Inspection Reports for
Artis Senior Living of South Hills
1001 Higbee Dr, Bethel Park, PA 15102, United States, PA, 15102
Back to Facility Profile55 Reports
Notice — Jul 7, 2026
Date: Jul 7, 2026
Visit Reason
The document serves to notify the facility of the approval of a waiver request allowing a direct care staff member to be employed without a high school diploma or GED, based on equivalent education obtained outside the United States.
Findings
The waiver is granted under specific conditions including documentation of education and training to be maintained and reviewed annually during inspections. Failure to comply may result in termination of the waiver or other licensing actions.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — May 12, 2026
Follow-Up
Date: May 12, 2026
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by a complaint and incident investigation.
Complaint Details
The visit was complaint-related and involved substantiated allegations of physical abuse by direct care staff person A against residents. Immediate actions included staff removal, suspension, and termination, with reports made to Adult Protective Services.
Findings
The facility was found to have fully implemented the submitted plan of correction related to abuse allegations. The report details incidents of resident abuse involving direct care staff, immediate corrective actions taken including staff removal and termination, and ongoing staff education and monitoring plans to prevent recurrence.
Citations (2)
Regulation 2600.15a requires immediate reporting of suspected abuse. The facility failed to report an allegation of physical abuse to the local Area Agency on Aging until several hours after the incident occurred.
Regulation 2600.42b prohibits resident abuse. Direct care staff person A forcibly grabbed and pushed a resident to the ground, causing a fracture requiring surgery and rehabilitation.
Report Facts
Residents Served: 63
Current Hospice Residents: 19
Staffing Hours - Resident Support Staff: 0
Staffing Hours - Total Daily Staff: 126
Staffing Hours - Waking Staff: 95
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff Member A | Named in abuse incident and subsequent termination | |
| Executive Director | Notified of abuse incident and responsible for corrective actions and staff education | |
| Director of Health and Wellness | Educated nurses and med techs on modified fall policy after abuse incident | |
| Director of Community Integration | Responsible for ongoing weekly resident interviews to monitor compliance |
Notice — Apr 17, 2026
Date: Apr 17, 2026
Visit Reason
The document serves to notify the facility that a waiver request to 55 Pa.Code § 2600.54(a)(2) regarding direct care staff qualifications has been granted.
Findings
The waiver allows a direct care staff member educated outside the United States to serve in their role based on an evaluation equating their education to a U.S. high school diploma. Documentation of education and training must be maintained and made available upon request.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Feb 12, 2026
Follow-Up
Date: Feb 12, 2026
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident at the facility.
Findings
The facility failed to secure timely medical care for a resident who had an unwitnessed fall resulting in a fatal injury. The submitted plan of correction was determined to be fully implemented.
Citations (1)
142a Secure Medical Care: The home failed to secure needed medical care in a timely manner for a resident after an unwitnessed fall caused a significant health decline and eventual death.
Report Facts
Residents Served: 64
Current Hospice Residents: 19
Residents Age 60 or Older: 64
Residents with Mobility Need: 64
Residents with Physical Disability: 1
Total Daily Staff: 128
Waking Staff: 96
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Health and Wellness | Named in plan of correction for nursing assessment and staff re-education | |
| Vice President of Health and Wellness | Responsible for updating fall policy | |
| Regional Director of Health and Wellness | Responsible for re-educating Director of Health and Wellness |
Notice — Jan 28, 2026
Date: Jan 28, 2026
Visit Reason
This document serves to notify the facility that a waiver request to waive the high school diploma or GED requirement for a direct care staff person has been granted.
Findings
The waiver is granted under specific conditions including documentation of equivalent education and annual review during the facility's annual inspection to ensure compliance.
Inspection Report — Jan 20, 2026
Renewal
Date: Jan 20, 2026
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing regulations at Artis Senior Living of South Hills.
Findings
The inspection identified several deficiencies including unsigned resident contracts, inadequate water temperature, non-operable bedside lamps, unsealed food storage, incomplete fire drill records, missing medical evaluation details, and incomplete resident assessments. Plans of correction were implemented and documented for each deficiency.
Citations (7)
25b Contract Signatures: Resident-home contracts were not signed by residents at admission and were signed late.
89a Water Pressure: Hot water temperature at a resident's private bathroom sink was 56.6 degrees Fahrenheit, below required levels.
101j7 Lighting/Operable Lamp: A resident's bedside lamp was located approximately 6 feet from the bed and could not be turned on/off from bedside.
103g Storing Food: Four cheesecake trays were found open and unsealed in the kitchen walk-in cooler.
132c Fire Drill Records: Fire drill records did not specify the exact fire-safe areas used, only general locations were noted.
141b1 Annual Medical Evaluation: A resident's most recent medical evaluation did not include a determination that the resident's needs can be met safely at the personal care home.
225c Additional Assessment: Residents' most recent assessments did not include all diagnoses as indicated on their medical evaluations.
Report Facts
Residents Served: 68
Current Hospice Residents: 19
Residents Age 60 or Older: 68
Residents with Mobility Need: 68
Residents with Physical Disability: 1
Number of Open Cheesecake Trays: 4
Notice — Jan 9, 2026
Date: Jan 9, 2026
Visit Reason
The document serves to notify the facility that a waiver request for a direct care staff qualification requirement has been granted under Pennsylvania regulations.
Findings
The waiver allows a specific employee to serve as direct care staff despite not having a U.S. high school diploma, based on credential evaluation of foreign education. The waiver is subject to annual review during the facility's annual inspection and compliance with specified conditions.
Inspection Report — Oct 30, 2025
Plan of Correction
Date: Oct 30, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility on 10/30/2025 to review compliance and plan of correction implementation.
