28 Reports
Inspection Report — Jun 17, 2026
Follow-Up
Date: Jun 17, 2026
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the plan of correction related to incomplete annual medical evaluations and failure to update resident assessments after significant condition changes. Staff were re-educated and audits were conducted to ensure ongoing compliance.
Citations (2)
141b1 - Annual Medical Evaluation: A resident's medical evaluation was incomplete and did not indicate if the resident’s needs could be met in a personal care home by a medical professional.
225c - Additional Assessment: A resident's assessment was not updated to reflect that they no longer used a walker independently and required assistance for evacuation.
Report Facts
Residents Served: 46
Secured Dementia Care Unit Residents Served: 18
Hospice Current Residents: 2
Residents with Mobility Need: 20
Residents Age 60 or Older: 46
Inspection Report — Mar 25, 2026
Follow-Up
Date: Mar 25, 2026
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by a complaint and incident to verify the submitted plan of correction.
Complaint Details
The visit was complaint-related and incident-driven. The complaint involved a resident altercation in the secure dementia unit. The plan of correction was accepted and fully implemented by the facility.
Findings
The facility was found to have implemented the plan of correction related to a resident altercation in the secure dementia unit. The incident involved an unwitnessed physical altercation between two residents resulting in minor injuries, and the facility took steps including increased monitoring, medical follow-up, and relocation of one resident to a higher level of care.
Citations (1)
42b Abuse: A resident was physically attacked by another resident in the secure dementia unit resulting in minor injuries. The facility monitored the resident closely, involved family and medical professionals, and relocated the resident to a higher level of care after the incident.
Report Facts
Residents Served: 54
Secured Dementia Care Unit Residents Served: 20
Hospice Current Residents: 2
Residents Age 60 or Older: 54
Residents with Mobility Need: 20
Inspection Report — Feb 10, 2026
Follow-Up
Date: Feb 10, 2026
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
The facility was found to have delayed reporting an incident involving alleged staff abuse beyond the required 24-hour period and had an issue with an obstructed egress route from the Memory Care courtyard. Both issues were corrected with plans of correction accepted and implemented.
Citations (2)
Regulation 16c requires the facility to report incidents to the Department within 24 hours. The facility failed to report an alleged staff hitting a resident until several hours later.
Regulation 121a requires stairways, hallways, doorways, and egress routes to be unlocked and unobstructed. The egress from the Memory Care courtyard did not open with the keypad code.
Report Facts
Residents Served: 51
Residents Served in Secured Dementia Care Unit: 18
Current Hospice Residents: 1
Inspection Report — Jan 7, 2026
Follow-Up
Date: Jan 7, 2026
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to review the submitted plan of correction for previously identified deficiencies.
Findings
The facility demonstrated full implementation of the submitted plan of correction related to resident abuse and support plan revisions. Ongoing monitoring and staff training were emphasized to manage residents with cognitive decline and behavioral issues.
Citations (2)
42b - Abuse: A resident with a history of physical altercations caused injury to another resident who was hospitalized. Staff intervened and appropriate notifications and medical follow-up occurred. The facility implemented ongoing education, monitoring, and care plan adjustments to manage behaviors and ensure safety.
234d - Support Plan Revision: The support plan was not updated to reflect aggressive behaviors occurring on multiple dates. The facility committed to revising support plans promptly as resident conditions change and to regular review of plans for residents with challenging behaviors.
Report Facts
Residents Served: 52
Secured Dementia Care Unit Residents Served: 18
Hospice Current Residents: 1
Resident Age 60 or Older: 52
Residents with Mobility Need: 18
Inspection Report — Dec 22, 2025
Renewal
Date: Dec 22, 2025
Visit Reason
The inspection was conducted as a full, unannounced visit for renewal, complaint, and incident review purposes.
Findings
The inspection identified multiple deficiencies including failure to report incidents within 24 hours, disrespectful treatment of residents, missing emergency phone numbers, unlabeled food items, obstructed egress, outdated medical evaluation forms, medication self-administration assessment issues, medication labeling errors, unavailable PRN medications, and failure to follow prescriber's orders. Plans of correction were accepted and implemented by February 12, 2026.
