Inspection Report
Census: 63
Capacity: 72
Deficiencies: 0
Oct 1, 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: 126
Waking Staff: 95
Residents Served: 63
License Capacity: 72
Current Hospice Residents: 10
Residents Age 60 or Older: 62
Residents with Mobility Need: 63
Residents with Physical Disability: 1
Inspection Report
Renewal
Census: 61
Capacity: 72
Deficiencies: 16
Jul 17, 2025
Visit Reason
The inspection was conducted as a renewal, provisional, and monitoring visit to assess compliance with regulations for Artis Senior Living of Huntingdon Valley.
Findings
The facility was found to have multiple violations including resident abuse reporting delays, medication storage and administration issues, confidentiality breaches, fire safety documentation deficiencies, and training deficiencies among staff. Several violations were repeated from prior inspections. Plans of correction were accepted but many were not yet implemented at the time of the report.
Deficiencies (16)
| Description |
|---|
| Failure to immediately report suspected resident abuse within required timeframe. |
| Failure to report incidents to the Department within 24 hours. |
| Resident abuse by staff including physical striking of a resident. |
| Poisonous materials not kept locked and accessible to residents. |
| Prescription medications stored improperly with punctured blister packs. |
| Glucometer not calibrated to correct time. |
| Resident support plans and confidential records left unlocked and accessible. |
| Background checks not completed timely for some staff and agency personnel. |
| Staff did not receive required orientation on fire safety and emergency preparedness. |
| Fire safety inspection and drills documentation incomplete or missing required details. |
| Hot water temperature exceeded 120°F in resident accessible areas. |
| Resident contracts and signed statements acknowledging receipt of rights and procedures missing. |
| Medication administration documentation incomplete or inaccurate. |
| Failure to follow prescriber's medication orders. |
| Lack of written approval for magnetic locks on exit doors from secured dementia care unit. |
| Direct care staff lacked required annual training hours including dementia care training. |
Report Facts
License Capacity: 72
Residents Served: 61
Staffing Hours: 122
Waking Staff: 92
Fine Per Resident Per Day: 3
Calculated Fine Per Day: 183
Hot Water Temperature: 129
Hot Water Temperature: 126.8
Hot Water Temperature: 127.7
Inspection Report
Renewal
Census: 61
Capacity: 72
Deficiencies: 16
Jul 17, 2025
Visit Reason
The inspection was conducted as a full renewal, provisional, and monitoring visit to assess compliance with applicable regulations and licensing requirements.
Findings
The inspection identified multiple deficiencies including resident abuse reporting delays, medication storage and administration issues, confidentiality breaches, staff training deficiencies, fire safety documentation problems, hot water temperature violations, and lack of proper approvals for locking mechanisms. Several deficiencies were repeated from prior inspections. Plans of correction were accepted but many were not yet implemented at the time of the report.
Deficiencies (16)
| Description |
|---|
| Failure to immediately report suspected resident abuse within required timeframe. |
| Failure to report incidents to the Department within 24 hours as required. |
| Resident abuse involving staff striking a resident was observed and not properly handled. |
| Poisonous materials were unlocked and accessible to residents not capable of safe use. |
| Medications were stored improperly with punctured blister packs and loose pills. |
| Glucometer was not calibrated to correct time. |
| Resident records were left unlocked and accessible in unsecured areas. |
| Criminal background checks were outdated or missing for some staff. |
| Staff did not receive required orientation on fire safety and emergency preparedness on first day. |
| Medication administration documentation was incomplete or inaccurate. |
| Resident contracts and signed statements acknowledging receipt of rights were missing. |
| Direct care staff did not complete required annual training hours or training topics. |
| Hot water temperatures exceeded 120°F in resident accessible areas. |
| Fire drill records were incomplete and did not document all required information. |
| Residents were not able to evacuate within the maximum safe evacuation time specified by fire safety expert. |
| Home lacked written approval for magnetic locks used on exit doors from secured dementia care unit. |
Report Facts
License Capacity: 72
Residents Served: 61
Fine Per Resident Per Day: 3
Calculated Fine Per Day: 183
Mandated Correction Date: 15
Staffing Hours: 122
Waking Staff: 92
Current Residents Receiving Hospice: 12
Hot Water Temperature: 129
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Involved in resident abuse incident and failure to report abuse timely. | |
| Staff person B | Witnessed abuse incident; had background check issues and training deficiencies. | |
| Staff person C | Involved in abuse reporting failure, background check issues, and training deficiencies. | |
| Staff person D | Involved in abuse incident, background check missing, and training deficiencies. | |
| Executive Director | Responsible for corrective actions, staff training, and compliance oversight. | |
| Director of Health and Wellness | Responsible for training, medication audits, and corrective action implementation. | |
| Director of Environmental Services | Responsible for fire safety, poison control, and environmental compliance. | |
| Director of Business Services | Responsible for staff file audits and background check compliance. |
Inspection Report
Renewal
Census: 61
Capacity: 72
Deficiencies: 23
Jul 17, 2025
Visit Reason
The inspection was conducted as a renewal, provisional, and monitoring visit to assess compliance with regulations for Artis Senior Living of Huntingdon Valley.