Findings
The facility was found to have violations related to abuse, annual medical evaluations, and additional assessments. The submitted plan of correction was determined to be fully implemented as of 10/30/2025.
Citations (3)
42b - Abuse: Staff person was observed hitting a resident and residents sustained bruises. Immediate separation and monitoring were implemented along with re-education of staff on abuse prevention.
141b1 - Annual Medical Evaluation: Resident's most recent medical evaluation lacked required vital signs and safety determinations, and some medical evaluation sections were blank.
225c - Additional Assessment: Resident's medical evaluation included diagnoses not reflected on the most recent assessment, indicating incomplete documentation.
Report Facts
Residents Served: 72
Current Residents - Hospice: 20
Notice — Oct 29, 2025
Date: Oct 29, 2025
Visit Reason
This document serves to notify the facility that a waiver request to 55 Pa.Code § 2600.54(a)(2) regarding direct care staff qualifications has been granted.
Findings
The waiver allows a specific employee to serve in a direct care position despite not meeting the usual educational requirements, based on credential evaluation. The waiver is subject to annual review during inspections and compliance with specified conditions.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Jul 15, 2025
Complaint Investigation
Date: Jul 15, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection type on 07/15/2025.
Complaint Details
The visit was complaint-related as stated under Inspection Information with the reason listed as Complaint.
Findings
Two deficiencies were found: unsecured bedside mobility devices in resident rooms and unsecured prescription medication left unattended on a medication cart in a secured dementia care unit. Immediate corrective actions were taken and plans of correction were implemented.
Citations (2)
Beside mobility device on the right side of resident bed was not secured to the bedframe.
An unlocked, unattended and accessible 8.3oz bottle of medication was found on top of the medication cart in the kitchenette of the secured dementia care unit.
Report Facts
Residents Served: 63
Current Hospice Residents: 20
Residents with Mobility Need: 63
Residents 60 Years or Older: 63
Residents with Physical Disability: 2
Total Daily Staff: 126
Waking Staff: 95
Notice — May 28, 2025
Date: May 28, 2025
Visit Reason
This document serves to notify the facility that a waiver request to waive the high school diploma or GED requirement for a direct care staff person has been granted.
Findings
The waiver is granted under specific conditions including documentation of equivalent education and annual review during the facility's annual inspection to ensure compliance.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Notice — Apr 24, 2025
Date: Apr 24, 2025
Visit Reason
The document serves to grant a waiver for a direct care staff member at Artis Senior Living of South Hills who received their education outside the United States, waiving the requirement for a US high school diploma or GED under specific conditions.
Findings
The waiver is granted with conditions including documentation of education equivalency and annual review during the facility's annual inspection to ensure compliance. Noncompliance may result in termination of the waiver or other licensing actions.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Mar 3, 2025
Follow-Up
Date: Mar 3, 2025
Visit Reason
The inspection visit on 03/03/2025 was a partial, unannounced inspection triggered by an incident.
Findings
The report found a violation related to direct care staff qualifications where a staff member lacked a US high school diploma or GED and had an expired nurse aide registry status. The staff member was removed and resigned. The facility implemented corrective actions including audits and re-education to ensure compliance.
Citations (1)
Staff person A did not have a US high school diploma or GED and had an expired nurse aide registry status, but provided direct care to residents without an approved waiver.
Report Facts
Residents Served: 61
Current Hospice Residents: 18
Residents 60 Years or Older: 61
Residents with Mobility Need: 61
Residents with Physical Disability: 1
Total Daily Staff: 122
Waking Staff: 92
Inspection Report — Feb 11, 2025
Original Licensing
Date: Feb 11, 2025
Visit Reason
The inspection visits on February 11, 2025, February 12, 2025, and April 24, 2025, were conducted as part of the licensing inspections for Artis Senior Living of South Hills to determine compliance with Pennsylvania regulations for Personal Care Homes.
Findings
The facility was found to be in compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes after the inspections and subsequent corrections, resulting in the issuance of a regular license.
Report Facts
Inspection dates: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed the licensing inspection summary and letter |
Inspection Report — Dec 12, 2024
Follow-Up
Date: Dec 12, 2024
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 visit was complaint-related, triggered by a complaint and incident. The submitted plan of correction was reviewed and determined to be fully implemented.
Findings
The facility was found to have fully implemented the plan of correction related to deficiencies in activities of daily living assistance and support plans. Deficiencies involved failure to provide physical assistance with toileting and incontinence care as indicated in resident support plans, and incomplete documentation of resident use of adult briefs for incontinence management.
Citations (2)
Failure to provide physical assistance with toileting and incontinence care as required by resident support plans, resulting in residents found in heavily soiled briefs and bedding.
Resident initial support plans did not indicate the use of adult briefs to manage bladder and bowel incontinence needs.
Report Facts
Residents Served: 69
Current Hospice Residents: 15
Total Daily Staff: 138
Waking Staff: 104
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Health and Wellness | Named in relation to correction of support plans and auditing resident support plans | |
| Executive Director | Named in relation to re-education of associates on Activities of Daily Living Assistance regulation |
Inspection Report — Jun 10, 2024
Complaint Investigation
Date: Jun 10, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation at Artis Senior Living of South Hills.
Complaint Details
The complaint investigation was substantiated with findings of mistreatment and abuse, including verbal and physical abuse and neglect. Repeat violations were noted from previous inspections.
Findings
The inspection found violations related to mistreatment and abuse of residents, including verbal abuse, physical abuse, and neglect in a secured dementia care unit. Multiple repeat violations were noted, and corrective actions including staff suspensions, terminations, and re-education plans were implemented.
Citations (4)
Staff person A yelled at resident #1 to stop urinating on the floor and to go to the restroom, violating dignity and respect requirements.
