Deficiencies per Year
24
18
12
6
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 105
Capacity: 150
Deficiencies: 3
Sep 5, 2025
Visit Reason
The inspection was conducted as a complaint investigation at Apple Blossom Senior Living to review compliance and the submitted plan of correction.
Findings
The inspection found violations related to resident record confidentiality, annual medical evaluations, and medication storage security. The facility submitted and implemented plans of correction, with ongoing audits and staff education planned.
Complaint Details
The inspection was triggered by a complaint, and the findings included breaches in medication security and incomplete medical evaluations. The submitted plan of correction was accepted and fully implemented.
Deficiencies (3)
| Description |
|---|
| A binder containing numerous narcotic count logs was unlocked, unattended, and accessible on top of the medication cart in the 1st floor care base area. |
| Resident's most recent medical evaluation indicated 'see attached' under the medication addendum section; however, nothing was attached to the medical evaluation. |
| Prescription medications and syringes were unlocked, unattended, and accessible on top of the medication cart in the open 1st floor care base area. |
Report Facts
License Capacity: 150
Residents Served: 105
Current Residents in Hospice: 17
Residents Age 60 or Older: 104
Residents with Mobility Need: 30
Residents with Physical Disability: 1
Resident Support Staff: 0
Total Daily Staff: 135
Waking Staff: 101
Inspection Report
Complaint Investigation
Census: 107
Capacity: 150
Deficiencies: 4
Jun 17, 2025
Visit Reason
The inspection was conducted as a complaint and monitoring review of the facility to verify compliance and the implementation of a submitted plan of correction.
Findings
The inspection identified several deficiencies including unsecured resident bed enablers, excessively high hot water temperature in a common restroom, incomplete preadmission screening documentation, and incomplete resident support plans regarding medical/dental needs. Plans of correction were accepted and implemented by early July 2025.
Complaint Details
The inspection was complaint-related and included monitoring. The submitted plan of correction was determined to be fully implemented as of 06/17/2025.
Deficiencies (4)
| Description |
|---|
| Resident bilateral bed enablers were not securely attached to resident bed frame. |
| Hot water temperature at the sink in the 1st floor common women’s restroom was 151.3 degrees Fahrenheit, exceeding the maximum allowed 120°F. |
| Resident #2’s preadmission screening form did not include a determination that the home can meet the resident's needs; this section was blank. |
| Resident #3’s support plan did not include the specific need for the bedside enabler device, its intended use and risks, or the resident’s ability to use the device for its intended purpose. |
Report Facts
Residents Served: 107
License Capacity: 150
Hot Water Temperature: 151.3
Hot Water Temperature Corrected: 118
Residents with Mobility Need: 35
Residents Age 60 or Older: 106
Current Hospice Residents: 16
Inspection Report
Renewal
Census: 103
Capacity: 150
Deficiencies: 15
Mar 31, 2025
Visit Reason
The inspection was conducted as a renewal and complaint investigation of Apple Blossom Senior Living to assess compliance with licensing requirements and to verify correction of previous deficiencies.
Findings
Multiple deficiencies were identified including incomplete resident contracts, unsecured bed enablers, sanitary condition issues, lack of operable lamps, obstructed egress routes, presence of prohibited portable space heaters, incomplete fire drill documentation, incomplete medical evaluations, medication record inaccuracies, and incomplete resident assessments and support plans. Plans of correction were directed with deadlines and education provided to staff.
Complaint Details
The inspection included a complaint investigation component as indicated by the inspection reason 'Renewal, Complaint'. Specific substantiation status is not stated.
