Deficiencies per Year
20
15
10
5
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Renewal
Census: 66
Capacity: 95
Deficiencies: 5
May 7, 2025
Visit Reason
The inspection was conducted as a licensing inspection on May 7 and 8, 2025, to determine compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes, including renewal and complaint review.
Findings
The facility was found to be in compliance overall, with a submitted plan of correction fully implemented. Several deficiencies were identified related to bathroom ventilation, medication record keeping, following prescriber's orders, additional resident assessments, and medical evaluations for dementia care unit admissions, all with accepted plans of correction and completion dates.
Deficiencies (5)
| Description |
|---|
| Bathroom in room 34-PC lacked operable window or ventilation fan; vent was inoperable. |
| Resident #4's medication administration record did not indicate diagnosis or purpose for Divalproex Sodium medication. |
| Resident #4 was not administered prescribed medication on 04/20/25 at 2pm; Resident #5 missed multiple medications on 05/05/25 at 8pm and 9pm as prescribed. |
| Resident #6's additional assessment was incomplete; RASP document missing page 10. |
| Residents #7 and #8 admitted to Secure Dementia Care Unit without medical evaluations including need for secured dementia care. |
Report Facts
License Capacity: 95
Residents Served: 66
Secure Dementia Care Unit Capacity: 48
Residents Served in Secure Dementia Care Unit: 31
Hospice Residents: 10
Residents Age 60 or Older: 64
Residents Diagnosed with Mental Illness: 14
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 51
Residents with Physical Disability: 0
Inspection Report
Renewal
Census: 64
Capacity: 95
Deficiencies: 0
Jan 27, 2025
Visit Reason
The inspection was a licensing inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, on 01/27/2025 for the facility ALLEGRIA AT THE OAKS.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 64
License Capacity: 95
Secured Dementia Care Unit Capacity: 36
Secured Dementia Care Unit Residents Served: 29
Hospice Current Residents: 4
Inspection Report
Monitoring
Census: 70
Capacity: 95
Deficiencies: 19
Aug 1, 2024
Visit Reason
The visit was a monitoring inspection conducted on August 1, 2024, to assess ongoing compliance with regulations at Allegria at the Oaks.
Findings
The inspection identified multiple deficiencies including issues with resident confidentiality, quality management, abuse investigations, sanitation, labeling of medications, and safety concerns. Plans of correction were submitted with various completion dates.
Deficiencies (19)
| Description |
|---|
| Resident records were found unlocked and unattended, containing sensitive medical information. |
| The home did not establish and implement a quality management plan as required. |
| A resident was subjected to physical abuse and the home failed to follow proper discharge procedures. |
| Sanitary conditions were not maintained; a toilet bowl was clogged and unclean. |
| Emergency telephone numbers were not posted in the facility. |
| Furniture and equipment were not maintained in good repair; a broken lock on a resident's door was not communicated. |
| Residents' beds lacked clean and properly maintained linens and pillows. |
| First aid kits were missing required items such as eye coverings, thermometer, and scissors. |
| Soap dispensers were unlabeled in shared bathrooms. |
| Food was stored on the floor in the kitchen walk-in freezer. |
| Poisonous materials were left unsecured and accessible to residents. |
| Medication carts were not properly labeled or maintained; expired medications were not removed. |
| Telephone numbers for emergency services were not posted in the conference room. |
| Resident #6 did not sign their support plan and was unable to participate in its development. |
| Resident #1's discharge was not properly coordinated, and the home failed to obtain required certifications. |
| Resident #5's bed had no pillowcase and pillows, linens, and blankets were not properly maintained. |
| The first aid kit in the bus was missing eye coverings, a thermometer, and scissors. |
| Two unlabeled bars of soap were found in the shared bathroom. |
| A large box of frozen beef was stored on the floor in the kitchen's walk-in freezer. |
Report Facts
License Capacity: 95
Residents Served: 70
Secured Dementia Care Unit Capacity: 36
Residents Served in Dementia Unit: 34
Current Hospice Residents: 8
Residents Diagnosed with Mental Illness: 14
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 46
Residents Aged 60 or Older: 67
Residents with Physical Disability: 0
Inspection Report
Monitoring
Census: 70
Capacity: 95
Deficiencies: 16
Aug 1, 2024
Visit Reason
The inspection was conducted as a monitoring visit to assess compliance with regulations, including follow-up on previous violations and ongoing quality of care.
Findings
The report details multiple violations related to resident care, medication management, abuse prevention, sanitation, and safety. Plans of correction were submitted with various completion dates, and some violations were noted as not implemented or withdrawn.
