Inspection Reports for Artis Senior Living of South Hills

1001 Higbee Dr, Bethel Park, PA 15102, United States, PA, 15102

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Inspection Report Complaint Investigation Census: 63 Capacity: 72 Deficiencies: 2 Jul 15, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection type on 07/15/2025.
Findings
Two deficiencies were found: unsecured bedside mobility devices in resident rooms and unsecured prescription medication left unattended on a medication cart in a secured dementia care unit. Immediate corrective actions were taken and plans of correction were implemented.
Complaint Details
The visit was complaint-related as stated under Inspection Information with the reason listed as Complaint.
Deficiencies (2)
Description
Beside mobility device on the right side of resident bed was not secured to the bedframe.
An unlocked, unattended and accessible 8.3oz bottle of medication was found on top of the medication cart in the kitchenette of the secured dementia care unit.
Report Facts
License Capacity: 72 Residents Served: 63 Current Hospice Residents: 20 Residents with Mobility Need: 63 Residents 60 Years or Older: 63 Residents with Physical Disability: 2 Total Daily Staff: 126 Waking Staff: 95
Inspection Report Follow-Up Census: 61 Capacity: 72 Deficiencies: 1 Mar 3, 2025
Visit Reason
The inspection visit on 03/03/2025 was a partial, unannounced inspection triggered by an incident.
Findings
The report found a violation related to direct care staff qualifications where a staff member lacked a US high school diploma or GED and had an expired nurse aide registry status. The staff member was removed and resigned. The facility implemented corrective actions including audits and re-education to ensure compliance.
Deficiencies (1)
Description
Staff person A did not have a US high school diploma or GED and had an expired nurse aide registry status, but provided direct care to residents without an approved waiver.
Report Facts
License Capacity: 72 Residents Served: 61 Current Hospice Residents: 18 Residents 60 Years or Older: 61 Residents with Mobility Need: 61 Residents with Physical Disability: 1 Total Daily Staff: 122 Waking Staff: 92
Inspection Report Original Licensing Capacity: 72 Deficiencies: 0 Feb 11, 2025
Visit Reason
The inspection visits on February 11, 2025, February 12, 2025, and April 24, 2025, were conducted as part of the licensing inspections for Artis Senior Living of South Hills to determine compliance with Pennsylvania regulations for Personal Care Homes.
Findings
The facility was found to be in compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes after the inspections and subsequent corrections, resulting in the issuance of a regular license.
Report Facts
Inspection dates: 3
Employees Mentioned
NameTitleContext
Juliet MarsalaDeputy SecretarySigned the licensing inspection summary and letter
Inspection Report Renewal Census: 65 Capacity: 72 Deficiencies: 12 Feb 11, 2025
Visit Reason
The inspection was conducted as part of the licensing renewal process, including provisional and incident reviews, with multiple inspection dates on February 11, 2025, February 12, 2025, and April 24, 2025.
Findings
The facility was found to be in compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes after corrections were made following inspections. Several deficiencies were identified related to staff training, sanitary conditions, fire drill records, medication labeling, storage procedures, and medical evaluations, with plans of correction submitted and implemented.
Deficiencies (12)
Description
Direct care staff persons did not complete required 12 hours of annual training relating to their job duties.
Training documentation sheets for the staff training year did not include required items such as content of course, training source, location, and length of hours completed.
Heat source temperature exceeded safe limits, with the fireplace screen frame measuring in excess of 238 degrees Fahrenheit.
Resident's glucometer was used by another resident, violating sanitary conditions.
Fire drill records did not include required details such as exit routes used and time of day.
Residents did not evacuate to designated meeting places during fire drills as required.
Prescription medication containers were missing required pharmacy labels including sliding scale coverage instructions.
Medication storage procedures were not properly implemented; blood glucose readings were incorrectly recorded and some medications were not available in the home.
Medication administration records did not include diagnosis or purpose for medications.
Resident's initial medical evaluation was not completed within required timeframe.
Key-locking device codes were not distinguishable at several exit doors.
Direct care staff persons working in the secured dementia care unit did not have required 6 hours of annual dementia training.
