Inspection Reports for
Twin Cedar Senior Living

The facility was found to have fully implemented the submitted plan of correction. Several deficiencies were noted related to criminal background checks, annual staff training content, staff training plan documentation, and dietary needs compliance, all of which have been addressed with corrective actions.

The investigation was complaint-related, substantiated by observations and resident interviews confirming verbal abuse and inappropriate conduct by staff person B. The facility failed to report incidents timely as required.

The facility was found to have multiple violations related to resident abuse, failure to immediately report suspected abuse, and failure to treat residents with dignity and respect. Staff person B was involved in verbal abuse and inappropriate conduct, and staff person A failed to report the incidents timely. The facility was issued a provisional license due to these violations.

The facility was found to have deficiencies related to fire drills and medical evaluation documentation, but the submitted plan of correction was determined to be fully implemented by the review date.

The inspection was triggered by a complaint and incident related to water quality and safety.

The facility was found to have ongoing issues with coliform contamination in its non-public water supply, resulting in a boil water advisory and use of disposable utensils. A chlorination system was installed and the boil water advisory discontinued, with the plan of correction fully implemented.

The submitted plan of correction was determined to be fully implemented. Deficiencies were identified related to resident personal equipment documentation, food storage and dating, and combustible storage hazards, all of which had corrective actions accepted and implemented by 05/02/2024.

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

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

The visit was complaint-related and incident-driven. The complaint involved alleged abuse during a fire drill evacuation where a resident was pushed and injured. The violation was designated under 42b Abuse but the facility disputed the designation.

The inspection found two violations related to a fire drill evacuation incident where a resident was pushed on a rollator walker, fell, and sustained a fractured right ankle. The facility failed to provide proper equipment for safe movement and evacuation. Staff were re-educated and corrective actions were implemented.

The inspection found multiple deficiencies including failure to report an incident, trash improperly stored outside, broken furniture posing hazards, improperly stored and outdated food, smoking outside designated areas, and incomplete preadmission screening documentation. All deficiencies had accepted plans of correction implemented by early February 2023.

The visit was complaint-related and incident-driven. The plan of correction was fully implemented as of May 10, 2022.

The inspection found deficiencies related to following prescriber's orders, incomplete support plan documentation for medical/dental care, and missing resident signatures on support plans. Plans of correction were accepted and fully implemented by the facility.

The inspection identified several deficiencies including uncovered trash dumpsters, presence of coliform in water without alternative water supply, unlabeled and undated food in the refrigerator, locked exit doors blocking immediate egress, and missing PRN medication on the medical cart. Plans of correction were submitted and implemented with follow-up reviews confirming compliance.

The Department advises that an onsite annual inspection will be conducted within the next twelve months to ensure compliance with Title 55, PA Code, Chapter 2600. No findings or deficiencies are reported in this document.

The Department advises that an onsite annual inspection will be conducted within the next twelve months to ensure compliance with Title 55, PA Code, Chapter 2600. Enforcement actions will be taken if noncompliance is found during the inspection.

The waiver is granted with conditions including that the administrator must attend the orientation within 15 days of its availability and maintain documentation of training and qualifications. The Department will review compliance during the annual inspection.

The waiver is granted with specific conditions including completion of a 100-hour training course, competency test, orientation attendance, and supervision until training completion. The waiver is effective from March 6, 2020 to May 5, 2020, after which full compliance is expected.

The facility was found to be in substantial compliance with the applicable regulations under 55 Pa. Code Chapter 2600. The licensing inspector was unable to complete a full inspection due to the new legal entity status.