Citations (10)
Regulation 2600.16c: The facility failed to report threatening comments made by a staff member toward a resident to the Department within 24 hours.
Regulation 2600.42c: A staff member made threatening comments toward a resident, violating the requirement to treat residents with dignity and respect.
Regulation 2600.91: Emergency telephone numbers were not posted on or near the Memory Care Unit kitchenette landline phone.
Regulation 2600.103e: An unmarked plastic container of margarine in the memory care kitchenette refrigerator was not labeled or dated.
Regulation 2600.121a: The egress from the memory care courtyard was obstructed by a wire bike lock on the double doors.
Regulation 2600.141b1: A resident's annual medical evaluation was completed on an outdated form instead of the required new form.
Regulation 2600.181c: A resident self-administered medication without a proper assessment and written order from a healthcare provider.
Regulation 2600.184a: A resident's medication pharmacy label dosage instructions did not match the prescriber's order.
Regulation 2600.185a: Several PRN medications were not available in the home at the time of inspection.
Regulation 2600.187d: The facility failed to follow the prescriber's orders correctly regarding medication administration and documentation.
Report Facts
Residents Served: 52
Secured Dementia Care Unit Residents Served: 20
Notice — Jan 21, 2025
Date: Jan 21, 2025
Visit Reason
The document is a response to a request for a waiver of Pennsylvania Code § 2600.190(b) to allow unlicensed direct care staff to administer subcutaneous injections of GLP-1 agonist medications in a personal care home.
Findings
The waiver outlines training requirements for direct care staff administering GLP-1 agonist injections, including completion of a Department-approved medication administration course, in-person training by a licensed health care professional, and annual training hours related to GLP-1 medications and diabetes management. The facility must have policies and clinical contacts in place to monitor and support medication administration.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Jan 7, 2025
Date: Jan 7, 2025
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 as a result of this inspection.
Report Facts
Residents Served: 58
Residents Served in Secured Dementia Care Unit: 21
Total Daily Staff: 84
Waking Staff: 63
Inspection Report — Apr 2, 2024
Follow-Up
Date: Apr 2, 2024
Visit Reason
The inspection visit was a partial, unannounced follow-up to review the submitted plan of correction related to an incident at the facility.
Findings
The submitted plan of correction was determined to be fully implemented. The report details a medication administration error where a resident received a double dose due to failure to document administration on the Medication Administration Record (MAR). The facility took corrective actions including staff retraining and monitoring.
Citations (2)
Failure to document medication administration on the MAR resulting in a resident receiving a double dose of medication.
Failure to follow prescriber's orders due to the medication error caused by missed documentation.
Report Facts
Residents Served: 54
Residents Served in Dementia Unit: 23
Hospice Residents: 2
Residents with Mobility Need: 23
Total Daily Staff: 77
Waking Staff: 58
Inspection Report — Nov 15, 2023
Renewal
Date: Nov 15, 2023
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for THE PINES AT CLARKS SUMMIT.
Findings
The submitted plan of correction was determined to be fully implemented. Several deficiencies were identified and corrected, including failure to report incidents within 24 hours, missing refrigerator/freezer thermometers, delayed annual fire safety inspection, missing posted menus, and expired medications found in the medication cart.
Citations (5)
Failure to report two resident fall incidents to the Department of Human Services within 24 hours as required.
Missing thermometers in refrigerators located in the Evergreen Secured Unit medication room and second floor medication room.
Annual fire safety inspection and supervised fire drill were delayed and conducted after the required deadline due to severe flooding and scheduling issues.
Resident menus were not posted for the present and upcoming weeks in the Evergreen Secured Unit at the time of inspection.
Expired medication (Vitamin D) found in medication cart with expiration date September 2023.
