Inspection Reports for Abode Care of Allentown
2232 29TH STREET SW,, ALLENTOWN, PA, 18103
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
20.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
332% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
28
21
14
7
0
Census
Latest occupancy rate
61% occupied
Based on a October 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 92
Capacity: 150
Deficiencies: 0
Oct 15, 2025
Visit Reason
The inspection was conducted as a complaint investigation, unannounced and partial in nature, to assess compliance with licensing requirements at the facility.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or regulatory citations were substantiated.
Report Facts
Residents Served: 92
License Capacity: 150
Current Hospice Residents: 4
Total Daily Staff: 98
Waking Staff: 74
Inspection Report
Complaint Investigation
Census: 94
Capacity: 150
Deficiencies: 0
Sep 25, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 09/25/2025 and an off-site review on 09/26/2025.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related and the report states no deficiencies or citations were found, indicating the complaint was not substantiated.
Report Facts
Total Daily Staff: 97
Waking Staff: 73
Residents Served: 94
License Capacity: 150
Current Hospice Residents: 5
Residents Age 60 or Older: 91
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 3
Inspection Report
Complaint Investigation
Census: 83
Capacity: 150
Deficiencies: 0
Jul 8, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 07/08/2025.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or regulatory citations were found, indicating no substantiated issues.
Report Facts
Total Daily Staff: 85
Waking Staff: 64
Residents Served: 83
License Capacity: 150
Current Hospice Residents: 3
Residents Age 60 or Older: 81
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 2
Residents with Physical Disability: 0
Residents Receiving Supplemental Security Income: 0
Inspection Report
Complaint Investigation
Census: 85
Capacity: 150
Deficiencies: 0
May 29, 2025
Visit Reason
The inspection was conducted as a complaint investigation at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related and the report indicates no deficiencies or citations were found, implying the complaint was not substantiated.
Report Facts
Residents Served: 85
License Capacity: 150
Current Hospice Residents: 3
Residents Age 60 or Older: 82
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 3
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 86
Capacity: 150
Deficiencies: 3
Apr 30, 2025
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 04/30/2025.
Findings
The inspection identified three deficiencies related to food safety (undated leftover food), combustible storage (lint and socks behind dryer), and smoking area guidelines (extinguished cigarette butt found in resident room). All deficiencies were addressed with corrective actions and training, and plans of correction were accepted and implemented.
Complaint Details
The inspection was triggered by a complaint, as stated under Inspection Information with Reason: Complaint. The plan of correction was fully implemented as of 04/30/2025.
Deficiencies (3)
| Description |
|---|
| Refrigerator in the Memory Care Lane contained two undated dishes of baked beans and one undated dish of pudding. |
| Large buildup of lint and two socks found behind the electric dryer in the Memory Care Lane section of the home. |
| An extinguished cigarette butt was found lying on the floor of a resident room; the home allows smoking in a designated area outside of the home. |
Report Facts
License Capacity: 150
Residents Served: 86
Current Residents in Hospice: 3
Residents Age 60 or Older: 86
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Named in corrective actions for removing undated food and lint buildup behind dryer. | |
| Executive Director | Involved in corrective actions, policy revisions, resident counseling, and staff training. | |
| Regional Director | Provided coaching and training related to combustible storage deficiency. | |
| Director of Wellness or designee | Responsible for ongoing compliance with smoking area guidelines. |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 150
Deficiencies: 4
Apr 10, 2025
Visit Reason
The inspection was conducted as a complaint and incident investigation during an unannounced partial inspection on 04/10/2025.
Findings
The inspection identified multiple deficiencies related to sanitary conditions, bed linens and towels, labeling and return of clothes, and additional resident assessments. The facility implemented corrective actions including cleaning, staff training, care plan updates, and new laundry procedures.
Complaint Details
The inspection was triggered by a complaint and incident report, with findings substantiated by observations and resident interviews regarding sanitation and care plan deficiencies.
