24 Reports
Inspection Report — Jun 4, 2026
Complaint Investigation
Date: Jun 4, 2026
Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 37
Current Hospice Residents: 17
Resident Support Staff: 0
Total Daily Staff: 74
Waking Staff: 56
Inspection Report — Feb 5, 2026
Date: Feb 5, 2026
Visit Reason
The inspection was a partial, unannounced licensing inspection conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Resident Support Staff: 0
Total Daily Staff: 72
Waking Staff: 54
Current Hospice Residents: 10
Residents Served: 36
Inspection Report — Jan 26, 2026
Complaint Investigation
Date: Jan 26, 2026
Visit Reason
The inspection was conducted as a complaint investigation to review allegations of incidents and compliance with regulatory requirements.
Complaint Details
The visit was complaint-related and substantiated by findings including failure to report abuse and inadequate support plan revisions.
Findings
The facility was found to have failed to report an incident of resident-to-resident abuse in a timely manner. Sanitary conditions were compromised due to a fecal smear on a chair cushion. The support plan for a resident did not adequately address aggressive behavior and fall prevention despite multiple incidents.
Citations (3)
16c - The home failed to report an incident of resident abuse involving hitting on the head to the department within 24 hours as required.
85a - Sanitary conditions were not maintained due to a fecal smear on a green chair's cushion in the front lobby TV room.
227c - The support plan was not revised to address a resident's aggressive behavior and fall prevention needs despite multiple incidents and assessments.
Report Facts
Residents Served: 39
Current Residents in Hospice: 10
Residents Age 60 or Older: 39
Residents with Mobility Need: 39
Inspection Report — Sep 26, 2025
Complaint Investigation
Date: Sep 26, 2025
Visit Reason
The inspection was conducted as a complaint investigation at the facility.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 31
Resident Support Staff: 0
Total Daily Staff: 62
Waking Staff: 47
Residents Age 60 or Older: 31
Residents with Mobility Need: 31
Inspection Report — Jul 15, 2025
Complaint Investigation
Date: Jul 15, 2025
Visit Reason
The inspection was conducted as a complaint investigation following allegations of caregiver neglect and abuse at the facility.
Complaint Details
The complaint involved allegations of caregiver neglect including failure to provide incontinence care and accusations of staff kicking a resident. These allegations were not reported to the local Area Agency on Aging or the Department as required by law.
Findings
The investigation found that allegations of caregiver neglect were made but not reported to the local Area Agency on Aging or the Department as required. The facility submitted a plan of correction and demonstrated compliance with reporting requirements.
Citations (2)
Failure to immediately report suspected abuse of a resident to the local Area Agency on Aging.
Failure to report the incident or condition to the Department's personal care home regional office or complaint hotline within 24 hours.
Report Facts
Residents Served: 34
Current Hospice Residents: 1
Residents Age 60 or Older: 34
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 34
Total Daily Staff: 68
Waking Staff: 51
Inspection Report — Jun 5, 2025
Renewal
Date: Jun 5, 2025
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 06/05/2025 to review compliance with licensing requirements and verify correction of previous deficiencies through plan of correction submission.
Findings
The inspection identified multiple deficiencies including sanitary conditions, trash receptacle issues, ventilation problems, surface repairs, lighting, food storage, medication storage and administration, and documentation errors. All deficiencies had plans of correction accepted and were reported as implemented by 07/17/2025.
Citations (10)
Used yellow toothbrush found in semi-private bathroom medicine cabinet.
Uncovered, unattended trash can in semi-private bathroom.
Inoperable ventilation fans and no operable windows in multiple bathrooms.
Multiple displaced ceiling tiles in various locations.
Resident #3 lacked operable bedside lamp.
Unlabeled, undated food item (15 meatballs) found in freezer.
Unlocked, unattended medication cups in semi-private bathroom medicine cabinet.
Improper medication destruction and documentation for multiple residents.
Medication administration record errors including missed doses and inaccurate documentation.
Failure to follow prescriber's orders due to missing medications in the home.
Report Facts
Residents Served: 34
Current Residents in Hospice: 13
Staffing Hours: 68
Waking Staff: 51
Medication Quantity: 15
Medication Quantity: 5
Food Item Quantity: 15
Inspection Report — May 22, 2025
Complaint Investigation
Date: May 22, 2025
Visit Reason
The inspection was conducted as a complaint investigation, unannounced, to review allegations related to resident abuse and compliance with regulatory requirements.