Report Facts
Residents Served: 52
Residents Served in Secured Dementia Care Unit: 22
Total Daily Staff: 74
Waking Staff: 56
Residents with Mobility Need: 22
Inspection Report — Mar 17, 2023
Complaint Investigation
Date: Mar 17, 2023
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: 64
Secured Dementia Care Unit Residents Served: 24
Current Hospice Residents: 3
Residents Age 60 or Older: 64
Residents Diagnosed with Mental Illness: 5
Residents with Mobility Need: 24
Residents with Physical Disability: 1
Inspection Report — Oct 13, 2021
Renewal
Date: Oct 13, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility license for THE PINES AT CLARKS SUMMIT.
Findings
The inspection identified multiple deficiencies including unsigned resident contracts, missing emergency phone numbers, improper food storage, incomplete medical evaluations, presence of discontinued medications, unlabeled medications, uncalibrated glucometers, medication record discrepancies, and incomplete resident records. All deficiencies had plans of correction that were accepted and implemented.
Citations (10)
The resident-home contract for resident #1 was not signed by the resident.
Telephone numbers required by regulation were not posted by the phone located in room #106.
A half full bag of chicken pieces was located in the main freezer; the bag was opened and unsealed.
Outdated or unlabeled food items without dates were found in the main kitchen freezer.
Resident #2's medical evaluation did not include the physician's license number; Resident #3's medical evaluation did not indicate weight.
Discontinued medications for residents #7 and #9 were found in the medication cart.
An unopened box of medication in the medication cart was not labeled with the resident's name.
Resident #5 and #6's glucometers were not calibrated to the correct time; PRN medications for residents #7 and #8 were missing from the medication cart.
Resident #10's controlled substance log sheet did not match the medication administration record and medication card.
Resident #10's record did not include religion information.
Report Facts
Residents Served: 43
Secured Dementia Care Unit Residents Served: 11
Hospice Residents: 1
Total Daily Staff: 54
Waking Staff: 41
Residents Age 60 or Older: 43
Residents with Mobility Need: 11
Notice — Sep 7, 2021
Date: Sep 7, 2021
Visit Reason
This document serves as a renewal notification and license issuance for The Pines at Clarks Summit 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 an administrative notice confirming license renewal and outlining future inspection requirements.
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 19, 2021
Plan of Correction
Date: Aug 19, 2021
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 08/19/2021 to review the submitted plan of correction related to an incident involving medication storage and accountability.
Findings
The facility was found to have fully implemented the submitted plan of correction addressing a missing Diazepam pill discovered during a shift change. The investigation was unable to determine the cause of the missing medication, but corrective actions including staff training and monitoring of medication count verification forms were completed.
Citations (1)
Failure to ensure all staff signed the shift-to-shift Narcotic Count Verification forms as required, resulting in a missing Diazepam pill.
Report Facts
Residents Served: 44
Secured Dementia Care Unit Residents Served: 11
Resident Support Staff: 0
Total Daily Staff: 57
Waking Staff: 43
Residents Age 60 or Older: 44
Residents with Mobility Need: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michele Moskalczyk | Signed the letter confirming full implementation of plan of correction | |
| General Manger | Re-reviewed signature policy with all Med Techs and Nurses after missing medication incident | |
| Director of Wellness | Responsible for monitoring missing signatures daily and ensuring policy compliance | |
| Administrator/Designee | Responsible for monitoring ongoing compliance with medication storage policy |
Inspection Report — May 25, 2021
Complaint Investigation
Date: May 25, 2021
Visit Reason
The inspection was conducted as a complaint investigation following an allegation of abuse involving direct care staff members at the facility.
Complaint Details
Resident #1 alleged abuse by two direct care staff members on 5/9/21. The facility did not implement a plan of supervision as required. The investigation included interviews, physical examination of the resident, and contact with the resident's representative, Area Agency on Aging, police, and Bureau of Human Service Licensing. No evidence of abuse was found, but the lack of supervision plan was a violation.
Findings
The investigation found no physical or emotional evidence of abuse, and the resident's statements were inconsistent and unreliable. However, the facility failed to implement a required plan of supervision for the staff involved, resulting in a violation.
Citations (1)
Failure to develop and implement a plan of supervision or suspend staff involved in an alleged resident abuse incident.
