Inspection Reports for
Country Manor

No regulatory citations or deficiencies were identified during this inspection. The facility was found to be in compliance with licensing requirements.

The inspection found a violation related to failure to report a resident incident to the Department as required by regulation. The violation was a repeat from previous inspections.

Multiple violations were found including deficiencies in staff first aid training, annual training content, storage of poisonous materials, hot water temperature, first aid kit completeness, lighting, food safety, emergency egress, fire extinguisher availability, medication storage and administration, and medication record keeping. Several violations were repeat findings from prior inspections.

The inspection was complaint-driven and included monitoring. Specific complaints involved privacy violations, safeguarding of resident property, staff qualifications, medication administration, meal provision, and reporting of medication refusals.

Multiple violations were found including privacy breaches due to a motion-sensored camera in the dining room, improper safeguarding of resident property, unqualified staff administering medications, inadequate meal provision policies, failure to report medication refusals, and incomplete staff qualifications for medication administration.

The inspection was complaint-related and included monitoring. Specific substantiation status is not stated.

The inspection identified multiple violations including entrapment hazards with resident bed enablers, lint accumulation in dryer vents posing fire risks, failure to conduct monthly fire drills in March and April 2025, and fire alarms not being activated during fire drills in May and June 2025. Plans of correction were directed for all deficiencies.

The inspection was complaint-related and included monitoring. Specific complaint details are not provided but violations were substantiated as multiple repeat violations were noted.

Multiple violations were found including failure to submit incident reports, missing medications, incomplete medication records lacking diagnosis or purpose, failure to document medication administration times, and not following prescriber's orders. Several violations were repeat offenses.

The visit was complaint-related, triggered by complaints, incidents, and fines. The plan of correction was fully implemented and accepted.

The inspection found multiple deficiencies including a violation of resident dignity and respect due to an argument between staff and a resident, lack of administrator presence averaging 20 hours per week, medication administration errors including arguments over medication handling, unlocked medication carts, and failure to follow prescriber's orders due to unavailable medications. Plans of correction were accepted and implemented by 06/24/2025.

The inspection was complaint-related, triggered by allegations including abuse, neglect, inadequate care, and regulatory noncompliance. Specific complaints involved resident abuse, failure to report incidents, medication errors, and unsanitary conditions.

The facility was found to have multiple violations including failure to report abuse and incidents timely, inadequate assistance with activities of daily living, improper medication administration and documentation, unsanitary conditions, inadequate staffing and supervision, failure to maintain proper food safety and storage, and failure to maintain required documentation and assessments. The Department imposed fines and mandated corrective actions.

The appeal of the license non-renewal was denied by the Bureau of Hearings and Appeals and upheld by the Secretary of Human Services. The facility is required to cease operation and assist in relocating residents.

The Department denied the appeal of the non-renewal of the provisional license based on 70 violations across six inspection periods. The court denied the facility's emergency application to stay the Department's order to cease operations and relocate residents.

The inspection was complaint-driven as indicated by the inspection information section stating the reason as 'Complaint'.

Multiple deficiencies were found including failure to provide immediate access to records, failure to report incidents timely, abuse hazards due to unsafe furniture, sanitary condition violations, improper medication storage and administration, failure to follow prescriber's orders, and smoking area safety issues. Plans of correction were accepted and implemented with ongoing compliance monitoring.

The invoice details Class II fines under 55 PA Code § 2600, specifically codes 51 and 54a, each assessed at $13,920.00, totaling $27,840.00 in current charges with a total balance due of $32,480.00 including a previous balance.

The inspection was complaint-related, involving allegations of abuse, neglect, failure to report incidents, and inadequate care.

The facility was found to have multiple violations including failure to report abuse, inadequate assistance with activities of daily living, improper medication administration and documentation, sanitary and safety issues, staffing deficiencies, and failure to maintain required supplies and equipment.

The inspection was complaint-related, triggered by multiple allegations including abuse, neglect, inadequate care, and regulatory noncompliance. Specific substantiation status is not explicitly stated.

The facility was found to have multiple violations including failure to renew license due to gross incompetence, negligence, and misconduct; failure to report abuse and incidents timely; inadequate staffing and supervision; unsafe sanitary conditions; medication administration errors; failure to maintain required supplies and equipment; and failure to comply with health and safety laws.

