Inspection Reports for
Arden Courts A ProMedica Memory Care Community in Susquehanna
PA, 17110
Back to Facility Profile28 Reports
Inspection Report — Apr 1, 2025
Complaint Investigation
Date: Apr 1, 2025
Visit Reason
The inspection was a partial, unannounced complaint investigation conducted on 04/01/2025 and 04/02/2025 to review compliance with submitted plans of correction and address complaints.
Complaint Details
The inspection was conducted as a complaint investigation with unannounced notice. The report documents multiple violations found during the complaint-related inspection.
Findings
Multiple deficiencies were found including unlocked poisonous materials accessible to residents, unsanitary conditions such as a black substance in a toilet bowl, missing drain covers in showers, loose cabinet brackets, improperly stored food and medications, medication administration errors, incomplete resident assessments, missing support plan signatures, lack of preadmission cognitive screening, and missing conspicuous posting of key-locking device instructions.
Citations (11)
Unlocked, unattended and accessible poisonous materials in kitchen and resident bathrooms despite residents being incapable of recognizing and using poisons safely.
Black substance observed inside resident toilet bowl.
No drain cover observed in bathroom shower exposing a large drain hole presenting a hazard.
Loose cabinet brackets causing cabinet doors to hang below the bottom of the cabinet in kitchen areas.
Food items (chocolate pudding and yogurt) labeled with date opened found in medication cart.
Loose tablet and small white round pill found inside medication cart.
Resident administered incorrect insulin doses and medication administration documentation issues.
Resident partial denture observed but not included in resident assessment; incomplete assessments for telephone use, agitation, aggression, and hallucinations.
Resident support plan lacked required signatures including resident, POA, and assessor.
Resident admitted to secured dementia care unit without completed written cognitive preadmission screening.
Directions for operating key-locking devices not conspicuously posted near exits to secured dementia care unit.
Report Facts
Residents Served: 63
Staffing Hours - Total Daily Staff: 126
Staffing Hours - Waking Staff: 95
Current Hospice Residents: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Services Coordinator | Resident Services Coordinator | Named in multiple findings including locking poisonous materials, medication storage and administration, and training. |
| Regional Maintenance Specialist | Interim Maintenance Director | Named in findings related to repair of loose cabinet brackets and replacement of missing drain covers. |
| Executive Director | Executive Director | Named in multiple corrective actions and ongoing compliance monitoring. |
| Building Services Coordinator | Building Services Coordinator | Named in corrective actions related to locking poisonous materials, cleaning checklists, and keypad audits. |
| Nursing Supervisor | Nursing Supervisor | Named in corrective action related to discarding contaminated food items. |
| Resident Services Coordinator (DON) | Director of Nursing | Named in medication storage and administration violations and related training. |
| Administrative Services Assistant | Administrative Services Assistant | Named in corrective action related to posting keypad codes. |
Inspection Report — Oct 10, 2024
Follow-Up
Date: Oct 10, 2024
Visit Reason
The inspection was conducted as a follow-up review of the submitted plan of correction related to an incident involving resident abuse.
Findings
The submitted plan of correction was determined to be fully implemented. The report details an incident where a staff member struck a resident with a cane, resulting in a laceration, and subsequent corrective actions including staff termination, notifications, and staff training.
Citations (1)
A resident was physically abused by a staff member who struck the resident on the head with a cane, causing a laceration.
Report Facts
Residents Served: 62
Current Residents in Hospice: 11
Residents Age 60 or Older: 62
Residents with Mobility Need: 62
Staff Total Daily: 124
Waking Staff: 93
Directed Completion Date: Dec 15, 2024
Inspection Report — Jun 13, 2024
Complaint Investigation
Date: Jun 13, 2024
Visit Reason
The inspection was conducted as a complaint investigation at Arden Courts (Susquehanna) on 06/13/2024.
Complaint Details
The inspection was complaint-related, 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: 58
Current Residents in Hospice: 7
Total Daily Staff: 116
Waking Staff: 87
Inspection Report — Jan 30, 2024
Renewal
Date: Jan 30, 2024
Visit Reason
The inspection was an unannounced full renewal inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to review compliance and verify the submitted plan of correction for Arden Courts Susquehanna of Harrisburg.
