Inspection Reports for
Tiffany Court at Kingston
700 Northampton St, Kingston, PA 18704, United States, PA, 18704
Back to Facility Profile31 Reports
Inspection Report — May 19, 2026
Follow-Up
Date: May 19, 2026
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by a complaint and incident to verify the implementation of a previously submitted plan of correction.
Complaint Details
The inspection was conducted due to a complaint and incident, as stated under Inspection Information on page 2.
Findings
The submitted plan of correction was fully implemented with compliance maintained. Deficiencies related to contract signatures, annual medical evaluations, and medication storage procedures were corrected with retraining and audits.
Citations (3)
Regulation 25b: The resident-home contract was not signed by the resident, despite no diagnosis preventing signature. The issue was corrected with resident signature obtained and staff retraining.
Regulation 141b1: A resident's medical evaluation did not indicate that needs could be safely met at the facility. A new evaluation was completed and staff retrained.
Regulation 185a: An oxygen tank in a resident's room was not properly secured or held in a storage container. The tank was secured immediately and staff retrained.
Report Facts
Residents Served: 90
Current Hospice Residents: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Executive Director | Named in plan of correction for contract signature and retraining |
| Division Director of Resident Care | Division Director of Resident Care | Provided retraining to Executive Director on contract signature and medical evaluation regulations |
| Director of Health and Wellness | Director of Health and Wellness | Involved in auditing medical evaluations and compliance with medication storage procedures |
| Business Office Director | Business Office Director | Responsible for auditing resident-home contracts for compliance |
| Lead Med Tech | Lead Med Tech | Received retraining on medication storage procedures |
| FD | Placed oxygen tank into holder immediately after violation was found |
Inspection Report — May 5, 2026
Complaint Investigation
Date: May 5, 2026
Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial review on 05/05/2026.
Complaint Details
The inspection was triggered by a complaint and incident. The plan of correction was accepted and fully implemented by 06/01/2026.
Findings
The submitted plan of correction was found to be fully implemented. One deficiency was identified regarding a resident not signing the support plan despite participating in its development.
Citations (1)
2600.227.g requires individuals who participate in the development of the support plan to sign and date it. A resident participated in the support plan development but did not sign the plan.
Report Facts
Residents Served: 78
Secured Dementia Care Unit Residents Served: 16
Hospice Current Residents: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Health and Wellness | Named in plan of correction for reeducation and auditing of support plan signatures | |
| Executive Director | Reeducated Director of Health and Wellness on regulation 2600.227.g |
Inspection Report — Mar 5, 2026
Follow-Up
Date: Mar 5, 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 submitted plan of correction regarding misuse of resident funds was found to be fully implemented. Continued compliance is required.
Citations (1)
2600.20.b.4 Resident funds and property shall only be used for the resident’s benefit. Staff Persons A and B requested and were loaned money by a resident, violating this regulation.
Report Facts
Residents Served: 83
Current Hospice Residents: 5
Residents Age 60 or Older: 82
Residents with Mental Illness: 3
Residents with Intellectual Disability: 1
Residents with Mobility Need: 24
Residents with Physical Disability: 2
Inspection Report — Oct 21, 2025
Complaint Investigation
Date: Oct 21, 2025
Visit Reason
The inspection was conducted as a complaint investigation and due to a change in legal entity for the newly licensed facility.
Complaint Details
The inspection was complaint-related and substantiation status is not explicitly stated; no deficiencies were found.
Findings
The facility was found to be in substantial compliance with applicable regulations, with no regulatory citations identified during the inspection.
Report Facts
Total daily staff: 113
Waking staff: 85
Current residents: 11
Residents served: 85
Residents 60 years or older: 84
Residents diagnosed with mental illness: 2
Residents with mobility need: 28
Inspection Report — Aug 20, 2025
Complaint Investigation
Date: Aug 20, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection of the facility.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 83
Current Hospice Residents: 10
Residents Age 60 or Older: 82
Residents with Mental Illness: 1
Residents with Mobility Need: 30
Inspection Report — Jun 5, 2025
Complaint Investigation
Date: Jun 5, 2025
Visit Reason
The inspection was conducted as a complaint investigation and incident review regarding resident safety and care at Tiffany Court at Kingston.
Complaint Details
The investigation was triggered by a complaint and incident involving resident-to-resident injury due to wandering behaviors. The complaint was substantiated as the facility did not have adequate safeguards in place.
Findings
The facility was found to have failed to implement safeguards to monitor a resident's wandering behavior, resulting in one resident injuring another. The submitted plan of correction was accepted and fully implemented by the facility.