Deficiencies (4)
| Description |
|---|
| Resident's bedroom was filled with a pungent odor indicating unsanitary conditions. |
| Towels and washcloths in resident bathroom had brown stains, indicating inadequate laundering. |
| Residents' clothing and blankets were reported lost or misplaced during laundering multiple times in the last 3 months. |
| Resident Assessment Plan was not updated to reflect wound care services received by a resident. |
Report Facts
License Capacity: 150
Residents Served: 87
Current Hospice Residents: 4
Residents Age 60 or Older: 84
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 29
Total Daily Staff: 116
Waking Staff: 87
Inspection Report
Complaint Investigation
Census: 83
Capacity: 150
Deficiencies: 0
Jan 8, 2025
Visit Reason
The inspection was conducted as a result of an incident, with unannounced partial inspections on 01/08/2025 and 01/15/2025.
Findings
No regulatory citations or deficiencies were identified during the inspections.
Complaint Details
The inspection was incident-related, but no deficiencies or citations were found, indicating no substantiated complaints.
Report Facts
Residents Served: 83
License Capacity: 150
Current Hospice Residents: 7
Residents Age 60 or Older: 80
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 3
Residents with Mobility Need: 30
Residents with Physical Disability: 2
Inspection Report
Census: 85
Capacity: 150
Deficiencies: 0
Nov 26, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility on 11/26/2024.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 85
License Capacity: 150
Current Hospice Residents: 4
Residents Diagnosed with Mental Illness: 5
Residents Diagnosed with Intellectual Disability: 3
Residents with Mobility Need: 32
Residents with Physical Disability: 3
Residents Age 60 or Older: 85
Inspection Report
Complaint Investigation
Census: 85
Capacity: 150
Deficiencies: 0
Oct 24, 2024
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 10/24/2024.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-driven and no deficiencies were found, indicating no substantiated issues.
Report Facts
License Capacity: 150
Residents Served: 85
Current Hospice Residents: 4
Residents Age 60 or Older: 82
Residents Diagnosed with Mental Illness: 5
Residents Diagnosed with Intellectual Disability: 3
Residents with Mobility Need: 32
Residents with Physical Disability: 3
Inspection Report
Complaint Investigation
Census: 86
Capacity: 150
Deficiencies: 3
Sep 11, 2024
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 09/11/2024.
Findings
The inspection found deficiencies related to resident abuse and neglect, medication administration documentation errors, and failure to complete additional assessments after significant changes in resident condition. The facility submitted plans of correction which were accepted and fully implemented.
Complaint Details
The inspection was triggered by a complaint. The report indicates the complaint was substantiated with findings of neglect and documentation deficiencies.
Deficiencies (3)
| Description |
|---|
| A resident was not properly monitored leading to a fall resulting in fractured ribs; staff failed to prevent elopement despite care plan requirements. |
| Medication administration record was not documented with staff initials from 9/6/24 through 9/9/24. |
| Failure to complete an additional resident assessment after significant change in condition and placement into Memory Care Unit. |
Report Facts
License Capacity: 150
Residents Served: 86
Current Hospice Residents: 6
Residents Age 60 or Older: 83
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 3
Residents with Mobility Need: 32
Residents with Physical Disability: 3
Total Daily Staff: 118
Waking Staff: 89
Inspection Report
Complaint Investigation
Census: 86
Capacity: 150
Deficiencies: 1
Aug 29, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation at ABODE CARE OF ALLENTOWN on 08/29/2024.
Findings
The submitted plan of correction was found to be fully implemented. The report details a resident-to-resident abuse incident involving physical aggression, with subsequent interventions including staff training and ongoing monitoring.
Complaint Details
The complaint involved an incident of resident-to-resident abuse. The abuse was substantiated with a description of the event and corrective actions taken, including immediate intervention, hospital transfer of the aggressor resident, notification of POAs and AAA, and staff retraining on abuse recognition and prevention.