Findings
The inspection identified multiple deficiencies including trash receptacle management, outdated food storage, medication storage and administration issues, incomplete admission support plans, and unsecured resident records. Plans of correction were accepted with proposed completion dates and ongoing compliance measures implemented.
Citations (6)
Trash dumpsters were overflowing and lids remained open, violating requirements for covered receptacles to prevent insect and rodent penetration.
Kitchen refrigerator contained wrapped, unlabeled, and undated lunch meat, violating food storage regulations.
Medication prescribed to Resident #2 was not found in the home, indicating failure to implement safe storage procedures.
Resident #1's insulin administration was not properly documented on several dates despite blood glucose levels requiring insulin.
Initial support plans for residents admitted to the Secure Dementia Care Unit were not completed within 72 hours of admission.
Resident records were stored in unlocked, accessible locations, exposing confidential information.
Report Facts
Residents Served: 49
Current Hospice Residents: 8
Residents Age 60 or Older: 48
Residents with Mobility Need: 49
Total Daily Staff: 98
Waking Staff: 74
Inspection Report — Nov 7, 2023
Renewal
Date: Nov 7, 2023
Visit Reason
The inspection was a renewal visit to assess compliance with licensing regulations and verify correction of previous deficiencies.
Findings
The facility had multiple deficiencies including failure to post inspection summaries, incomplete direct care staff training, unsecured poisonous materials, heat source hazards, surface damage, improper refrigerator temperatures, fire drill deficiencies, incomplete medical evaluations, medication storage and administration issues, incomplete resident assessments, and record storage violations. All deficiencies had plans of correction implemented by April 17, 2024.
Citations (19)
2600 3.c. The home failed to post partial inspection summaries dated 03/30/2023 and 07/12/2023 in a conspicuous place.
2600 65.d. Direct care staff person provided unsupervised ADL services without documentation of completing required training and competency test.
2600 82.c. Poisonous materials were unlocked and accessible in the Health Center, posing a risk to residents not assessed as safe with poisons.
2600 84. Heat sources such as an electric fireplace lacked protective guards and became very hot to the touch.
2600 88.a. Exterior wall siding was missing a piece measuring approximately 6x24 inches, creating a hazard.
2600 103.f. Refrigerator temperatures exceeded required limits with readings up to 50°F in the refrigerator and 15°F in the freezer.
2600 132.g. Fire drills were routinely held at the end of the month, not varying days and times as required.
2600 132.h. Residents did not fully evacuate to designated meeting places during multiple fire drills, with low resident participation.
2600 132.i. Fire alarm was not sounded during a fire drill; a silent drill was used instead.
2600 141.b.1. Resident medical evaluations were not completed annually, with gaps exceeding one year.
2600 183.a. Medications were found outside original labeled containers and not dispensed properly.
2600 183.b. Medication baskets and syringes were unlocked and accessible in the Health Center.
2600 185.a. PRN medications prescribed to residents were unavailable in the home.
2600 187.d. Resident did not receive prescribed insulin doses when blood sugar levels were elevated.
2600 225.c. Resident assessments were not completed annually, with significant delays noted.
2600 227.d. Resident support plans did not document how special diet needs would be met for multiple residents.
2600 231.c. Written cognitive preadmission screenings were not completed within 72 hours prior to admission to the secured dementia care unit.
2600 236. Direct care staff in the secured dementia care unit did not complete the required 6 hours of annual dementia care training.
2600 254.c. Resident records were stored unlocked and accessible in the Health Center and kitchen areas.
Report Facts
Residents Served: 49
Current Residents in Hospice: 8
Staff Count: 98
Waking Staff: 74
Fire Drill Dates: 5
Temperature Readings: 50
Temperature Readings: 15
Blood Sugar Readings: 485
Inspection Report — Jul 12, 2023
Complaint Investigation
Date: Jul 12, 2023
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident involving resident abuse on July 1, 2023.