Staff person B forcibly pushed resident #2 back into her chair by pushing down on both shoulders.
Staff person B forcibly pushed a spoonful of soup into resident #3's mouth while resident #3 appeared to have fallen asleep during the meal.
Resident #4 was observed rubbing resident #5's crotch through shorts in the secured dementia care unit.
Report Facts
Residents Served: 68
Current Residents in Hospice: 15
Total Daily Staff: 136
Waking Staff: 102
Inspection Report — May 23, 2024
Complaint Investigation
Date: May 23, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation at ARTIS SENIOR LIVING OF SOUTH HILLS.
Complaint Details
The complaint involved a resident touching another resident inappropriately in the common living room. The incident was witnessed by staff and reported to Adult Protective Services and local police. The residents involved have dementia and no prior history of sexual behaviors. The facility placed the resident on 15-minute checks and updated care plans accordingly.
Findings
The investigation found a repeated violation of resident abuse involving inappropriate touching between residents. The facility implemented a plan of correction including immediate separation of residents, notification of authorities, increased monitoring, updated support plans, and staff re-education on abuse and resident rights.
Citations (1)
Resident was subjected to inappropriate touching by another resident, constituting abuse.
Report Facts
Residents Served: 68
Current Hospice Residents: 14
Staffing Hours - Total Daily Staff: 136
Staffing Hours - Waking Staff: 102
Plan of Correction Follow-Up Date: Jun 9, 2024
Plan of Correction Submission Date: Jun 28, 2024
Licensee's Proposed Overall Completion Date: Aug 30, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth King | Director of Health and Wellness | Interviewed resident regarding the abuse incident and involved in follow-up actions |
Inspection Report — Apr 26, 2024
Follow-Up
Date: Apr 26, 2024
Visit Reason
The inspection visit on 04/26/2024 was a partial, unannounced follow-up inspection related to an incident and plan of correction submission.
Findings
The submitted plan of correction was determined to be fully implemented. The report details a repeated abuse violation involving a staff member who squeezed a resident's hand roughly, leading to the staff member's suspension and termination. Additional staff education and monitoring measures were implemented to prevent recurrence.
Citations (1)
Staff person A squeezed resident's hand 'rough and very hard' during incontinence care, causing fear in the resident. This was a repeat violation.
Report Facts
Residents Served: 67
Current Residents in Hospice: 14
Total Daily Staff: 134
Waking Staff: 101
Inspection Report — Apr 12, 2024
Complaint Investigation
Date: Apr 12, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation with unannounced partial inspections on multiple dates in April 2024.
Complaint Details
The inspection was complaint and incident related, with a partial unannounced visit on 04/12/2024 and follow-up not required.
Findings
No regulatory citations or deficiencies were identified as a result of the inspection.
Report Facts
Total Daily Staff: 136
Waking Staff: 102
Residents Served: 68
Current Hospice Residents: 14
Residents 60 Years or Older: 68
Residents with Mobility Need: 68
Inspection Report — Mar 26, 2024
Complaint Investigation
Date: Mar 26, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection of the facility.
Complaint Details
The inspection was complaint-related; however, no deficiencies were found and no substantiation status was stated.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 68
Current Hospice Residents: 15
Total Daily Staff: 136
Waking Staff: 102
Inspection Report — Jan 31, 2024
Complaint Investigation
Date: Jan 31, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 01/31/2024.
Complaint Details
The inspection was complaint-related; however, no deficiencies were found and no follow-up was required.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 140
Waking Staff: 105
Residents Served: 70
Current Hospice Residents: 14
Residents Age 60 or Older: 70
Residents with Mobility Need: 70
Inspection Report — Jan 18, 2024
Follow-Up
Date: Jan 18, 2024
Visit Reason
The inspection visit on 01/18/2024 was a partial, unannounced follow-up inspection triggered by an incident at the facility.
Findings
The report found a repeat violation of abuse involving residents and staff, including physical altercations between residents and staff. A plan of correction was submitted and fully implemented, including staff suspension and termination, staff training on de-escalation, and ongoing resident and staff interviews to prevent abuse.
Citations (1)
Resident abuse including physical altercations between residents and staff, with a repeat violation noted from 10/19/2023.
Report Facts
Residents Served: 70
Total Daily Staff: 140
Waking Staff: 105
Current Hospice Residents: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Underwood | Vice President of Memory Care | Conducting virtual training on de-escalating residents and handling stressful environments |
Inspection Report — Dec 14, 2023
Complaint Investigation
Date: Dec 14, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation at ARTIS SENIOR LIVING OF SOUTH HILLS on 12/14/2023.
Complaint Details
The visit was complaint-related and incident-driven. The deficiency involved failure to update a resident's assessment to reflect behavioral changes. The plan of correction was accepted.
Findings
The inspection found that a resident's assessment had not been updated to reflect recent behaviors of agitation and combativeness, despite documented incidents. A plan of correction was accepted to update assessments and improve monitoring and auditing processes.
Citations (1)
Resident's assessment was not updated to include recent behaviors of agitation and aggression.
Report Facts
Residents Served: 64
Current Residents in Hospice: 9
Total Daily Staff: 128
Waking Staff: 96
Inspection Report — Dec 14, 2023
Follow-Up
Date: Dec 14, 2023
Visit Reason
The inspection visit on 12/14/2023 was a follow-up to review the submitted plan of correction related to a complaint and incident at the facility.
Complaint Details
The visit was complaint-related and involved incidents of resident agitation and combativeness. The plan of correction was accepted and fully implemented.
Findings
The submitted plan of correction was determined to be fully implemented as of the follow-up review. The deficiency involved failure to update resident assessments to reflect recent behavioral changes, which has now been corrected with ongoing monitoring and audits planned.
