Inspection Reports for Arden Courts – ProMedica Memory Care Community (Jefferson Hills)
PA, 15025
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Census: 42
Capacity: 60
Deficiencies: 0
Aug 14, 2025
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
Total Daily Staff: 84
Waking Staff: 63
License Capacity: 60
Residents Served: 42
Current Hospice Residents: 14
Residents 60 Years or Older: 42
Residents with Mobility Need: 42
Inspection Report
Census: 42
Capacity: 60
Deficiencies: 0
Jun 26, 2025
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 60
Residents Served: 42
Current Residents in Hospice: 12
Total Daily Staff: 84
Waking Staff: 63
Inspection Report
Complaint Investigation
Census: 53
Capacity: 60
Deficiencies: 0
Dec 19, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation during an unannounced partial 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, indicating no substantiated issues.
Report Facts
License Capacity: 60
Residents Served: 53
Current Hospice Residents: 16
Resident Support Staff: 0
Total Daily Staff: 106
Waking Staff: 80
Residents Age 60 or Older: 53
Residents with Mobility Need: 53
Inspection Report
Renewal
Census: 55
Capacity: 60
Deficiencies: 2
Dec 3, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found two main deficiencies: missing battery installation dates on carbon monoxide detectors in multiple areas, and a medication administration documentation error for a resident. The facility submitted a plan of correction which was fully implemented by the report date.
Deficiencies (2)
| Description |
|---|
| Battery-operated carbon monoxide detectors outside laundry rooms in multiple areas did not include dates of battery installation as required by law. |
| Medication administration for Resident #2 was not documented on the medication administration record despite being administered. |
Report Facts
License Capacity: 60
Residents Served: 55
Total Daily Staff: 110
Waking Staff: 83
Current Hospice Residents: 16
Inspection Report
Follow-Up
Census: 51
Capacity: 60
Deficiencies: 1
May 31, 2024
Visit Reason
The inspection visit on 05/31/2024 was a partial, unannounced follow-up inspection related to an incident at the facility.
Findings
The submitted plan of correction was determined to be fully implemented. The report details a resident-to-resident abuse incident involving two residents, with follow-up actions including staff reeducation and ongoing monitoring.
Complaint Details
The visit was incident-related and involved a resident-to-resident abuse event. Resident #2 was injured and transported to the hospital; Resident #1 remained hospitalized. The plan of correction included staff reeducation and monitoring to prevent recurrence.
Deficiencies (1)
| Description |
|---|
| Resident #1 intentionally tipped resident #2's wheelchair over causing injury, constituting abuse and neglect. |
Report Facts
License Capacity: 60
Residents Served: 51
Current Hospice Residents: 10
Total Daily Staff: 102
Waking Staff: 77
Resident Age 60 or Older: 51
Residents with Mobility Need: 51
Inspection Report
Complaint Investigation
Census: 46
Capacity: 60
Deficiencies: 4
Jan 23, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation following allegations of verbal abuse by a staff member towards a resident.
Findings
The investigation found that a direct care staff member verbally abused a resident by making inappropriate comments and failed to immediately report the incident as required by the Older Adults Protective Services Act. The staff member was not immediately suspended and continued to work unsupervised until the end of the shift. The facility submitted a plan of correction which was accepted and fully implemented.
Complaint Details
The complaint involved an incident where direct care staff person B verbally abused a resident by saying, 'You ever wonder why your husband leaves you here and goes home? Because he is cheating on you.' The abuse was witnessed by another staff member but was not immediately reported to the Department of Aging or the personal care home complaint hotline. Staff person B was not immediately suspended and continued working unsupervised until the end of the shift. The facility took corrective actions including suspension of the staff member and reeducation of all staff on abuse reporting requirements.
Deficiencies (4)
| Description |
|---|
| Failure to immediately report suspected verbal abuse of a resident to the Department of Aging as required by law. |
| Failure to immediately suspend or implement a plan of supervision for the staff member involved in the alleged abuse. |
| Failure to report the incident to the Department’s personal care home regional office or complaint hotline within 24 hours. |
| Resident was subjected to verbal abuse that was disrespectful and undignified. |
Report Facts
License Capacity: 60
Residents Served: 46
Current Residents in Hospice: 9
Total Daily Staff: 92
Waking Staff: 69
Inspection Report
Complaint Investigation
Census: 49
Capacity: 60
Deficiencies: 1
Jan 8, 2024
Visit Reason
The inspection was conducted as a complaint investigation following an incident involving alleged abuse between residents.
Findings
The investigation found that a resident was verbally and physically abused by another resident, resulting in injury and hospitalization. A plan of correction was submitted and fully implemented.
Complaint Details
The complaint involved an incident where one resident verbally abused and physically assaulted another resident, causing bruising and requiring hospital transport. The resident responsible was removed from the community. The plan of correction included staff education on behavior management and ongoing monitoring.