Deficiencies (16)
| Description |
|---|
| Resident records were not kept confidential; a binder containing sensitive medical information was left unlocked and unattended. |
| The home's quality management plan was not implemented as required; meetings were held biweekly instead of weekly. |
| Resident #1 was physically abused and the home failed to provide one-to-one support as needed. |
| Resident #1 was discharged without proper certification or permission from the Department of Human Services. |
| Sanitary conditions were not maintained; feces were found in a shared toilet bowl. |
| Emergency telephone numbers were not posted in the conference room. |
| Door lock on room 47 was broken and not repaired promptly. |
| Resident #5's bed had no pillowcase; pillows and linens were not checked regularly. |
| Two unlabeled bars of soap were found in the shared bathroom. |
| Resident #6 did not sign their support plan and was unable to participate in its development. |
| The home failed to provide proper 30-day advance written notice for discharge or transfer of resident #1. |
| Antifungal cream was left unsecured and accessible to residents. |
| Pillowcase for resident 2 was wrapped in plastic and had no pillow case. |
| Two unlabeled bars of soap were found in the bathroom of shared room 16. |
| Expired medications and undated insulin pens were found in the medication cart. |
| Antibacterial eye compress treatment pack was not labeled with the resident's name. |
Report Facts
License Capacity: 95
Residents Served: 70
Secured Dementia Care Unit Capacity: 36
Residents Served in Dementia Care Unit: 34
Current Hospice Residents: 8
Resident Support Staff: 0
Total Daily Staff: 116
Waking Staff: 87
Residents Diagnosed with Mental Illness: 14
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 46
Residents Age 60 or Older: 67
Residents with Physical Disability: 0
Inspection Report
Follow-Up
Census: 70
Capacity: 95
Deficiencies: 4
Jan 8, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 01/08/2024 to review the submitted plan of correction related to previous deficiencies, including medication administration and annual medical evaluations.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies included late annual medical evaluations, medication storage and narcotic count errors, failure to follow prescriber's orders, and medication error reporting. Corrective actions involved audits, staff education, updated procedures, and ongoing monitoring.
Deficiencies (4)
| Description |
|---|
| Late annual medical evaluations for residents. |
| Incorrect narcotic inventory counts and missing medications in the home. |
| Failure to follow prescriber's orders, including missed medication administrations. |
| Medication errors were not immediately reported to residents, designated persons, and prescribers. |
Report Facts
License Capacity: 95
Residents Served: 70
Secured Dementia Care Unit Capacity: 36
Residents Served in Dementia Unit: 32
Hospice Residents: 6
Resident Diagnosed with Mental Illness: 12
Resident Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 52
Residents 60 Years or Older: 68
Inspection Report
Complaint Investigation
Census: 76
Capacity: 95
Deficiencies: 2
Jun 13, 2023
Visit Reason
The inspection was conducted as a complaint investigation to review compliance and verify the submitted plan of correction for the facility.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies included missing medication administration initials and delayed admission support plan completion, both of which were addressed with corrective actions and monitoring.
Complaint Details
The visit was complaint-related as indicated by the inspection reason. The plan of correction was accepted and fully implemented as of the inspection date.
Deficiencies (2)
| Description |
|---|
| Resident 1's medication administration record did not include the initials of the staff person who administered the ointment. |
| Resident 1's initial support plan was not completed within 72 hours of admission to the secured dementia care unit. |
Report Facts
License Capacity: 95
Residents Served: 76
Memory Care Unit Capacity: 36
Memory Care Unit Residents Served: 35
Hospice Residents: 8
Residents Age 60 or Older: 73
Residents Diagnosed with Mental Illness: 34
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 51
Inspection Report
Renewal
Census: 76
Capacity: 95
Deficiencies: 15
May 2, 2023
Visit Reason
The inspection was conducted as a renewal and complaint investigation of the Allegria at the Oaks Personal Care Home.
Findings
Multiple violations were found related to resident abuse reporting, contract signatures, resident funds accounting, sanitary conditions, medication storage and administration, medical evaluations, support plans, and safety procedures. A provisional license was issued due to these violations with required plans of correction.
Complaint Details
The inspection included a complaint investigation related to resident abuse and other regulatory compliance issues.