Complaint Details
The visit was complaint-related with substantiated findings of resident abuse by staff person A, who was suspended and removed from the community. Staff and agency personnel were re-educated on mandatory reporting of abuse and neglect under the Older Adult Protective Services Act.
Findings
The inspection found multiple deficiencies including a verified incident of resident abuse by a staff member, failure to provide required fire safety orientation to new staff, incomplete orientation training within 40 scheduled work hours, and inadequate support plans missing key resident needs. Corrective actions and plans of correction were accepted and implemented.
Citations (4)
Resident was physically abused by staff person A who pushed the resident causing the resident to fall back and jerk their head.
Staff person A did not receive any of the required fire safety orientation training on their first day of work.
Staff person A did not complete the required orientation training within 40 scheduled work hours.
The support plan did not address the need for transferring, ambulation, supervision, and mobility in the event of an emergency for a resident.
Report Facts
Residents Served: 33
Current Residents in Hospice: 6
Residents Age 60 or Older: 33
Residents with Mental Illness: 2
Residents with Mobility Need: 33
Inspection Report — Jul 22, 2024
Complaint Investigation
Date: Jul 22, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation related to allegations of resident abuse and reporting violations at Brookdale Murrysville.
Complaint Details
The complaint investigation involved multiple incidents where a resident was aggressive toward other residents and staff, including hitting and grabbing. These incidents were not immediately reported to Protective Services or the Department as required. An anonymous allegation was also reported to the District Director of Operations, who initiated an investigation. The facility was found noncompliant in timely reporting and documentation.
Findings
The facility failed to immediately report suspected resident abuse incidents in accordance with the Older Adult Protective Services Act and did not timely report incidents to the Department. Additionally, the facility did not retain a copy of a reportable incident as required. Plans of correction were submitted and accepted to address these deficiencies.
Citations (3)
Failure to immediately report suspected abuse of residents as required by the Older Adult Protective Services Act.
Failure to report incidents or conditions to the Department within 24 hours as required.
Failure to keep a copy of the report of the reportable incident or condition onsite.
Report Facts
Residents Served: 34
Current Hospice Residents: 4
Total Daily Staff: 68
Waking Staff: 51
Inspection Report — Apr 4, 2024
Renewal
Date: Apr 4, 2024
Visit Reason
The inspection was conducted as a full, unannounced renewal survey of the facility on 04/04/2024.
Findings
The facility was found to have deficiencies related to combustible storage near heat sources and evacuation times exceeding the designated safe evacuation time. Plans of correction were submitted and fully implemented by 06/17/2024.
Citations (2)
Combustible and flammable materials were located near heat sources, including paper on furnace A and various items on furnace D.
The home's fire drill evacuation times exceeded the designated safe evacuation time of 15 minutes on two occasions.
Report Facts
Residents Served: 33
Current Residents in Hospice: 8
Fire Drill Evacuation Time: 15.4
Fire Drill Evacuation Time: 16.14
Total Daily Staff: 66
Waking Staff: 50
Inspection Report — Oct 13, 2023
Follow-Up
Date: Oct 13, 2023
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to review the submitted plan of correction for the facility.
Findings
The facility was found to have multiple deficiencies related to resident abuse notification, physical and verbal abuse, criminal background checks, direct care staff qualifications, and initial direct care training. The submitted plan of correction was accepted and implemented with ongoing monitoring and retraining.
Citations (5)
Failure to immediately notify the resident's designated person of a report of suspected abuse or neglect involving the resident.
Resident was physically and verbally abused by staff, including inappropriate language and physical restraint resulting in injury.
No documentation present indicating that direct care staff person A had permanent residency in Pennsylvania for 2 consecutive years prior to employment, so FBI background check status could not be determined.
Direct care staff person A did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse registry.
Direct care staff person B had not successfully completed and passed the Department-approved direct care training course and competency test.
Report Facts
Residents Served: 30
Current Residents in Hospice: 10
Residents Age 60 or Older: 30
Residents with Mobility Need: 30
Total Daily Staff: 60
Waking Staff: 45
Inspection Report — Sep 22, 2023
Complaint Investigation
Date: Sep 22, 2023
Visit Reason
The inspection was conducted as a complaint investigation related to allegations of resident abuse and neglect at Brookdale Murrysville.