Report Facts
Residents Served: 39
Residents Served in Secured Dementia Care Unit: 9
Residents Age 60 or Older: 39
Residents with Mobility Need: 14
Residents with Physical Disability: 1
Current Hospice Residents: 1
Notice — Oct 7, 2020
Date: Oct 7, 2020
Visit Reason
The document serves as a license renewal notification and certificate of compliance for The Pines at Clarks Summit 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 issuance of a regular license following the renewal application and advises that enforcement action may be taken if noncompliance is found during future inspections.
Report Facts
Inspection Report — Oct 18, 2019
Renewal
Date: Oct 18, 2019
Visit Reason
The inspection was an unannounced renewal inspection conducted to review compliance with licensing regulations.
Findings
The facility was found to have several violations including unsigned resident contracts, outdated food, lint buildup in dryers, improperly stored medications, and missing posted directions for key-locking devices. All plans of correction were fully implemented as of the follow-up date.
Citations (5)
Regulation 2600 25.b: Resident home contracts for residents #1 and #2 were not signed by the residents upon admission as required.
Regulation 2600 103.i: A dented 6 lbs. can of Bountiful Harvest sliced peaches was found in the dry pantry, violating the prohibition on outdated or dented food.
Regulation 2600 105.g: Lint buildup was found beneath the dryer screens of two dryers in the General Laundry room used for resident items.
Regulation 2600 183.e: Resident #4 had a prescribed medication stored in the bathroom with a note to discard it after 6/11/2019.
Regulation 2600 233.c: Directions for operating the home's locking mechanism were not conspicuously posted near the door to the Secure Dementia Care Unit.
Report Facts
Residents Served: 46
Residents Served in Dementia Unit: 11
Hospice Current Residents: 1
Residents Age 60 or Older: 46
Residents with Mobility Need: 15
Residents with Physical Disability: 5
Total Daily Staff: 61
Waking Staff: 46
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stacie Millett Rechlicz | Administrator | Named in multiple findings and plans of correction |
Notice — Aug 9, 2019
Date: Aug 9, 2019
Visit Reason
The document serves as a renewal notification and license issuance for The Pines at Clarks Summit Personal Care Home following receipt of a renewal application dated August 5, 2019.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license and outlines the requirement for an annual onsite inspection within the next twelve months.
Report Facts
Inspection Report — Nov 15, 2018
Complaint Investigation
Date: Nov 15, 2018
Visit Reason
The inspection was conducted as a partial, unannounced visit triggered by an incident complaint to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Complaint Details
The inspection was incident-driven and complaint-related. The violations involved failure to update the resident's support plan and inadequate documentation of care services. No repeat violations were noted.
Findings
The inspection found violations related to failure to update the Resident Assessment & Support Plan (RASP) to reflect changes in resident needs and inadequate documentation of scheduled care services. Plans of correction were approved to ensure timely updates and staff adherence to care plans.
Citations (2)
55 Pa.Code §2600.227(c) - The resident's RASP was not updated within 30 days to reflect the increased use of a wheelchair due to weakness and dizziness.
55 Pa.Code §2600.227(d) - The resident's support plan did not document the medical and behavioral care services or referrals as required, leading to staff unawareness of scheduled toileting checks.
Report Facts
Number of Residents Served: 43
Number of Residents 60 Years or Older: 42
Number of Residents with Mobility Need: 18
Number of Residents with Physical Disability: 2
Number of Hospice Residents in Past Year: 5
Inspection Report — Oct 19, 2018
Annual Inspection
Date: Oct 19, 2018
Visit Reason
The inspection was conducted as a result of the Department's Bureau of Human Services Licensing annual inspection and included renewal and incident reasons.
Findings
Multiple violations of 55 Pa. Code Chapter 2600 were found, including failure to report incidents timely, improper placement of carbon monoxide monitors, lack of required staff training, sanitary deficiencies, missing emergency phone numbers, unlabeled food items, expired food products, unlabeled medications, and unsigned resident support plans.
Citations (10)
Regulation 2600.16(c): The home failed to report incidents involving residents within the required 24-hour timeframe.
