28 Reports
Inspection Report — Apr 21, 2026
Monitoring
Date: Apr 21, 2026
Visit Reason
The visit was an unannounced partial inspection conducted as a monitoring review to verify compliance with prior deficiencies and ongoing regulatory requirements.
Findings
The inspection found violations related to direct care staff qualifications, initial direct care training, and medication storage practices. Plans of correction were implemented promptly, and ongoing audits were established to ensure compliance.
Citations (3)
PA 2600.54a Direct care staff persons did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
PA 2600.65d Direct care staff person provided unsupervised ADL services without completing and passing the Department-approved direct care training course and competency test.
PA 2600.183e Prescription and OTC medications were not stored properly; blister packs were punctured with pills remaining in place.
Report Facts
Residents Served: 71
Current Hospice Residents: 8
Staff Total Daily: 142
Staff Waking: 107
Inspection Report — Feb 18, 2026
Renewal
Date: Feb 18, 2026
Visit Reason
The inspection was conducted as a renewal inspection with provisional and incident reasons, including a follow-up review of a previously submitted plan of correction.
Findings
The facility was found to be in compliance with 55 Pa. Code Ch. 2600 after the inspection and plan of correction review. Several deficiencies were identified related to contract signatures, quality management plan content, staff qualifications and training, medication administration and storage, fire safety, and resident rights. Plans of correction were directed and implemented by the facility.
Citations (22)
25b Contract Signatures: Resident-home contracts for Resident #1 and #2 were not signed by the residents.
26b Quality Management Plan Content: The quality management meeting review did not address required procedures including incident reporting and complaint procedures.
41e Signed Statement: Resident #1 and #2 records lacked signed statements acknowledging receipt of resident rights and complaint procedures.
54a Direct Care Staff: Staff person A lacked a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
64c Annual Training: Staff person B completed only 5 hours of Department-approved annual training in 2025 instead of the required 24 hours.
65a FS Orientation 1st Day: Staff persons C, D, and E did not receive orientation on multiple fire safety and emergency preparedness topics on their first day.
65b Rights/Abuse 40 Hours: Staff persons C, D, and E did not complete required training on resident rights, emergency medical plan, mandatory abuse reporting, and incident reporting within 40 scheduled hours.
65f Training Topics: Direct care staff persons A and F did not receive medication self-administration training during the 2025 training year.
82c Locking Poisonous Materials: Poisonous materials including disinfecting cleaner and toothpaste with poison control warnings were unlocked and accessible to residents not assessed as safe to use them.
85a Sanitary Conditions: Staff Member G administered medications without proper hand hygiene and touched medications with ungloved hands.
101j7 Lighting/Operable Lamp: Resident #5 did not have access to a source of light that can be turned on/off at bedside.
132f Alternate Exit Routes: Fire drills only used the exit route behind the fire doors from 7/2025 through 1/2026.
132g Fire Drills Days/Times: Fire drills were routinely held at the end of the month on the same dates.
183e Storing Medications: Multiple resident medications were stored with punctured blister packs or beyond manufacturer discard dates, exposing them to contamination.
187b Date/Time of Medication Admin.: Staff Member G did not initial medication administration records at the time of administration for Resident #2 and Resident #11.
191 Resident Right to Refuse: Residents #1 and #2 were not educated on their right to refuse medication if they believed there was a medication error.
201 Positive Interventions: Staff Member E used manual restraint by holding Resident #12’s hands during an altercation instead of positive interventions.
202 Prohibitions: Manual restraints were used by Staff Member E during a resident altercation, which is prohibited.
234a Admission Support Plan: Resident #2’s initial support plan was not completed within 72 hours of admission to the Secure Dementia Care Unit.
54a Direct Care Staff: Staff persons A and B did not have required qualifications and were removed from direct care duties until compliance.
65d Initial Direct Care Training: Staff person C provided unsupervised ADL services without completing required training and competency testing.
183e Storing Medications: On 4/21/2026, punctured blister packs were observed for medications of Residents #1 and #2.