Complaint Details
The complaint investigation substantiated multiple allegations of abuse by direct care staff person A, including verbal insults, rough handling, physical pushing, and failure to report incidents to the Department and designated persons. The facility implemented a plan of correction including staff retraining and ongoing monitoring.
Findings
The investigation found multiple incidents of verbal and physical abuse by direct care staff person A towards residents, including inappropriate language, rough handling, and failure to report abuse to the appropriate authorities. Staff person A no longer works at the facility. Retraining and corrective actions were implemented to ensure compliance with abuse reporting and resident dignity requirements.
Citations (5)
Failure to immediately report suspected abuse of a resident and comply with reporting requirements.
Failure to notify the resident and the resident’s designated person of a report of suspected abuse or neglect.
Failure to report the incident or condition to the Department’s personal care home regional office within 24 hours.
Resident abuse including verbal and physical abuse by staff person A.
Failure to treat residents with dignity and respect.
Report Facts
Residents Served: 28
Staff Retraining Dates: 4
Total Daily Staff: 56
Waking Staff: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michelle George | OAPSA representative | Completed community retraining regarding mandated reporting of allegations of abuse/neglect |
Inspection Report — Dec 19, 2022
Renewal
Date: Dec 19, 2022
Visit Reason
The inspection was conducted as a renewal and complaint investigation to review compliance with licensing requirements and verify correction of previous deficiencies.
Findings
The inspection identified multiple deficiencies including missing resident signatures on contracts and acknowledgements, lack of documentation for direct care staff qualifications, incomplete staff training, non-operational bathroom exhaust fans, missing emergency telephone numbers, furniture hazards, inadequate lighting, missing refrigerator/freezer thermometers, improper food storage, missing fire extinguisher in kitchen, overdue annual medical evaluations, and missing resident rights acknowledgements. Plans of correction were accepted and implemented by March 30, 2023.
Citations (14)
Resident-home contracts for residents #1, #2, and #3 were not signed by the residents without documentation of inability or refusal.
Residents #1 and #2 did not sign the Resident Rights acknowledgement.
Direct care staff person A lacked documentation of a high school diploma, GED, or active nurse aide registry status and provided unsupervised care.
Staff person C did not receive required training within 40 scheduled working hours including resident rights and mandatory reporting.
Exhaust fans in bathrooms of multiple resident rooms were not operational and there were no windows for ventilation.
Emergency telephone numbers were not posted by the telephone in the home's Activities Room.
Bed enabler on resident #1's bed had an uncovered rectangular opening posing an entrapment risk.
No operable lamp or source of light within reach of the bed in resident room.
No thermometer in the freezer compartment of the refrigerator/freezer in the 'butler’s pantry'.
Nearly full uncovered dessert dish found in freezer section of refrigerator/freezer in the 'butler’s pantry'.
No fire extinguisher in the Country Kitchen; nearest extinguisher located approximately 15 feet away.
Resident #4's most recent annual medical evaluation was overdue.
Residents #1 and #2 did not sign the Resident Rights acknowledgement including right to refuse medication.
Resident #1 did not sign the statement indicating no objection to admission to the secured dementia care unit.
Report Facts
Residents served: 30
Total daily staff: 57
Waking staff: 43
Current hospice residents: 3
Notice — Dec 2, 2021
Date: Dec 2, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Brookdale Murrysville Personal Care Home, confirming receipt of the renewal application and advising of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it is an administrative license renewal notice and certificate of compliance.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report — Aug 5, 2021
Routine
Date: Aug 5, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 08/05/2021 and 08/06/2021.
Findings
No regulatory citations were identified as a result of this inspection.
Notice — Jan 25, 2021
Date: Jan 25, 2021
Visit Reason
The document serves as a renewal notification and license issuance for the Brookdale Murrysville Personal Care Home, confirming the facility's compliance and informing 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 and advises that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report — Nov 12, 2019
Renewal
Date: Nov 12, 2019
Visit Reason
The inspection was a full, unannounced renewal inspection of Brookdale Murrysville to assess compliance with applicable regulations and licensing requirements.
Findings
The facility had multiple violations including improper placement of carbon monoxide detectors, inadequate staffing during certain shifts, illegible emergency telephone numbers, non-operable bedside lighting, outdated fire extinguisher inspection tags, and medication cart issues. All plans of correction were approved and fully implemented by January 6, 2020.
