Inspection Reports for
Gloria Dei Communities Memory Care at The Park
PA, 19040
Back to Facility Profile16 Reports
Notice — Feb 10, 2025
Date: Feb 10, 2025
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 specific employee to serve in a direct care staff position despite not meeting the standard Pennsylvania nurse aide registry requirements, based on equivalent education obtained outside the United States. 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 — Apr 9, 2024
Renewal
Date: Apr 9, 2024
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing regulations at the Personal Care/Memory Care facility.
Findings
The inspection identified multiple deficiencies related to safety, food handling, dietary needs, medication administration, medication storage, medication records, and resident assessments. All deficiencies had plans of correction accepted and were implemented by the facility.
Citations (13)
Unlabeled cup of blue liquid (mouthwash) unlocked and accessible in resident #1's room.
Uncovered tomato soup and grilled cheese sandwich stored on serving counter in memory care 1.
Unlabeled, undated leftover frozen smoothie and bag of dinner rolls in kitchen storage.
Approximate 1 inch accumulation of lint in lint trap of Memory Care 2 laundry dryer.
Resident #2 prescribed mechanical soft diet was served grilled cheese sandwich with crust.
Resident #3 medication (Systane eye drops) not administered as documented; staff signed in error.
Open bottles of medications in medication cart without open date.
Resident #4's medications stored in old box without correct pharmacy label.
Resident #4 and #5 medications not included on medication administration record.
Resident #3's medication administration record missing staff initials for dose given on 04/09/24 at 8pm.
Resident #5 was not administered prescribed medication as ordered.
Resident #6's initial assessment was not completed within 15 days of admission.
Resident #4's support plan did not document allergies despite medical evaluation indicating allergies.
Report Facts
Residents Served: 52
Secured Dementia Care Unit Residents Served: 24
Hospice Current Residents: 6
Residents Age 60 or Older: 52
Residents with Mobility Need: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Named in multiple findings related to correction of deficiencies including poisonous materials, lint removal, medication administration, and medication storage. | |
| Director of Dietary Services | Named in findings related to food protection, dietary needs, and leftover food handling. | |
| Charge Nurse/Med Tech | Responsible for conducting medication cart audits and ensuring continued compliance. | |
| Support Plan Coordinator | Involved in correcting resident assessment and support plan documentation errors. |
Inspection Report — May 23, 2023
Follow-Up
Date: May 23, 2023
Visit Reason
The inspection was a follow-up visit to verify the implementation of a previously submitted plan of correction related to an incident.
Complaint Details
The visit was related to an incident complaint involving abuse. Staff person B was terminated following investigation. Verbal reports were made to Adult Protective Services (AAA), Behavioral Health Services (BHS), the resident's physician, and Power of Attorney (POA).
Findings
The submitted plan of correction was determined to be fully implemented. The report details an incident involving verbal abuse and physical contact between a staff member and a resident, resulting in the termination of the staff member involved and staff in-service training on residents' rights and abuse reporting.
Citations (2)
Staff person B verbally abused resident 1 using racial slurs and physically smacked the resident's arm after the resident attempted to move away.
Resident 1 was not treated with dignity and respect due to the verbal and physical abuse by staff person B.
Report Facts
Residents Served: 44
Secured Dementia Care Unit Residents Served: 16
Current Hospice Residents: 2
Residents with Mobility Need: 24
Residents 60 Years or Older: 44
Inspection Report — Oct 17, 2022
Renewal
Date: Oct 17, 2022
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on 10/17/2022 and 10/18/2022 to review compliance with licensing requirements.
Findings
The facility had multiple deficiencies related to direct care staff training, food protection, fire drill exit routes, medication storage and handling, medication records, and preadmission screening. All deficiencies had plans of correction accepted and were implemented by 04/13/2023.
Citations (9)
Direct care staff person provided unsupervised ADL services without completing and passing the Department-approved direct care training course or competency test.
Uncovered cake stored in the main kitchen refrigerator.
Alternate exit routes were not used during fire drills; only certain exits were used from January to June 2022 and January to September 2022.
Prescription medications in blister cards had tape covering ripped foil on the back of pills, indicating compromised medication packaging.
Discontinued or expired medications were stored in the med stations without proper destruction according to regulations.
Narcotic medication count discrepancy: medication log showed 26 but blister card had 25 tablets.
Medication record for a Triple Antibiotic Ointment did not include diagnosis or purpose of the medication.
Medication prescribed (Triple Antibiotic Ointment) was not available in the home.
Written cognitive preadmission screening for a resident admitted to the Secure Dementia Care Unit was missing resident's behaviors and needs.