Deficiencies (15)
| Description |
|---|
| Resident #1’s billing invoice included a charge for laundry services not specified in the resident-home contract. |
| Resident #1 and #2’s resident-home contracts did not include the home rules related to smoking. |
| Numerous bed enablers were not securely attached to resident beds (#3, #4, #5). |
| No paper towels, hand dryer, or other sanitary means of hand drying were present at the 1st floor service sink. |
| No operable lamps or other source of lighting were present at resident #3 and #6's bedsides. |
| A refrigerator blocked an emergency exit door, obstructing egress. |
| A portable space heater was present on the bathroom sink counter in resident #5’s bathroom. |
| Fire drill records did not include accurate head counts or evacuation times; evacuation time exceeded the maximum allowed. |
| Resident #3 and #7’s medical evaluations did not include assessments of special health or dietary needs. |
| Medication record for resident #7 showed discrepancy in controlled substance count. |
| Medication administration records for residents #3, #5, #7, #8, and #9 did not include diagnosis or purpose for numerous medications. |
| Resident #2’s preadmission screening form did not include a determination that the home can meet resident’s needs. |
| Resident #2’s assessment did not include an assessment of ambulation needs and omitted certain diagnoses. |
| Resident #4’s medical evaluation included a diagnosis of insomnia not reflected in the resident’s assessment. |
| Residents #3 and #5’s support plans did not indicate use of bed enablers for turning/positioning. |
Report Facts
Residents Served: 103
License Capacity: 150
Staffing Hours: 120
Waking Staff: 90
Current Residents in Hospice: 15
Residents Age 60 or Older: 102
Residents with Mobility Need: 17
Residents with Physical Disability: 1
Fire Drill Resident Counts: 144
Fire Drill Resident Counts: 141
Fire Drill Resident Counts: 143
Fire Drill Resident Counts: 142
Fire Drill Resident Counts: 146
Fire Drill Resident Counts: 146
Fire Drill Resident Counts: 143
Fire Drill Resident Counts: 139
Fire Drill Resident Counts: 139
Fire Drill Resident Counts: 132
Fire Drill Resident Counts: 136
Fire Drill Resident Counts: 136
Maximum Evacuation Time: 351.03
Evacuation Time: 385
Deficiencies Cited: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Executive Director | Named in multiple findings and responsible for staff education and audits |
| Wellness Director | Wellness Director | Named in medication and medical evaluation findings and education |
| Assistant Maintenance Director | Assistant Maintenance Director | Named in findings related to egress and fire drills |
| Powerback Physical Therapist | Physical Therapist | Secured bed enablers for residents #3, #4, and #5 |
Inspection Report
Census: 101
Capacity: 150
Deficiencies: 0
Nov 18, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 101
License Capacity: 150
Current Hospice Residents: 9
Residents Age 60 or Older: 100
Residents with Mobility Need: 40
Inspection Report
Complaint Investigation
Census: 110
Capacity: 150
Deficiencies: 1
Nov 7, 2024
Visit Reason
The inspection was conducted as a complaint investigation to review compliance and the submitted plan of correction for the facility.
Findings
The facility was found to have a repeat violation related to failure to update a resident's initial assessment to include multiple diagnoses and sensory needs. The plan of correction was accepted and fully implemented.
Complaint Details
The visit was complaint-related with a repeat violation noted from 7/27/23. The plan of correction was accepted and implemented with no adverse effect on the resident.
Deficiencies (1)
| Description |
|---|
| Resident initial assessment was not updated to include multiple diagnoses and sensory needs, and incorrectly indicated total independence for bowel and bladder management despite staff and resident interviews indicating assistance was provided. |
Report Facts
License Capacity: 150
Residents Served: 110
Current Residents in Hospice: 9
Residents Age 60 or Older: 109
Residents with Mobility Need: 40
Inspection Report
Monitoring
Census: 80
Capacity: 150
Deficiencies: 0
Sep 13, 2023
Visit Reason
The inspection was a provisional, monitoring visit conducted as a partial, unannounced inspection on 09/13/2023.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 80
License Capacity: 150
Current Hospice Residents: 4
Residents Age 60 or Older: 80
Residents with Mobility Need: 17
Total Daily Staff: 97
Waking Staff: 73
Inspection Report
Renewal
Census: 71
Capacity: 150
Deficiencies: 8
Jul 27, 2023
Visit Reason
The inspection was conducted as part of a renewal, complaint, and provisional review of the Apple Blossom Senior Living facility.
Findings
The facility was found to be in compliance with 55 Pa. Code Ch. 2600 after corrections were made following the inspection. Several deficiencies were identified including issues with criminal background checks, fire-safe door maintenance, evacuation drills, incomplete medical evaluations and assessments, medication storage and administration, and medication record discrepancies. All deficiencies had directed plans of correction with completion dates and were implemented by 09/20/2023.