Report Facts
Residents Served: 70
Residents Served: 71
Total Daily Staff: 140
Waking Staff: 105
Total Daily Staff: 142
Waking Staff: 107
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff Member G | Named in findings related to improper hand hygiene and medication administration documentation | |
| Staff Member E | Named in findings related to resident altercation and prohibited manual restraint use | |
| Staff person A | Named in findings related to lack of qualifications and missing medication self-administration training | |
| Staff person B | Named in findings related to lack of qualifications and incomplete annual training | |
| Staff person C | Named in findings related to missing orientation, incomplete training, and unsupervised ADL services without required training | |
| Staff person D | Named in findings related to missing orientation and incomplete training | |
| Staff person F | Named in findings related to missing medication self-administration training |
Inspection Report — Nov 10, 2025
Follow-Up
Date: Nov 10, 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 fully implemented the plan of correction addressing prior deficiencies related to resident assistance with activities of daily living, unobstructed egress, medication storage procedures, and following prescriber's orders. Ongoing audits and staff in-services were established to maintain compliance.
Citations (4)
23a - Activities of Daily Living Assistance: A resident requiring 24-hour direct supervision did not receive this assistance on specified dates, resulting in altercations with other residents.
121a - Unobstructed Egress: A mattress, bedframe, and cart blocked emergency exit egress between the neighborhood center and the 300 hall entrance at 9:23 A.M.
185a - Implement Storage Procedures: A resident's narcotic control log was missing the date of administration and the signature of the administering staff member.
187d - Follow Prescriber's Orders: A resident was administered medication incorrectly, not following the prescribed directions of every 6 hours as needed.
Report Facts
Residents Served: 64
Hospice Current Residents: 9
Resident Support Staff: 0
Total Daily Staff: 128
Waking Staff: 96
Inspection Report — Oct 27, 2025
Follow-Up
Date: Oct 27, 2025
Visit Reason
The inspection was a partial, unannounced follow-up visit to verify the implementation of a plan of correction related to a prior fine.
Findings
The facility was found to have implemented corrective actions for prior deficiencies related to staff annual training and environmental safety. The report details ongoing training plans and maintenance procedures to ensure continued compliance.
Citations (3)
65e. Direct care staff persons A and B did not receive any annual training in training year 2024.
65g. Staff person C did not receive annual training in required topics including fire safety, emergency preparedness, resident rights, and accident prevention during training year 2024.
88a. The home's parking lot gate latch did not engage properly, posing a hazard to residents with dementia due to potential traffic exposure.
Report Facts
Residents Served: 65
Total Daily Staff: 130
Waking Staff: 98
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Executive Director | Named as responsible for implementing training plans and conducting audits |
| Director of Environmental Services | Director of Environmental Services | Responsible for weekly checks of maglock timing and environmental safety |
| Business Services Director | Business Services Director | Received training on staff file auditing and maintenance |
Inspection Report — Oct 1, 2025
Date: Oct 1, 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 as a result of this inspection.
Report Facts
Total Daily Staff: 126
Waking Staff: 95
Residents Served: 63
Current Hospice Residents: 10
Residents Age 60 or Older: 62
Residents with Mobility Need: 63
Residents with Physical Disability: 1
Inspection Report — Aug 11, 2025
Complaint Investigation
Date: Aug 11, 2025
Visit Reason
The inspection was conducted as a complaint and incident investigation to review compliance with regulatory requirements and the submitted plan of correction.
Complaint Details
The inspection was complaint-related and involved substantiated findings of abuse and incident reporting failures.
Findings
The facility was found to have multiple violations including failure to document incident investigations, failure to report incidents timely, lack of criminal background checks prior to employment, improper CPR training certification, food contamination risk, incomplete medical evaluations, missing posted menus, medication errors, lack of positive interventions for aggressive behavior, incomplete resident assessments, and missing no objection statements for dementia care admissions. The submitted plan of correction was fully implemented as of the follow-up date.
Citations (13)
16b Incident Policies: The home lacked documentation of investigations for incidents involving residents.
16c Written Incident Report: The home failed to report an incident of scratches on a resident's face to the Department within 24 hours.
42b Abuse: A resident was physically abused by another resident, and the home did not implement positive interventions to modify the aggressive behavior.
51 Criminal Background Check: Staff person started work without a completed criminal background check prior to first day.
63b Current First Aid Training: Staff were trained in CPR by a source not certified by a hospital or recognized health care organization.
103c Food Protected: Food items were improperly stored in the microwave, risking contamination.
141a Medical Evaluation Information: Resident medical evaluation did not include body positioning and movement stimulation.