Two uncorrected Class II violations of 55 Pa.Code Chapter 2600 sections 51 and 54(a) were identified, resulting in assessed fines for the period from 6/12/24 to 6/27/24.

The inspection was triggered by a complaint involving an alleged abuse incident where a staff person responded inappropriately to a resident. The home failed to immediately supervise or suspend the staff person and did not report the incident timely to the Department. The complaint was substantiated with multiple related deficiencies found.

The inspection found multiple deficiencies including failure to immediately supervise or suspend a staff person involved in an alleged abuse incident, failure to report the incident timely, treatment of residents without dignity and respect, incomplete criminal background checks, unsafe facility conditions, incomplete medical evaluations, medication management issues, and staff not completing required training or competency tests. Plans of correction were accepted and implemented by 10/28/2024.

The complaint investigation revealed multiple deficiencies including medication errors, unsanitary conditions, lack of staff qualifications, and safety hazards. Several repeat violations were noted from previous inspections.

Multiple violations were found including failure to post current license and inspection summaries, unlocked confidential resident records, incomplete criminal background checks for staff, unqualified administrator, unqualified direct care staff, lack of CPR/first aid trained staff on certain shifts, inadequate staff training, unsanitary conditions, improper medication labeling and administration, and safety hazards such as obstructed egress and fire safety deficiencies.

The inspection was complaint-related and the submitted plan of correction was accepted and fully implemented. Resident #1 no longer resides at the facility. The administrator conducted retraining for medication technicians and implemented monthly cart audits.

The facility was found to have a medication administration deficiency where a resident was not administered prescribed medication on multiple dates. The submitted plan of correction was accepted and fully implemented by 10/10/2023.

The inspection was complaint-driven as stated under Inspection Information with reason 'Complaint'.

The inspection found sanitary condition violations including odors and feces splatters in shared bathrooms, and an incomplete resident assessment missing safety alarm information. The submitted plan of correction was determined to be fully implemented by 08/04/2023.

The inspection was complaint-related and included monitoring. The submitted plan of correction was determined to be fully implemented as of 06/07/2023.

The inspection identified multiple medication-related deficiencies including improper storage of medications, incorrect medication labeling, failure to follow prescriber's orders, and missing medications. Additional deficiencies included lack of preadmission screening and incomplete resident assessments. Plans of correction were accepted and implemented by August 2023.

The inspection was triggered by a complaint, as stated under Inspection Information with reason 'Complaint'.

The inspection found multiple deficiencies related to administrator staffing hours, medication management including improper storage and documentation, discontinued medications not properly disposed, incomplete resident assessments, and incomplete support plans. The submitted plan of correction was fully implemented by 06/06/2023.

The inspection was complaint-related and unannounced, conducted to review the plan of correction submitted in response to the complaint.

The submitted plan of correction was found to be fully implemented, with the facility maintaining compliance. A specific deficiency involving a trip/fall hazard due to taped carpet sections was addressed and repaired.

The inspection was complaint-driven as indicated by the reason for the inspection being 'Complaint'. The complaint involved medication administration issues and resident treatment concerns.

Multiple deficiencies were found related to medication administration, storage, labeling, and documentation for resident #1, including failure to administer prescribed medications timely, unsecured medications in resident's room, incorrect medication labeling, incomplete medication administration records, and failure to follow prescriber's orders. Additionally, the resident's pre-admission screening was missing and the resident's assessment was not updated to reflect significant behavioral changes.

The inspection was triggered by a complaint and incident as noted under Inspection Information on page 2.

The inspection found multiple deficiencies including incomplete medical evaluations, missing criminal background checks for staff, incomplete initial assessments and support plans, and unsigned support plans. The submitted plan of correction was fully implemented by 05/10/2023.

The complaint involved allegations that staff persons A and B grabbed resident #1 by the throat and threw the resident against the wall in the dining area. After investigation, the lead Inspector informed the Executive Director on 2023-03-29 that the alleged abuse was unsubstantiated. The Administrator was not at fault for not reporting the fabricated allegation and was unaware of it until DHS informed her.