Deficiencies (8)
| Description |
|---|
| Criminal background check for the home's administrator was not completed prior to hire. |
| Black rubber stripping on numerous fire-safe doors was detached and hanging. |
| Not all residents were evacuated to a fire-safe area during fire drills on 6/22/23 and 3/24/23. |
| Resident #1’s medical evaluation did not include a cognitive function assessment. |
| Medication cart on 1st floor was unlocked and unattended with resident medications accessible. |
| Resident #5 had discontinued medication present in the home. |
| Resident #1’s medication administration record indicated a different dosing frequency than prescribed. |
| Resident assessments did not include all diagnoses or needs as indicated on medical evaluations for multiple residents (#1, #2, #5, #6, #7). |
Report Facts
License Capacity: 150
Residents Served: 71
Current Residents in Hospice: 6
Total Daily Staff: 90
Waking Staff: 68
Residents with Mobility Need: 19
Fire Drill Resident Counts: 72
Residents Evacuated: 68
Fire Drill Resident Counts: 83
Residents Evacuated: 80
Inspection Report
Follow-Up
Census: 70
Capacity: 150
Deficiencies: 2
Jun 30, 2023
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to review the submitted plan of correction for previously identified deficiencies.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. The report details violations related to resident abuse reporting and treatment, including failure to immediately report alleged abuse and rough treatment of a resident by staff, with corrective actions taken including staff termination and re-education.
Deficiencies (2)
| Description |
|---|
| Failure to immediately report suspected abuse of a resident to the local Area Agency on Aging and Department of Human Services as required. |
| A resident was treated without dignity and respect; staff person was 'rough' with resident and propelled resident in wheelchair in a fast manner causing distress. |
Report Facts
License Capacity: 150
Residents Served: 70
Current Hospice Residents: 5
Residents Age 60 or Older: 70
Residents with Mobility Need: 21
Residents with Physical Disability: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wellness Director | Assessed resident after abuse incident and involved in corrective actions | |
| Executive Director (ED) | Directed re-education of employees and implementation of corrective actions | |
| Staff person A | Identified as the staff involved in rough treatment of resident and terminated |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 150
Deficiencies: 0
May 9, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation during an unannounced partial licensing inspection.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or citations were found.
Report Facts
License Capacity: 150
Residents Served: 80
Current Residents - Hospice: 4
Residents Age 60 or Older: 80
Residents with Mobility Need: 25
Total Daily Staff: 105
Waking Staff: 79
Inspection Report
Complaint Investigation
Census: 83
Capacity: 150
Deficiencies: 6
Apr 3, 2023
Visit Reason
The inspection was conducted as a complaint-related provisional review to assess compliance with licensing requirements and the implementation of a submitted plan of correction.
Findings
Multiple deficiencies were identified including incomplete resident-home contracts, sanitary condition issues with cigarette butts on the property, evidence of bedbug infestation in a resident's bed, trash scattered outside the home, and incomplete medical evaluations and assessments for residents.
Complaint Details
The visit was complaint-related and provisional in nature. The submitted plan of correction was found not implemented as of the inspection date.
Deficiencies (6)
| Description |
|---|
| Resident #1's resident-home contract rates did not match the invoice; Resident #2's contract lacked actual rates for food, shelter, and services. |
| Approximately two dozen cigarette butts were found in the grass on the back left corner of the home. |
| Multiple bedbug carcasses were found in the felt mechanism of resident #1's bed. |
| Large amount of paper and miscellaneous trash scattered near the outdoor dumpster enclosure area. |
| Resident #2's initial medical evaluation did not include body positioning and movement information. |
| Resident #2's initial assessment was inconsistent with medical evaluation and resident interviews regarding mobility and care needs. |
Report Facts
License Capacity: 150
Residents Served: 83
Current Hospice Residents: 3
Residents Age 60 or Older: 83
Residents with Mobility Need: 24
Cigarette Butts Found: 24
Inspection Report
Follow-Up
Census: 91
Capacity: 150
Deficiencies: 4
Aug 25, 2022
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to an incident involving resident elopement and other compliance issues.
Findings
The facility was found to have fully implemented the submitted plan of correction addressing deficiencies including failure to follow elopement procedures, lack of staff training on emergency medical plans and reportable incidents, and untimely completion of resident medical evaluations and assessments.