Findings
The inspection identified multiple deficiencies including resident abuse reporting delays, medication storage and administration issues, staff training deficiencies, confidentiality breaches, fire safety documentation problems, and unsafe hot water temperatures. Plans of correction were proposed for all deficiencies with some already implemented and others pending.
Deficiencies (23)
| Description |
|---|
| Delayed reporting of suspected resident abuse to the local area agency on aging. |
| Failure to report an incident to the Department’s personal care home regional office within 24 hours. |
| Resident was physically abused by staff; staff was suspended and sent home. |
| Poisonous materials were unlocked and accessible to residents not capable of safe use. |
| Prescription medications were punctured in blister packs but pills remained in place. |
| Glucometer was not calibrated to the correct time. |
| Resident support plans and task log books were unlocked and accessible, breaching confidentiality. |
| Staff background checks were outdated or missing. |
| Staff did not receive required orientation on fire safety and emergency preparedness. |
| Medication procedures lacked processes to investigate missing medications and medication errors. |
| Medication administration records did not document time and date of administration. |
| Medications were not administered according to prescriber's orders. |
| Resident contract was not signed by the resident. |
| Resident record lacked signed statement acknowledging receipt of resident rights and complaint procedures. |
| Direct care staff did not complete required annual training hours. |
| Direct care staff did not receive required training on medication self-administration, dementia care, infection control, and other topics. |
| Poisonous materials were unlocked and accessible in resident rooms and throughout the home. |
| Hot water temperature in resident-accessible areas exceeded 120°F. |
| Fire drill records lacked required details including evacuation time, exit routes, and number of residents. |
| Residents were not able to evacuate within the maximum safe evacuation time specified by a fire safety expert. |
| Resident was not educated on the right to refuse medication if a medication error is suspected. |
| Magnetic locks on exit doors lacked written approval from appropriate authorities. |
| Direct care staff in the secured dementia care unit lacked required dementia care training hours. |
Report Facts
License Capacity: 72
Residents Served: 61
Total Daily Staff: 122
Waking Staff: 92
Fine Per Resident Per Day: 3
Calculated Fine Per Day: 183
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in resident abuse and delayed reporting findings. | |
| Staff person B | Witnessed abuse incident and named in background check and training deficiencies. | |
| Staff person C | Named in abuse reporting, background check, fire safety orientation, and training deficiencies. | |
| Staff person D | Named in abuse incident, background check, fire safety orientation, and training deficiencies. | |
| Executive Director | Executive Director | Involved in corrective actions, training, and compliance monitoring. |
| Director of Health and Wellness | Director of Health and Wellness | Involved in corrective actions, training, and compliance monitoring. |
| Director of Environmental Services | Director of Environmental Services | Involved in fire safety and poisonous materials corrective actions. |
| Director of Business Services | Director of Business Services | Involved in staff training and auditing. |
Inspection Report
Renewal
Census: 57
Capacity: 72
Deficiencies: 41
Nov 4, 2024
Visit Reason
The inspection was a renewal visit conducted to assess compliance with licensing regulations and to verify continued adherence to applicable standards.
Findings
The inspection identified multiple deficiencies including issues with staff training, medication management, privacy violations, sanitary conditions, emergency preparedness, and documentation. Corrective actions and plans of correction were proposed for each deficiency.