Deficiencies (15)
| Description |
|---|
| Failure to immediately report suspected resident abuse in accordance with the Older Adult Protective Services Act. |
| Resident-home contracts were not signed by residents who refused to sign. |
| Failure to provide itemized account of resident funds within 30 days of discharge. |
| Resident records lacked signed statements acknowledging receipt of resident rights and complaint procedures. |
| Resident-on-resident abuse incidents not properly managed or prevented. |
| Use of chemical restraints without non-pharmaceutical interventions documented. |
| Failure to maintain sanitary conditions including trash management and food storage. |
| Food stored on the floor and in unsealed containers. |
| Outdated or unlabeled food items found in storage. |
| Incomplete or missing medical evaluations and assessments for residents. |
| Medications not properly stored, labeled, or accounted for including discontinued medications present. |
| Failure to follow prescriber's orders including missing medications and incomplete glucometer calibration. |
| Support plans missing documentation on meeting resident needs and missing required signatures. |
| Unannounced fire drills were announced in advance. |
| Furnace and air conditioning unit inoperable since beginning of summer 2023. |
Report Facts
License Capacity: 95
Residents Served: 76
Staffing Hours: 125
Waking Staff: 94
Deficiency Counts: 21
Fine Calculations: 1771
Census at Inspection: 77
Total Daily Staff: 135
Waking Staff: 101
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed the provisional license letter and enforcement correspondence. |
Inspection Report
Enforcement
Census: 76
Capacity: 95
Deficiencies: 16
May 2, 2023
Visit Reason
The inspection was conducted as a renewal and complaint investigation of the Allegria at the Oaks Personal Care Home.
Findings
Multiple violations were found related to resident abuse reporting, contract signatures, resident funds accounting, sanitary conditions, medication storage and administration, medical evaluations, support plans, and fire safety. A provisional license was issued with fines pending correction of violations.
Complaint Details
The inspection included a complaint investigation related to resident abuse and other regulatory compliance issues.
Deficiencies (16)
| Description |
|---|
| Failure to report resident abuse incidents in accordance with the Older Adult Protective Services Act. |
| Resident-home contracts were not signed by residents who refused to sign. |
| Failure to provide itemized account of resident funds within 30 days of discharge. |
| Resident records lacked signed statements acknowledging receipt of resident rights and complaint procedures. |
| Failure to prevent resident-on-resident abuse by a resident with documented aggressive behavior. |
| Use of chemical restraints without non-pharmaceutical interventions for agitation. |
| Failure to maintain sanitary conditions including trash management and uncovered trash receptacles. |
| Food stored on the floor and in unsealed containers; outdated and unlabeled food items found. |
| Furnace not inspected annually as required. |
| Failure to conduct unannounced monthly fire drills. |
| Incomplete or missing medical evaluations and assessments for residents. |
| Medications not stored properly; blister packs not sealed; medication counts inaccurate. |
| Residents not educated on right to refuse medication. |
| Support plans incomplete or unsigned by residents. |
| Glucometers unlabeled, uncalibrated, and medication carts contained discontinued or unavailable medications. |
| Failure to follow prescriber's orders for medication administration and monitoring. |
Report Facts
Fines: 1771
Residents Served: 76
License Capacity: 95
Residents Served: 77
License Capacity: 95
Residents Served in Secure Dementia Care Unit: 35
Secure Dementia Care Unit Capacity: 48
Inspection Report
Follow-Up
Census: 76
Capacity: 95
Deficiencies: 2
Dec 8, 2022
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to identified deficiencies.
Findings
The submitted plan of correction was determined to be fully implemented. Two main deficiencies were noted: a repeat violation for lack of current fire safety inspection documentation and a repeat violation for incomplete medication records missing diagnosis or purpose for medications.