The investigation found that allegations of abuse against resident #1 by staff persons A and B were unsubstantiated after a full investigation. The facility was found to have delayed reporting the alleged abuse to the local Area Agency on Aging and the Department, but corrective actions including a plan of supervision and training were implemented.

The visit was complaint-related as indicated by the inspection reason. The plan of correction was accepted and fully implemented.

The inspection found a medication administration violation where a staff member failed to observe residents ingest their medications. The submitted plan of correction was determined to be fully implemented by the follow-up date.

The complaint investigation involved allegations of staff retaliation against residents for filing complaints, specifically a resident receiving a 30-day discharge notice after complaining about medication administration. The complaint was addressed with training and posting of ombudsman contact information.

The inspection identified multiple deficiencies including resident treatment issues, complaint retaliation fears, missing or disputed staff documentation, medication administration errors, fire safety drill deficiencies, and environmental hazards. Plans of correction were accepted and implemented with follow-up and training scheduled.

The inspection was triggered by a complaint and was a partial, unannounced visit. The plan of correction was accepted and fully implemented.

The inspection found violations related to window screens in bedrooms #15 and #16, including a missing screen and a tear. The facility submitted a plan of correction which was fully implemented by 12/21/2022.

The inspection was complaint-driven, triggered by allegations of neglect and emotional abuse investigated by the local Area Agency on Aging. The complaint was substantiated by findings related to incident reporting and resident care documentation.

The facility was found to have deficiencies related to failure to report incidents timely, incomplete medical evaluations within required timeframes, incomplete medication administration records, and incomplete resident assessments. The submitted plan of correction was determined to be fully implemented as of the follow-up review.

The inspection was triggered by a complaint. The report does not explicitly state substantiation status.

The submitted plan of correction was determined to be fully implemented. Specific deficiencies included missing height assessment in a resident's medical evaluation and failure to notify the prescribing physician of a medication refusal. Plans of correction were accepted and implemented by March 23, 2023.

The complaint investigation was triggered by an allegation of abuse involving a resident who was found lying on the floor unattended while staff were outside smoking. Staff persons involved were reprimanded, and the Area Agency on Aging spoke with the home's Administrator regarding the allegation. The allegation was not reported to the Department. Multiple violations related to abuse reporting, supervision, and resident neglect were identified.

The investigation found multiple violations including failure to immediately report suspected abuse, inadequate supervision of staff, neglect of a resident who fell and was left unattended, staff without proper qualifications, incomplete resident medical evaluations and assessments, and failure to maintain proper resident records. Plans of correction were submitted and accepted with implementation dates noted.

The visit was complaint-related as indicated by the inspection reason. The complaint involved failure to report incidents and medication administration issues. The plan of correction was accepted and fully implemented as of the inspection date.

The inspection found multiple deficiencies including failure to report a missing resident incident to the Department, unsecured medication cart accessible for approximately 10 minutes, and failure to report medication refusal to the prescribing physician. Plans of correction were submitted and accepted with completion dates in mid-2022 and implementation confirmed by November 10, 2022.

The complaint was substantiated based on the described incident of verbal abuse. The plan of correction included abuse training for all staff, notification to the county agency, and scheduled private interviews with residents.

The submitted plan of correction was found to be not fully implemented. The report details an incident where a resident was verbally abused by a staff member, and outlines the corrective actions proposed including staff training and ongoing resident interviews.

The inspection was triggered by a complaint, as explicitly stated under Inspection Information with reason 'Complaint'.

The inspection found deficiencies related to furniture and equipment, including a non-operable toilet with a hole in a bathroom door and insufficient chairs in resident bedrooms. The facility submitted plans of correction which were accepted and fully implemented by the time of the report.

The inspection identified multiple deficiencies including potential entrapment hazards with bed rails, sanitary issues with cigarette butts in the smoking area, hot water temperature exceeding allowed limits, refrigerator temperature violations, smoking area location concerns, medication labeling inaccuracies, failure to follow prescriber's orders, and incomplete resident assessments. Plans of correction were accepted and implemented for all deficiencies.

The waiver extension is granted with conditions including documentation requirements and compliance expectations. The Department will review this waiver annually during inspections and may terminate the waiver or take licensing action if conditions are not met.