Deficiencies (1)
| Description |
|---|
| Resident-to-resident abuse involving physical aggression where one resident put hands around the neck of another resident before staff intervened. |
Report Facts
License Capacity: 150
Residents Served: 86
Current Hospice Residents: 6
Residents Age 60 or Older: 80
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 32
Residents with Physical Disability: 3
Inspection Report
Complaint Investigation
Census: 78
Capacity: 150
Deficiencies: 1
May 31, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial inspection on 05/31/2024 and an off-site exit conference on 06/17/2024.
Findings
The submitted plan of correction was reviewed and determined to be fully implemented. A specific deficiency was noted regarding a resident's medical evaluation that did not indicate temperature or body positioning needs, which has been corrected by the current Director of Wellness in partnership with a physician.
Complaint Details
The inspection was complaint-related, triggered by a complaint and incident. The plan of correction was accepted and fully implemented as of 07/01/2024.
Deficiencies (1)
| Description |
|---|
| Resident DME did not indicate the resident’s temperature or their need for body positioning if any. |
Report Facts
License Capacity: 150
Residents Served: 78
Current Residents in Hospice: 8
Residents Age 60 or Older: 3
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 3
Residents with Mobility Need: 28
Residents with Physical Disability: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Wellness | Current Director of Wellness worked with the physician to complete and rectify medical evaluation deficiencies |
Inspection Report
Plan of Correction
Census: 79
Capacity: 150
Deficiencies: 7
Apr 4, 2024
Visit Reason
The inspection was a partial, unannounced interim review conducted on 04/04/2024 to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction. Deficiencies included medication errors, financial record issues, unsecured poisonous materials, lack of bedside lighting, expired prescriptions, and failure to follow prescriber's orders, all of which were addressed with corrective actions and retraining.
Deficiencies (7)
| Description |
|---|
| Resident was not given a prescribed supplement due to it not being in the home and no incident report was created. |
| Resident made a withdrawal without signing the transaction. |
| Poisonous materials were not locked and accessible to residents. |
| Room did not have a bedside light source. |
| Expired prescription found in medication cart. |
| PRN prescription medications were not in the home at the time of inspection. |
| Resident's supplement was not administered from 3/31-4/4/24 because it was not available. |
Report Facts
License Capacity: 150
Residents Served: 79
Total Daily Staff: 107
Waking Staff: 80
Current Hospice Residents: 6
Residents 60 Years or Older: 76
Residents with Mobility Need: 28
Inspection Report
Complaint Investigation
Census: 81
Capacity: 150
Deficiencies: 3
Mar 5, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.
Findings
The inspection found violations related to resident treatment, additional assessments, and support plan documentation. Staff misconduct involving a resident was identified and addressed with termination and retraining. Deficiencies in resident assessments and support plans were noted and corrective actions were implemented.
Complaint Details
The inspection was complaint-related, triggered by a complaint and incident. The complaint was substantiated by findings of staff misconduct and deficiencies in resident care documentation.
Deficiencies (3)
| Description |
|---|
| Staff A retaliated against a resident by pushing and yelling, antagonizing the resident to hit back. |
| A significant change Resident Assessment Support Plan (RASP) was not completed despite changes in resident condition. |
| Resident's support plan contained incorrect resident name and lacked follow-up notations to ensure proper nutrition. |
Report Facts
License Capacity: 150
Residents Served: 81
Current Residents in Hospice: 11
Residents 60 Years or Older: 43
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 6
Total Daily Staff: 87
Waking Staff: 65
Inspection Report
Renewal
Census: 76
Capacity: 150
Deficiencies: 25
Jan 17, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the facility license, including unannounced full inspections on 01/17/2024 and 01/23/2024.
Findings
The inspection identified multiple deficiencies including failure to maintain annual battery checks on CO2 monitors, incomplete financial transaction records, insufficient staff training documentation, safety hazards such as unlocked poisonous materials and uncovered trash receptacles, inadequate lighting, missing emergency telephone postings, incomplete first aid kits, exterior hazards, and issues with resident personal equipment and support plans. All deficiencies had plans of correction accepted and were implemented by May 19, 2024.