Report Facts
Residents Served: 47
Memory Care Residents Served: 21
Current Hospice Residents: 2
Residents with Mobility Need: 32
Total Daily Staff: 79
Waking Staff: 59
Notice — Jul 7, 2021
Date: Jul 7, 2021
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care/Memory Care @ the Park facility, 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 a license renewal notice confirming the facility's compliance and the issuance of a regular license.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
Inspection Report — Jun 2, 2021
Renewal
Date: Jun 2, 2021
Visit Reason
The inspection was conducted as a renewal review of the Personal Care/Memory Care facility at The Park to verify compliance with licensing requirements.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies included freezer temperatures exceeding required limits and missing resident photographs in records, all of which were corrected with plans in place to maintain compliance.
Citations (2)
The temperature in the ice cream freezer, pie freezer, and walk-in freezer exceeded 0 degrees Fahrenheit.
Resident #1, #2, #3, and #4's records did not include a photograph of the resident that is no more than 2 years old.
Report Facts
Residents Served: 51
Memory Care Residents Served: 22
Freezer Temperature: 10
Freezer Temperature: 20
Staff Total Daily: 86
Staff Waking: 65
Notice — May 15, 2020
Date: May 15, 2020
Visit Reason
The document serves as a renewal notification for the Personal Care Home license and informs the facility that an annual inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michele DiVincenzo | Director of Health Services | Addressee of the renewal notification letter. |
| Kevin Hancock | Deputy Secretary, Office of Long-term Living | Signer of the renewal notification letter. |
Inspection Report — Feb 24, 2020
Renewal
Date: Feb 24, 2020
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.
Findings
The submitted plan of correction was found to be fully implemented. The facility must maintain continued compliance.
Citations (1)
There was a trip hazard due to loose tiles near the exit door on the B-wing of the Personal Care unit. The tiles became loose from moisture damage and were removed immediately during the inspection.
Report Facts
Residents Served: 74
Secured Dementia Care Unit Residents Served: 33
Hospice Current Residents: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michele DiVincenzo | Administrator | Signed the plan of correction and is the facility administrator |
| Sandra Wooters | Human Services Licensing Supervisor | Signed the report letter confirming plan of correction implementation |
Notice — Apr 3, 2019
Date: Apr 3, 2019
Visit Reason
The document serves as a renewal approval for the Personal Care Home license pursuant to Title 55, PA Code, Chapter 2600, confirming the facility's compliance and license issuance.
Findings
The Department of Human Services has approved the renewal application and issued a regular license for the Personal Care/Memory Care facility. The certificate specifies the maximum capacity and notes that the Department will conduct an annual onsite inspection within the next twelve months.
Report Facts
Inspection Report — Jan 14, 2019
Renewal
Date: Jan 14, 2019
Visit Reason
The inspection was a full renewal inspection conducted by the Department of Human Services Bureau of Human Services Licensing on January 14, 2019, to assess compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes.
Findings
Multiple violations were found related to trash can lids, food storage, fire drill evacuation times, medical evaluations, medication storage, and preadmission screening. Plans of correction were submitted and partially implemented with adequate progress noted.
Citations (6)
2600.85(d) Trash in kitchens and bathrooms shall be kept in covered trash receptacles that prevent penetration of insects and rodents. Trash cans in the kitchen area had lids with holes in the center, which do not prevent penetration.
2600.103(g) Food shall be stored in closed or sealed containers. An opened/unsealed package of frozen fish patties was unlabeled with no open date or expiration date.
2600.132(d) Residents shall be able to evacuate the entire building to a safe area within 10 minutes as specified by a fire safety expert. Fire drill evacuation times ranged from 12 minutes 0 seconds to 12 minutes 3 seconds.
2600.141(a)(2) A resident shall have a medical evaluation documented by a physician or certified registered nurse practitioner within 60 days prior to admission or 30 days after. The medical evaluation for resident 1 dated 8/18/18 did not include a mobility assessment.
2600.183(e) Prescription, OTC, and CAM medications shall be stored properly. Several loose tablets were found in medication carts on 1/14/19.
2600.231(c) A written cognitive preadmission screening shall be completed within 72 hours prior to admission to a secured dementia care unit. Resident 2 admitted on 12/31/18 did not have a preadmission screening.
Report Facts
Number of Residents Served: 79
Number of Residents Served in Secured Dementia Care Unit: 35
Number of Current Hospice Residents: 6
Number of Hospice Residents in Past Year: 34
Number of Residents Age 60 or Older: 78
Number of Residents with Mental Illness: 2
Number of Residents with Mobility Need: 67
Number of Residents with Physical Disability: 1
Inspection Report — May 30, 2018
Complaint Investigation
Date: May 30, 2018
Visit Reason
The inspection was conducted as a complaint and incident investigation at the Personal Care/Memory Care facility to assess compliance with 55 Pa. Code Chapter 2600 regulations.
