure to report an incident as required by law.
Findings
The home failed to report a power outage incident to the Department as required by regulation. A plan of correction was submitted to ensure staff re-education and ongoing compliance with reporting requirements.

Citations (1)
55 Pa.Code §2600.16(c): The home did not report a power outage incident to the Department as required within 24 hours. The outage occurred on 2/24/19 affecting the home and others in the county.
Report Facts
Number of Residents Served: 62 Number of Residents Served in Secured Dementia Care Unit: 16 Number of Current Hospice Residents: 1 Number of Hospice Residents in Past Year: 6 Residents Age 60 or Older: 62 Residents with Mobility Need: 16

Employees mentioned
NameTitleContext
Jennifer GrossAdministratorNamed as facility administrator on the violation report and plan of correction
Joseph EvegesDepartment representative conducting the inspection

Inspection Report — Oct 29, 2018

Complaint Investigation
Date: Oct 29, 2018

Visit Reason
The inspection was conducted due to a complaint and incident involving resident care and staff behavior at The Haven at North Hills.

Complaint Details
The visit was complaint-related and involved an incident where Resident #1 was hollered at by staff person B and witnessed inappropriate behavior. Staff person B was suspended, reported to DHS and Protective Services, and subsequently terminated. Resident safety measures including monthly safety questionnaires were planned.
Findings
Violations of 55 Pa. Code Chapter 2600 were found related to resident dignity and respect, including an incident where a staff member hollered at a resident and inappropriate behavior occurred in the elevator. Staff person B was suspended and later terminated following the investigation.

Citations (1)
55 Pa.Code §2600.42(c) - A resident shall be treated with dignity and respect. An incident occurred where staff person B yelled at Resident #1 and made disrespectful comments during an elevator ride involving multiple residents.
Report Facts
Number of Residents Served: 67 Number of Residents Served in Secured Dementia Care Unit: 19 Number of Current Hospice Residents: 2 Number of Hospice Residents in Past Year: 6 Number of Residents Age 60 or Older: 67 Number of Residents with Mobility Need: 19

Employees mentioned
NameTitleContext
Jennifer GrossAdministratorNamed as facility administrator on report
Laurie GarriganDepartment representative on-site during inspection
Staff person BStaff involved in the violation and subsequent termination

Inspection Report — Aug 14, 2018

Original Licensing
Date: Aug 14, 2018

Visit Reason
The inspection was conducted due to a change in legal entity for The Haven at North Hills personal care home.

Findings
The facility was found to be in substantial compliance with regulations but had violations noted on the License Inspection Summary that required correction. Violations involved furniture and equipment hazards and egress route obstructions.

Citations (2)
Regulation 2600.95: Furniture and equipment must be in good repair, clean and free of hazards. The hand railing between rooms #306 and #307 was not securely attached and posed a fall hazard. The double fire doors between the hallway and 3rd floor kitchenette did not properly latch closed, causing one door to stick out approximately 1/8 inch.
Regulation 2600.121(a): Stairways, hallways, doorways, passageways and egress routes must be unlocked and unobstructed. The fire exit door leading from the 1st floor stairwell to the parking lot would not open when the panic bar was engaged and forcefully pushed.
Report Facts
Number of Residents Served: 47 Number of Residents Served in Secured Dementia Care Unit: 20 Number of Current Hospice Residents: 2 Number of Hospice Residents in Past Year: 6

Employees mentioned
NameTitleContext
Jennifer GrossAdministratorNamed as administrator on violation report page 4.
Joseph EvegesDepartment RepresentativeOn-site inspector on 08/14/2018 as stated on page 4.
Lauren SpagnaDepartment RepresentativeOn-site inspector on 08/14/2018 as stated on page 4.

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