Citations (1)
Resident assessment was not updated to include recent behaviors of agitation and combativeness despite documented incidents.
Report Facts
Residents Served: 64
Current Residents in Hospice: 9
Total Daily Staff: 128
Waking Staff: 96
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Responsible for re-educating staff and conducting weekly reviews related to resident assessment updates | |
| Director of Health and Wellness | Responsible for re-education, audits, and weekly meetings to ensure compliance with resident assessment updates | |
| Assistant Director of Health and Wellness | To be re-educated on assessment requirements by Executive Director |
Inspection Report — Oct 19, 2023
Follow-Up
Date: Oct 19, 2023
Visit Reason
The inspection visit on 10/19/2023 was a partial, unannounced follow-up inspection triggered by an incident to verify the implementation of the submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to abuse and treatment of residents, as well as preadmission screening deficiencies. Continued compliance must be maintained.
Citations (3)
Resident neglect and inappropriate physical contact between staff and resident in the Secure Dementia Care Unit.
Resident was treated without dignity and respect, including verbal abuse and inappropriate behavior by staff.
Failure to complete a written cognitive preadmission screening within 72 hours prior to admission to the secured dementia care unit.
Report Facts
Residents Served: 60
Current Hospice Residents: 10
Inspection Report — Aug 23, 2023
Follow-Up
Date: Aug 23, 2023
Visit Reason
The inspection visit was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to a complaint and incident.
Complaint Details
The visit was complaint-related and incident-driven. The plan of correction was accepted and fully implemented as of the inspection date.
Findings
The submitted plan of correction was determined to be fully implemented as of the inspection date. The report details a deficiency involving staff not performing the Heimlich maneuver on a resident who choked, with corrective training scheduled and completed.
Citations (1)
Staff did not assist resident #1 to clear airway or perform the Heimlich maneuver in accordance with their training when the resident choked on food during dinner.
Report Facts
Residents Served: 61
Current Residents in Hospice: 8
Staffing Hours - Total Daily Staff: 122
Staffing Hours - Waking Staff: 92
Inspection Report — Jul 6, 2023
Complaint Investigation
Date: Jul 6, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial inspection on 07/06/2023 and 07/07/2023.
Complaint Details
The visit was complaint-related and incident-based. The violation was a repeat from 11/21/22. The submitted plan of correction was fully implemented as of 08/08/2023.
Findings
The inspection found a violation regarding the treatment of residents where a staff member was observed yelling at a resident in a disrespectful and unprofessional manner. The staff member was suspended and terminated. A plan of correction including mandatory training on dignity and respect and stress relief for caregivers was implemented.
Citations (1)
Staff person A was observed yelling in a hateful and uncompassionate tone at resident #1, violating the requirement that a resident shall be treated with dignity and respect.
Report Facts
Residents Served: 66
Current Residents: 8
Total Daily Staff: 132
Waking Staff: 99
Residents Age 60 or Older: 66
Residents with Mobility Need: 66
Inspection Report — Jun 9, 2023
Date: Jun 9, 2023
Visit Reason
The inspection was an unannounced partial licensing inspection conducted as an interim review of the facility.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Total Daily Staff: 128
Waking Staff: 96
Residents Served: 64
Current Residents in Hospice: 9
Residents Age 60 or Older: 64
Residents with Mobility Need: 64
Inspection Report — May 9, 2023
Date: May 9, 2023
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, due to an incident.
Findings
No regulatory citations or deficiencies were identified during this unannounced partial inspection.
Report Facts
Residents Served: 60
Current Residents in Hospice: 7
Resident Support Staff Daily Total: 120
Waking Staff Daily Total: 90
Inspection Report — Mar 21, 2023
Renewal
Date: Mar 21, 2023
Visit Reason
The inspection was conducted as a renewal review of the facility's compliance with licensing regulations.
Findings
The inspection identified multiple deficiencies including issues with record confidentiality, resident personal equipment hazards, locking of poisonous materials, sanitary conditions, hot water temperature, fire drill documentation, annual medical evaluations, medication labeling, storage procedures, prescriber order follow-up, medication administration training, and additional resident assessments. Plans of correction were accepted and implemented with proposed completion dates ranging from May to October 2023.
Citations (13)
Resident records were found unsecured with resident names and special diets visible in a kitchen area.
An uncovered bed enabler attached to a resident's bed posed an entrapment risk.
Poisonous materials were not locked and accessible to residents not assessed as safe to handle them.
Shared use of a glucometer between residents and unsanitary microwave conditions were observed.
Hot water temperatures in resident showers exceeded the maximum allowed 120°F.
Missing documentation of a monthly fire drill and incomplete fire drill records.
Annual medical evaluations for several residents were not completed timely.
Prescription medication labels did not match the prescribed dosage and instructions.
Incorrect blood glucose values were entered on a resident's medication administration record.
Prescriber orders for insulin administration were not properly followed or documented.
Staff member administered medications without completing required medication administration training.
Additional resident assessments were incomplete or not timely.
Annual medical evaluation did not include required documentation for secured dementia care unit placement.
Report Facts
Residents Served: 64
Current Hospice Residents: 5
Hot Water Temperature: 122.5
Hot Water Temperature: 122.2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shane Daly | Director of Environmental Services | Corrected shower water temperatures in rooms 213 and 216 |
| Elizabeth King | Director of Health and Wellness | Completed Medication Administration Train the Trainer course |
Inspection Report — Nov 21, 2022
Follow-Up
Date: Nov 21, 2022
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility on 11/21/2022 to review compliance and follow up on submitted plans of correction.
Findings
The report found violations related to the treatment of residents with dignity and respect, including staff misconduct, and deficiencies in criminal background checks for staff. Plans of correction were submitted and fully implemented by 01/23/2023.