Citations (6)
Regulation 2600.18: Carbon monoxide detectors were improperly placed too close to fossil fuel burning devices in multiple locations.
Regulation 2600.60(a): Staffing was inadequate during certain shifts with only 2 staff on duty instead of the required number to safely evacuate all residents.
Regulation 2600.91: Emergency telephone numbers posted near the telephone in Hallway C were worn and not legible.
Regulation 2600.101.j: No operable source of lighting that can be turned on/off was present next to the bed in bedroom D#5.
Regulation 2600.131.f: Fire extinguisher tags did not indicate the month of last inspection by a fire safety expert in two locations.
Regulation 2600.183.d: Medications discontinued on 10-17-19 were still present in the medication cart.
Report Facts
Residents Served: 32
Staff on Duty: 2
Staff on Duty: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sherri Gillespie | Executive Director | Named in multiple findings and plan of correction approvals |
Notice — Jan 17, 2019
Date: Jan 17, 2019
Visit Reason
This document serves as a renewal certificate and notification letter for the continued operation of the Brookdale Murrysville Personal Care Home, confirming the renewal application and outlining the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It only confirms the issuance of a regular license following the renewal application.
Report Facts
Inspection Report — Oct 29, 2018
Renewal
Date: Oct 29, 2018
Visit Reason
The inspection was conducted as an annual licensing renewal inspection of the Brookdale Murrysville Personal Care Home facility.
Findings
The inspection identified multiple violations related to licensing posting, hot water temperature, food storage, outdated food, fire safety inspection documentation, and keypad locking mechanism signage. Plans of correction were submitted and partially implemented with adequate progress noted.
Citations (6)
Regulation 2600.3(c): The home's licensing inspection summary was posted in a locked shadow box approximately 6 feet from the floor, making it inaccessible to wheelchair-bound residents and visitors.
Regulation 2600.89(b): Hot water temperatures at sinks in two hall shower rooms measured 122.5°F and 124.1°F, exceeding the maximum allowed 120°F.
Regulation 2600.103(g): Food was stored in opened and unsealed packages in the dry storage pantry, including taco seasoning and marshmallows.
Regulation 2600.103(i): Ten undated plastic wrapped packages of lunch meat were found in the refrigerator, violating food storage requirements.
Regulation 2600.132(b): Fire safety inspection and fire drill documentation was not current; the last observed fire drill was conducted on 4/18/2018 instead of annually.
Regulation 2600.233(c): Directions for operating the keypad locking mechanism on the courtyard gate were not conspicuously posted near the device.
Report Facts
Number of Residents Served: 36
Total Daily Staff: 72
Walking Staff: 54
Number of Current Hospice Residents: 8
Number of Hospice Residents in past year: 20
Hot Water Temperature: 122.5
Hot Water Temperature: 124.1
Opened Food Packages: 2
Undated Lunch Meat Packages: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sherri Gillispie | Executive Director | Named in multiple findings and plans of correction |
| Jan Cutter | Inspector conducting the inspection | |
| Jason Williams | Inspector conducting the inspection |
Inspection Report — Feb 12, 2018
Renewal
Date: Feb 12, 2018
Visit Reason
The document is a renewal license issued to Brookdale Murrysville Personal Care Home following receipt of a renewal application dated February 9, 2018. The Department advises that an onsite annual inspection will be conducted within the next twelve months as required by regulation.
Findings
This document does not contain inspection findings but confirms issuance of a regular license for the facility with a maximum capacity of 42 residents.
Report Facts
Inspection Report — Oct 23, 2017
Renewal
Date: Oct 23, 2017
Visit Reason
The inspection was a renewal licensing inspection conducted on October 23, 2017, to assess compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes.
Findings
Violations were found during the inspection as specified in the enclosed License Inspection Summary. The facility was required to correct all violations by specified dates and maintain continued compliance.
Citations (4)
Resident #1 was ordered Memantine 5mg, 2 tablets daily; however, the medication label indicates Memantine 5mg, 1 tablet 2 times a day.
Resident #2 was ordered Atropine Oral Solution 1%, 2 drops under the tongue every hour as needed; however, the October 2017 medication administration record indicates the medication is to be instilled in the eyes.
Resident #3 was ordered Clonazepam .5mg, give ½ tab orally daily; however, the medication administration record indicates 'Clonazepam .25mg, give 1 tab orally daily'.