Report Facts
Inspection Dates: 3 License Capacity: 72 Residents Served: 65 Staff Training Hours Required: 12 Staff Training Hours Completed: 1 Temperature Recorded: 238 Fire Drill Dates: 2 Medication Audit Duration: 90
Employees Mentioned
NameTitleContext
Juliet MarsalaDeputy SecretarySigned licensing letter and certificate of compliance
Unnamed Director of Community IntegrationDirector of Community Integration (DCI)Completed audits and education related to staff training and compliance
Unnamed Executive DirectorExecutive DirectorRe-educated staff and oversaw corrective actions and audits
Unnamed Director of Health and WellnessDirector of Health and WellnessInvolved in re-education, audits, and corrective actions related to medication and sanitary conditions
Inspection Report Follow-Up Census: 69 Capacity: 72 Deficiencies: 2 Dec 12, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by a complaint and incident to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the plan of correction related to deficiencies in activities of daily living assistance and support plans. Deficiencies involved failure to provide physical assistance with toileting and incontinence care as indicated in resident support plans, and incomplete documentation of resident use of adult briefs for incontinence management.
Complaint Details
The visit was complaint-related, triggered by a complaint and incident. The submitted plan of correction was reviewed and determined to be fully implemented.
Deficiencies (2)
Description
Failure to provide physical assistance with toileting and incontinence care as required by resident support plans, resulting in residents found in heavily soiled briefs and bedding.
Resident initial support plans did not indicate the use of adult briefs to manage bladder and bowel incontinence needs.
Report Facts
License Capacity: 72 Residents Served: 69 Current Hospice Residents: 15 Total Daily Staff: 138 Waking Staff: 104
Employees Mentioned
NameTitleContext
Director of Health and WellnessNamed in relation to correction of support plans and auditing resident support plans
Executive DirectorNamed in relation to re-education of associates on Activities of Daily Living Assistance regulation
Inspection Report Complaint Investigation Census: 68 Capacity: 72 Deficiencies: 4 Jun 10, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation at Artis Senior Living of South Hills to assess violations related to mistreatment or abuse of residents and failure to comply with corrective plans.
Findings
The inspection found multiple violations including staff verbally abusing a resident, forcibly pushing residents, and inappropriate sexual behavior between residents in the secured dementia care unit. Several staff members were suspended and terminated, and corrective actions including re-education and increased monitoring were mandated.
Complaint Details
The complaint investigation substantiated mistreatment and abuse of residents including verbal abuse, physical abuse, and inappropriate sexual behavior. Staff suspensions and terminations occurred, and Adult Protective Services and Department of Human Services were notified.
Deficiencies (4)
Description
Staff person A yelled at resident #1 to stop urinating on the floor and go to the restroom in the secured dementia care unit.
Staff person B forcibly pushed resident #2 back into her chair by pushing down on both shoulders.
Staff person B forcibly pushed a spoonful of soup into resident #3's mouth while resident #3 appeared to have fallen asleep.
Resident #4 was observed rubbing resident #5's crotch through shorts in the secured dementia care unit; both residents have a diagnosis of dementia.
Report Facts
License Capacity: 72 Residents Served: 68 Current Residents in Hospice: 15 Residents Age 60 or Older: 68 Residents with Mobility Need: 68 Residents with Physical Disability: 1
Employees Mentioned
NameTitleContext
Staff person ANamed in verbal abuse and mistreatment of resident #1
Staff person BNamed in physical abuse of residents #2 and #3, suspended and terminated
Staff person CObserved inappropriate sexual behavior between residents #4 and #5
Director of Health and WellnessDirector of Health and WellnessInterviewed resident #1 and notified Adult Protective Services and Department of Human Services
Executive DirectorExecutive DirectorRe-educated associates on abuse, neglect, and resident rights; overseeing corrective actions
Inspection Report Complaint Investigation Census: 68 Capacity: 72 Deficiencies: 4 Jun 10, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation at Artis Senior Living of South Hills.
Findings
The inspection found violations related to mistreatment and abuse of residents, including verbal abuse, physical abuse, and neglect in a secured dementia care unit. Multiple repeat violations were noted, and corrective actions including staff suspensions, terminations, and re-education plans were implemented.
Complaint Details
The complaint investigation was substantiated with findings of mistreatment and abuse, including verbal and physical abuse and neglect. Repeat violations were noted from previous inspections.
Deficiencies (4)
Description
Staff person A yelled at resident #1 to stop urinating on the floor and to go to the restroom, violating dignity and respect requirements.
Staff person B forcibly pushed resident #2 back into her chair by pushing down on both shoulders.