Citations (2)
Staff person overheard bickering with a resident and using inappropriate language, violating resident dignity and respect.
Direct care staff worked unsupervised without a requested criminal history background check.
Report Facts
Residents Served: 61
Current Residents in Hospice: 10
Staffing Hours - Total Daily Staff: 122
Staffing Hours - Waking Staff: 92
Inspection Report — Sep 27, 2022
Routine
Date: Sep 27, 2022
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 — Sep 14, 2022
Complaint Investigation
Date: Sep 14, 2022
Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial inspection on 09/14/2022 and 09/15/2022.
Complaint Details
The complaint involved an allegation that staff person B threatened to punch resident #1 in the face while preparing the resident for bed. The allegation was not reported until several hours later. Staff person A failed to report the abuse promptly and was terminated. Staff person B was suspended pending investigation and later returned to work after the complaint was unsubstantiated.
Findings
The inspection found multiple deficiencies including failure to immediately report suspected resident abuse, failure to properly supervise staff involved in alleged abuse, unlocked poisonous materials accessible to residents, hot water temperatures exceeding allowed limits, and unlocked medications and syringes in resident rooms. Plans of correction were accepted and implemented with training, audits, and procedural changes.
Citations (5)
Failure to immediately report suspected abuse of a resident; abuse allegation was reported late.
Failure to immediately suspend or supervise staff involved in alleged abuse; staff continued to work unsupervised after the incident.
Poisonous materials were unlocked, unattended, and accessible to residents in multiple locations.
Hot water temperature in resident-accessible areas exceeded 120°F, measuring up to 135.1°F.
Prescription medications and syringes were unlocked and accessible in a resident's bathroom.
Report Facts
Residents Served: 63
Staffing Hours: 126
Waking Staff: 95
Hot Water Temperature: 131.1
Hot Water Temperature: 135.1
Completion Date: Oct 20, 2022
Completion Date: Oct 26, 2022
Completion Date: Feb 28, 2023
Completion Date: Dec 16, 2022
Inspection Report — May 18, 2022
Renewal
Date: May 18, 2022
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 — Mar 9, 2022
Plan of Correction
Date: Mar 9, 2022
Visit Reason
The visit was conducted to review the submitted plan of correction for the facility following prior deficiencies.
Findings
The Pennsylvania Department of Human Services determined that the submitted plan of correction is fully implemented and that continued compliance must be maintained.
Report Facts
Inspection dates: 3
Inspection Report — Jan 31, 2022
Renewal
Date: Jan 31, 2022
Visit Reason
The inspection was conducted as a renewal licensing inspection of ARTIS SENIOR LIVING OF SOUTH HILLS on 01/31/2022 through 02/02/2022.
Findings
The inspection identified multiple deficiencies including improper storage of poisonous materials, food stored on the floor, undated leftover food, combustible materials stored near heat sources, medication management issues, incomplete resident assessments, delayed admission support plans, and resident treatment concerns. Plans of correction were accepted and implemented with ongoing audits and staff education.
Citations (10)
Poisonous materials were found unlocked and accessible to residents.
42 gallons of water were stored on the floor in the linen room.
Leftover food in refrigerator was not labeled or dated.
Combustible and flammable materials were stored near hot water heaters.
Medications no longer prescribed were still stored in the medication cart.
Medication administration records were inaccurately documented with incorrect times and missing initials.
Resident insulin dosages were not administered according to sliding scale orders.
Resident assessments did not include all required diagnoses.
Admission support plan was not completed within required 72 hours for a resident.
Resident was treated without dignity and respect by staff.
Report Facts
Residents Served: 53
Total Daily Staff: 106
Waking Staff: 80
Gallons of water stored on floor: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff Person A | Named in medication administration record violation and resident treatment violation; suspended and terminated. | |
| Director of Environmental Services | Involved in correcting storage violations and conducting audits. | |
| Director of Culinary Services | Re-educated on food storage regulations and involved in audits. | |
| Director of Health and Wellness | Educated nursing staff on medication management, conducted audits, and involved in resident assessment corrections. | |
| Executive Director Daniel Hass | Executive Director | Conducted staff education and audits related to resident treatment and assessments. |
Inspection Report — Nov 3, 2021
Complaint Investigation
Date: Nov 3, 2021
Visit Reason
The inspection was conducted due to an incident complaint at the facility, with unannounced partial inspections on 11/03/2021 and 12/21/2021.
Complaint Details
The complaint was substantiated based on observation of staff member B physically restraining and verbally abusing resident #1 on 10/27/2021. Staff member B was terminated and has not worked at the facility since that date.
Findings
The inspection found a substantiated abuse violation where a staff member was observed physically restraining a resident and verbally abusing them. The staff member was terminated, and a plan of correction including staff education and resident interviews was accepted.
Citations (1)
A resident was neglected and verbally abused by a staff member who was observed holding the resident's leg and arm while telling them not to scream.
Report Facts
Residents Served: 53
Staffing Hours: 106
Waking Staff: 80
Current Residents in Hospice: 8
Residents with Mobility Need: 53
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff member B | Named in abuse violation and terminated from employment | |
| Executive Director | Executive Director | Conducted staff education on abuse and neglect as part of plan of correction |
Inspection Report — Nov 3, 2021
Follow-Up
Date: Nov 3, 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 related to a resident abuse incident was found to be fully implemented. Staff education on abuse and neglect was conducted, and the staff member involved was terminated. Ongoing monitoring through resident interviews was planned to ensure continued compliance.
Citations (1)
A resident was verbally and physically abused by a staff member who was observed holding the resident's leg and arm while expressing frustration about the resident resisting care.