Deficiencies (25)
| Description |
|---|
| The home did not change and date the batteries in the home's CO2 monitor on an annual basis. |
| Resident #7's financial transactions lacked resident signatures on deposits and withdrawals. |
| Staff Person B lacked documentation of 12 hours of annual training for 2023. |
| Staff Member B lacked documentation of training on required topics including medication self-administration and infection control. |
| Staff members A and B lacked documentation of annual training on fire safety and resident rights. |
| Bed enabler in room 415 was uncovered, posing a hazard. |
| Poisonous materials were stored in an unlocked closet accessible to residents not assessed as safe to handle poisons. |
| Trash receptacles in kitchens and bathrooms were uncovered. |
| Dumpster lid outside the home was open and inoperable. |
| Stairway lighting near room 131 was inoperable. |
| Emergency telephone numbers were not posted by phones near room 205. |
| First aid kit in 400 med room lacked antiseptic. |
| A black plastic drainage pipe was lying across the sidewalk outside the exit near room 101. |
| Residents in rooms 110 and 339 did not have an operable lamp within reach of the bed. |
| Butter in kitchen prep refrigerator was not wrapped and securely closed. |
| Sliced cake in prep refrigerator was not dated; a large #10 can of potatoes was dented and stored with food. |
| A resident's walker was found blocking an exit near mechanical room 1, preventing immediate egress. |
| The home did not maintain fire drill records from January 2023 to September 2023. |
| The home exceeded maximum evacuation times during fire drills conducted on 10/13/23 and 11/28/23. |
| The home did not conduct sleeping hour fire drills every six months as required. |
| Resident #2's initial medical evaluation indicated need for secured dementia care unit; documentation was updated accordingly. |
| Resident #5 had a discontinued prescription still found in the medication cart. |
| Resident #1's glucometer was not calibrated to the correct date and time. |
| Resident #6's medication label and medication administration record had conflicting dosage instructions. |
| Resident #3's support plan was not updated to include PT/OT services and diet change was not dated; Resident #4's diet documentation was inconsistent. |
Report Facts
License Capacity: 150
Residents Served: 76
Current Residents in Hospice: 13
Residents 60 Years or Older: 73
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 6
Residents with Physical Disability: 4
Total Daily Staff: 82
Waking Staff: 62
Inspection Report
Follow-Up
Census: 75
Capacity: 150
Deficiencies: 1
Jan 11, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 01/11/2024 due to an incident, to review the submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented, with the facility maintaining compliance. The violation involved a staff member using profanity and disrespectful language in the presence of residents, which was addressed by immediate removal and termination of the staff member and staff retraining.
Deficiencies (1)
| Description |
|---|
| Staff member A was witnessed and admitted to using profanity and disrespectful language in the presence of residents while in a common area of the home. |
Report Facts
License Capacity: 150
Residents Served: 75
Total Daily Staff: 81
Waking Staff: 61
Current Residents in Hospice: 13
Residents 60 Years or Older: 72
Residents with Mobility Need: 6
Residents with Physical Disability: 4
Inspection Report
Complaint Investigation
Census: 85
Capacity: 150
Deficiencies: 2
Jul 7, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation at Abode Care of Allentown on 07/07/2023.
Findings
The investigation found that personal checks were stolen and cashed fraudulently by a staff member impersonating a resident, and the resident's support plan was not updated after a fall resulting in increased care needs. Both issues were addressed with plans of correction implemented by 08/14/2023.
Complaint Details
The visit was complaint-related with substantiated findings of financial abuse and failure to update the resident's support plan after a fall.