Complaint Details
The complaint investigation was substantiated based on the incident on 7/1/23 where Staff Person A physically restrained Resident #1 inappropriately. Staff Person A was placed on administrative leave and subsequently terminated. The facility reported the incident to law enforcement and adult protective services.
Findings
The investigation found that Staff Person A physically restrained Resident #1 by placing a pillow over the resident's face for approximately 15 seconds, which violated abuse and restraint regulations. The facility took corrective actions including staff termination, re-education, and implementation of additional training and policies.
Citations (2)
42b - Abuse: Staff Person A placed a pillow over Resident #1's face for approximately 15 seconds while attempting to restrain the resident during an episode of agitation and aggression.
202 - Prohibitions: Staff Person A used a manual restraint by holding down Resident #1's arms and placing a pillow over the resident's face, which is prohibited.
Report Facts
Residents Served: 52
Staffing Hours: 104
Waking Staff: 78
Current Residents in Hospice: 10
Directed Completion Date: Oct 2, 2023
Inspection Report — Mar 30, 2023
Complaint Investigation
Date: Mar 30, 2023
Visit Reason
The inspection was conducted as a complaint investigation following an incident involving resident-to-resident physical aggression.
Complaint Details
The visit was complaint-related due to an incident where Resident #1 physically abused Resident #2. The complaint was substantiated as the incident was confirmed and resulted in injury.
Findings
The investigation found that Resident #1 physically pushed Resident #2, resulting in injury requiring surgical intervention. Resident #1 exhibited ongoing physical aggression and wandering behaviors, and the support plan had not been revised to address these behaviors until after the incident.
Citations (2)
Resident #1 entered Resident #2's bedroom and pushed Resident #2, causing an injury requiring surgical intervention.
Resident #1's support plan was not revised to address the resident's supervision needs or aggression towards others.
Report Facts
Residents Served: 44
Current Residents in Hospice: 10
Residents 60 Years or Older: 44
Residents Diagnosed with Mental Illness: 16
Residents with Mobility Need: 44
Residents with Physical Disability: 1
Inspection Report — Feb 7, 2023
Renewal
Date: Feb 7, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license, including a full unannounced review on 02/07/2023 and 02/08/2023.
Findings
The inspection identified multiple deficiencies including failure to post current violation reports, missing resident contract signatures, lack of resident education on medication refusal rights, incomplete fire drill records, and issues with medication storage and training. Plans of correction were directed and many were implemented by April 2023.
Citations (16)
The home's current violation report dated 2/9/2022 was not posted in a conspicuous and public place.
Resident-home contracts for Residents #1 and #2 were not signed by the residents.
Resident #1 and Resident #2's records did not contain signed statements acknowledging receipt of resident rights and complaint procedures.
Residents were not informed upon admission that certain areas are subject to video recording and signs were not posted indicating video recording.
Direct Care Staff Member A provided unsupervised ADL services without completing required training and competency test as of 2/7/2023.
Direct Care Staff Member B did not receive required training in medication self-administration, resident needs, personal care service needs, and safe management techniques during 2022.
Direct Care Staff Member B did not receive training in the Older Adult Protective Services Act, resident rights, and falls and accident prevention during 2022.
Outside dumpster was not covered and not actively in use at the time of observation.
Emergency telephone numbers were not posted on or by the telephone in Resident #3's bedroom.
Unannounced fire drills were not held during May and June 2022.
Fire drill records lacked required details including time, evacuation duration, exit route, resident and staff counts, problems encountered, and alarm operability for multiple drills.
Signs specifying smoking policy were not posted at the home's entrance.
Resident #4's glucometer was not calibrated to the correct time and blood glucose readings did not match MAR.
Residents #1 and #2 were not educated on their right to refuse medication if they believed there was a medication error.
Resident #4 did not sign the support plan and no notation was made regarding inability or refusal to sign.
No documentation that Residents #4 and #5 and their designated persons have not objected to admission to the secured dementia care unit.