Report Facts
Residents Served: 53
Total Daily Staff: 106
Waking Staff: 80
Hospice Residents: 8
Resident Interviews: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Larry Mazza | Signed the letter regarding the plan of correction implementation | |
| Executive Director | Executive Director | Conducted staff education on abuse and neglect and planned ongoing resident interviews |
Inspection Report — Aug 18, 2021
Follow-Up
Date: Aug 18, 2021
Visit Reason
The inspection was a partial, unannounced visit conducted on 08/18/2021 due to an incident, to review compliance and the submitted plan of correction.
Findings
The submitted plan of correction was found to be fully implemented and acceptable. One deficiency was cited related to a medical evaluation being completed more than 60 days prior to admission for a resident in the Secure Dementia Care Unit.
Citations (1)
Resident #1 was admitted to the Secure Dementia Care Unit but had a medical evaluation completed more than 60 days prior to admission, which did not meet the requirement.
Report Facts
Residents Served: 49
Current Residents in Hospice: 4
Residents Age 60 or Older: 49
Residents with Mobility Need: 49
Total Daily Staff: 98
Waking Staff: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janine Wenzig | Signed letters regarding plan of correction and inspection results |
Notice — Apr 30, 2021
Date: Apr 30, 2021
Visit Reason
The document serves as a renewal notification for the operation license of Artis Senior Living of South Hills Personal Care Home and informs that an annual onsite inspection will be conducted within the next twelve months.
Findings
The document confirms issuance of a regular license in response to the renewal application and advises that the Department will conduct an inspection within the next year to ensure compliance with applicable regulations.
Report Facts
Inspection Report — Mar 22, 2021
Plan of Correction
Date: Mar 22, 2021
Visit Reason
The inspection was conducted as a result of a renewal and complaint review of the facility, including follow-up on submitted plans of correction.
Complaint Details
The inspection included a complaint investigation component as indicated by the inspection reason. Specific substantiation status is not stated.
Findings
The report details multiple deficiencies including record confidentiality breaches, contract signature issues, privacy violations, inadequate first aid/CPR staffing, training documentation gaps, facility maintenance issues, medication administration errors, emergency procedure deficiencies, and incomplete resident assessments. Plans of correction were accepted and implemented for all findings.
Citations (19)
Resident records were found unlocked and unattended, exposing confidential information.
Residency Agreement for Resident #5 was not signed by the resident and not dated by the responsible party.
Addendum regarding resident rights and complaint procedures was not signed by residents #5, #6, and #9.
Residents permitted to install hidden cameras in private rooms without home’s knowledge, violating privacy policy.
Only one staff member trained in first aid and CPR was present overnight for 51 residents.
Administrator lacked documentation of attending Department-approved orientation program.
Water damage observed on ceiling near Neighborhood Center.
Hot water temperature in common bathroom sink measured 133.3°F, exceeding 120°F limit.
Emergency preparedness plan binder lacked critical information including contact info for designated persons and emergency procedures.
Emergency exit door egress was obstructed by items blocking the sidewalk.
Emergency procedures did not indicate actions to be taken until inoperable smoke detectors or fire alarms are operable.
Medication labeling discrepancy for Resident #7's Novolog sliding scale prescription.
Medication record for Resident #7 included incorrect Acetaminophen dosage entry.
Resident #8's Vitamin D2 medication was not administered on scheduled date due to unavailability and delayed until 12 days later.
Residency Agreement addendums for residents #5, #6, #8, and #9 regarding right to refuse medication were not signed by residents.
Annual assessments for residents #5 and #9 lacked documentation of social and recreational needs.
Resident #6's preadmission cognitive screening was not completed within 72 hours prior to admission.
Directions for operation of magnetically locked exit doors and courtyard gates were not conspicuous or missing.
Resident #7's initial support plan was not finalized within 72 hours of admission.
Report Facts
Residents present: 51
Staffing hours - Resident Support Staff: 51
Staffing hours - Total Daily Staff: 153
Staffing hours - Waking Staff: 115
Current Hospice Residents: 7
Water temperature: 133.3
Medication audits: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jon Kimberland | Department of Human Services Bureau of Human Service Licensing representative | Signed the letter confirming plan of correction implementation |
| Staff person A | Administrator | Mentioned for lacking documentation of attending orientation program |
Inspection Report — Nov 17, 2020
Complaint Investigation
Date: Nov 17, 2020
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Inspection Report — Sep 17, 2020
Complaint Investigation
Date: Sep 17, 2020
Visit Reason
The inspection was conducted as a complaint investigation following allegations of resident abuse and failure to report the incident timely.
Complaint Details
The complaint was substantiated. Staff person B was observed verbally abusing residents and the incident was reported late to both the Area Agency on Aging and the Department. Staff person B was terminated and retraining was completed by 10/30/2020.
Findings
The facility failed to immediately report suspected abuse of residents as required by law. Staff person B was observed speaking harshly to residents and the incident was reported late. The employment of staff person B was terminated and all staff received retraining on abuse reporting requirements.
Citations (2)
2600.15a: The home failed to immediately report suspected abuse of residents as required by the Older Adult Protective Services Act and related regulations. The abuse incident on 9/4/2020 was not reported to the Area Agency on Aging until 9/9/2020.
2600.16c: The home did not report the incident to the Department’s personal care home complaint hotline within 24 hours as required. The incident on 9/4/2020 was reported on 9/9/2020.
Report Facts
Residents Served: 45
Hospice Residents: 3
Total Daily Staff: 90
Waking Staff: 68
Inspection Report — Sep 9, 2020
Complaint Investigation
Date: Sep 9, 2020
Visit Reason
The inspection was a partial, unannounced visit conducted on 09/09/2020 due to a complaint and incident involving alleged resident abuse and supervision issues.