Deficiencies (2)
| Description |
|---|
| Personal checks taken from resident #1's room were used fraudulently by a staff member impersonating the resident to cash checks totaling $17,756. |
| Resident #1's support plan was not updated to reflect increased assistance needs after a fall resulting in a fractured arm. |
Report Facts
License Capacity: 150
Residents Served: 85
Current Residents in Hospice: 8
Amount of Fraudulent Checks: 8756
Amount of Fraudulent Checks: 9000
Total Daily Staff: 95
Waking Staff: 71
Inspection Report
Census: 85
Capacity: 150
Deficiencies: 0
Jun 21, 2023
Visit Reason
The inspection was conducted as a licensing inspection on 06/21/2023 due to an incident, as indicated in the inspection information section.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 150
Residents Served: 85
Current Hospice Residents: 7
Residents Age 60 or Older: 85
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 4
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 85
Capacity: 150
Deficiencies: 1
Apr 6, 2023
Visit Reason
The inspection visit on 04/06/2023 was conducted as a complaint and incident investigation at ABODE CARE OF ALLENTOWN.
Findings
The inspection found that the resident support plan for resident #1 did not reflect current use of transport and frequent care from a home health agency. The plan of correction was accepted and fully implemented by 04/28/2023.
Complaint Details
The visit was complaint-related with the reason stated as Complaint, Incident. The plan of correction was accepted and fully implemented.
Deficiencies (1)
| Description |
|---|
| The support plan dated [redacted] for resident #1 did not reflect that the resident currently uses a [redacted] for transport and is also receiving frequent care from a home health agency for [redacted]. |
Report Facts
License Capacity: 150
Residents Served: 85
Current Residents in Hospice: 9
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Physical Disability: 1
Residents with Mobility Need: 10
Residents Age 60 or Older: 85
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason Harvey | Reviewer | Reviewer of POC submissions |
| Director of Wellness | Responsible for updating resident support plans and maintaining compliance with RASP updates | |
| Executive Director | Responsible for maintaining compliance with RASP updates |
Inspection Report
Complaint Investigation
Census: 86
Capacity: 150
Deficiencies: 0
Jan 19, 2023
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.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and no follow-up was required.
Report Facts
Total Daily Staff: 95
Waking Staff: 71
Residents Served: 86
License Capacity: 150
Current Hospice Residents: 9
Residents Age 60 or Older: 89
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 9
Residents with Physical Disability: 1
Inspection Report
Renewal
Census: 89
Capacity: 150
Deficiencies: 15
Dec 20, 2022
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 12/20/2022 and 12/21/2022 to review compliance with licensing requirements.
Findings
The facility was found to have multiple deficiencies including lack of documentation for criminal background checks and staff qualifications, insufficient first aid/CPR trained staff on some shifts, uncovered bed enabler bars posing entrapment risks, sanitary issues, non-operable bedside lamps, obstructed egress labeling, fire drill timing issues, and medication storage and documentation errors. Plans of correction were accepted and implemented by 01/24/2023.
Deficiencies (15)
| Description |
|---|
| No documentation of a criminal background check for staff person A. |
| No documentation that staff persons A, B, and C have high school diplomas, GED, or active nurse aide registry status. |
| Insufficient staff with certified first aid and CPR training on 2nd and 3rd shifts on multiple dates. |
| No documentation that staff person C passed the required direct care competency test. |
| Uncovered bed enabler bar on resident bed with width greater than 4 ¾ inches posing entrapment risk. |
| Trash can lid in shared bathroom had dried excrement on it. |
| Bedside lamps in resident rooms were not operable at time of inspection. |
| Door to enclosed courtyard not labeled as not an exit; gate from memory care courtyard did not fully open. |
| Fire drills during sleeping hours were conducted more than 6 months apart. |
| Three unopened insulin pens belonging to resident #1 stored improperly in medication cart instead of refrigerator. |
| Medication belonging to resident #2 stored without pharmacy label. |
| Glucometer belonging to resident #3 not calibrated correctly; resident #4's blood glucose readings incorrectly documented. |
| Resident #5's insulin units not documented on medication administration record. |
| Resident #6's medication administered on incorrect days and times; MAR initialed for days medication was not given. |
| Resident #4's blood glucose checks and insulin administration had multiple documentation and dosage errors. |
Report Facts
License Capacity: 150
Residents Served: 89
Total Daily Staff: 93
Waking Staff: 70
Current Residents in Hospice: 3
Residents 60 Years or Older: 89
Residents with Mobility Need: 4
Residents with Physical Disability: 2
Inspection Report
Follow-Up
Census: 92
Capacity: 150
Deficiencies: 2
Nov 8, 2022
Visit Reason
The inspection visit on 11/08/2022 was a partial, unannounced follow-up review triggered by an incident to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the plan of correction related to the delayed reporting of suspected resident abuse. The report details the abuse incident, the failure to report timely, and the corrective actions taken including staff education and designation of responsible persons.