141b1 Annual Medical Evaluation: Resident's most recent medical evaluation was not completed for the current year.
162c Menus Posted: The current week's menu was not posted in some neighborhoods as required.
183d Prescription Current: Discontinued medication was found in the home's medication cart.
201 Positive Interventions: The home failed to implement positive interventions to manage a resident's aggressive behavior.
225c Additional Assessment: Resident assessments were not updated to reflect exhibited aggressive behaviors.
231e No Objection Statement: The home lacked documentation that the resident and designated person did not object to admission to the secured dementia care unit.
Report Facts
Residents Served: 62
Current Hospice Residents: 3
Residents Age 60 or Older: 62
Residents with Mobility Need: 62
Residents with Physical Disability: 1
Total Daily Staff: 124
Waking Staff: 93
Inspection Report — Jul 17, 2025
Renewal
Date: Jul 17, 2025
Visit Reason
The inspection was conducted as a renewal, provisional, and monitoring visit to assess compliance with regulations for Artis Senior Living of Huntingdon Valley.
Findings
The inspection identified multiple deficiencies including resident abuse reporting delays, medication storage and administration issues, staff training deficiencies, confidentiality breaches, fire safety documentation problems, and unsafe hot water temperatures. Plans of correction were proposed for all deficiencies with some already implemented and others pending.
Citations (23)
Delayed reporting of suspected resident abuse to the local area agency on aging.
Failure to report an incident to the Department’s personal care home regional office within 24 hours.
Resident was physically abused by staff; staff was suspended and sent home.
Poisonous materials were unlocked and accessible to residents not capable of safe use.
Prescription medications were punctured in blister packs but pills remained in place.
Glucometer was not calibrated to the correct time.
Resident support plans and task log books were unlocked and accessible, breaching confidentiality.
Staff background checks were outdated or missing.
Staff did not receive required orientation on fire safety and emergency preparedness.
Medication procedures lacked processes to investigate missing medications and medication errors.
Medication administration records did not document time and date of administration.
Medications were not administered according to prescriber's orders.
Resident contract was not signed by the resident.
Resident record lacked signed statement acknowledging receipt of resident rights and complaint procedures.
Direct care staff did not complete required annual training hours.
Direct care staff did not receive required training on medication self-administration, dementia care, infection control, and other topics.
Poisonous materials were unlocked and accessible in resident rooms and throughout the home.
Hot water temperature in resident-accessible areas exceeded 120°F.
Fire drill records lacked required details including evacuation time, exit routes, and number of residents.
Residents were not able to evacuate within the maximum safe evacuation time specified by a fire safety expert.
Resident was not educated on the right to refuse medication if a medication error is suspected.
Magnetic locks on exit doors lacked written approval from appropriate authorities.
Direct care staff in the secured dementia care unit lacked required dementia care training hours.
Report Facts
Residents Served: 61
Total Daily Staff: 122
Waking Staff: 92
Fine Per Resident Per Day: 3
Calculated Fine Per Day: 183
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in resident abuse and delayed reporting findings. | |
| Staff person B | Witnessed abuse incident and named in background check and training deficiencies. | |
| Staff person C | Named in abuse reporting, background check, fire safety orientation, and training deficiencies. | |
| Staff person D | Named in abuse incident, background check, fire safety orientation, and training deficiencies. | |
| Executive Director | Executive Director | Involved in corrective actions, training, and compliance monitoring. |
| Director of Health and Wellness | Director of Health and Wellness | Involved in corrective actions, training, and compliance monitoring. |
| Director of Environmental Services | Director of Environmental Services | Involved in fire safety and poisonous materials corrective actions. |
| Director of Business Services | Director of Business Services | Involved in staff training and auditing. |
Inspection Report — Nov 4, 2024
Renewal
Date: Nov 4, 2024
Visit Reason
The inspection was a renewal visit conducted to assess compliance with licensing regulations and to verify continued adherence to applicable standards.
Findings
The inspection identified multiple deficiencies including issues with staff training, medication management, privacy violations, sanitary conditions, emergency preparedness, and documentation. Corrective actions and plans of correction were proposed for each deficiency.
Citations (41)
Resident records were unlocked, unattended, and accessible in a staff-only room at a temporary emergency relocation site.
Staff person took and posted inappropriate photos of a resident on social media, resulting in termination.