Staff person B forcibly pushed a spoonful of soup into resident #3's mouth while resident #3 appeared to have fallen asleep during the meal.
Resident #4 was observed rubbing resident #5's crotch through shorts in the secured dementia care unit.
Report Facts
License Capacity: 72 Residents Served: 68 Current Residents in Hospice: 15 Total Daily Staff: 136 Waking Staff: 102
Inspection Report Complaint Investigation Census: 68 Capacity: 72 Deficiencies: 1 May 23, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation at ARTIS SENIOR LIVING OF SOUTH HILLS.
Findings
The investigation found a repeated violation of resident abuse involving inappropriate touching between residents. The facility implemented a plan of correction including immediate separation of residents, notification of authorities, increased monitoring, updated support plans, and staff re-education on abuse and resident rights.
Complaint Details
The complaint involved a resident touching another resident inappropriately in the common living room. The incident was witnessed by staff and reported to Adult Protective Services and local police. The residents involved have dementia and no prior history of sexual behaviors. The facility placed the resident on 15-minute checks and updated care plans accordingly.
Deficiencies (1)
Description
Resident was subjected to inappropriate touching by another resident, constituting abuse.
Report Facts
License Capacity: 72 Residents Served: 68 Current Hospice Residents: 14 Staffing Hours - Total Daily Staff: 136 Staffing Hours - Waking Staff: 102 Plan of Correction Follow-Up Date: Jun 9, 2024 Plan of Correction Submission Date: Jun 28, 2024 Licensee's Proposed Overall Completion Date: Aug 30, 2024
Employees Mentioned
NameTitleContext
Elizabeth KingDirector of Health and WellnessInterviewed resident regarding the abuse incident and involved in follow-up actions
Inspection Report Follow-Up Census: 67 Capacity: 72 Deficiencies: 1 Apr 26, 2024
Visit Reason
The inspection visit on 04/26/2024 was a partial, unannounced follow-up inspection related to an incident and plan of correction submission.
Findings
The submitted plan of correction was determined to be fully implemented. The report details a repeated abuse violation involving a staff member who squeezed a resident's hand roughly, leading to the staff member's suspension and termination. Additional staff education and monitoring measures were implemented to prevent recurrence.
Deficiencies (1)
Description
Staff person A squeezed resident's hand 'rough and very hard' during incontinence care, causing fear in the resident. This was a repeat violation.
Report Facts
License Capacity: 72 Residents Served: 67 Current Residents in Hospice: 14 Total Daily Staff: 134 Waking Staff: 101
Inspection Report Complaint Investigation Census: 68 Capacity: 72 Deficiencies: 0 Apr 12, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation with unannounced partial inspections on multiple dates in April 2024.
Findings
No regulatory citations or deficiencies were identified as a result of the inspection.
Complaint Details
The inspection was complaint and incident related, with a partial unannounced visit on 04/12/2024 and follow-up not required.
Report Facts
Total Daily Staff: 136 Waking Staff: 102 License Capacity: 72 Residents Served: 68 Current Hospice Residents: 14 Residents 60 Years or Older: 68 Residents with Mobility Need: 68
Inspection Report Complaint Investigation Census: 68 Capacity: 72 Deficiencies: 0 Mar 26, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection of the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related; however, no deficiencies were found and no substantiation status was stated.
Report Facts
License Capacity: 72 Residents Served: 68 Current Hospice Residents: 15 Total Daily Staff: 136 Waking Staff: 102
Inspection Report Complaint Investigation Census: 70 Capacity: 72 Deficiencies: 0 Jan 31, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 01/31/2024.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related; however, no deficiencies were found and no follow-up was required.
Report Facts
Total Daily Staff: 140 Waking Staff: 105 Residents Served: 70 License Capacity: 72 Current Hospice Residents: 14 Residents Age 60 or Older: 70 Residents with Mobility Need: 70
Inspection Report Follow-Up Census: 70 Capacity: 72 Deficiencies: 1 Jan 18, 2024
Visit Reason
The inspection visit on 01/18/2024 was a partial, unannounced follow-up inspection triggered by an incident at the facility.
Findings
The report found a repeat violation of abuse involving residents and staff, including physical altercations between residents and staff. A plan of correction was submitted and fully implemented, including staff suspension and termination, staff training on de-escalation, and ongoing resident and staff interviews to prevent abuse.