Regulation 2600.18: Carbon monoxide monitors were installed too close to gas stoves, not meeting the 15-foot distance requirement.
Regulation 2600.65(f): Staff person A did not receive required training on Medication Self-Administration for 2017.
Regulation 2600.85(a): Staff person B used Resident #2's glucometer to test Resident #3's blood glucose, risking cross-contamination.
Regulation 2600.85(d): Two trash cans in the kitchen lacked lids, allowing food garbage to be exposed.
Regulation 2600.91: Emergency phone numbers were not posted near the telephone in resident room 105.
Regulation 2600.103(e): Leftover food items in the kitchen were not labeled or dated as required.
Regulation 2600.103(i): A container of Caesar dressing in the kitchen pantry was expired and not discarded timely.
Regulation 2600.183(d): Eye drops prescribed for a resident were not labeled with the date they were opened.
Regulation 2600.227(g): A resident's support plan was not signed by the resident and lacked documentation of inability or refusal to sign.
Report Facts
Number of Residents Served: 42
Number of Residents Served in Secured Dementia Care Unit: 17
Number of Current Hospice Residents: 0
Number of Hospice Residents in Past Year: 4
Number of Residents Age 60 or Older: 42
Number of Residents with Mobility Need: 19
Number of Residents with Physical Disability: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stacie Millett Rechlicz | Administrator | Named in relation to multiple findings and plan of correction signatures |
| Amy Deluca | Inspector conducting the violation report | |
| Kristin DeVries | Inspector conducting the violation report |
Notice — Jul 26, 2018
Date: Jul 26, 2018
Visit Reason
The document serves as a renewal notice confirming receipt of the renewal application and issuance of a regular license for The Pines at Clarks Summit Personal Care Home.
Findings
No inspection findings are reported. The letter states that the Department will conduct an onsite inspection within the next twelve months as required by regulation.
Report Facts
Inspection Report — Oct 26, 2017
Renewal
Date: Oct 26, 2017
Visit Reason
The inspection was an annual licensing renewal inspection conducted by the Department of Human Services on October 26, 2017, to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Findings
The facility was found to have multiple violations including improper placement of carbon monoxide detectors, incomplete annual training for direct care staff, inaccurate fire drill logs, fire drill evacuation times exceeding limits, and incorrect calibration of glucometers for residents. Plans of correction were submitted and partially implemented for all violations.
Citations (5)
55 Pa.Code §2600 - The facility's carbon monoxide detectors near the boiler and clothes dryer were improperly placed less than 15 feet away from the appliances as required by regulations.
55 Pa.Code §2600.65(f) - A direct care staff person did not complete the required annual training for 2016 to meet residents' needs including medication self-administration and infection control.
55 Pa.Code §2600.132(c) - The fire drill log did not include the number of residents present or evacuated during drills on specified dates, omitting required evacuation data.
55 Pa.Code §2600.132(d) - The facility's fire drill on 9/29/17 exceeded the maximum evacuation time of 10 minutes and was unsuccessful, requiring improved staff training and procedures.
55 Pa.Code §2600.185(a) - Glucometers for two residents were not calibrated to the correct date and time, risking inaccurate blood glucose readings.
Report Facts
Number of Residents Served: 41
Number of Current Hospice Residents: 1
Number of Hospice Residents in past year: 6
Number of Residents Served in Secured Dementia Care Unit: 15
Residents Age 60 or Older: 41
Residents with Mobility Need: 19
Residents Receiving Supplemental Security Income: 0
Residents with Mental Illness: 0
Residents with Intellectual Disability: 0
Residents with Physical Disability: 0
Inspection Report — Aug 4, 2017
Renewal
Date: Aug 4, 2017
Visit Reason
The document is a renewal application and license for The Pines at Clarks Summit Personal Care Home. The Department of Human Services will conduct an onsite inspection within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and confirmation of the facility's authorized capacity.
Report Facts
Notice — Nov 17, 2016
Date: Nov 17, 2016
Visit Reason
This document serves as a waiver approval letter in response to a request from Millett Pines, LLC for waivers of specific Pennsylvania Code regulations related to admission, resident medical evaluation, and preadmission screening for the licensed personal care home.