Citations (1)
42b. A resident was injured after another resident wandered into their room without safeguards in place to prevent this behavior. The facility failed to protect residents from neglect, intimidation, or abuse as required by regulation 2600.42.b.
Report Facts
Residents Served: 78
Current Hospice Residents: 7
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 26
Residents Age 60 or Older: 78
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Health and Wellness | Reeducated memory care director and staff on reporting wandering behaviors and regulatory requirements |
Inspection Report — May 27, 2025
Follow-Up
Date: May 27, 2025
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 implemented the plan of correction fully. Deficiencies related to treatment of residents, medical evaluation documentation, prohibited pressure point techniques, and preadmission screening forms were addressed with staff education, audits, and reeducation.
Citations (4)
Regulation 2600.42.c requires residents to be treated with dignity and respect. An employee used firm physical prompts causing a resident to report pain, but abuse was not substantiated and corrective education was provided.
Regulation 2600.141.a requires a medical evaluation including diagnoses and medications. A resident's evaluation lacked these, which was corrected by updating the form with physician approval.
Regulation 2600.202 prohibits pressure point techniques. Staff used a manual method causing resident discomfort, but abuse was not substantiated and staff was reeducated and counseled.
Regulation 2600.224.a requires a completed preadmission screening form within 30 days prior to admission. A resident's form was missing but corrective training and audits were planned.
Report Facts
Residents Served: 84
Current Hospice Residents: 7
Residents 60 Years or Older: 84
Residents Diagnosed with Mental Illness: 4
Residents with Mobility Need: 26
Inspection Report — Apr 24, 2025
Date: Apr 24, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 86
Current Hospice Residents: 6
Residents Age 60 or Older: 85
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 25
Inspection Report — Mar 12, 2025
Renewal
Date: Mar 12, 2025
Visit Reason
The inspection was conducted as a renewal visit with an incident review to assess compliance with licensing regulations.
Findings
The facility had multiple deficiencies related to hot water temperature, smoking area safety, staff training, medication administration, labeling, storage procedures, and medication records. All deficiencies were addressed with plans of correction and were implemented by the time of the report.
Citations (8)
2600.89b Hot water temperature in the bathroom of resident room #151 measured 125.7°F, exceeding the 120°F limit.
2600.144c Two extinguished cigarette butts were found in the mulch outside the exit door near room #136, indicating inadequate smoking area safeguards.
2600.171b Staff Person A who transports residents had not completed the required initial direct care staff training.
2600.181c Resident #4 was identified as able to self-administer medications, but the annual medical evaluation indicated they could not.
2600.184a Resident #1’s medication label for CoQ-10 was incorrect, indicating 2 capsules daily while the MAR noted 1 capsule daily.
2600.184b An over-the-counter medication for Resident #3 was not labeled with the resident’s name.
2600.185a Blood glucose levels documented on glucometers for residents #5, #6, and #7 did not match the MAR documentation.
2600.187a Resident #2’s MAR still listed a discontinued PRN medication, Tramadol 50mg, as of 3/12/25.
Report Facts
Residents Served: 78
Current Hospice Residents: 5
Residents Age 60 or Older: 77
Residents with Mental Illness: 3
Residents with Mobility Need: 25
Inspection Report — Feb 11, 2025
Date: Feb 11, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 81
Current Hospice Residents: 7
Residents Age 60 or Older: 80
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 22
Inspection Report — Jan 13, 2025
Follow-Up
Date: Jan 13, 2025
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 submitted plan of correction was found to be fully implemented as of the review dates. Deficiencies related to support plan documentation and signatures were addressed with education, evaluations, and audits.
Citations (2)
Support Plan Medical/Dental (2600.227d) was deficient because the resident's support plan did not document risks or safe use of a bedside mobility device or note if a cover was required to meet FDA guidelines.
Support Plan Signatures (2600.227g) was deficient because a resident's support plan was not signed by the resident, and there was no documentation of refusal or inability to sign.
Report Facts
Residents Served: 80
Current Residents in Hospice: 6
Residents Age 60 or Older: 79
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 22
Inspection Report — Dec 10, 2024
Follow-Up
Date: Dec 10, 2024
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 submitted plan of correction was found to be fully implemented as of the inspection date. The report details a deficiency related to support plan revisions that was corrected by the licensee.
Citations (1)
Support plan revision regulation 227c was violated because a resident's assessment and support plan dated 7/26/24 was not updated to reflect changes in needs including continence and supervision requirements. The plan of correction was accepted and implemented by 01/22/2025.