Deficiencies (1)
Description
Resident abuse including physical altercations between residents and staff, with a repeat violation noted from 10/19/2023.
Report Facts
License Capacity: 72 Residents Served: 70 Total Daily Staff: 140 Waking Staff: 105 Current Hospice Residents: 14
Employees Mentioned
NameTitleContext
Mary UnderwoodVice President of Memory CareConducting virtual training on de-escalating residents and handling stressful environments
Inspection Report Complaint Investigation Census: 64 Capacity: 72 Deficiencies: 1 Dec 14, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation at ARTIS SENIOR LIVING OF SOUTH HILLS on 12/14/2023.
Findings
The inspection found that a resident's assessment had not been updated to reflect recent behaviors of agitation and combativeness, despite documented incidents. A plan of correction was accepted to update assessments and improve monitoring and auditing processes.
Complaint Details
The visit was complaint-related and incident-driven. The deficiency involved failure to update a resident's assessment to reflect behavioral changes. The plan of correction was accepted.
Deficiencies (1)
Description
Resident's assessment was not updated to include recent behaviors of agitation and aggression.
Report Facts
License Capacity: 72 Residents Served: 64 Current Residents in Hospice: 9 Total Daily Staff: 128 Waking Staff: 96
Inspection Report Follow-Up Census: 64 Capacity: 72 Deficiencies: 1 Dec 14, 2023
Visit Reason
The inspection visit on 12/14/2023 was a follow-up to review the submitted plan of correction related to a complaint and incident at the facility.
Findings
The submitted plan of correction was determined to be fully implemented as of the follow-up review. The deficiency involved failure to update resident assessments to reflect recent behavioral changes, which has now been corrected with ongoing monitoring and audits planned.
Complaint Details
The visit was complaint-related and involved incidents of resident agitation and combativeness. The plan of correction was accepted and fully implemented.
Deficiencies (1)
Description
Resident assessment was not updated to include recent behaviors of agitation and combativeness despite documented incidents.
Report Facts
License Capacity: 72 Residents Served: 64 Current Residents in Hospice: 9 Total Daily Staff: 128 Waking Staff: 96
Employees Mentioned
NameTitleContext
Executive DirectorResponsible for re-educating staff and conducting weekly reviews related to resident assessment updates
Director of Health and WellnessResponsible for re-education, audits, and weekly meetings to ensure compliance with resident assessment updates
Assistant Director of Health and WellnessTo be re-educated on assessment requirements by Executive Director
Inspection Report Follow-Up Census: 60 Capacity: 72 Deficiencies: 3 Oct 19, 2023
Visit Reason
The inspection visit on 10/19/2023 was a partial, unannounced follow-up inspection triggered by an incident to verify the implementation of the submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to abuse and treatment of residents, as well as preadmission screening deficiencies. Continued compliance must be maintained.
Deficiencies (3)
Description
Resident neglect and inappropriate physical contact between staff and resident in the Secure Dementia Care Unit.
Resident was treated without dignity and respect, including verbal abuse and inappropriate behavior by staff.
Failure to complete a written cognitive preadmission screening within 72 hours prior to admission to the secured dementia care unit.
Report Facts
License Capacity: 72 Residents Served: 60 Current Hospice Residents: 10
Inspection Report Follow-Up Census: 61 Capacity: 72 Deficiencies: 1 Aug 23, 2023
Visit Reason
The inspection visit was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to a complaint and incident.
Findings
The submitted plan of correction was determined to be fully implemented as of the inspection date. The report details a deficiency involving staff not performing the Heimlich maneuver on a resident who choked, with corrective training scheduled and completed.
Complaint Details
The visit was complaint-related and incident-driven. The plan of correction was accepted and fully implemented as of the inspection date.
Deficiencies (1)
Description
Staff did not assist resident #1 to clear airway or perform the Heimlich maneuver in accordance with their training when the resident choked on food during dinner.
Report Facts
License Capacity: 72 Residents Served: 61 Current Residents in Hospice: 8 Staffing Hours - Total Daily Staff: 122 Staffing Hours - Waking Staff: 92
Inspection Report Complaint Investigation Census: 66 Capacity: 72 Deficiencies: 1 Jul 6, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial inspection on 07/06/2023 and 07/07/2023.