Findings
The Department of Human Services granted the requested waivers under specified conditions, including the use of alternative documentation forms for medical evaluation and preadmission screening. The waiver remains effective as long as the conditions are met and will be reviewed annually during inspections.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the waiver approval letter |
Inspection Report — Sep 29, 2016
Annual Inspection
Date: Sep 29, 2016
Visit Reason
The inspection was an annual licensing inspection conducted on September 29, 2016, for renewal and new license purposes at The Pines at Clarks Summit.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including failure to post licensing summaries, incomplete contracts, privacy violations due to video recording, medication administration errors, and fire safety deficiencies. Plans of correction were submitted with partial implementation status.
Citations (17)
55 Pa.Code 2600.3(c) - Licensing inspection summaries dated 6/2/16, 5/5/16, 2/12/16, and 9/22/15 were not posted in a public conspicuous area of the home.
55 Pa.Code 2600.16(c) - The home failed to report incidents including false fire alarms and a medication error to the Department within 24 hours.
55 Pa.Code 2600.25(b) - Resident #1's contract dated 1/10/16 was not signed by the resident.
55 Pa.Code 2600.25(c)(2) - Resident #4's contract dated 2/5/16 did not specify the monthly fee amount for room and board.
55 Pa.Code 2600.42(s) - Video cameras #3, #12, and #13 recorded residents in common areas, violating privacy regulations.
55 Pa.Code 2600.91 - Emergency phone numbers were not posted on or near the phone in Room #131.
55 Pa.Code 2600.103(j) - Leftover food items in the memory care unit refrigerator and counter were not labeled with dates.
55 Pa.Code 2600.107(b) - Emergency procedures lacked instructions for staff to evacuate residents to fire safe areas during a fire alarm.
55 Pa.Code 2600.132(a) - The most recent fire drill was unannounced and held without notice to residents or staff other than the responsible staff member.
55 Pa.Code 2600.132(c) - Documentation of the number of residents evacuated during false alarms was incomplete in the fire drill log.
55 Pa.Code 2600.132(h) - Residents #1 and #2 refused to evacuate to fire safe areas during fire drills.
55 Pa.Code 2600.181(c) - Resident #5 was not assessed for ability to self-administer medications and had over-the-counter medication without an order.
55 Pa.Code 2600.187(a) - Resident #3's medication record lacked diagnosis or purpose for medications and had incomplete blood glucose monitoring documentation.
55 Pa.Code 2600.187(b) - Resident #3's medication administration record lacked required details including resident's name, drug allergies, and administration times.
55 Pa.Code 2600.188(b) - Resident #3's medication error was not immediately reported to the resident, prescriber, or designated person.
55 Pa.Code 2600.224(a) - Resident #3's preadmission screening did not have a date when completed.
55 Pa.Code 2600.233(d) - Sliding doors to the memory care unit were not equipped with a magnetic lock, posing a safety risk.
Report Facts
Number of Residents Served in Secured Dementia Care Unit: 0
Number of Current Hospice Residents: 2
Number of Hospice Residents in past year: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stacie Millett Rechlicz | Administrator | Named in multiple plans of correction and signature on violation reports. |
Notice — Jul 20, 2016
Date: Jul 20, 2016
Visit Reason
The document serves as a certificate of compliance granting license renewal for The Pines at Clarks Summit Personal Care Home and acknowledges receipt of the renewal application dated July 20, 2016.
Findings
No inspection findings are reported in this document. It only confirms the license renewal and states that an onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Inspection Report — Jun 2, 2016
Complaint Investigation
Date: Jun 2, 2016
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident involving alleged resident mistreatment on May 26, 2016.
Complaint Details
The visit was complaint-related due to an incident on 5/26/2016 involving alleged physical mistreatment by a contracted nurse. The facility disputed the violation but implemented corrective actions including reporting to the Ombudsman and Area Agency on Aging. The resident's daughter requested a new hospice agency. The complaint was substantiated by the Department of Human Services.