Deficiencies (1)
| Description |
|---|
| A resident was neglected, intimidated, verbally and physically abused by another resident, resulting in injury and hospitalization. |
Report Facts
License Capacity: 60
Residents Served: 49
Current Residents in Hospice: 10
Total Daily Staff: 98
Waking Staff: 74
Inspection Report
Census: 44
Capacity: 60
Deficiencies: 0
Dec 4, 2023
Visit Reason
The inspection was a partial, unannounced licensing inspection conducted due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 44
License Capacity: 60
Current Residents in Hospice: 11
Residents Age 60 or Older: 44
Residents with Mobility Need: 44
Inspection Report
Complaint Investigation
Census: 43
Capacity: 60
Deficiencies: 0
Nov 9, 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
License Capacity: 60
Residents Served: 43
Current Residents in Hospice: 9
Total Daily Staff: 86
Waking Staff: 65
Inspection Report
Census: 51
Capacity: 60
Deficiencies: 0
Jun 7, 2023
Visit Reason
The inspection was conducted as a partial, unannounced licensing inspection due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 102
Waking Staff: 77
License Capacity: 60
Residents Served: 51
Residents 60 Years of Age or Older: 50
Residents with Mobility Need: 51
Current Hospice Residents: 18
Inspection Report
Census: 49
Capacity: 60
Deficiencies: 0
Jan 9, 2023
Visit Reason
The inspection was an unannounced partial licensing inspection conducted as an interim review of the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 98
Waking Staff: 74
Residents Served: 49
License Capacity: 60
Inspection Report
Renewal
Census: 55
Capacity: 60
Deficiencies: 6
Oct 18, 2022
Visit Reason
The inspection was conducted as a renewal and incident review of the facility on 10/18/2022 and 10/20/2022.
Findings
The inspection identified multiple deficiencies including sanitary conditions, soap dispenser availability, food storage and temperature issues, medication storage and recording errors, and missing directions for key-locking devices. Plans of correction were accepted and implemented by 01/10/2023.
Deficiencies (6)
| Description |
|---|
| Resident #1’s glucometer was used to measure resident #2’s blood glucose level. |
| No soap was found in the bathrooms of resident rooms #13, #38, and #49. |
| Eight undated styrofoam bowls of ice cream were found in the freezer section of the kitchen refrigerator/freezer. |
| Refrigerator temperature measured 45°F and freezer temperature measured 14°F, exceeding required limits. |
| Resident #2’s blood glucose reading was incorrectly recorded on medication administration record and separate glucose log. |
| Magnetically locked gates and exit doors lacked conspicuous directions for operation and posted codes were incomplete. |
Report Facts
License Capacity: 60
Residents Served: 55
Current Residents in Hospice: 19
Residents 60 Years or Older: 55
Residents with Mobility Need: 55
Residents with Physical Disability: 1
Inspection Report
Follow-Up
Census: 57
Capacity: 60
Deficiencies: 1
Jun 22, 2022
Visit Reason
The inspection was a follow-up visit to verify the implementation of a previously submitted plan of correction related to a complaint investigation.
Findings
The submitted plan of correction was determined to be fully implemented. The facility addressed a serious incident involving resident abuse and neglect, including staff training on resident change of condition protocols and abuse regulations, and termination of a staff member involved.
Complaint Details
The visit was complaint-related. The complaint involved neglect and abuse of resident #1, who was found incoherent, unable to sit upright, and with facial drooping. The resident was eventually hospitalized and died from a stroke. Staff member C was no longer employed at the facility as a result.
Deficiencies (1)
| Description |
|---|
| Failure to prevent neglect and abuse of resident #1, who exhibited significant change in condition and was not promptly sent to the hospital, resulting in the resident's death from a stroke. |
Report Facts
License Capacity: 60
Residents Served: 57
Current Hospice Residents: 11
Total Daily Staff: 114
Waking Staff: 86
Follow-Up Date: Aug 7, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff member C | Licensed Practical Nurse | Named in abuse finding and no longer employed at the facility |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 60
Deficiencies: 0
Jun 10, 2022
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, but no deficiencies or citations were substantiated.
Report Facts
License Capacity: 60
Residents Served: 58
Current Hospice Residents: 11
Resident Support Staff: 116
Waking Staff: 87
Inspection Report
Routine
Deficiencies: 0
Apr 19, 2022
Visit Reason
The inspection was conducted as a routine licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Inspection Report
Renewal
Deficiencies: 0
Jan 27, 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.
Inspection Report
Renewal
Census: 58
Capacity: 60
Deficiencies: 8
Oct 20, 2021
Visit Reason
The inspection was conducted as a renewal inspection with an incident review, unannounced, on 10/20/2021 and 10/21/2021 at Arden Courts of Jefferson Hills.
Findings
The inspection identified multiple deficiencies including improper physical restraint of a resident, fire door not closing properly, unlabeled bar soap in a common shower, lack of thermometer in a refrigerator, unlocked medication cart drawer, failure to follow prescriber's orders, missing support plan signatures, and delayed completion of admission support plans. Plans of correction were accepted for all deficiencies.
Deficiencies (8)
| Description |
|---|
| Physical restraint of resident #4 by staff member A holding wrists together and pinning on shoulder while changing brief. |
| Approximate 1/2" gap at top of fire-safe door causing it not to securely close. |
| Unlabeled bar of soap in the shower stall in the Country Lane common shower room. |
| No thermometer present in the Boat House kitchenette refrigerator. |
| Top drawer of medication cart unlocked and unattended containing numerous medications. |
| Failure to follow prescriber's orders for resident #5 with medication administered incorrectly on 10/1, 10/2, and 10/3/21. |
| Resident #6's most recent support plan not signed by the resident and lacks indication of reason. |
| Resident #4's initial support plan for secured dementia care unit admission was not completed timely (repeat violation). |
Report Facts
License Capacity: 60
Residents Served: 58
Current Hospice Residents: 11
Total Daily Staff: 116
Waking Staff: 87
Inspection Report
Census: 55
Capacity: 60
Deficiencies: 0
Jan 5, 2021
Visit Reason
The inspection was a partial, unannounced licensing inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, triggered by an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 110
Waking Staff: 83
License Capacity: 60
Residents Served: 55
Residents 60 Years or Older: 54
Residents with Mobility Need: 55
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