Findings
The inspection found a violation regarding the treatment of residents where a staff member was observed yelling at a resident in a disrespectful and unprofessional manner. The staff member was suspended and terminated. A plan of correction including mandatory training on dignity and respect and stress relief for caregivers was implemented.
Complaint Details
The visit was complaint-related and incident-based. The violation was a repeat from 11/21/22. The submitted plan of correction was fully implemented as of 08/08/2023.
Deficiencies (1)
Description
Staff person A was observed yelling in a hateful and uncompassionate tone at resident #1, violating the requirement that a resident shall be treated with dignity and respect.
Report Facts
License Capacity: 72 Residents Served: 66 Current Residents: 8 Total Daily Staff: 132 Waking Staff: 99 Residents Age 60 or Older: 66 Residents with Mobility Need: 66
Inspection Report Census: 64 Capacity: 72 Deficiencies: 0 Jun 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 during the inspection.
Report Facts
Total Daily Staff: 128 Waking Staff: 96 License Capacity: 72 Residents Served: 64 Current Residents in Hospice: 9 Residents Age 60 or Older: 64 Residents with Mobility Need: 64
Inspection Report Census: 60 Capacity: 72 Deficiencies: 0 May 9, 2023
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 during this unannounced partial inspection.
Report Facts
Residents Served: 60 License Capacity: 72 Current Residents in Hospice: 7 Resident Support Staff Daily Total: 120 Waking Staff Daily Total: 90
Inspection Report Renewal Census: 64 Capacity: 72 Deficiencies: 13 Mar 21, 2023
Visit Reason
The inspection was conducted as a renewal review of the facility's compliance with licensing regulations.
Findings
The inspection identified multiple deficiencies including issues with record confidentiality, resident personal equipment hazards, locking of poisonous materials, sanitary conditions, hot water temperature, fire drill documentation, annual medical evaluations, medication labeling, storage procedures, prescriber order follow-up, medication administration training, and additional resident assessments. Plans of correction were accepted and implemented with proposed completion dates ranging from May to October 2023.
Deficiencies (13)
Description
Resident records were found unsecured with resident names and special diets visible in a kitchen area.
An uncovered bed enabler attached to a resident's bed posed an entrapment risk.
Poisonous materials were not locked and accessible to residents not assessed as safe to handle them.
Shared use of a glucometer between residents and unsanitary microwave conditions were observed.
Hot water temperatures in resident showers exceeded the maximum allowed 120°F.
Missing documentation of a monthly fire drill and incomplete fire drill records.
Annual medical evaluations for several residents were not completed timely.
Prescription medication labels did not match the prescribed dosage and instructions.
Incorrect blood glucose values were entered on a resident's medication administration record.
Prescriber orders for insulin administration were not properly followed or documented.
Staff member administered medications without completing required medication administration training.
Additional resident assessments were incomplete or not timely.
Annual medical evaluation did not include required documentation for secured dementia care unit placement.
Report Facts
License Capacity: 72 Residents Served: 64 Current Hospice Residents: 5 Hot Water Temperature: 122.5 Hot Water Temperature: 122.2
Employees Mentioned
NameTitleContext
Shane DalyDirector of Environmental ServicesCorrected shower water temperatures in rooms 213 and 216
Elizabeth KingDirector of Health and WellnessCompleted Medication Administration Train the Trainer course
Inspection Report Follow-Up Census: 61 Capacity: 72 Deficiencies: 2 Nov 21, 2022
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility on 11/21/2022 to review compliance and follow up on submitted plans of correction.
Findings
The report found violations related to the treatment of residents with dignity and respect, including staff misconduct, and deficiencies in criminal background checks for staff. Plans of correction were submitted and fully implemented by 01/23/2023.
Deficiencies (2)
Description
Staff person overheard bickering with a resident and using inappropriate language, violating resident dignity and respect.
Direct care staff worked unsupervised without a requested criminal history background check.
Report Facts
License Capacity: 72 Residents Served: 61 Current Residents in Hospice: 10 Staffing Hours - Total Daily Staff: 122 Staffing Hours - Waking Staff: 92
Inspection Report Routine Deficiencies: 0 Sep 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 Complaint Investigation Census: 63 Capacity: 72 Deficiencies: 5 Sep 14, 2022
Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial inspection on 09/14/2022 and 09/15/2022.