Deficiencies (41)
| Description |
|---|
| Resident records were unlocked, unattended, and accessible in a staff-only room at a temporary emergency relocation site. |
| Staff person took and posted inappropriate photos of a resident on social media, resulting in termination. |
| Background checks were incomplete for contracted or substitute staff at the temporary emergency relocation site. |
| Direct care staff lacked required qualifications such as high school diploma or nurse aide registry status. |
| Administrator did not maintain a current list of substitute, agency, and contracted staff. |
| Direct care staff did not receive required orientation on fire safety and emergency preparedness topics. |
| Direct care staff did not complete required training within 40 scheduled work hours on resident rights, emergency medical plan, abuse reporting, and incident reporting. |
| Direct care staff provided unsupervised ADL services without completing required training and competency testing. |
| Direct care staff did not receive required annual training hours related to job duties. |
| Direct care staff did not receive training on medication self-administration, dementia care, infection control, and other required topics. |
| Poisonous materials were unlocked and accessible to residents in multiple rooms at the temporary emergency relocation site. |
| Sanitary conditions were not maintained; used wash rag found hanging in resident room and cross-use of glucometer between residents. |
| Furniture and equipment were not in good repair; sink panel missing exposing rough surface. |
| Resident medical evaluation lacked documentation of cognitive function. |
| Medications were stored beyond manufacturer recommended time or with damaged packaging. |
| Medication prescribed to resident was not available at the temporary emergency relocation site. |
| Medication records lacked staff initials for administration on specific dates. |
| Medication administration records were not completed at the time of administration. |
| Medications were not administered as prescribed and no documentation of reason for omission. |
| Staff administered medications without completing required Department-approved medication administration course. |
| Staff administered insulin without completing required medication administration and diabetes education courses. |
| Directions for operating key-locking devices were not conspicuously posted near exits. |
| Direct care staff working in Secure Dementia Care Unit lacked required dementia care training hours. |
| Administrator did not provide immediate access to requested records during inspection. |
| Therapeutic diet list containing resident dietary information was displayed publicly, violating confidentiality. |
| Administrator did not maintain a current list of staff including substitutes and volunteers. |
| Staff did not receive orientation on fire safety and emergency preparedness topics on first day of work. |
| Staff did not complete orientation training within 40 scheduled work hours on resident rights, emergency medical plan, abuse reporting, and incident reporting. |
| Home lacked a staff training plan for 2024. |
| Trash bag containing trash was found on top of a medication cart. |
| Emergency telephone numbers were not posted by telephone in resident bedroom. |
| No shower curtain in resident bathroom, compromising privacy. |
| Food was stored unsealed in kitchenette refrigerator. |
| Written emergency procedures were not submitted to local emergency management agency. |
| Home lacked documentation of written notification to local fire department regarding address, bedrooms, and evacuation assistance. |
| Home lacked a written maximum safe evacuation time specified by a fire safety expert. |
| Weekly menu was not posted in a public and conspicuous place; daily menu was outdated. |
| Prescription medication blister packs had openings compromising storage conditions. |
| Loose syringe found in locked narcotics box; medication counts did not match blister packs. |
| Resident assessment was not completed annually as required. |
| Staff member participated in support plan development but did not sign the support plan. |
Report Facts
License Capacity: 72
Residents Served: 57
Current Residents in Hospice: 18
Total Daily Staff: 114
Waking Staff: 86
Inspection Dates: 3
Plan of Correction Submission Dates: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in findings related to abuse, privacy violations, and medication administration deficiencies | |
| Staff person B | Named in findings related to lack of training, medication administration violations, and dementia care training | |
| Staff person C | Administrator | Named in findings related to failure to maintain staff contact lists |
| Staff person D | Named in findings related to orientation and training deficiencies | |
| Executive Director | Executive Director | Named as responsible for corrective actions and oversight of compliance |
| Director of Health and Wellness | Director of Health and Wellness | Named as responsible for corrective actions, training, and audits |
| Director of Business Services | Director of Business Services | Named as responsible for staff file audits and training oversight |
| Director of Environmental Services | Director of Environmental Services | Named as responsible for environmental compliance and corrective actions |
Inspection Report
Monitoring
Census: 55
Capacity: 72
Deficiencies: 0
Aug 28, 2024
Visit Reason
The inspection was a partial, unannounced monitoring visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 08/28/2024.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Total Daily Staff: 110
Waking Staff: 83
Resident Support Staff: 0
Residents Served: 55
License Capacity: 72
Current Hospice Residents: 8
Residents Age 60 or Older: 55
Residents with Mobility Need: 55
Inspection Report
Complaint Investigation
Census: 55
Capacity: 72
Deficiencies: 22
Aug 27, 2024
Visit Reason
The inspection was conducted as a complaint, incident, and monitoring visit to investigate violations found during prior inspections and to verify compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes.
