Deficiencies (last 4 years)
Deficiencies (over 4 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
6% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
86% occupied
Based on a April 2025 inspection.
Census over time
Inspection Report
Census: 30
Capacity: 35
Deficiencies: 0
Apr 3, 2025
Visit Reason
The inspection was conducted as a licensing inspection triggered by an incident, with an unannounced partial inspection type.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 30
Waking Staff: 23
Residents Served: 30
License Capacity: 35
Residents Age 60 or Older: 30
Residents Diagnosed with Intellectual Disability: 1
Residents with Physical Disability: 1
Inspection Report
Renewal
Census: 27
Capacity: 35
Deficiencies: 1
Jan 2, 2025
Visit Reason
The inspection was conducted as a renewal visit with an incident review at Arbutus Park Manor.
Findings
The inspection found lint accumulation in the lint traps of two commercial dryers and lack of annual external duct cleaning, posing a fire hazard. A plan of correction was submitted and fully implemented to address these issues.
Deficiencies (1)
| Description |
|---|
| Approximately 0.5 inch of lint accumulation in the lint trap of the first commercial dryer and 1 inch in the second dryer; no external duct cleaning completed within the last year. |
Report Facts
License Capacity: 35
Residents Served: 27
Total Daily Staff: 28
Waking Staff: 21
Lint accumulation in first dryer: 0.5
Lint accumulation in second dryer: 1
Inspection Report
Renewal
Census: 19
Capacity: 35
Deficiencies: 11
Feb 21, 2024
Visit Reason
The inspection was conducted as a renewal review of the facility's compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including failure to report a medication error timely, privacy violations due to video monitoring without proper signage, unsafe resident personal equipment, uncovered trash dumpsters, snow and ice obstructions, incomplete first aid kits, expired vehicle inspection, medication administration documentation errors, failure to follow prescriber's orders, incomplete resident assessments, and incomplete resident record content. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (11)
| Description |
|---|
| Failure to report a medication error to the Department within 24 hours. |
| Video monitoring and recording in interior hallways without posted signs indicating recording. |
| Resident beds had enabler devices that were not securely attached, creating potential entrapment hazards. |
| Two outside dumpsters were not covered and contained waste. |
| Snow and ice observed on exterior ramp and walkway, creating obstructions. |
| First aid kit in transport vehicle lacked required items such as antiseptic, tweezers, face shield, and thermometer. |
| Home's transport vehicle had an expired inspection as of January 2024. |
| Medication administration records lacked initials of staff administering medication on specified dates. |
| Resident was administered incorrect insulin dose due to wrong blood sugar reading entered. |
| Resident's assessment and support plan did not reflect risks associated with enabler device use. |
| Resident records did not include resident's eye color. |
Report Facts
Residents Served: 19
License Capacity: 35
Total Daily Staff: 20
Waking Staff: 15
Medication Administration Errors: 2
Outside Dumpsters: 2
Medication Error Reporting Timeframe: 24
Inspection Report
Renewal
Census: 25
Capacity: 35
Deficiencies: 5
Jan 24, 2023
Visit Reason
The inspection was an unannounced full inspection conducted for renewal and complaint reasons at Arbutus Park Manor.
Findings
The inspection identified multiple deficiencies including failure to provide timely fire safety orientation to new staff, refrigerator temperature violations, unsecured medications and syringes, expired medications, and improper documentation of glucometer readings. Plans of correction were accepted and implemented with specified completion dates.
Deficiencies (5)
| Description |
|---|
| Staff members did not receive orientation on fire safety and emergency preparedness topics on their first work day. |
| Thermometer in the kitchen refrigerator registered at 70°F, exceeding the required maximum of 40°F. |
| Prescription medications and syringes were found unsecured in resident rooms and personal care utility room. |
| Expired medication was found in the med cart for Resident 2. |
| Resident 3's glucometer readings were not documented correctly compared to the MAR. |
Report Facts
License Capacity: 35
Residents Served: 25
Total Daily Staff: 26
Waking Staff: 20
Current Residents in Hospice: 1
Residents Age 60 or Older: 25
Residents with Mobility Need: 1
Inspection Report
Renewal
Census: 30
Capacity: 35
Deficiencies: 3
Sep 15, 2021
Visit Reason
The inspection was a renewal inspection conducted on 09/15/2021 to review the facility's compliance with licensing requirements.
Findings
The facility was found to have deficiencies related to failure to report a medication error incident and incomplete initial assessments and support plans for a resident. Plans of correction were accepted and fully implemented by the follow-up dates.
Deficiencies (3)
| Description |
|---|
| The facility failed to report a medication error incident involving Resident #1 where prescribed medications were not taken. |
| An initial assessment was not completed within 15 days of admission for Resident #2. |
| An initial support plan was not completed within 30 days of admission for Resident #2. |
Report Facts
License Capacity: 35
Residents Served: 30
Total Daily Staff: 32
Waking Staff: 24
Residents with Mobility Need: 2
Residents with Physical Disability: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Personal Care Director | Named in relation to completing initial assessments and support plans and implementing plans of correction |
Notice
Capacity: 35
Deficiencies: 0
Sep 13, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Arbutus Park Manor, a Personal Care Home, 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 and certificate of compliance.
Report Facts
Maximum capacity: 35
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
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