Complaint Details
The visit was complaint-related due to an incident involving alleged abuse by a staff member against a resident, which was not reported timely to the local area agency on aging or the Department.
Deficiencies (2)
| Description |
|---|
| Failure to immediately report suspected abuse of a resident as required by law. |
| Failure to report the incident to the Department within 24 hours as required. |
Report Facts
License Capacity: 150
Residents Served: 92
Current Residents in Hospice: 11
Residents 60 Years or Older: 89
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 5
Residents with Physical Disability: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Administrator | Named as responsible person for reporting and education on abuse reporting requirements |
| Director of Wellness | Director of Wellness | Named as responsible person for reporting and education on abuse reporting requirements |
Inspection Report
Plan of Correction
Deficiencies: 0
Oct 4, 2022
Visit Reason
The document reports on a review conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to determine if the submitted plan of correction for the facility was fully implemented.
Findings
The review determined that the submitted plan of correction is fully implemented and that continued compliance must be maintained.
Inspection Report
Complaint Investigation
Census: 104
Capacity: 150
Deficiencies: 1
Aug 24, 2022
Visit Reason
The inspection was conducted as a complaint investigation to review the facility's compliance with regulations.
Findings
The submitted plan of correction related to a delay in disbursing resident funds was found to be fully implemented. The Executive Director identified and repaired a malfunctioning safe that caused the delay in funds disbursement.
Complaint Details
Complaint investigation conducted on 08/24/2022. The complaint involved delayed disbursement of resident funds. The plan of correction was accepted and fully implemented.
Deficiencies (1)
| Description |
|---|
| Resident #1 requested to receive funds on 8/20/22 but did not receive them until 8/23/22 due to a safe malfunction. |
Report Facts
License Capacity: 150
Residents Served: 104
Current Residents in Hospice: 15
Residents Age 60 or Older: 101
Residents Diagnosed with Mental Illness: 10
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 15
Residents with Physical Disability: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michele Moskalczyk | Human Services Licensing Supervisor | Signed the letter confirming plan of correction implementation |
| Executive Director | Named as responsible party for addressing the safe malfunction and implementing the plan of correction |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 150
Deficiencies: 2
Jun 16, 2022
Visit Reason
The inspection was conducted as a complaint and incident investigation to review the facility's compliance with regulations related to resident safety and support plans.
Findings
The facility was found deficient in preventing elopement of Resident #1, who eloped twice resulting in injury and hospitalization. The wander guard system was not fully operational. Additionally, the resident's support plan did not reflect updated supervision needs. Plans of correction were submitted and accepted, including upgrades to the wander guard system and improved documentation and auditing of support plans.
Complaint Details
The visit was complaint-related, triggered by incidents of Resident #1 eloping from the facility and being found confused and injured. The complaint was substantiated based on findings of inadequate supervision and safety system failures.