Report Facts
Residents Served: 42
Current Hospice Residents: 10
Total Daily Staff: 84
Waking Staff: 63
Inspection Report — Feb 9, 2022
Plan of Correction
Date: Feb 9, 2022
Visit Reason
The document confirms that the submitted plan of correction for the facility was reviewed and determined to be fully implemented following visits on 02/09/2022 and 02/10/2022.
Findings
The plan of correction submitted by the facility was found to be fully implemented, and continued compliance must be maintained.
Report Facts
Inspection visit dates: Visits occurred on 02/09/2022 and 02/10/2022
Inspection Report — Jan 11, 2022
Follow-Up
Date: Jan 11, 2022
Visit Reason
The visit was conducted as a follow-up to review the submitted plan of correction related to a complaint and incident at the facility.
Complaint Details
The inspection was complaint-related and incident-related, with the reason for the visit stated as Complaint, Incident. The plan of correction was accepted and fully implemented.
Findings
The submitted plan of correction was determined to be fully implemented, and continued compliance must be maintained.
Citations (1)
Resident 1's preadmission screening form did not include a determination that the needs of the resident can be met by the services provided by the home.
Report Facts
Residents Served: 38
Current Hospice Residents: 14
Residents Age 60 or Older: 36
Residents with Mobility Need: 38
Inspection Report — Jun 24, 2021
Renewal
Date: Jun 24, 2021
Visit Reason
The document is a renewal application and license issuance for Arden Courts of Susquehanna, a Personal Care Home, pursuant to Title 55, PA Code, Chapter 2600. The Department will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
The Department has issued a regular license in response to the renewal application. No findings of noncompliance are stated in this document. The Department advises that if noncompliance is found during future inspections, enforcement actions will be taken.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed letter regarding renewal license issuance |
Inspection Report — Oct 9, 2020
Renewal
Date: Oct 9, 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.
Notice — Mar 6, 2020
Date: Mar 6, 2020
Visit Reason
The document serves as a renewal approval for the Personal Care Home license for Arden Courts Susquehanna of Harrisburg PA LLC, confirming the facility's license to operate and advising of the requirement for annual inspections.
Findings
No inspection findings are reported in this document. It is a license renewal notice confirming the facility's compliance and outlining future inspection requirements.
Report Facts
Inspection Report — Feb 18, 2020
Renewal
Date: Feb 18, 2020
Visit Reason
The inspection was a full, unannounced visit conducted for renewal and incident reasons on February 18 and 19, 2020.
Findings
The facility was found to have multiple violations including missing influenza awareness materials, unsigned resident contracts, insufficient emergency water supply, overdue furnace inspection, medication administration record inaccuracies, and unsigned support plans. Plans of correction were submitted and fully implemented by May 20, 2020.
Citations (10)
Regulation 2600.18: The home did not have a copy of the influenza awareness poster or kit displayed at the time of inspection.
Regulation 2600.25b: The resident-home contract was not signed by Resident #1.
Regulation 2600.107c: The home failed to maintain a 3-day supply of emergency drinking water, having only 135 gallons instead of the required 180 gallons.
Regulation 2600.126a: The last furnace inspection was conducted on January 30, 2019, exceeding the annual inspection requirement.
Regulation 2600.183d: Two containers of eye drops for Resident #4 were found on the medication cart but were not documented as current prescriptions.
Regulation 2600.185a: Medications for Residents #2 and #5 were not available on the medication cart as prescribed or had been removed due to expiration without replacement.
Regulation 2600.187a: The medication administration record for Resident #1 did not indicate the diagnoses or purposes of prescribed medications.
Regulation 2600.187d: The medication administration record for Resident #1 lacked clear instructions for administration frequency and dosage amounts.
Regulation 2600.227h: Support plans for Residents #2 and #3 were neither signed by the resident nor documented as refused or unable to sign.
Regulation 2600.231e: The home lacked documentation that Residents #2 and #4 and their designated persons had not objected to admission or transfer to the secured dementia care unit.
Report Facts
Residents served: 60
Current hospice residents: 12
Emergency drinking water required: 180
Emergency drinking water available: 135
Total daily staff: 120
Waking staff: 90
Notice — Jun 4, 2019
Date: Jun 4, 2019
Visit Reason
The document is a response to a waiver request related to qualifications for direct care staff persons under 55 Pa.Code § 2600.54(a)(2).