Background checks were incomplete for contracted or substitute staff at the temporary emergency relocation site.
Direct care staff lacked required qualifications such as high school diploma or nurse aide registry status.
Administrator did not maintain a current list of substitute, agency, and contracted staff.
Direct care staff did not receive required orientation on fire safety and emergency preparedness topics.
Direct care staff did not complete required training within 40 scheduled work hours on resident rights, emergency medical plan, abuse reporting, and incident reporting.
Direct care staff provided unsupervised ADL services without completing required training and competency testing.
Direct care staff did not receive required annual training hours related to job duties.
Direct care staff did not receive training on medication self-administration, dementia care, infection control, and other required topics.
Poisonous materials were unlocked and accessible to residents in multiple rooms at the temporary emergency relocation site.
Sanitary conditions were not maintained; used wash rag found hanging in resident room and cross-use of glucometer between residents.
Furniture and equipment were not in good repair; sink panel missing exposing rough surface.
Resident medical evaluation lacked documentation of cognitive function.
Medications were stored beyond manufacturer recommended time or with damaged packaging.
Medication prescribed to resident was not available at the temporary emergency relocation site.
Medication records lacked staff initials for administration on specific dates.
Medication administration records were not completed at the time of administration.
Medications were not administered as prescribed and no documentation of reason for omission.
Staff administered medications without completing required Department-approved medication administration course.
Staff administered insulin without completing required medication administration and diabetes education courses.
Directions for operating key-locking devices were not conspicuously posted near exits.
Direct care staff working in Secure Dementia Care Unit lacked required dementia care training hours.
Administrator did not provide immediate access to requested records during inspection.
Therapeutic diet list containing resident dietary information was displayed publicly, violating confidentiality.
Administrator did not maintain a current list of staff including substitutes and volunteers.
Staff did not receive orientation on fire safety and emergency preparedness topics on first day of work.
Staff did not complete orientation training within 40 scheduled work hours on resident rights, emergency medical plan, abuse reporting, and incident reporting.
Home lacked a staff training plan for 2024.
Trash bag containing trash was found on top of a medication cart.
Emergency telephone numbers were not posted by telephone in resident bedroom.
No shower curtain in resident bathroom, compromising privacy.
Food was stored unsealed in kitchenette refrigerator.
Written emergency procedures were not submitted to local emergency management agency.
Home lacked documentation of written notification to local fire department regarding address, bedrooms, and evacuation assistance.
Home lacked a written maximum safe evacuation time specified by a fire safety expert.
Weekly menu was not posted in a public and conspicuous place; daily menu was outdated.
Prescription medication blister packs had openings compromising storage conditions.
Loose syringe found in locked narcotics box; medication counts did not match blister packs.
Resident assessment was not completed annually as required.
Staff member participated in support plan development but did not sign the support plan.
Report Facts
Residents Served: 57
Current Residents in Hospice: 18
Total Daily Staff: 114
Waking Staff: 86
Inspection Dates: 3
Plan of Correction Submission Dates: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in findings related to abuse, privacy violations, and medication administration deficiencies | |
| Staff person B | Named in findings related to lack of training, medication administration violations, and dementia care training | |
| Staff person C | Administrator | Named in findings related to failure to maintain staff contact lists |
| Staff person D | Named in findings related to orientation and training deficiencies | |
| Executive Director | Executive Director | Named as responsible for corrective actions and oversight of compliance |
| Director of Health and Wellness | Director of Health and Wellness | Named as responsible for corrective actions, training, and audits |
| Director of Business Services | Director of Business Services | Named as responsible for staff file audits and training oversight |
| Director of Environmental Services | Director of Environmental Services | Named as responsible for environmental compliance and corrective actions |
Inspection Report — Aug 28, 2024
Monitoring
Date: Aug 28, 2024
Visit Reason
The inspection was a partial, unannounced monitoring visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 08/28/2024.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Total Daily Staff: 110
Waking Staff: 83
Resident Support Staff: 0
Residents Served: 55
Current Hospice Residents: 8
Residents Age 60 or Older: 55
Residents with Mobility Need: 55
Inspection Report — Jan 8, 2024
Complaint Investigation
Date: Jan 8, 2024
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 01/08/2024.
Complaint Details
The visit was complaint-related as indicated by the inspection reason. The complaint was substantiated by findings of multiple record and documentation deficiencies.