Deficiencies (2)
| Description |
|---|
| The only documentation the home could provide for the last fire safety inspection observed by a fire safety expert was dated 7/29/2019, which is a repeat violation. |
| Resident's December 2022 medication administration record does not indicate the diagnosis or purpose for the medications, a repeat violation. |
Report Facts
License Capacity: 95
Residents Served: 76
Memory Unit Capacity: 36
Memory Unit Residents Served: 33
Inspection Report
Renewal
Census: 77
Capacity: 95
Deficiencies: 17
Apr 18, 2022
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on April 18-19, 2022 to review compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including issues with timely refund of resident charges after death, staffing hours documentation, cleanliness of linens, outdated food, lint accumulation in dryers, fire safety documentation, medication storage and administration, resident medical evaluations, menu posting, resident records completeness, and support plan updates. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (17)
| Description |
|---|
| Delayed refund checks issued after resident deaths with no copies kept of original checks. |
| Insufficient direct care hours during waking hours reported but later corrected with documentation. |
| Stained bed linens and missing blankets in resident rooms. |
| Dented cans of food found in daily use food storage. |
| Large accumulation of lint in commercial dryer lint trap. |
| No documentation of fire safety inspection since 2019 provided to inspector. |
| Alternate exit routes not used during fire drills as required. |
| Resident medical evaluation missing medication regimen details. |
| Weekly menus not posted with dates and posted too high to read. |
| Medication blister packs taped over torn foil for residents. |
| Loose pills found in medication cart and missing glucometer readings. |
| Medication administration records missing diagnosis or purpose for medications for several residents. |
| Medication administration records missing staff initials for administration on multiple dates. |
| Medications not administered per prescriber's orders for resident 6 on multiple dates. |
| Resident support plans not updated to reflect dietary needs for residents 4, 9, and 10. |
| Resident records missing key demographic and dietary information for multiple residents. |
| Preadmission screening form for resident 9 missing determination that needs can be met by the home. |
Report Facts
License Capacity: 95
Residents Served: 77
Memory Care Capacity: 36
Memory Care Residents Served: 35
Hospice Residents: 5
Residents Diagnosed with Mental Illness: 20
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 51
Total Daily Staff: 128
Waking Staff: 96
Inspection Report
Renewal
Census: 77
Capacity: 95
Deficiencies: 14
Apr 18, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility to assess compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including delayed refund checks after resident deaths, issues with waking hours staffing documentation, stained and missing bed linens, outdated food items, lint accumulation in dryers, fire safety documentation and exit route concerns, incomplete medical evaluations, missing posted menus, medication storage and administration issues, incomplete resident support plans, and incomplete resident records.
Deficiencies (14)
| Description |
|---|
| Delayed refund checks issued after resident deaths beyond required timeframe. |
| Insufficient waking hours staffing documentation initially reported but corrected upon review. |
| Stained bed sheets and missing blankets in resident rooms. |
| Dented cans of food found in daily use storage. |
| Large accumulation of lint in commercial dryer lint trap. |
| Lack of fire safety inspection documentation since 2019 and limited use of alternate exit routes during fire drills. |
| Resident medical evaluation missing medication regimen details. |
| Weekly menus not posted properly or legibly. |
| Medication blister packs taped over torn foil and loose pills found in medication carts. |
| Medication administration records missing diagnosis/purpose and staff initials for multiple residents. |
| Failure to follow prescriber's orders for insulin administration for resident 6. |
| Resident support plans not updated to reflect dietary needs for several residents. |
| Resident records missing key demographic and dietary information. |
| Preadmission screening form missing determination that resident's needs can be met by the home. |
Report Facts
License Capacity: 95
Residents Served: 77
Memory Care Capacity: 36
Memory Care Residents Served: 35
Hospice Residents: 5
Residents Diagnosed with Mental Illness: 20
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 51
Waking Staff Hours Required: 96
Waking Staff Hours Provided: 84
Notice
Capacity: 95
Deficiencies: 0
May 14, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for the Personal Care Home 'Allegria at the Oaks' following receipt of the renewal application on February 23, 2021. It also advises that an onsite annual inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms the issuance of a license and states that enforcement action will be taken if noncompliance is found during the upcoming inspection.
Report Facts
Maximum licensed capacity: 95
Secure Dementia Care Unit capacity: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
| Regina Heilman-Toth | Executive Director | Recipient of the renewal notification letter |
Inspection Report
Follow-Up
Census: 55
Capacity: 95
Deficiencies: 7
Mar 1, 2021
Visit Reason
The inspection was conducted as a follow-up to verify that the previously submitted plan of correction was fully implemented.
Findings
The facility was found to have fully implemented the submitted plan of correction. Several deficiencies were identified related to emergency management procedures, annual medical evaluations, medication administration training, preadmission screening, and support plan signatures, all of which had corrective plans accepted and documented.
Deficiencies (7)
| Description |
|---|
| The home's written emergency procedures had not been sent to the local emergency management agency since 2019. |
| Resident #3's 2020 annual medical evaluation was not completed. |
| Staff person A administered medications without successfully completing the Department-approved medication administration course in 9/2020. |
| The home's medication administration training record for staff person A did not include documentation that the course was successfully completed. |
| Resident #1's preadmission screening form was completed after admission. |
| Resident #1 and Staff member B did not sign the initial support plan completed on 8/28/20. |
| Residents #1 and #2 were admitted to the Secure Dementia Care Unit without completed written cognitive preadmission screenings. |
Report Facts
Residents Served: 55
License Capacity: 95
Secured Dementia Care Unit Capacity: 36
Secured Dementia Care Unit Residents Served: 28
Residents Age 60 or Older: 54
Residents Diagnosed with Mental Illness: 7
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 44
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