Findings
The inspection found multiple deficiencies including failure to immediately report suspected resident abuse, failure to properly supervise staff involved in alleged abuse, unlocked poisonous materials accessible to residents, hot water temperatures exceeding allowed limits, and unlocked medications and syringes in resident rooms. Plans of correction were accepted and implemented with training, audits, and procedural changes.
Complaint Details
The complaint involved an allegation that staff person B threatened to punch resident #1 in the face while preparing the resident for bed. The allegation was not reported until several hours later. Staff person A failed to report the abuse promptly and was terminated. Staff person B was suspended pending investigation and later returned to work after the complaint was unsubstantiated.
Deficiencies (5)
Description
Failure to immediately report suspected abuse of a resident; abuse allegation was reported late.
Failure to immediately suspend or supervise staff involved in alleged abuse; staff continued to work unsupervised after the incident.
Poisonous materials were unlocked, unattended, and accessible to residents in multiple locations.
Hot water temperature in resident-accessible areas exceeded 120°F, measuring up to 135.1°F.
Prescription medications and syringes were unlocked and accessible in a resident's bathroom.
Report Facts
License Capacity: 72 Residents Served: 63 Staffing Hours: 126 Waking Staff: 95 Hot Water Temperature: 131.1 Hot Water Temperature: 135.1 Completion Date: Oct 20, 2022 Completion Date: Oct 26, 2022 Completion Date: Feb 28, 2023 Completion Date: Dec 16, 2022
Inspection Report Renewal Deficiencies: 0 May 18, 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 Plan of Correction Deficiencies: 0 Mar 9, 2022
Visit Reason
The visit was conducted to review the submitted plan of correction for the facility following prior deficiencies.
Findings
The Pennsylvania Department of Human Services determined that the submitted plan of correction is fully implemented and that continued compliance must be maintained.
Report Facts
Inspection dates: 3
Inspection Report Renewal Census: 53 Capacity: 72 Deficiencies: 10 Jan 31, 2022
Visit Reason
The inspection was conducted as a renewal licensing inspection of ARTIS SENIOR LIVING OF SOUTH HILLS on 01/31/2022 through 02/02/2022.
Findings
The inspection identified multiple deficiencies including improper storage of poisonous materials, food stored on the floor, undated leftover food, combustible materials stored near heat sources, medication management issues, incomplete resident assessments, delayed admission support plans, and resident treatment concerns. Plans of correction were accepted and implemented with ongoing audits and staff education.
Deficiencies (10)
Description
Poisonous materials were found unlocked and accessible to residents.
42 gallons of water were stored on the floor in the linen room.
Leftover food in refrigerator was not labeled or dated.
Combustible and flammable materials were stored near hot water heaters.
Medications no longer prescribed were still stored in the medication cart.
Medication administration records were inaccurately documented with incorrect times and missing initials.
Resident insulin dosages were not administered according to sliding scale orders.
Resident assessments did not include all required diagnoses.
Admission support plan was not completed within required 72 hours for a resident.
Resident was treated without dignity and respect by staff.
Report Facts
License Capacity: 72 Residents Served: 53 Total Daily Staff: 106 Waking Staff: 80 Gallons of water stored on floor: 42
Employees Mentioned
NameTitleContext
Staff Person ANamed in medication administration record violation and resident treatment violation; suspended and terminated.
Director of Environmental ServicesInvolved in correcting storage violations and conducting audits.
Director of Culinary ServicesRe-educated on food storage regulations and involved in audits.
Director of Health and WellnessEducated nursing staff on medication management, conducted audits, and involved in resident assessment corrections.
Executive Director Daniel HassExecutive DirectorConducted staff education and audits related to resident treatment and assessments.
Inspection Report Follow-Up Census: 53 Capacity: 72 Deficiencies: 1 Nov 3, 2021
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.
Findings
The submitted plan of correction related to a resident abuse incident was found to be fully implemented. Staff education on abuse and neglect was conducted, and the staff member involved was terminated. Ongoing monitoring through resident interviews was planned to ensure continued compliance.
Deficiencies (1)
Description
A resident was verbally and physically abused by a staff member who was observed holding the resident's leg and arm while expressing frustration about the resident resisting care.