Findings
The inspection found multiple deficiencies including incomplete medical evaluations missing emergency treatment information, support plans not specifying dietary needs, missing dates on cognitive preadmission screenings, and resident records lacking hair and eye color information. Plans of correction were accepted and fully implemented by 02/06/2024.
Citations (4)
Resident medical evaluation did not include the medical information pertinent to diagnosis and treatment in case of an emergency.
Resident's support plan does not specify the need for a mechanical soft diet.
Resident written cognitive pre-admission screening is missing the date of completion.
Resident record does not include the color of hair or eyes.
Report Facts
Residents Served: 60
Current Residents in Hospice: 15
Total Daily Staff: 120
Waking Staff: 90
Inspection Report — Sep 11, 2023
Renewal
Date: Sep 11, 2023
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements and regulations for ARTIS SENIOR LIVING OF HUNTINGDON VALLEY.
Findings
The inspection identified multiple deficiencies including expired license posting, unsigned resident contracts and statements, unlocked poisonous materials, sanitary concerns, missing signatures on support plans, incomplete medical evaluations, and lack of documentation for fire safety inspections. Immediate corrective actions were taken and ongoing monitoring plans were implemented.
Citations (20)
The home did not have a current license posted; the posted license expired July 8, 2023.
Resident-home contracts for residents #1, #2, and #3 were not signed by the residents.
Resident records for residents #1, #2, and #3 did not contain signed statements acknowledging receipt of resident rights and complaint procedures.
Staff person was observed pushing resident #5 in a wheelchair without proper foot pedals.
Poisonous materials were unlocked, unattended, and accessible to residents in multiple rooms.
Sanitary concerns included blood on a bench and feces stains in room #318.
Shower curtain in room #307 was on the floor and not hung properly.
First aid kit in neighborhood 'one hundred' lacked antiseptic and gloves.
Bedroom chair missing from room #318.
Food items in refrigerator were not labeled or dated.
No documentation of written notification to local fire department regarding home address, bedroom locations, and evacuation assistance.
No records of past fire safety inspections or supervised drills were available.
Medical evaluation for resident #1 did not include allergies and medication information.
Resident #6's most recent medical evaluation was outdated.
Over the counter medications were unlocked and accessible in medication cabinet in room #205.
Glucometer for resident #5 was not calibrated to the correct time.
Residents #1, #2, and #4 were not educated on their right to refuse medication.
Support plans for residents #1 through #5 were missing resident signatures.
Resident #1's written cognitive preadmission screening was incomplete, missing assessor name/signature, date, and necessity for secured care.
Resident #1's initial support plan was completed late, after admission to the secured dementia care unit.
Report Facts
Residents Served: 61
Current Hospice Residents: 17
Residents Age 60 or Older: 60
Inspection Report — May 22, 2023
Follow-Up
Date: May 22, 2023
Visit Reason
The inspection visit was conducted as a follow-up to review the submitted plan of correction related to an incident and other compliance issues at the facility.
Findings
The facility was found to have multiple deficiencies including failure to document resident personal space needs leading to an unsafe environment, a hospice aide working without a criminal background check, incomplete medical evaluations, and incomplete support plans. All deficiencies were addressed with corrective actions, training, and audits, and the facility was found to be in compliance at the time of follow-up.
Citations (4)
Failure to document in the support plan the need to maintain personal space for Resident #1, resulting in an unsafe environment when boundaries were violated causing injury to another resident.
Hospice aide worked in the home without a criminal background check.
Resident's medical evaluation did not include temperature, medical diagnoses (physical and mental), medical information pertinent to diagnoses, and special diets.
Support plan for Resident #1 did not address the need for personal space and behaviors of agitation/aggression if violated.
Report Facts
Residents Served: 68
Total Daily Staff: 136
Waking Staff: 102
Inspection Report — Feb 15, 2023
Complaint Investigation
Date: Feb 15, 2023
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection to review compliance and follow-up on a plan of correction submission.
Complaint Details
The inspection was complaint-driven, focusing on incidents involving resident falls, elopement, and staff compliance with reporting and supervision requirements. The complaint was substantiated with multiple violations found.
Findings
The facility was found to have multiple deficiencies including failure to report incidents timely, inadequate supervision leading to resident injuries and elopement, missing criminal background checks for staff, incomplete annual training, and improper medication storage documentation. Plans of correction were accepted and fully implemented by April 12, 2023.