The waiver extension is granted under specific conditions including documentation requirements and a compliance deadline of October 31, 2021. The Department will review this waiver annually during inspections.

The waiver is granted under specific conditions including documentation requirements and a compliance deadline of August 31, 2021. The Department will review this waiver annually during inspections to ensure compliance.

The Department issued a regular license in response to the renewal application and advised that an annual inspection will be conducted to ensure compliance with applicable regulations. No findings or deficiencies are reported in this document.

The waiver allows the specified staff member to serve as direct care staff without a GED temporarily, with documentation to be maintained and compliance expected after the waiver period.

The inspection was complaint-driven and included a follow-up on a plan of correction submission. The violation regarding staff qualifications was disputed but resolved after the staff obtained her GED and completed training.

The submitted plan of correction was determined to be fully implemented. A violation was found regarding a direct care staff person lacking a high school diploma, GED, or active registry status but was later resolved after the staff obtained her GED and completed training.

The inspection identified multiple violations related to incident policies, resident privacy, sanitary conditions, emergency telephone numbers, window screens, soap dispensers, combustible storage, hearing impairment accommodations, evacuation procedures, medication security, and medication labeling. Plans of correction were implemented and approved for all violations.

No inspection findings are reported in this document. It confirms that a regular license is being issued and reminds the facility that an annual onsite inspection will be conducted within the next twelve months.

No regulatory citations with 55 Pa. Code Ch. 2600 relating to Personal Care Homes were identified as a result of this inspection.

The visit was complaint-related as indicated by the inspection reason. Specific complaints involved inadequate resident assessments and failure to address incident reports. Substantiation status is not stated.

The inspection found violations related to resident assessments, including failure to properly document behavioral and cognitive needs and failure to address multiple incident reports in the resident's assessment. A plan of correction was partially implemented to improve auditing and documentation of resident assessments and incident reports.

Multiple violations were found related to unsafe storage of poisonous materials, heat source safety, refrigeration temperatures, medication labeling, medication administration records, and support plan updates. Plans of correction were submitted and partially implemented with adequate progress noted.

No inspection findings are reported in this document. It is a license renewal notice confirming compliance and outlining future inspection requirements.

The waiver is granted under specified conditions and remains effective as long as those conditions are met. Failure to comply may result in termination of the waiver or other licensing actions.

The revised license increases the maximum capacity from 40 to 50 residents. The certificate confirms compliance with applicable regulations and the license remains valid until March 21, 2018.

The inspection was complaint-driven. Specific allegations included neglect of a resident, incomplete criminal background checks for staff, unsanitary conditions, maintenance hazards, and medication errors. The complaint was substantiated with multiple violations found.

Multiple violations of 55 Pa.Code Chapter 2600 were found, including neglect, incomplete criminal background checks, unsanitary conditions, maintenance issues, and medication administration errors. Plans of correction were submitted and partially implemented with ongoing monitoring.

No regulatory violations were identified as a result of this inspection.

Multiple violations were found related to licensing requirements including failure to post inspection summaries, incomplete resident contracts, staff qualification issues, equipment hazards, unsafe storage of poisonous materials, unsanitary conditions, improper food storage, and incomplete resident support plans. Plans of correction were submitted with varying degrees of implementation progress.

The inspection was complaint-related and included a fine. The complaint involved issues with resident contracts, treatment by staff, medication management, and admission documentation. Partial implementation of corrective actions was noted.

Multiple violations of 55 Pa.Code Chapter 2600 were found, including incomplete resident contracts, disrespectful treatment of a resident, improper medication labeling and storage, and missing preadmission screening documentation. Plans of correction were partially implemented with adequate progress noted.

No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of upcoming annual inspection requirements.

The inspection included complaint investigations related to suspected resident abuse, medication errors, and fire drill evacuations. Some violations were substantiated as indicated in the violation report.

Multiple violations were found related to resident abuse reporting, administrator qualifications, staff training, hot water temperature, furniture repair, first aid kit supplies, medication administration, fire drill procedures, food storage, and resident safety. Plans of correction were submitted and partially implemented with ongoing monitoring.

The invoice lists two Class II violations (51 and 54a) with associated fines totaling $27,840.00 and a total balance due of $32,480.00 including prior balances.