Report Facts
Residents Served: 82
Current Hospice Residents: 5
Inspection Report — Sep 5, 2024
Date: Sep 5, 2024
Visit Reason
The inspection was a partial, unannounced licensing inspection conducted due to an incident.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 83
Current Hospice Residents: 8
Residents 60 Years or Older: 80
Residents Diagnosed with Mental Illness: 4
Residents with Mobility Need: 22
Inspection Report — Jun 12, 2024
Date: Jun 12, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 80
Current Hospice Residents: 4
Residents Age 60 or Older: 77
Residents with Mobility Need: 23
Inspection Report — Feb 28, 2024
Renewal
Date: Feb 28, 2024
Visit Reason
The inspection was a full, unannounced renewal inspection conducted to review compliance with licensing regulations.
Findings
The facility was found to have multiple deficiencies including unlocked poisonous materials, uncovered trash receptacles, unlabeled leftover food, obstructed egress, combustible storage hazards, incomplete fire drill records, cigarette butt litter near the smoking area, and medication storage and documentation issues. All deficiencies had accepted plans of correction and were implemented by the report date.
Citations (10)
82c - Poisonous materials were found unlocked under the sink in the fireside lounge bathroom, accessible to residents not able to safely use poisons.
85d - A garbage can in the kitchen was uncovered and not actively used by staff, violating trash receptacle requirements.
103e - Frozen French fries in the kitchen freezer were not labeled or dated, violating leftover food labeling requirements.
121a - The door exiting the building near Room #143 required excessive force to open due to obstruction by weatherproofing material.
125a - Combustible materials including linen napkins and lint piles were found near dryer vents, posing a fire hazard.
132c - Fire drill records lacked documentation of evacuation times for multiple drills conducted in 2023.
144c1 - Over a dozen cigarette butts were found outside the building exit door approximately 50 feet from the smoking area.
183e - Insulin pen medication lacked documentation of the date opened, violating medication storage requirements.
187b - Medication administration records lacked staff initials for PRN medication given and a medication packet was missing 18 tablets.
187c - Resident medication refusal was documented without evidence that the prescriber was notified as required.
Report Facts
Residents Served: 82
Current Hospice Residents: 5
Residents Age 60 or Older: 79
Residents with Mobility Need: 23
Residents with Physical Disability: 1
Inspection Report — Jan 25, 2024
Follow-Up
Date: Jan 25, 2024
Visit Reason
The inspection was a follow-up visit to verify the implementation of a previously submitted plan of correction related to a complaint.
Complaint Details
The inspection was complaint-related as indicated by the reason 'Complaint' and was a follow-up to verify plan of correction implementation.
Findings
The submitted plan of correction was determined to be fully implemented. The facility had minor maintenance issues with holes in molding and sawdust near a mouse trap, which were repaired and addressed with ongoing preventative maintenance.
Citations (1)
88a - Surfaces 1. Requirements 2600. 88.a. Floors, walls, ceilings, windows, doors and other surfaces must be clean, in good repair and free of hazards. Resident room had three small holes in the corner area molding with steel wool stuffed in the holes and sawdust on the floor around a mouse trap. The holes needed proper patching and repair.
Report Facts
Residents Served: 75
Current Hospice Residents: 4
Residents 60 Years or Older: 73
Residents Diagnosed with Mental Illness: 4
Residents with Mobility Need: 23
Total Daily Staff: 98
Waking Staff: 74
Inspection Report — Feb 22, 2023
Complaint Investigation
Date: Feb 22, 2023
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 02/22/2023.
Complaint Details
The inspection was complaint-related, but no deficiencies or regulatory citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 81
Current Hospice Residents: 2
Residents Age 60 or Older: 81
Residents Diagnosed with Mental Illness: 6
Residents with Mobility Need: 7
Inspection Report — Feb 16, 2023
Complaint Investigation
Date: Feb 16, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation at Tiffany Court at Kingston.
Complaint Details
The inspection was complaint and incident related. No deficiencies were found and no follow-up was required.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 87
Current Hospice Residents: 3
Residents 60 Years or Older: 86
Residents Diagnosed with Intellectual Disability: 5
Residents with Mobility Need: 7
Inspection Report — Jan 24, 2023
Renewal
Date: Jan 24, 2023
Visit Reason
The inspection was conducted as a renewal review of the facility's compliance with licensing requirements.
Findings
The inspection identified several deficiencies including missing emergency telephone numbers, unlabeled leftover food, incomplete medication records, incorrect following of prescriber's orders, and incomplete documentation of assistive devices in resident support plans. All deficiencies had plans of correction accepted and were implemented by early March 2023.