Citations (9)
Failure to report an incident of a resident falling while attempting to climb a fence to the department within 24 hours.
Resident neglect and inadequate supervision resulting in injuries from falls and elopement incidents.
Staff member hired without a criminal background check.
Direct care staff did not receive required annual training in fire safety and emergency preparedness during 2022.
Resident did not have a new medical evaluation completed after beginning hospice care.
Controlled substance count sheets were incomplete or missing medication names and dosage information.
Failure to use positive interventions and safe management techniques to prevent resident exit-seeking and aggressive behavior.
Resident did not have additional assessments completed after significant condition changes prior to annual assessment.
Failure to maintain logs of resident hourly checks and destruction of such records without documentation.
Report Facts
Residents Served: 70
Resident Current Hospice: 12
Resident Mobility Need: 70
Resident Age 60 or Older: 70
Staffing Hours - Resident Support Staff: 196
Staffing Hours - Total Daily Staff: 336
Staffing Hours - Waking Staff: 252
Inspection Report — Jul 21, 2022
Renewal
Date: Jul 21, 2022
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for ARTIS SENIOR LIVING OF HUNTINGDON VALLEY.
Findings
The facility was found to have multiple deficiencies including unsigned resident-home contracts, missing signed statements acknowledging receipt of resident rights, lack of operable bedside lamps for a resident, missing emergency procedures posting, medication record discrepancies, and failure to follow prescriber's orders. Plans of correction were submitted and accepted or directed with completion dates in August 2022.
Citations (7)
Resident-home contracts for Residents #1, #2, and #3 were not signed by the residents.
Resident #2 and Resident #3's records did not contain signed statements acknowledging receipt of resident rights and complaint procedures.
Resident #4 did not have access to a source of light that can be turned on/off at bedside.
The home's emergency procedures were not posted in a conspicuous and public place in the home.
Medication prescribed for Resident #3 was in the home's medication cart but the medication was discontinued.
Readings recorded on Resident #3’s Medication Administration Record were missing from the resident’s glucometer.
Resident #5 was administered medication late, not following prescriber's orders.
Report Facts
Residents Served: 67
Total Daily Staff: 134
Waking Staff: 101
Current Hospice Residents: 10
Notice — Jul 7, 2021
Date: Jul 7, 2021
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care Home facility pursuant to Title 55, PA Code, Chapter 2600. It also advises that an annual inspection will be conducted within the next twelve months.
Findings
The Department has issued a regular license in response to the renewal application. No findings or deficiencies are reported in this document.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
Inspection Report — Apr 19, 2021
Renewal
Date: Apr 19, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection identified several deficiencies including lack of required training for direct care staff, unlocked poisonous materials accessible to residents, missing emergency telephone numbers by a telephone, and an uncalibrated glucometer. All deficiencies were corrected promptly with plans of correction implemented.
Citations (4)
Direct care staff person A did not receive training on meeting the needs of residents as described in preadmission screening, assessment tool, medical evaluation, and support plan during 2019.
Unlocked and accessible poisonous materials (Polident Denture Cleanser and Listerine mouthwash) found in medicine cabinets in resident rooms 107 and 215.
No emergency telephone numbers including nearest hospital and fire department posted by the telephone in the 100 neighborhood kitchen area.
Glucometer belonging to resident #1 was not calibrated to the correct date and time.
Report Facts
Residents Served: 49
Total Daily Staff: 98
Waking Staff: 74
Inspection Report — Aug 24, 2020
Complaint Investigation
Date: Aug 24, 2020
Visit Reason
The inspection was conducted as a complaint investigation with multiple off-site inspection dates from 08/24/2020 to 09/10/2020.
Complaint Details
The inspection was complaint-related and the exit conference was held on 09/10/2020. No deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 53
Hospice Residents: 3
Total Daily Staff: 106
Waking Staff: 80
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Denise Siniari | Lead Inspector | Lead inspector for the complaint investigation |
Notice — May 15, 2020
Date: May 15, 2020
Visit Reason
The document serves as a renewal notification and license issuance for Artis Senior Living of Huntingdon Valley. It informs that an onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.