Findings
Multiple violations were found including breaches of resident confidentiality, abuse and privacy violations involving staff posting resident photos on social media, incomplete criminal background checks for contracted staff, staff lacking required qualifications and training, unsecured poisonous materials accessible to residents, unsanitary conditions, medication storage and administration issues, and missing or incomplete resident medical evaluations and support plans.
Complaint Details
The inspection was complaint-related, incident-related, and monitoring-related, triggered by allegations and prior violations. Specific substantiation status is not stated.
Deficiencies (22)
| Description |
|---|
| Resident records were unlocked, unattended, and accessible in a staff-only room at the temporary emergency relocation site. |
| Staff person took and posted inappropriate photos of a resident on social media, violating abuse and privacy regulations. |
| Background checks were not completed for contracted or substitute staff members at the temporary emergency relocation site. |
| Direct care staff persons lacked required qualifications such as high school diploma or active registry status. |
| Administrator did not maintain a current list of substitute, agency, and contracted staff persons. |
| Direct care staff persons did not receive required orientation on fire safety and emergency preparedness topics. |
| Direct care staff persons did not complete required training within 40 scheduled work hours on resident rights, emergency medical plan, abuse reporting, and incident reporting. |
| Direct care staff persons provided unsupervised ADL services without completing required training and competency testing. |
| Direct care staff persons did not receive required annual training on medication administration, resident needs, infection control, and dementia care. |
| Poisonous materials were unlocked, unattended, and accessible to residents in multiple rooms at the temporary emergency relocation site. |
| Unsanitary conditions observed including a used wash rag in a resident room and cross-use of glucometer between residents. |
| Furniture and equipment were not in good repair; sink panel missing exposing rough surface. |
| Resident medical evaluation missing cognitive function information. |
| Medications were stored beyond manufacturer recommended time or with damaged blister packs. |
| Medications prescribed to residents were missing or not available at the temporary emergency relocation site. |
| Medication records lacked staff initials for administered medications on certain dates. |
| Medication administration times and initials were not recorded at the time of administration. |
| Medications were not administered as prescribed and reasons were not documented. |
| Staff person administered medications without completing required Department-approved medication administration course. |
| Staff person administered insulin without completing required medication administration and diabetes education programs. |
| Directions for operating key-locking devices were not conspicuously posted near exits in the Secure Dementia Care Unit. |
| Direct care staff person working in Secure Dementia Care Unit had no dementia care training during the 2023 training year. |
Report Facts
License Capacity: 72
Residents Served: 55
Current Residents: 0
Residents Served: 57
License Capacity: 72
Current Residents: 18
Total Daily Staff: 114
Waking Staff: 86
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Involved in abuse and privacy violations by posting resident photos on social media; terminated. | |
| Staff person B | Lacked required qualifications and training; administered medications without certification; received dementia training after violation. | |
| Staff person C | Administrator | Did not maintain current list of substitute and contracted staff. |
| Staff person D | Did not receive required orientation and training within 40 hours. | |
| Executive Director | Took immediate corrective actions and implemented plans of correction for multiple violations. | |
| Director of Health and Wellness | Conducted training, audits, and corrective actions related to health, medication, and staff training. | |
| Director of Business Services | Conducted audits and received training for staff file management and compliance. | |
| Director of Environmental Services | Conducted inspections and corrective actions related to environmental and safety issues. |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 72
Deficiencies: 4
Jan 8, 2024
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 01/08/2024.
Findings
The inspection found multiple deficiencies including incomplete medical evaluations missing emergency treatment information, support plans not specifying dietary needs, missing dates on cognitive preadmission screenings, and resident records lacking hair and eye color information. Plans of correction were accepted and fully implemented by 02/06/2024.