Complaint Details
The inspection was triggered by a complaint and incident. Specific violations were documented regarding medical evaluations and resident assessments.
Findings
Violations were found related to incomplete medical evaluations and inadequate resident assessments. The facility was required to correct these deficiencies and maintain compliance with state regulations.
Citations (2)
Regulation 2600.141(a)(2) - The medical evaluation for Resident #1 dated 01/26/18 is missing completed medical diagnoses, physical/mental information, and treatment details.
Regulation 2600.225(c) - Resident #1's assessment dated 04/28/18 shows limited mobility and requires total physical assistance, but the DME dated 04/26/18 lacks documentation of body positioning or movement issues.
Report Facts
Number of Residents Served: 79
Number of Residents Served in Secured Dementia Care Unit: 38
Number of Current Hospice Residents: 0
Number of Hospice Residents in Past Year: 39
Total Daily Staff: 129
Waking Staff: 87
Number of Residents Age 60 or Older: 79
Number of Residents with Mobility Need: 50
Notice — Apr 17, 2018
Date: Apr 17, 2018
Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care/Memory Care facility pursuant to Title 55, PA Code, Chapter 2600, with a requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.
Report Facts
Inspection Report — May 22, 2017
Renewal
Date: May 22, 2017
Visit Reason
The inspection was a renewal licensing inspection conducted by the Department of Human Services on May 22, 2017, for Personal Care/Memory Care at The Park.
Findings
The inspection identified violations related to trash can lids, hot water temperature exceeding 120°F in resident-accessible areas, and incomplete preadmission cognitive screening documentation for secured dementia care residents. Plans of correction were submitted with partial implementation status noted.
Citations (3)
Regulation 2600.85(d): Trash cans in the main kitchen area did not have lids on the day of inspection.
Regulation 2600.89(b): Hot water temperature at bathroom sinks in rooms #118, #121, and #228 exceeded 120°F, measuring between 123.4 and 123.8 degrees Fahrenheit.
Regulation 2600.231(c): A resident admitted to the secured dementia care unit did not have a completed cognitive screening form within 72 hours prior to admission.
Report Facts
Number of Residents Served: 85
Number of Residents Served in Secured Dementia Care Unit: 38
Number of Current Hospice Residents: 10
Number of Hospice Residents in Past Year: 33
Total Daily Staff: 139
Walking Staff: 104
Inspection Report — Apr 10, 2017
Renewal
Date: Apr 10, 2017
Visit Reason
The document is a renewal notification and license issuance for the Personal Care/Memory Care facility, indicating the Department's intent to conduct an annual onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future inspection requirements.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the renewal notification letter |
Notice — May 12, 2016
Date: May 12, 2016
Visit Reason
The document serves as a renewal notification for the Personal Care Home license and informs the facility of the Department's requirement to conduct an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it is a license renewal notice with a certificate of compliance.
Report Facts
Inspection Report — May 9, 2016
Renewal
Date: May 9, 2016
Visit Reason
The inspection was a renewal licensing inspection conducted by the Pennsylvania Department of Human Services on May 9, 2016, for Personal Care/Memory Care @ The Park.
Findings
Violations of 55 Pa.Code Chapter 2600 were found related to hot water temperature exceeding 120°F, incomplete documentation of blood sugar readings in medication records, and failure to follow prescriber directions for blood sugar monitoring. Plans of correction were submitted addressing these issues.
Citations (3)
55 Pa.Code §2600.89(b) - Hot water temperature at bathroom sinks exceeded 120°F, measuring 125.2°F and 124.8°F in rooms #116 and #120 respectively.
55 Pa.Code §2600.182(c) - Resident #1's blood sugar reading of 231 at 9:08 PM on 5/4/16 was not documented in the medication administration record.
55 Pa.Code §2600.187(d) - Resident #1's blood sugar was ordered to be checked three times daily, but on 5/5/16 at 4 PM, the reading of 193 was documented without a corresponding glucometer reading.
Report Facts
Number of Residents Served: 81
Number of Residents Served in Secured Dementia Care Unit: 39
Number of Current Hospice Residents: 3
Number of Hospice Residents in Past Year: 21
Residents Age 60 or Older: 81
Residents with Mobility Need: 50
Residents with Physical Disability: 1
Viewing
Loading inspection reports...