Deficiencies (2)
| Description |
|---|
| Resident #1 eloped from the home twice, resulting in injury and hospitalization; the wander guard system was not fully operational. |
| Resident #1's support plan did not document the changed level of supervision required outside the home. |
Report Facts
License Capacity: 150
Residents Served: 115
Residents 60 Years or Older: 100
Residents with Mobility Need: 23
Residents with Physical Disability: 3
Completion Date: Jul 15, 2022
Completion Date: Jul 25, 2022
Completion Date: Jun 22, 2022
Completion Date: Jun 25, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michele Moskalczyk | Human Services Licensing Supervisor | Signed the letter regarding plan of correction implementation |
| Executive Director | Responsible for initiating wander guard system upgrade and compliance monitoring | |
| Director of Wellness | Responsible for collecting rounding documents, conducting wander guard audits, and monitoring support plan accuracy |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 150
Deficiencies: 3
Jun 14, 2022
Visit Reason
The inspection was conducted as a complaint investigation following an unannounced partial inspection on 06/14/2022.
Findings
The inspection identified deficiencies related to delayed call bell response times, obstructed emergency egress routes, and improper medication handling with pre-poured medications. Plans of correction were accepted and implemented with follow-up submissions.
Complaint Details
The inspection was triggered by a complaint. The plan of correction was accepted and fully implemented as of the follow-up dates.
Deficiencies (3)
| Description |
|---|
| Call bells were not answered for 30 minutes to an hour, affecting residents requiring assistance with transferring and toileting. |
| The emergency exit next to activity room A was blocked with a garbage can and a wooden rocking horse, preventing immediate egress. |
| Noon medications for rooms 501, 513, 516, and 519 were pre-poured in separate medication cups labeled with room numbers, violating medication storage requirements. |
Report Facts
License Capacity: 150
Residents Served: 104
Current Residents on Hospice: 16
Residents 60 Years or Older: 101
Residents Diagnosed with Mental Illness: 10
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 16
Residents with Physical Disability: 3
Inspection Report
Complaint Investigation
Census: 103
Capacity: 150
Deficiencies: 3
May 17, 2022
Visit Reason
The inspection was conducted as a complaint and incident investigation, including a partial unannounced review of the facility.
Findings
The inspection found deficiencies related to failure to report a serious incident to the department, failure to follow prescriber's orders for medication administration, and failure to complete a required support plan for a resident. Plans of correction were submitted and accepted with ongoing monitoring.
Complaint Details
The visit was complaint-related with substantiation implied by the findings of violations in incident reporting, medication administration, and support plan documentation.
Deficiencies (3)
| Description |
|---|
| Failure to report a serious incident involving resident #1 to the department's regional office within 24 hours. |
| Failure to follow prescriber's orders for Novolog insulin administration for resident #1. |
| Failure to complete a written support plan within 30 days of admission for resident #1. |
Report Facts
License Capacity: 150
Residents Served: 103
Current Hospice Residents: 18
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 18
Residents with Physical Disability: 1
Total Daily Staff: 121
Waking Staff: 91
Inspection Report
Complaint Investigation
Census: 103
Capacity: 150
Deficiencies: 4
Apr 14, 2022
Visit Reason
The inspection was conducted as a complaint and incident investigation with unannounced partial inspections on 04/14/2022 and off-site reviews on 04/25/2022 and 05/16/2022.
Findings
The inspection identified multiple deficiencies including a broken emergency call bell in a resident's bathroom, missing window screens, a broken latch on a bathroom stall door, and incomplete documentation of a resident's behavioral care plan. Plans of correction were submitted and fully implemented by the facility.
Complaint Details
The inspection was complaint-related, triggered by a complaint and incident. The report does not explicitly state substantiation status.
Deficiencies (4)
| Description |
|---|
| The emergency call bell in Resident #1's bathroom is broken. |
| The window in Resident #1's bedroom does not have a screen. |
| The first bathroom stall door located in the women's shared bathroom near the home's entrance has a broken latch and prevented the door from securely closing. |
| Resident #1's support plan does not address behaviors of refusing care and verbal aggression. |
Report Facts
License Capacity: 150
Residents Served: 103
Current Residents in Hospice: 19
Residents 60 Years or Older: 100
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 18
Residents with Physical Disability: 1
Inspection Report
Routine
Deficiencies: 0
Mar 9, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 03/09/2022 and 03/11/2022.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Routine
Deficiencies: 0
Feb 8, 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.
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