Complaint Details
The visit was complaint-related as indicated by the inspection reason. The complaint was substantiated by findings of multiple record and documentation deficiencies.
Deficiencies (4)
| Description |
|---|
| Resident medical evaluation did not include the medical information pertinent to diagnosis and treatment in case of an emergency. |
| Resident's support plan does not specify the need for a mechanical soft diet. |
| Resident written cognitive pre-admission screening is missing the date of completion. |
| Resident record does not include the color of hair or eyes. |
Report Facts
License Capacity: 72
Residents Served: 60
Current Residents in Hospice: 15
Total Daily Staff: 120
Waking Staff: 90
Inspection Report
Renewal
Census: 61
Capacity: 72
Deficiencies: 20
Sep 11, 2023
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements and regulations for ARTIS SENIOR LIVING OF HUNTINGDON VALLEY.
Findings
The inspection identified multiple deficiencies including expired license posting, unsigned resident contracts and statements, unlocked poisonous materials, sanitary concerns, missing signatures on support plans, incomplete medical evaluations, and lack of documentation for fire safety inspections. Immediate corrective actions were taken and ongoing monitoring plans were implemented.
Deficiencies (20)
| Description |
|---|
| The home did not have a current license posted; the posted license expired July 8, 2023. |
| Resident-home contracts for residents #1, #2, and #3 were not signed by the residents. |
| Resident records for residents #1, #2, and #3 did not contain signed statements acknowledging receipt of resident rights and complaint procedures. |
| Staff person was observed pushing resident #5 in a wheelchair without proper foot pedals. |
| Poisonous materials were unlocked, unattended, and accessible to residents in multiple rooms. |
| Sanitary concerns included blood on a bench and feces stains in room #318. |
| Shower curtain in room #307 was on the floor and not hung properly. |
| First aid kit in neighborhood 'one hundred' lacked antiseptic and gloves. |
| Bedroom chair missing from room #318. |
| Food items in refrigerator were not labeled or dated. |
| No documentation of written notification to local fire department regarding home address, bedroom locations, and evacuation assistance. |
| No records of past fire safety inspections or supervised drills were available. |
| Medical evaluation for resident #1 did not include allergies and medication information. |
| Resident #6's most recent medical evaluation was outdated. |
| Over the counter medications were unlocked and accessible in medication cabinet in room #205. |
| Glucometer for resident #5 was not calibrated to the correct time. |
| Residents #1, #2, and #4 were not educated on their right to refuse medication. |
| Support plans for residents #1 through #5 were missing resident signatures. |
| Resident #1's written cognitive preadmission screening was incomplete, missing assessor name/signature, date, and necessity for secured care. |
| Resident #1's initial support plan was completed late, after admission to the secured dementia care unit. |
Report Facts
Residents Served: 61
License Capacity: 72
Current Hospice Residents: 17
Residents Age 60 or Older: 60
Inspection Report
Follow-Up
Census: 68
Capacity: 72
Deficiencies: 4
May 22, 2023
Visit Reason
The inspection visit was conducted as a follow-up to review the submitted plan of correction related to an incident and other compliance issues at the facility.
Findings
The facility was found to have multiple deficiencies including failure to document resident personal space needs leading to an unsafe environment, a hospice aide working without a criminal background check, incomplete medical evaluations, and incomplete support plans. All deficiencies were addressed with corrective actions, training, and audits, and the facility was found to be in compliance at the time of follow-up.
Deficiencies (4)
| Description |
|---|
| Failure to document in the support plan the need to maintain personal space for Resident #1, resulting in an unsafe environment when boundaries were violated causing injury to another resident. |
| Hospice aide worked in the home without a criminal background check. |
| Resident's medical evaluation did not include temperature, medical diagnoses (physical and mental), medical information pertinent to diagnoses, and special diets. |
| Support plan for Resident #1 did not address the need for personal space and behaviors of agitation/aggression if violated. |
Report Facts
Residents Served: 68
License Capacity: 72
Total Daily Staff: 136
Waking Staff: 102
Inspection Report
Complaint Investigation
Census: 70
Capacity: 72
Deficiencies: 9
Feb 15, 2023
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection to review compliance and follow-up on a plan of correction submission.