Report Facts
Inspection Report — Mar 25, 2020
Complaint Investigation
Date: Mar 25, 2020
Visit Reason
The inspection was conducted as a partial, unannounced investigation triggered by an incident involving resident aggression.
Complaint Details
The visit was complaint-related due to an incident of resident aggression. The plan of correction was approved and fully implemented as of 07/29/2020.
Findings
The investigation found that resident #1 was verbally and physically aggressive towards resident #2, resulting in injury. Additionally, the facility lacked documentation of required direct care staff training for a staff member.
Citations (2)
42b. A resident may not be neglected, intimidated, physically or verbally abused, mistreated, or subjected to corporal punishment. Resident #1 was verbally and physically aggressive towards resident #2, causing injury during an altercation on 02/02/20.
65d. Direct care staff must complete Department-approved training and pass competency tests before providing unsupervised ADL services. The facility lacked documentation of this training for direct care staff person A hired on 09/19/19.
Report Facts
Residents Served: 64
Staff Total Daily: 128
Staff Waking: 96
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cheryl Kelly | Executive Director | Named in relation to findings and plan of correction |
Inspection Report — Nov 27, 2019
Renewal
Date: Nov 27, 2019
Visit Reason
The inspection was a full, unannounced renewal inspection conducted to review compliance with licensing requirements.
Findings
The facility was found to have violations related to record confidentiality and following prescriber's orders. The submitted plan of correction was fully implemented as of the follow-up review.
Citations (2)
Regulation 2600.17: The 200 hall medication cart was found unlocked, unattended, and accessible on 11/27/19 at 2:00 PM. The facility implemented immediate corrective actions including coaching staff and locking medication carts during rounds.
Regulation 2600.187.d: Resident #1 was not administered multiple prescribed medications on specified dates in November 2019. The facility reported the incident and coached nursing staff on medication administration and documentation.
Report Facts
Residents Served: 68
Current Hospice Residents: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sherry Nikisher | Executive Director | Named in plan of correction signatures and responsible for corrective actions |
Inspection Report — Nov 5, 2019
Complaint Investigation
Date: Nov 5, 2019
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received by the Pennsylvania Department of Human Services.
Complaint Details
The inspection was triggered by a complaint. The report does not explicitly state substantiation status.
Findings
Multiple violations were found related to resident privacy, medication storage, locking poisonous materials, furniture and equipment safety, and key-locking devices. The facility submitted a plan of correction which was fully implemented as of April 30, 2020.
Citations (6)
2600.17 Resident records confidentiality was violated when the medication administration record for cart 100 was unlocked, unattended, and accessible on 11/5/19 at 9:30 AM.
2600.42 Privacy was violated when a staff person used a cell phone to make a video call capturing images of Resident #1 and Resident #2 on 7/11/19 at 6:15 PM.
2600.82c Poisonous materials were unlocked and accessible in Resident Bedroom 115 and on the 300 hall cleaning cart in the secured dementia care unit.
2600.95 Furniture and equipment violation: an uncovered enabler bar was found on the bed in Bedroom 115.
2600.183e Storing medications improperly: 8 unidentified loose pills were found in the 200 hall medication cart, 3 in the 300 hall cart, and 2 in the 400 hall cart on 11/5/19.
2600.233c Key-locking devices: directions for operating the home's locking mechanism were not conspicuously posted near the Secure Dementia Care Unit exit door and gate.
Report Facts
Residents Served: 68
Current Hospice Residents: 3
Unidentified loose pills: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sherry Nikisher | Executive Director | Named as Legal Entity Representative and signer of plans of correction |
Inspection Report — Jun 4, 2019
Routine
Date: Jun 4, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of the facility to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Inspection Report — Mar 28, 2019
Renewal
Date: Mar 28, 2019
Visit Reason
The document is a renewal application and license issuance for Artis Senior Living of Huntingdon Valley 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 confirmation and notification of future inspection requirements.
Report Facts
Inspection Report — Dec 17, 2018
Annual Inspection
Date: Dec 17, 2018
Visit Reason
The inspection was conducted as the Department's Bureau of Human Services Licensing annual inspection of the facility.
Findings
The facility was found to be in compliance with Pennsylvania Code Chapter 2600 relating to Personal Care Homes.