The home served 34 residents, all with mobility needs, but only provided 45 hours of direct care services during waking hours instead of the required 51 hours on 10/21/2017.
Report Facts
Number of Residents Served: 34
Direct Care Service Hours Provided: 45
Required Direct Care Service Hours: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sherri Gillespie | Executive Director | Signed plan of correction documents related to deficiencies. |
Inspection Report — Mar 10, 2017
Complaint Investigation
Date: Mar 10, 2017
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident involving suspected abuse of a resident with dementia.
Complaint Details
The complaint investigation was substantiated based on the findings of staff person B's inappropriate behavior toward resident #1 and the home's failure to timely report the incident to required agencies and notify the resident's designated person.
Findings
The investigation found that direct care staff person A observed resident #1 exhibiting agitated behavior and staff person B responded inappropriately by slamming a door and yelling. The home failed to immediately report the incident to the local Area Agency on Aging and the Department of Human Services as required.
Citations (5)
Regulation 2600.15(a): The home did not immediately report suspected abuse of a resident to the local Area Agency on Aging until 2/27/17.
Regulation 2600.15(b): Staff person B was not suspended immediately after the incident and continued working unsupervised until 6:49 p.m. on 2/25/17.
Regulation 2600.15(d): The home did not notify the resident's designated person of the suspected abuse until 2/27/17.
Regulation 2600.16(c): The home did not report the incident to the Department's personal care home regional office or hotline within 24 hours as required; the report was delayed until 2/28/17.
Regulation 2600.42(b): A resident was verbally abused and intimidated by staff person B, violating the prohibition against neglect and abuse.
Report Facts
Number of Residents Served: 37
Number of Current Hospice Residents: 12
Number of Hospice Residents in past year: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sherri Gillespie | Executive Director | Named as the legal entity representative who signed plans of correction and corrective actions. |
| Lisa Flinner-Alman | Department representative on-site during inspection. |
Inspection Report — Mar 9, 2017
Renewal
Date: Mar 9, 2017
Visit Reason
The document is a renewal application and license issuance for Brookdale Murrysville Personal Care Home, indicating the Department will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It primarily serves as a license renewal notification and certificate of compliance.
Inspection Report — Aug 2, 2016
Annual Inspection
Date: Aug 2, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections on August 2 and 3, 2016, to assess compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Findings
Multiple violations were found including neglect related to secured dementia care unit egress, smoking policy violations, expired medications, improper medication storage, and incomplete resident records. Plans of correction were submitted and partially implemented with adequate progress noted.
Citations (5)
Regulation 2600.42(b): A resident was found outside the secured dementia care unit without proper safety measures, indicating neglect in preventing elopement behaviors.
Regulation 2600.144(c): Four Camel Menthol cigarette butts and ashes were found in a non-smoking area, indicating failure to implement a written fire safety policy.
Regulation 2600.183(d): Eight syringes of prescribed medications were found with expired labels, indicating improper medication management.
Regulation 2600.183(e): Prescription inhalers were opened but not dated, risking improper medication use beyond recommended timeframes.
Regulation 2600.252: Resident records for three residents lacked documentation of identifying marks, violating record-keeping requirements.
Report Facts
Number of Residents Served: 35
Number of Current Hospice Residents: 10
Number of Hospice Residents in past year: 25
Number of Residents Served in Secured Dementia Care Unit: 35
Inspection Report — Jan 29, 2016
Enforcement
Date: Jan 29, 2016
Visit Reason
The Department of Human Services issued a notice of intent to assess a fine for regulatory violations related to personal care homes, specifically for Brookdale Murrysville advertising as an Assisted Living residence without proper licensing.
Findings
Brookdale Murrysville was found to be advertising assisted living services without being a licensed assisted living residence. The Department assessed a fine based on 37 residents at $3 per resident per day, totaling $1,665 for the period February 19, 2016 through March 4, 2016.
Citations (1)
55 Pa.Code § 2600.18: Brookdale Murrysville advertises assisted living services but is not licensed as an assisted living residence. The facility must comply with applicable federal, state, and local laws and regulations.
Report Facts
Fine per resident per day: 3
Total Fine: 1665
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sherri R. Gillespie | Executive Director | Signed plan of correction and training documentation |
| Jacob Herzing | Enforcement Manager | Department inspector and approver of plan of correction |
| Matthew J. Jones | Director | Signed enforcement letter assessing fine |
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