Citations (5)
91 - Emergency Telephone Numbers: There were no emergency numbers posted by the landline telephone in the fireside lounge.
103e - Left Overs: There was an unlabeled container of food found in the refrigerator located in the BTR dining room.
187a - Medication Record: The medication record for a resident lacked documentation of the reason and effectiveness for administering PRN medication.
187d - Follow Prescriber's Orders: A resident received an incorrect insulin dose not matching the prescriber's order based on blood sugar readings.
227d - Support Plan Medical/Dental: A resident's support plan did not indicate the use of a bed cane that the resident utilized.
Report Facts
Residents Served: 89
Current Hospice Residents: 3
Residents Age 60 or Older: 88
Residents Diagnosed with Mental Illness: 5
Residents with Mobility Need: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Housekeeping Director | In-serviced housekeeping staff on emergency phone number posting | |
| Food & Beverage Director | In-serviced dietary staff on labeling and dating leftover food | |
| Director of Resident Care | Provided in-service to med techs/LPNs on medication administration and documentation | |
| Executive Director | Monitored compliance and performed periodic checks for multiple deficiencies |
Inspection Report — Dec 7, 2021
Renewal
Date: Dec 7, 2021
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements at Tiffany Court at Kingston.
Findings
The inspection identified several deficiencies including missing window blinds affecting resident privacy, improper freezer temperature, unsealed food storage, obstructed emergency exit door, combustible materials near heat sources, incomplete medical evaluation forms, and improperly labeled medications. All deficiencies were corrected at the time of inspection or addressed through staff in-service training and monitoring plans.
Citations (7)
92 - Windows: Resident room #170 was missing a window shade, compromising resident privacy.
103f - Refrigerator/Freezer Temps: The main kitchen freezer temperature was 20°F, exceeding the required 0°F maximum.
103g - Storing Food: A package of 8 frozen Salisbury steak patties was not stored in a sealed container.
121a - Unobstructed Egress: An emergency exit door on the left side of the building did not readily open, impeding immediate access.
125a - Combustible Storage: Two terry cloth towels were found behind dryers near electrical cords, posing a fire hazard.
141a - Medical Evaluation Information: Two residents had special dietary needs not identified on their medical evaluation forms.
184a - Labeling OTC/CAM: A resident’s opened medications lacked prescription labels with resident name and physician orders.
Report Facts
Residents Served: 59
Frozen Salisbury steak patties: 8
Notice — Sep 22, 2021
Date: Sep 22, 2021
Visit Reason
This document serves as a renewal notification and license issuance for Tiffany Court at Kingston, a Personal Care Home, following receipt of the renewal application dated September 17, 2021.
Findings
The Department advises that an onsite annual inspection will be conducted within the next twelve months to ensure compliance with applicable regulations. No findings or deficiencies are reported in this document.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
Inspection Report — Jul 7, 2021
Follow-Up
Date: Jul 7, 2021
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 submitted plan of correction was determined to be fully implemented. The main deficiency involved incomplete documentation in a resident's support plan regarding fall history and prevention, which was addressed through staff in-service and periodic reviews.
Citations (1)
227d - Support Plan Medical/Dental: The assessment for resident #1 did not address previous fall history, fall prevention measures, or assistive devices used for ambulation. An incident report indicated the resident was caught mid-fall and placed in a wheelchair.
Report Facts
Residents Served: 44
Current Hospice Residents: 2
Inspection Report — May 20, 2021
Routine
Date: May 20, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Notice — Nov 18, 2020
Date: Nov 18, 2020
Visit Reason
This document serves as a renewal notification and license issuance for Tiffany Court at Kingston, a Personal Care Home. It informs the facility 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 the issuance of a regular license following the renewal application.
Report Facts
Inspection Report — Nov 10, 2020
Renewal
Date: Nov 10, 2020
Visit Reason
The inspection was conducted as a renewal inspection of Tiffany Court at Kingston to assess compliance with licensing requirements.
Findings
The facility was found to have multiple deficiencies including outdated food, incomplete medication records, failure to follow prescriber's orders, and incomplete preadmission screening documentation. Plans of correction were submitted and verified as implemented.
Citations (4)
103i - Outdated Food: A dented can of tomato sauce was found in the kitchen, violating food safety requirements.
187a - Medication Record: Medication Administration Records for two residents did not indicate diagnosis or purpose for prescribed medications.