Findings
The Department determined that with submitted credential evaluation paperwork, the minimum educational requirements for a direct staff worker are met, and therefore the waiver is not needed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Kachmar | Regulatory Implementation Manager | Signed the waiver determination letter. |
Inspection Report — Mar 13, 2019
Renewal
Date: Mar 13, 2019
Visit Reason
The inspection was conducted as an annual renewal inspection of Arden Courts of Susquehanna to assess compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Findings
Multiple violations were found related to sanitary conditions, medication management, blood glucose testing procedures, and medical evaluations. Plans of correction were submitted addressing training, policy updates, and auditing procedures to prevent recurrence.
Citations (5)
55 Pa.Code 2600.85(a) sanitary conditions were not maintained due to shared glucometer use for blood sugar testing on multiple occasions.
55 Pa.Code 2600.183(f) expired medications, including a vitamin D3 unit and Tylenol, were found on the medication cart.
55 Pa.Code 2600.185(a) blood sugar readings on the resident's glucometer did not match the documented Medication Administration Record.
55 Pa.Code 2600.187(b) medication administration documentation errors occurred, including incorrect recording of escitalopram administration.
55 Pa.Code 2600.231(b) medical evaluations were not completed within 60 days prior to admission for residents in the secured dementia care unit.
Report Facts
Number of Residents Served: 51
Number of Current Hospice Residents: 6
Number of Residents 60 Years or Older: 50
Number of Residents with Mobility Need: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angelica E. Losch | Executive Director | Named as Legal Entity Representative signing plans of correction. |
Inspection Report — Mar 1, 2019
Renewal
Date: Mar 1, 2019
Visit Reason
The document is a renewal license issued to Arden Courts Susquehanna of Harrisburg PA to operate a Personal Care Home. The Department advises 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 serves as a license renewal notification and confirmation of future annual inspection requirements.
Notice — Oct 23, 2018
Date: Oct 23, 2018
Visit Reason
The document is a response to a waiver request regarding educational requirements for direct care staff under Pennsylvania Code Chapter 2600.
Findings
The Department of Human Services determined that the submitted Certificate of Education meets the minimum educational requirements for a direct staff worker, and therefore the waiver is granted and further documentation is not needed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Kachmar | Regulatory Implementation Manager | Signed the waiver approval letter. |
Notice — Aug 16, 2018
Date: Aug 16, 2018
Visit Reason
The document is a response to a waiver request related to qualifications for direct care staff persons under 55 Pa.Code Ch. 2600 for Arden Courts Susquehanna.
Findings
The Department determined that the diploma from Kenya Medical Training College exceeds the minimum educational requirements for a direct staff worker, so the waiver is not needed.
Report Facts
Waiver code reference: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Kachmar | Regulatory Implementation Manager | Signed the waiver denial letter |
Inspection Report — Mar 29, 2018
Annual Inspection
Date: Mar 29, 2018
Visit Reason
The document reports the results of the Department of Human Services' annual licensing inspection of Arden Courts of Susquehanna conducted on March 29 and March 30, 2018.
Findings
The facility was found to be in compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Notice — Feb 16, 2018
Date: Feb 16, 2018
Visit Reason
The document serves as a renewal notification and license issuance for Arden Courts Susquehanna of Harrisburg PA, LLC, confirming the renewal application received on February 15, 2018, and explaining the requirement for annual onsite inspections.
Findings
No inspection findings or deficiencies are reported in this document. It is an administrative renewal notice and license certificate.
Report Facts
Inspection Report — Jul 12, 2017
Complaint Investigation
Date: Jul 12, 2017
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident involving alleged resident abuse.
Complaint Details
The complaint investigation was substantiated based on observation of physical abuse to Resident #1 by Direct Care Staff Member A on 7/9/17. Staff person A was suspended and no longer employed as of 7/9/17.
Findings
A violation of 55 Pa.Code Ch. 2600 was found involving physical abuse of a resident by a direct care staff member. The facility was required to submit a plan of correction and maintain compliance.