Complaint Details
The visit was complaint-related due to allegations of staff abuse toward residents. The abuse was substantiated as staff person A was observed yelling at residents and was subsequently terminated. Staff person B failed to report the abuse immediately. The facility was required to submit plans of correction and supervision changes, some of which were initially not submitted but later provided.
Findings
The facility failed to immediately report suspected abuse as required by the Older Adult Protective Services Act and did not submit a required plan of supervision change to the Department. Staff person A was involved in multiple incidents of inappropriate behavior toward residents and was terminated. Staff person B was counseled on abuse reporting requirements. The facility implemented training on abuse and neglect reporting for all direct care staff.
Citations (3)
2600.15a: The home failed to immediately report suspected abuse when staff person A yelled at residents and the incident was observed by staff person B.
2600.15c: The home did not submit a required plan of supervision or notice of suspension for staff person A after changing the supervision plan.
2600.16c: The home failed to report the incident of suspected abuse to the Department within 24 hours as required.
Report Facts
Residents Served: 46
Hospice Current Residents: 4
Total Daily Staff: 92
Waking Staff: 69
Inspection Report — Jul 1, 2020
Renewal
Date: Jul 1, 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 — Apr 23, 2020
Follow-Up
Date: Apr 23, 2020
Visit Reason
The visit was a follow-up review to verify the implementation of a previously submitted plan of correction related to violations found during complaint investigations on April 21, 23, and 24, 2020.
Complaint Details
The inspection was complaint-related as indicated by the reason 'Complaint' on the violation report. The plan of correction was reviewed and found fully implemented, indicating substantiation of prior violations.
Findings
The submitted plan of correction was determined to be fully implemented. Continued compliance must be maintained. The violations involved contract signatures, no objection statements for secured dementia care unit admissions, and discharge/transfer procedures.
Citations (3)
Regulation 2600 25b: Resident #1's resident-home contract dated 9/12/18 was not signed by the resident and there was no indication the resident was unable to sign.
Regulation 2600 231e: Resident #1's record lacked documentation that the resident or designated person did not object to admission to the secured dementia care unit.
Regulation 2600 235: Resident #1 was discharged to hospital on 4/9/20 and returned on 4/15/20 but the home failed to provide a 30-day advance written notice citing reasons for discharge or transfer.
Report Facts
Residents Served: 46
Current Residents in Hospice: 5
Resident Support Staff: 0
Total Daily Staff: 92
Waking Staff: 69
Residents 60 Years or Older: 46
Residents with Mobility Need: 46
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Toomey | Executive Director | Named in plan of correction responses related to contract signatures, no objection statements, and discharge procedures. |
| Nancy Oller | Administrator | Listed as facility administrator on page 2. |
Inspection Report — Mar 26, 2020
Routine
Date: Mar 26, 2020
Visit Reason
The Department’s Bureau of Human Services Licensing Representatives 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 6, 2020
Complaint Investigation
Date: Mar 6, 2020
Visit Reason
The inspection was conducted as a partial, unannounced visit triggered by an incident involving resident behaviors and alleged abuse.
Complaint Details
The visit was complaint-related due to an incident involving resident #2's inappropriate sexual behaviors toward other residents. The plan of correction was fully implemented and the complaint substantiated by the Department.
Findings
The facility was found to have failed to adequately supervise resident #2 to protect other residents from repeated sexual behaviors. Additional violations included incomplete assessments, missing cognitive evaluation, delayed support plans, and use of correction fluid on resident records. Plans of correction were submitted and fully implemented by August 18, 2020.
Citations (5)
42b - Abuse: The facility failed to prevent resident #2 from entering another resident's bedroom and engaging in inappropriate sexual behaviors. Staff did not adequately supervise resident #2 to protect other residents.
225a - Assessment 15 Days: The initial assessment for resident #2 did not include diagnosis of pleural effusion and was not updated to reflect behaviors of kissing and groping other residents prior to the incident.
231b - Medical Evaluation: The medical evaluation for resident #2 was blank in the area of cognitive functioning.
234a - Admission Support Plan: The support plans for residents #1 and #2 were completed more than 72 hours after admission to the secured dementia care unit.
251b - Record Entries Legible: Correction fluid was used on multiple areas of resident #2's assessment and support plan, obscuring original entries and signatures.
Report Facts
Residents Served: 53
Current Hospice Residents: 9
Staffing Hours - Total Daily Staff: 106
Staffing Hours - Waking Staff: 80
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nancy Oller | Administrator | Named as facility administrator in inspection report |
| Janine Wenzig | Human Services Licensing Supervisor | Signed the licensing inspection summary letter |
| Lisa Flinner-Alman | Department Representative | On-site inspector for the March 6, 2020 visit |
| Rebecca Toomey | Executive Director | Signed plan of correction documents |
Inspection Report — Feb 11, 2020
Renewal
Date: Feb 11, 2020
Visit Reason
The inspection was a full, unannounced renewal inspection conducted by the Pennsylvania Department of Human Services on February 11, 2020.
Findings
The inspection identified violations related to unsigned resident contracts and inaccurate fire drill records. Plans of correction were implemented to address these issues, including obtaining missing signatures and correcting fire drill documentation.
Citations (3)
Regulation 2600, 25.b: Resident contracts for four residents were not signed by the resident nor indicated inability to sign.
Regulation 2600, 132.c: Fire drill records did not accurately reflect the number of residents evacuated during drills on 1/22/20, 12/10/19, and 12/27/19.
Regulation 2600, 132.g: Fire drills were not held at different days and times as required, with only five staff participating in drills within the past 12 months.