Report Facts
Resident count during inspection: 55
Inspection Report — Apr 17, 2018
Renewal
Date: Apr 17, 2018
Visit Reason
The document is a renewal application and license issuance for Artis Senior Living of Huntingdon Valley 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 notice and confirmation of the Department's intent to conduct an inspection within the next year.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the renewal letter dated April 17, 2018. |
Notice — Oct 17, 2017
Date: Oct 17, 2017
Visit Reason
This letter responds to a request for a waiver related to qualifications for direct care staff persons under Pennsylvania Code Chapter 2600 for Artis Senior Living of Huntingdon Valley.
Findings
The waiver request was reviewed and it was determined that a waiver is not needed because the staff member meets the educational qualifications for a direct care staff person. The facility must keep a copy of the educational documentation on file.
Report Facts
Waiver request reference: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Kachmar | Regulatory Licensing Manager | Signed the waiver response letter |
Inspection Report — Apr 19, 2017
Annual Inspection
Date: Apr 19, 2017
Visit Reason
The inspection was an annual licensing inspection conducted by the Department of Human Services on April 19, 2017, to assess compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Findings
Several violations were found including failure to conduct criminal background checks prior to employment, lack of a fire safety expert letter, incomplete fire drill records, absence of a designated evacuation time during fire drills, and failure to educate residents on their right to refuse medication.
Citations (5)
Regulation 2600.51 requires criminal history checks and hiring policies to comply with the Older Adult Protective Services Act. Staff member A's criminal background check was not completed prior to start date.
Regulation 2600.132(b) requires an annual fire safety inspection and drill by a fire safety expert. The home did not have a letter from a fire safety expert.
Regulation 2600.132(c) requires fire drill records to include date, time, evacuation route, residents involved, staff participation, problems, and operability of alarms. Fire drill records for 01/31/17, 02/27/17, and 03/31/17 lacked specific exit route details.
Regulation 2600.132(d) requires residents to be able to evacuate to a public thoroughfare or safe area designated by a fire safety expert. The home lacked a designated evacuation time for the fire drill on 01/31/17.
Regulation 2600.191 requires resident education on the right to question or refuse medication if a medication error is suspected. Residents #1, #2, and #3 were not educated on this right.
Report Facts
Number of Residents Served: 13
Number of Residents Age 60 or Older: 13
Number of Residents with Mobility Needs: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sherry Nikisher | Administrator | Named as legal entity representative and signatory on violation reports |
Inspection Report — Dec 30, 2016
Original Licensing
Date: Dec 30, 2016
Visit Reason
The inspection was conducted as part of the licensing process for Artis Senior Living of Huntingdon Valley, a newly licensed personal care home. The visit was a partial, announced inspection to assess compliance with 55 Pa.Code Chapter 2600 regulations.
Findings
The facility was found to be in substantial compliance but not complete compliance with applicable regulations. Several violations were identified, including missing signage, safety hazards, and accessibility issues, all of which required correction.
Citations (8)
2600.18 - No sign posted to designate the home as non-smoking as required by the Clean Indoor Air Act.
2600.91 - Telephone in the Life Enrichment room did not have emergency service numbers posted nearby.
2600.100(a) - The exterior grounds had two drain tank covers presenting tripping hazards, several exterior lights shaped like boulders presenting tripping hazards, and an area along the back wrought iron fence presenting a security risk.
2600.102(d)(1) - Toilet and bath areas lacked grab bars or assist bars at 64 toilets located in resident bathrooms.
2600.121(a) - Two key locked doors blocked egress between resident dining rooms, violating egress requirements.
2600.121(b) - Three doors leading to outdoor resident areas had key locking devices, preventing immediate egress.
2600.133(a)(1) - Missing exit signs in two living rooms and four dining room doors.
2600.133(a)(2) - Missing accurate directional signs marking the line of travel to exits in front of the home's dining rooms.
Report Facts
Number of Residents Served: 0
Number of Toilets without grab bars: 64
Number of bedrooms in neighborhoods for grab bars installation: 16
Number of bedrooms in neighborhoods for grab bars installation: 20
Number of bedrooms in neighborhoods for grab bars installation: 20
Number of bedrooms in neighborhoods for grab bars installation: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sherry Nikisher | Administrator, RN BSN | Named as legal entity representative signing plans of correction and listed as administrator on page 3. |
| Patricia Adams | Department representative conducting the inspection on 12/30/2016 and 01/09/2017 as stated on page 3. |
Viewing
Loading inspection reports...