Findings
The facility was found to have multiple deficiencies including failure to report incidents timely, inadequate supervision leading to resident injuries and elopement, missing criminal background checks for staff, incomplete annual training, and improper medication storage documentation. Plans of correction were accepted and fully implemented by April 12, 2023.
Complaint Details
The inspection was complaint-driven, focusing on incidents involving resident falls, elopement, and staff compliance with reporting and supervision requirements. The complaint was substantiated with multiple violations found.
Deficiencies (9)
| Description |
|---|
| Failure to report an incident of a resident falling while attempting to climb a fence to the department within 24 hours. |
| Resident neglect and inadequate supervision resulting in injuries from falls and elopement incidents. |
| Staff member hired without a criminal background check. |
| Direct care staff did not receive required annual training in fire safety and emergency preparedness during 2022. |
| Resident did not have a new medical evaluation completed after beginning hospice care. |
| Controlled substance count sheets were incomplete or missing medication names and dosage information. |
| Failure to use positive interventions and safe management techniques to prevent resident exit-seeking and aggressive behavior. |
| Resident did not have additional assessments completed after significant condition changes prior to annual assessment. |
| Failure to maintain logs of resident hourly checks and destruction of such records without documentation. |
Report Facts
License Capacity: 72
Residents Served: 70
Resident Current Hospice: 12
Resident Mobility Need: 70
Resident Age 60 or Older: 70
Staffing Hours - Resident Support Staff: 196
Staffing Hours - Total Daily Staff: 336
Staffing Hours - Waking Staff: 252
Inspection Report
Renewal
Census: 67
Capacity: 72
Deficiencies: 7
Jul 21, 2022
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for ARTIS SENIOR LIVING OF HUNTINGDON VALLEY.
Findings
The facility was found to have multiple deficiencies including unsigned resident-home contracts, missing signed statements acknowledging receipt of resident rights, lack of operable bedside lamps for a resident, missing emergency procedures posting, medication record discrepancies, and failure to follow prescriber's orders. Plans of correction were submitted and accepted or directed with completion dates in August 2022.
Deficiencies (7)
| Description |
|---|
| Resident-home contracts for Residents #1, #2, and #3 were not signed by the residents. |
| Resident #2 and Resident #3's records did not contain signed statements acknowledging receipt of resident rights and complaint procedures. |
| Resident #4 did not have access to a source of light that can be turned on/off at bedside. |
| The home's emergency procedures were not posted in a conspicuous and public place in the home. |
| Medication prescribed for Resident #3 was in the home's medication cart but the medication was discontinued. |
| Readings recorded on Resident #3’s Medication Administration Record were missing from the resident’s glucometer. |
| Resident #5 was administered medication late, not following prescriber's orders. |
Report Facts
License Capacity: 72
Residents Served: 67
Total Daily Staff: 134
Waking Staff: 101
Current Hospice Residents: 10
Notice
Capacity: 72
Deficiencies: 0
Jul 7, 2021
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care Home facility pursuant to Title 55, PA Code, Chapter 2600. It also advises that an annual inspection will be conducted within the next twelve months.
Findings
The Department has issued a regular license in response to the renewal application. No findings or deficiencies are reported in this document.
Report Facts
Maximum capacity: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 49
Capacity: 72
Deficiencies: 4
Apr 19, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection identified several deficiencies including lack of required training for direct care staff, unlocked poisonous materials accessible to residents, missing emergency telephone numbers by a telephone, and an uncalibrated glucometer. All deficiencies were corrected promptly with plans of correction implemented.
Deficiencies (4)
| Description |
|---|
| Direct care staff person A did not receive training on meeting the needs of residents as described in preadmission screening, assessment tool, medical evaluation, and support plan during 2019. |
| Unlocked and accessible poisonous materials (Polident Denture Cleanser and Listerine mouthwash) found in medicine cabinets in resident rooms 107 and 215. |
| No emergency telephone numbers including nearest hospital and fire department posted by the telephone in the 100 neighborhood kitchen area. |
| Glucometer belonging to resident #1 was not calibrated to the correct date and time. |
Report Facts
License Capacity: 72
Residents Served: 49
Total Daily Staff: 98
Waking Staff: 74
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