Deficiencies (4)
| Description |
|---|
| Failure to follow elopement procedures resulting in resident #1 eloping and subsequent death due to fall and scalp laceration. |
| Direct care staff persons B and D lacked documentation of training in emergency medical plan and reportable incidents despite working over 40 hours. |
| Resident #1's annual medical evaluation was not completed timely. |
| Resident #1's annual assessment was not updated to include dementia diagnosis, oxygen order, home health services, and changes in cognitive status and supervision needs. |
Report Facts
Inspection dates: 6
Total daily staff: 137
Waking staff: 103
Residents served: 91
License capacity: 150
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff person B | Direct care staff person | Named in deficiency for lack of emergency medical plan and reportable incidents training. |
| Staff person D | Direct care staff person | Named in deficiency for lack of emergency medical plan and reportable incidents training. |
| Staff person C | Administrator | Provided facility policy and involved in discussions regarding resident elopement and plan of correction. |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 150
Deficiencies: 6
Jul 7, 2022
Visit Reason
The inspection was conducted as a partial, unannounced visit on 07/07/2022 for complaint investigation, provisional licensing, and monitoring purposes.
Findings
Multiple medication-related violations were found including lack of physician assessments for residents self-administering medications, improper medication storage and labeling, inaccurate medication records, and failure to properly document glucometer readings and insulin administration. A second provisional license was issued based on an acceptable plan of correction.
Complaint Details
The inspection was complaint-related as indicated by the reason for visit. Specific substantiation status is not stated.
Deficiencies (6)
| Description |
|---|
| Resident #1 and #2 self-administer medications without physician or nurse practitioner assessment regarding ability and need for reminders. |
| Resident #1's Latanoprost solution was not dated when opened. |
| Unlabeled medications found including Novolog Flex pen, Ventolin HFA inhaler, and Humalog Kwik pen in medication cart. |
| Resident #1's glucometer was not calibrated to the correct date and time; multiple missing glucometer readings documented. |
| Discontinued medications still present in medication cart; prescribed medication not available in home. |
| Medication administration record (MAR) inaccuracies including discontinued medication listed and inconsistent insulin dosing instructions and documentation. |
Report Facts
Census at Inspection: 89
License Capacity: 150
Fine Amount Per Day: 445
Fine Per Resident Per Day: 5
Residents with Mobility Need: 44
Current Hospice Residents: 5
Inspection Report
Follow-Up
Census: 83
Capacity: 150
Deficiencies: 2
May 9, 2022
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to review the submitted plan of correction and verify compliance.
Findings
The facility was found to have fully implemented the submitted plan of correction related to deficiencies in annual medical evaluations and additional assessments. The review confirmed that documentation and audits were updated and maintained as required.
Deficiencies (2)
| Description |
|---|
| Resident #1's most recent medical evaluation was incomplete, referencing an attached medication addendum that was missing. |
| Resident #1's additional assessment was inaccurate, showing no problems with judgment despite suicidal ideations and safety concerns, and misrepresenting the resident's eating independence and supervision needs. |
Report Facts
License Capacity: 150
Residents Served: 83
Current Hospice Residents: 4
Resident Support Staff: 100
Waking Staff: 75
Residents with Mobility Need: 17
Inspection Report
Renewal
Census: 83
Capacity: 150
Deficiencies: 21
Mar 23, 2022
Visit Reason
The inspection was conducted as part of a renewal, complaint, provisional, and monitoring process for Apple Blossom Senior Living.
Findings
Multiple violations were found including deficiencies in quality management, sanitary conditions, emergency procedures, medication administration, resident assessments, staffing levels, food storage, fire drill documentation, and resident care. Plans of correction were proposed with various completion dates.
Deficiencies (21)
| Description |
|---|
| Quality management review did not include complaint procedures, staff training, licensing violations, or resident/family councils. |
| No paper towels or sanitary means of drying hands in certain bathrooms. |
| Emergency telephone numbers were not posted near telephones in the beauty shop and conference room. |
| First aid kit at front desk missing eye coverings. |
| Open and undated food items found in commercial freezer. |
| Resident's dog rabies vaccination expired. |
| Emergency procedures not posted in a conspicuous place. |
| Fire drill evacuation times exceeded safe evacuation time. |
| Failure to follow fall management policy including lack of neuro checks and notification after resident fall. |
| Medication administration staff did not observe residents taking medications; medication cups left in resident rooms. |
| Medication labels did not match prescriber orders; unlabeled medications found. |
| Medication records incomplete or inaccurate including missing insulin units and incorrect PRN documentation. |
| Staff administering medications had not completed required medication administration observations or MAR reviews. |
| Resident assessments not updated to reflect current conditions or dietary needs. |
| Resident-home contract services not consistently provided; delays in answering call bells leading to resident soiling. |
| Insufficient direct care staffing hours to meet resident mobility needs. |
| Food stored in unsealed containers. |
| Fire drill records incomplete, missing exit routes, resident and staff counts. |
| OTC medications and CAM not labeled with resident's name. |
| Medication storage and equipment procedures not properly implemented; medication discrepancies and glucometer calibration issues. |
| Failure to follow prescriber's orders for medication administration including incorrect dosages and missing medications. |
Report Facts
Census at Inspection: 83
Total Capacity: 150
Fine Amount: 445
Number of Violations: 2
Direct Care Staffing Hours Provided: 97.53
Direct Care Staffing Hours Required: 101
Inspection Report
Complaint Investigation
Census: 83
Capacity: 150
Deficiencies: 6
Dec 27, 2021
Visit Reason
The inspection was conducted as a complaint investigation to assess compliance with licensing regulations at Apple Blossom Senior Living.
