Inspection Reports for Above All Senior Living Care LLC

The inspection was a partial, unannounced incident review conducted due to an incident involving alleged staff solicitation of money from a resident.

The facility was found to have reported the incident involving a former staff member soliciting money from a resident in a timely manner to the Department of Human Services and the Area Agency on Aging. No abuse or neglect was substantiated as the resident declined to press charges. The facility implemented corrective actions including staff education and improved incident reporting procedures.

The investigation was complaint-related, triggered by an incident where a former staff member solicited money from a resident. The resident did not want to press charges, and the Area Agency on Aging closed the case with no abuse or neglect found.

The inspection was conducted as an interim licensing inspection of the facility on 02/26/2025.

No regulatory citations or deficiencies were identified during this licensing inspection.

The inspection was a follow-up review conducted on 11/26/2024 to verify the implementation of the submitted plan of correction for the facility.

The facility was found to have fully implemented the plan of correction with improvements in resident safety, medication storage, fire safety, and proper labeling of medications. Daily rounds and staff education were ongoing to maintain compliance.

The inspection was a partial, unannounced interim review conducted on 02/27/2024 to verify the implementation of a previously submitted plan of correction.

The submitted plan of correction was determined to be fully implemented. Two deficiencies were addressed: staffing shortages during overnight shifts and a malfunctioning washing machine causing flooding in the basement, both corrected with follow-up actions.

The inspection was conducted as a complaint and incident investigation following an event involving a resident who suffered an acute fracture and the facility's failure to report the incident timely to the Department of Human Services.

The facility failed to report a resident's acute fracture incident to the Department within the required 24-hour timeframe. The administrator at the time was verbally educated on reporting regulations, and a plan of correction was accepted to ensure timely future reporting.

The visit was complaint-related due to an incident where a resident suffered an acute fracture of the left femur during transfer. The facility did not report the incident to the Department until 1/22/2024, which was beyond the required 24-hour reporting period. The complaint was substantiated with corrective actions planned.

The inspection was an unannounced full renewal inspection conducted to review compliance with licensing requirements.

The facility was found to have multiple deficiencies including missing FBI background check for a staff member, inadequate staffing for resident needs, lighting issues, slippery ramps, equipment hazards, improperly stocked first aid kit, food storage violations, fire hazards, unlocked medication room, and incomplete resident support plans. All deficiencies had accepted plans of correction with completion dates mostly in early 2024.

The document serves to notify that a waiver request to waive the educational qualification requirement for the personal care home administrator at Above All Senior Living Care LLC has been granted due to education received outside the United States.

The waiver is granted under specific conditions including that the individual shall serve as the administrator and documentation of their training and qualifications be maintained and made available upon request. The Department will review this waiver during its annual inspection for compliance.

The inspection was an unannounced partial review conducted as an interim follow-up to verify the implementation of a previously submitted plan of correction.

The plan of correction was determined to be fully implemented. Two deficiencies were noted: lint accumulation in dryer ducts posing a fire hazard, and a glucometer not calibrated to the correct date and time. Both issues were corrected by the time of inspection.

The inspection was a partial licensing inspection of a newly licensed personal care home legal entity, conducted to assess compliance with 55 Pa. Code Ch. 2600. A re-inspection is planned within 3 months due to incomplete initial inspection.

The facility was found to be in substantial but not complete compliance with applicable regulations. Several citations were identified including issues with a grab assist bar not securely attached, lint accumulation in the dryer posing fire hazard, and failure to conduct fire drills in December 2021 and January 2022 due to COVID-19 outbreak. Plans of correction were accepted and implemented with follow-up documentation submitted.