Citations (1)
Regulation 55 Pa.Code §2600 2600.42(b): A resident was physically abused by a direct care staff member who was observed holding/pinching the back of the resident's neck causing redress and marks.
Report Facts
Number of Residents Served: 52
Number of Current Hospice Residents: 9
Number of Hospice Residents in past year: 11
Total Daily Staff: 104
Walking Staff: 78
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Smith | Administrator | Named in facility header |
| Douglas Hoover | Department representative on-site during inspection | |
| Jen Smith | Executive Director | Signed plan of correction and involved in staff training |
| Direct Care Staff Member A | Involved in physical abuse violation | |
| Direct Care Staff Member B | Observed the abuse incident | |
| Direct Care Staff Member C | Treated resident's injuries |
Inspection Report — Apr 4, 2017
Annual Inspection
Date: Apr 4, 2017
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections on April 4 and April 5, 2017, for Arden Courts of Susquehanna.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including failure to report suspected abuse timely, unsigned resident contracts, inadequate exit signage on courtyard gates, overdue furnace inspection, incomplete medication administration records, and missing signatures on support plans.
Citations (8)
Regulation 2600.15(a): The home failed to immediately report suspected abuse of a resident as required by law.
Regulation 2600.25(b): The contract for Resident 1 was not signed by the resident.
Regulation 2600.122: The home lacked proper exit signage for two courtyard gates and did not have an updated evacuation diagram.
Regulation 2600.126(a): The home’s forced-air furnaces were last inspected on 1-20-16, missing the required annual inspection.
Regulation 2600.185(a): Medication administration records lacked diagnosis or purpose for several medications.
Regulation 2600.187(a): Medication administration records were missing required documentation for each resident’s medications.
Regulation 2600.227(h): Support plans for residents were not signed or documented regarding inability or refusal to sign.
Regulation 2600.233(c): The keypad locks at the two exterior courtyard gates lacked conspicuous posting of operation instructions.
Report Facts
Number of Residents Served: 49
Number of Current Hospice Residents: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Smith | Executive Director | Named as legal entity representative and involved in plan of correction signatures and audit activities. |
Inspection Report — Mar 6, 2017
Renewal
Date: Mar 6, 2017
Visit Reason
The document is a renewal application and license issuance for Arden Courts Susquehanna of Harrisburg PA to operate a Personal Care Home. The Department 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 states that the Department will conduct an inspection within the next twelve months.
Report Facts
Inspection Report — May 3, 2016
Renewal
Date: May 3, 2016
Visit Reason
The document is a renewal inspection notification and license issuance for Arden Courts Susquehanna of Harrisburg PA, LLC to operate a Personal Care Home. The Department will conduct an onsite inspection within the next twelve months as required by state regulations.
Findings
No specific inspection findings are reported in this document. It primarily communicates the renewal of the facility's license and the regulatory requirement for an annual onsite inspection.
Report Facts
Inspection Report — Apr 7, 2016
Annual Inspection
Date: Apr 7, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections for the facility.
Findings
The facility was found to be in compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes following inspections on April 7 and April 8, 2016.
Notice — Feb 25, 2016
Date: Feb 25, 2016
Visit Reason
The document is a letter granting a waiver request for admission regulations under 55 Pa.Code § 2600.231(b)-(c) for Arden Courts of Susquehanna.
Findings
The waiver is granted under specified conditions including use of a cognitive preadmission screening form. The waiver remains in effect as long as conditions are met and will be reviewed annually during inspections.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Jones | Director | Signed the waiver approval letter. |
Notice — April 29, 2025
Date: April 29, 2025
Visit Reason
Response to a facility request to use the Safely You Falls Management Program for fall detection and management for residents with cognitive impairment.
Findings
The Department reviewed the submitted information and determined that the informed consent process meets regulatory requirements for voluntary participation and resident privacy rights. The letter clarifies that it does not endorse the program but confirms compliance with resident rights.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Director, Bureau of Human Services Licensing | Signed the letter responding to the facility's request regarding the Safely You Falls Management Program. |
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