187d - Follow Prescriber's Orders: Resident #3 did not receive prescribed insulin due to incorrect documentation of blood glucose levels.
224a - Preadmission Screen Form: Resident 4's preadmission screening form did not document ability to safely use or avoid poisonous materials.
Report Facts
Residents Served: 45
Current Residents in Hospice: 3
Residents 60 Years or Older: 43
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 8
Total Daily Staff: 53
Waking Staff: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Denise Sherrill | Administrator | Named as facility administrator |
| Jason Harvey | Lead Inspector | Lead inspector for the 11/10/2020 inspection |
| Corey Pica | Department Representative | Department representative present during inspection |
| Anne Graziano | Lead Reviewer | Lead reviewer for follow-up and document submissions |
Inspection Report — Sep 24, 2020
Complaint Investigation
Date: Sep 24, 2020
Visit Reason
The inspection was conducted as a complaint investigation at Tiffany Court at Kingston on 09/24/2020.
Complaint Details
The inspection was complaint-driven and unannounced. The submitted plan of correction was fully implemented and verified on 09/24/2020.
Findings
The emergency exit near Room #171 was blocked with a chair, two boxes, and two plants, preventing immediate egress in an emergency. The plan of correction was implemented and verified as fully corrected.
Citations (1)
121a - Stairways, hallways, doorways, passageways and egress routes must be unlocked and unobstructed. The emergency exit near Room #171 was blocked with a chair, two boxes, and two plants, preventing immediate egress.
Report Facts
Residents Served: 43
Current Hospice Residents: 3
Total Daily Staff: 51
Waking Staff: 38
Residents Age 60 or Older: 41
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Yankowy | Lead Inspector | Lead inspector for the complaint investigation on 09/24/2020 |
| Anne Graziano | Lead Reviewer | Reviewed plan of correction submissions and document submissions |
| Denise Sherrill | Administrator | Facility administrator mentioned in the report |
Inspection Report — Sep 9, 2020
Follow-Up
Date: Sep 9, 2020
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 submitted plan of correction was determined to be fully implemented. The facility updated the resident's support plan to reflect exit-seeking behaviors and use of a wander guard, and staff were in-serviced on updating support plans.
Citations (1)
227d - Support Plan Medical/Dental: Resident #1's support plan was not updated to reflect exit-seeking behaviors or the use of a wander guard to prevent elopement.
Report Facts
Residents Served: 44
Current Hospice Residents: 2
Total Daily Staff: 52
Waking Staff: 39
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Deluca | Lead Inspector | Lead inspector for the on-site visits on 09/09/2020 and 09/16/2020 |
| Michele Moskalczyk | Human Services Licensing Supervisor | Reviewer and signatory of the report and follow-up document submissions |
Inspection Report — Jul 22, 2020
Renewal
Date: Jul 22, 2020
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report — Jul 6, 2020
Renewal
Date: Jul 6, 2020
Visit Reason
The document summarizes multiple licensing inspections conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, for Tiffany Court at Kingston between May 5, 2020 and July 6, 2020.
Findings
No regulatory citations were identified as a result of these inspections.
Inspection Report — Jun 22, 2020
Complaint Investigation
Date: Jun 22, 2020
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with medication administration regulations.
Complaint Details
The inspection was complaint-driven and the plan of correction was accepted and fully implemented as of 12/04/2020.
Findings
The facility was found to have deficiencies in maintaining accurate medication administration records, specifically missing documentation for certain medication doses on multiple dates. The submitted plan of correction was accepted and later determined to be fully implemented.
Citations (1)
187.a Medication Record: The medication administration record did not document the 12pm dosage of Calcium Vitamin D on 6/13 and 6/14, and lacked documentation for Gabapentin doses or hospital hold status on 6/16, 6/17, and 6/18. The home is not maintaining medication administration records properly.
Report Facts
Residents Served: 110
Staffing Hours: 121
Waking Staff: 91
Residents 60 Years or Older: 61
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Harris | Lead Inspector | Lead inspector during the complaint investigation |
| Michele Moskalczyk | Human Services Licensing Supervisor | Reviewer and licensing supervisor involved in plan of correction review |
Inspection Report — Dec 31, 2019
Original Licensing
Date: Dec 31, 2019
Visit Reason
This document serves as a licensing certificate and notification that the facility Tiffany Court at Kingston is newly licensed and will undergo an inspection within 3 months of the license effective date to ensure compliance with applicable regulations.
Findings
The Pennsylvania Department of Human Services found the facility in substantial compliance with regulations at the time of policy review, allowing issuance of the new license.
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