Findings
The inspection identified multiple deficiencies including inadequate first aid/CPR trained staff coverage, medication storage and administration errors, and insufficient direct care staffing hours for residents, particularly those with mobility needs. Several violations were noted as repeat from prior inspections.
Complaint Details
The inspection was complaint-driven, with a partial unannounced visit on 12/27/2021 and follow-up plan of correction submissions through March 2022. The complaint was substantiated based on identified deficiencies.
Deficiencies (6)
| Description |
|---|
| Insufficient staff trained in first aid and certified in obstructed airway techniques and CPR present during early morning hours on 8/23/21. |
| Medication Ondansetron 4mg prescribed for Resident #1 was not available in the home for administration. |
| Medication administration records for Resident #2 did not include initials of staff administering Eliquis from 12/1/21 through 12/26/21. |
| Resident #1 was administered incorrect medication dosage, receiving Calcium 600mg + Vitamin D3 500u instead of prescribed Vitamin D3 1000IU. |
| Direct care staffing hours were below required minimums on multiple dates, including insufficient personal care hours for mobile residents and those with mobility needs. |
| Personal care service hours during waking hours were below the required 75% minimum on multiple dates. |
Report Facts
License Capacity: 150
Residents Served: 83
Residents with Mobility Need: 22
Current Hospice Residents: 5
Staffing Hours Required vs Provided: 101
Staffing Hours Required vs Provided: 56.5
Staffing Hours Required vs Provided: 78
Inspection Report
Complaint Investigation
Census: 79
Capacity: 150
Deficiencies: 0
Jul 8, 2021
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 07/08/2021.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were substantiated.
Report Facts
Total Daily Staff: 84
Waking Staff: 63
Residents Served: 79
License Capacity: 150
Current Hospice Residents: 2
Residents Age 60 or Older: 79
Residents with Mobility Need: 5
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 65
Capacity: 150
Deficiencies: 6
May 12, 2021
Visit Reason
The inspection was conducted as a complaint investigation with unannounced visits on 05/12/2021, 05/19/2021, and 05/20/2021 to assess compliance with Department of Human Services regulations.
Findings
Multiple deficiencies were found including incomplete resident-home contracts lacking fee schedules and service descriptions, failure to provide required personal care services such as assistance with bathing, inadequate direct care staffing hours for residents including those with mobility needs, locked egress routes despite not being a secured dementia care unit, and inaccurate resident assessments not reflecting actual care needs.
Complaint Details
The inspection was complaint-driven as indicated by the inspection reason and the partial, unannounced visits conducted on 05/12/2021, 05/19/2021, and 05/20/2021.
Deficiencies (6)
| Description |
|---|
| Resident-home contract did not include a description of services available with each level of care or a process to identify resident assessment level. |
| Resident-home contract lacked attachment of the community fee schedule listing personal care services and rates. |
| Resident #1 did not receive assistance with showering as required by the resident-home contract from 4/21/21 through 5/5/21. |
| Direct care staffing hours were below the minimum required for mobile residents and residents with mobility needs on multiple dates. |
| Front door was locked with a keypad requiring a code to exit, despite the home not being licensed as a secured dementia care unit. |
| Resident #1's most recent assessment inaccurately indicated independence with personal care needs despite requiring physical assistance. |
Report Facts
Residents served: 65
License capacity: 150
Levels of care: 7
Direct care staffing hours provided: 51.25
Direct care staffing hours provided: 54
Direct care staffing hours provided: 66
Direct care staffing hours during waking hours: 53
Direct care staffing hours during waking hours: 47
Direct care staffing hours during waking hours: 33.25
Residents with mobility needs: 8
Residents with mobility needs: 9
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