Findings
The investigation found that a contracted nurse struggled with a resident, causing a skin tear and reddened area on the resident's wrist. The facility disputed the violation but took corrective actions including contacting the Ombudsman, Area Agency on Aging, and the resident's family.
Citations (1)
Regulation 55 Pa.Code §2600 2600.42(b): A resident may not be neglected, intimidated, physically or verbally abused, mistreated, subjected to corporal punishment or disciplined in any way. On 5/26/2016, a contracted nurse struggled with a resident causing a skin tear and reddened area on the resident's wrist.
Report Facts
Number of Residents Served: 17
Number of Hospice Residents: 1
Number of Hospice Residents in past year: 2
Number of Residents Age 60 or Older: 16
Number of Residents with Mobility Need: 3
Number of Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stacie Millett Rechlicz | Administrator | Named as facility administrator in the report |
| Jason Harvey | Department representative conducting the inspection |
Inspection Report — May 2, 2016
Complaint Investigation
Date: May 2, 2016
Visit Reason
The inspection was conducted as a partial, unannounced visit triggered by an interim complaint.
Complaint Details
The inspection was triggered by an interim complaint regarding medication administration and documentation issues.
Findings
Multiple violations related to medication administration and documentation were found, including discontinued medications remaining on the medication administration record, missing diagnosis or purpose for medications, failure to document medication refusals properly, and medication doses given outside prescribed times.
Citations (4)
Regulation 55 Pa.Code 2600.183(d): Only current prescriptions and medications may be kept in the home. A discontinued medication remained on the medication administration record and medication cart at the time of inspection.
Regulation 55 Pa.Code 2600.187(a): Medication records must include resident name, drug allergies, medication name, strength, dosage form, dose, route, frequency, administration times, duration, special precautions, diagnosis or purpose, date/time of administration, and staff initials. The medication administration record lacked diagnosis or purpose for a medication.
Regulation 55 Pa.Code 2600.187(c): Medication refusal must be documented and reported to the prescriber within 24 hours. Refusals on two occasions were not reported to the resident's doctor as required.
Regulation 55 Pa.Code 2600.187(d): The home must follow prescriber directions. Medication doses were administered earlier than prescribed on multiple occasions.
Report Facts
Number of Residents Served: 17
Total Daily Staff: 18
Waking Staff: 14
Number of Current Hospice Residents: 1
Number of Residents Age 60 or Older: 16
Number of Residents with Mobility Need: 1
Number of Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stacie Millett Rechlicz | Administrator | Named as Administrator and signer of plan of correction on multiple pages. |
Inspection Report — Feb 12, 2016
Complaint Investigation
Date: Feb 12, 2016
Visit Reason
The inspection was conducted due to an incident involving a resident with dementia who went missing from the facility on January 30, 2016.
Complaint Details
The investigation was triggered by an incident where a resident with dementia went missing from the courtyard. The incident was substantiated by findings of inadequate supervision and failure to report the incident timely.
Findings
The facility failed to report the missing resident incident to the Department within 24 hours and allowed the resident unsupervised access to the courtyard, resulting in a safety risk. Additionally, the facility used locked gates without proper approval and failed to provide adequate supervision and care to prevent elopement.
Citations (3)
Regulation 55 Pa.Code 2600.16(c): The home failed to report a missing resident incident to the Department within 24 hours as required.
Regulation 55 Pa.Code 2600.42(b): A resident with dementia was allowed unsupervised access to the courtyard and was found missing, indicating neglect in supervision and care.
Regulation 55 Pa.Code 2600.121(b): The home's courtyard gates were locked with chains and padlocks without necessary approval, preventing immediate egress and violating safety regulations.
Report Facts
Number of Residents Served: 15
Number of Current Hospice Residents: 1
Number of Hospice Residents in past year: 1
Resident Age 60 or Older: 15
Residents with Mobility Need: 4
Total Daily Staff: 19
Waking Staff: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sherry Hill | Administrator | Named as facility administrator in report header |
| Stacie M Rechlicz | Executive Director | Signed plan of correction documents |
| Kimberli Foulkes | Department representative conducting inspection |
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