Report Facts
Residents Served: 52
Current Hospice Residents: 8
Fire Drill Evacuated Residents on 1/22/20: 52
Fire Drill Record Evacuated Residents on 1/22/20: 10
Fire Drill Evacuated Residents on 12/10/19: 50
Fire Drill Record Evacuated Residents on 12/10/19: 1
Fire Drill Evacuated Residents on 12/27/19: 51
Fire Drill Record Evacuated Residents on 12/27/19: 4
Minimum Staff Scheduled at One Time: 5
Total Daily Staff: 104
Waking Staff: 78
Inspection Report — Aug 22, 2019
Renewal
Date: Aug 22, 2019
Visit Reason
The inspection was a renewal inspection conducted to assess compliance with 55 Pa. Code Ch. 2600 for the Personal Care Home license.
Findings
Multiple violations of the Personal Care Home regulations were found, including issues with resident contracts, privacy signage, emergency procedures posting, furnace inspection, fire evacuation times, dietary needs, medication labeling and administration, and resident move-in documentation. Plans of correction were submitted and partially implemented as of the report date.
Citations (10)
Regulation 2600.25b: Resident #1's contract was not signed by the resident nor indicated inability to sign.
Regulation 2600.42s: No signs were posted indicating that the exit from the secured area to the main lobby is video recorded.
Regulation 2600.123b: Emergency procedures were not posted in a public and conspicuous place; plans were found behind the reception desk.
Regulation 2600.126a: The most recent inspection of the home's HVAC system was completed on 4/18/18, not within the past year.
Regulation 2600.132d: The home's safe evacuation time was 14 minutes, exceeding the 12-minute time determined by a fire safety expert.
Regulation 2600.161d: Resident #2 was served food inconsistent with the prescribed mechanical soft diet, including raw vegetable salad and large chunks of tomato.
Regulation 2600.184a: Resident #3's prescription medication label did not match the medication administration record regarding medication name and route.
Regulation 2600.185a: Resident #3's prescribed medication Roxanol was not available in the home at the time of administration.
Regulation 2600.187a: Medication records for residents #2 and #3 had discrepancies in prescription labels and administration documentation.
Regulation 2600.231e: Resident #1's voluntary move-in statement did not include indication that the resident did not object to admission to the secured dementia care unit.
Report Facts
Residents Served: 48
Total Daily Staff: 96
Waking Staff: 72
Safe evacuation time: 14
Safe evacuation time: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Claudia McIntyre | Executive Director | Signed multiple plans of correction and legal entity representative |
Inspection Report — Apr 10, 2019
Complaint Investigation
Date: Apr 10, 2019
Visit Reason
The inspection was conducted as a complaint investigation following allegations related to resident treatment and care.
Complaint Details
The visit was complaint-related and the violation involved verbal abuse of a resident by staff. Substantiation status is not explicitly stated.
Findings
The inspection found a violation of regulation 2600.42.c regarding the treatment of residents with dignity and respect. Multiple staff overheard a direct care staff member verbally abusing a resident in a common area.
Citations (1)
2600.42.c A resident shall be treated with dignity and respect. Multiple staff heard a direct care staff member verbally abuse a resident in the common area on 3/31/19 at approximately 9:00 PM.
Report Facts
Residents Served: 39
Current Residents in Hospice: 2
Resident Support Staff: 0
Total Daily Staff: 78
Waking Staff: 59
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Claudia McIntyre | Executive Director | Signed the plan of correction related to the violation |
Inspection Report — Feb 22, 2019
Routine
Date: Feb 22, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of the facility on February 22, 2019 and February 27, 2019 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.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Larry Mazza | Human Services Licensing Supervisor | Signed the inspection report |
Inspection Report — Jan 14, 2019
Renewal
Date: Jan 14, 2019
Visit Reason
This document is a renewal application response and license issuance for Artis Senior Living of South Hills Personal Care Home. The Department will conduct an onsite inspection within the next twelve months as required by law.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and states that an inspection will be conducted within the next year.
Report Facts
Inspection Report — Aug 31, 2018
Annual Inspection
Date: Aug 31, 2018
Visit Reason
The inspection was conducted as a renewal and complaint investigation for Artis Senior Living of South Hills.
Complaint Details
The inspection included a complaint investigation related to medication administration errors and resident care concerns. The medication error involving resident #2 was substantiated and addressed with staff re-education and disciplinary actions.
Findings
Multiple violations of 55 Pa. Code Chapter 2600 were found, including issues with outdated food, glucometer calibration, medication administration errors, incomplete resident assessments, and missing medical evaluations. Plans of correction were submitted and partially implemented as of the follow-up date.
Citations (5)
Regulation 2600.103(i): Outdated or spoiled food or dented cans were found in the life enhancement center, including yogurt-covered raisins with an expiration date of 4/8/18.
Regulation 2600.185(a): The glucometer for resident #1 was not calibrated to the current date and time.
Regulation 2600.187(d): Resident #2's prescribed Exelon patch was not properly removed on multiple dates, resulting in medication administration errors.
Regulation 2600.225(a): Resident #2's initial assessment was incomplete, with multiple incidents of aggression and agitation documented but minimal problems noted.
Regulation 2600.231(b): Resident #3 lacked a timely medical evaluation within 60 days prior to admission to the secured dementia care unit.
Report Facts
Number of Residents Served: 18
Number of Residents in Secured Dementia Care Unit: 18
Number of Current Hospice Residents: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Claudia McIntyre | Executive Director | Named as legal entity representative and involved in the plan of correction and internal investigation. |
| Joseph Eveges | Department inspector conducting the violation report. |
Inspection Report — Apr 25, 2018
Original Licensing
Date: Apr 25, 2018
Visit Reason
The inspection was conducted as a licensing inspection for a new personal care home facility that was not yet serving four or more residents.
Findings
The facility was found to be in substantial compliance with applicable regulations, but a full inspection could not be completed due to the facility's new status and low census. A re-inspection will be conducted within three months to ensure complete compliance.
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