Report Facts
License Capacity: 72 Residents Served: 53 Total Daily Staff: 106 Waking Staff: 80 Hospice Residents: 8 Resident Interviews: 3
Employees Mentioned
NameTitleContext
Larry MazzaSigned the letter regarding the plan of correction implementation
Executive DirectorExecutive DirectorConducted staff education on abuse and neglect and planned ongoing resident interviews
Inspection Report Follow-Up Census: 49 Capacity: 72 Deficiencies: 1 Aug 18, 2021
Visit Reason
The inspection was a partial, unannounced visit conducted on 08/18/2021 due to an incident, to review compliance and the submitted plan of correction.
Findings
The submitted plan of correction was found to be fully implemented and acceptable. One deficiency was cited related to a medical evaluation being completed more than 60 days prior to admission for a resident in the Secure Dementia Care Unit.
Deficiencies (1)
Description
Resident #1 was admitted to the Secure Dementia Care Unit but had a medical evaluation completed more than 60 days prior to admission, which did not meet the requirement.
Report Facts
License Capacity: 72 Residents Served: 49 Current Residents in Hospice: 4 Residents Age 60 or Older: 49 Residents with Mobility Need: 49 Total Daily Staff: 98 Waking Staff: 74
Employees Mentioned
NameTitleContext
Janine WenzigSigned letters regarding plan of correction and inspection results
Notice Capacity: 72 Deficiencies: 0 Apr 30, 2021
Visit Reason
The document serves as a renewal notification for the operation license of Artis Senior Living of South Hills Personal Care Home and informs that an annual onsite inspection will be conducted within the next twelve months.
Findings
The document confirms issuance of a regular license in response to the renewal application and advises that the Department will conduct an inspection within the next year to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 72
Inspection Report Plan of Correction Census: 51 Capacity: 72 Deficiencies: 19 Mar 22, 2021
Visit Reason
The inspection was conducted as a result of a renewal and complaint review of the facility, including follow-up on submitted plans of correction.
Findings
The report details multiple deficiencies including record confidentiality breaches, contract signature issues, privacy violations, inadequate first aid/CPR staffing, training documentation gaps, facility maintenance issues, medication administration errors, emergency procedure deficiencies, and incomplete resident assessments. Plans of correction were accepted and implemented for all findings.
Complaint Details
The inspection included a complaint investigation component as indicated by the inspection reason. Specific substantiation status is not stated.
Deficiencies (19)
Description
Resident records were found unlocked and unattended, exposing confidential information.
Residency Agreement for Resident #5 was not signed by the resident and not dated by the responsible party.
Addendum regarding resident rights and complaint procedures was not signed by residents #5, #6, and #9.
Residents permitted to install hidden cameras in private rooms without home’s knowledge, violating privacy policy.
Only one staff member trained in first aid and CPR was present overnight for 51 residents.
Administrator lacked documentation of attending Department-approved orientation program.
Water damage observed on ceiling near Neighborhood Center.
Hot water temperature in common bathroom sink measured 133.3°F, exceeding 120°F limit.
Emergency preparedness plan binder lacked critical information including contact info for designated persons and emergency procedures.
Emergency exit door egress was obstructed by items blocking the sidewalk.
Emergency procedures did not indicate actions to be taken until inoperable smoke detectors or fire alarms are operable.
Medication labeling discrepancy for Resident #7's Novolog sliding scale prescription.
Medication record for Resident #7 included incorrect Acetaminophen dosage entry.
Resident #8's Vitamin D2 medication was not administered on scheduled date due to unavailability and delayed until 12 days later.
Residency Agreement addendums for residents #5, #6, #8, and #9 regarding right to refuse medication were not signed by residents.
Annual assessments for residents #5 and #9 lacked documentation of social and recreational needs.
Resident #6's preadmission cognitive screening was not completed within 72 hours prior to admission.
Directions for operation of magnetically locked exit doors and courtyard gates were not conspicuous or missing.
Resident #7's initial support plan was not finalized within 72 hours of admission.
Report Facts
Residents present: 51 Total licensed capacity: 72 Staffing hours - Resident Support Staff: 51 Staffing hours - Total Daily Staff: 153 Staffing hours - Waking Staff: 115 Current Hospice Residents: 7 Water temperature: 133.3 Medication audits: 4
Employees Mentioned
NameTitleContext
Jon KimberlandDepartment of Human Services Bureau of Human Service Licensing representativeSigned the letter confirming plan of correction implementation
Staff person AAdministratorMentioned for lacking documentation of attending orientation program
Report Jun 16, 2022
File
20220616_44916.pdf

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