Inspection Reports for Artis Senior Living of West Shore
150 N Twelfth St, Lemoyne, PA 17043, United States, PA, 17043
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Inspection Report
Renewal
Census: 64
Capacity: 64
Deficiencies: 11
Jun 12, 2025
Visit Reason
The inspection was conducted as a renewal inspection with an incident review at ARTIS SENIOR LIVING OF WEST SHORE on 06/12/2025.
Findings
The inspection identified multiple deficiencies including abuse incidents, unsecured poisonous materials, furniture in poor condition, refrigerator/freezer temperature violations, incomplete medical evaluations, medication errors, failure to follow prescriber's orders, incorrect resident diet assessments, and insufficient staff dementia training. Plans of correction were accepted and implemented with proposed completion dates mostly by 08/01/2025.
Deficiencies (11)
| Description |
|---|
| Resident-to-resident abuse and staff-to-resident abuse incidents resulting in injuries. |
| Poisonous materials (toothpaste) were found unlocked and accessible to residents not assessed as safe around poisons. |
| Furniture (green upholstered chair) was heavily soiled and worn, posing a cleanliness and hazard concern. |
| Freezer temperatures exceeded required limits and a freezer lacked a thermometer. |
| Resident's initial medical evaluation did not indicate ability to self-administer medications. |
| Resident's annual medical evaluation lacked documentation of blood pressure, temperature, health status, and cognitive functioning. |
| Discontinued medication (Miconazole cream 2%) was found in the medication cart. |
| Discrepancies between glucometer blood sugar readings and documented medication administration records. |
| Resident was not weighed as prescribed and multiple medications were not administered as ordered. |
| Resident's diet assessment was inconsistent with medical evaluation indicating need for mechanical soft foods. |
| Staff person working in secured dementia care unit had insufficient dementia care training hours. |
Report Facts
License Capacity: 64
Residents Served: 64
Current Residents in Hospice: 6
Residents Age 60 or Older: 63
Residents with Mobility Need: 64
Total Daily Staff: 128
Waking Staff: 96
Blood Sugar Readings Discrepancies: 4
Missed Medications: 5
Staff Dementia Training Hours: 4.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Involved in abuse incident with resident #1; terminated as a result. | |
| Staff person B | Observed and intervened in abuse incident involving resident #1. | |
| Staff person C | Worked in secured dementia care unit with insufficient dementia care training hours. | |
| Director of Health and Wellness | Responsible for updating resident support plans, conducting audits, and providing education related to medical evaluations, medication administration, and diet assessments. | |
| Director of Environmental Services | Responsible for environmental rounds, cleaning furniture, and monitoring poisonous materials. | |
| Director of Culinary Services | Replaced freezer thermometer and conducted environmental rounds for freezer temperature compliance. | |
| Executive Director | Provided education and oversight related to staff training, medical documentation, and regulatory compliance. | |
| Director of Community Integration | Conducted additional dementia training for staff person C. | |
| Director of Business Services | Responsible for auditing staff education compliance. |
Inspection Report
Plan of Correction
Census: 64
Capacity: 64
Deficiencies: 1
Oct 30, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident, with a focus on reviewing the submitted plan of correction for previously identified deficiencies.
Findings
The report found multiple incidents of resident-to-resident abuse resulting in injuries, with staff intervention and monitoring following the events. The submitted plan of correction was accepted and fully implemented, including staff education and updated resident support plans.
Deficiencies (1)
| Description |
|---|
| Resident-to-resident abuse incidents causing physical injuries including bruises and pain, with staff intervention required. |
Report Facts
License Capacity: 64
Residents Served: 64
Current Residents in Hospice: 9
Residents Age 60 or Older: 63
Total Daily Staff: 128
Waking Staff: 96
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Conducted staff education regarding abuse and abuse reporting | |
| Director of Health and Wellness | Conducted staff education and updated resident support plans; will conduct monthly education sessions |
Inspection Report
Follow-Up
Census: 54
Capacity: 64
Deficiencies: 1
Sep 26, 2023
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident to verify the implementation of a previously submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented with continued compliance required. The report details multiple incidents of resident abuse involving physical altercations between residents, with interventions including resident separation, monitoring, physician assessments, re-education of staff, and behavioral management meetings.
Deficiencies (1)
| Description |
|---|
| Resident abuse incidents involving physical altercations such as punching, kicking, and pushing among residents resulting in injuries including lacerations and sutures. |
Report Facts
Residents Served: 54
License Capacity: 64
Current Hospice Residents: 4
Staffing Hours - Total Daily Staff: 108
Staffing Hours - Waking Staff: 81
Inspection Report
Plan of Correction
Census: 61
Capacity: 64
Deficiencies: 4
Jul 27, 2023
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility on 07/27/2023, with follow-up related to plan of correction submissions.
Findings
The report details multiple deficiencies related to resident abuse, admission support plans, and support plan needs elements, including verbal and physical altercations between residents and incomplete or outdated support plans. The submitted plans of correction were accepted and implemented by mid-September 2023.
Deficiencies (4)
| Description |
|---|
| Failure to immediately report suspected resident abuse and comply with reporting requirements, including failure to notify the local Area Agency on Aging within 48 hours. |
| Resident abuse including verbal altercation escalating to physical altercation causing injuries. |
| Admission support plan was not completed within 72 hours of admission to the secured dementia care unit. |
| Support plan did not identify resident's physical, medical, social, cognitive, and safety needs adequately, including behavioral needs. |
Report Facts
License Capacity: 64
Residents Served: 61
Current Hospice Residents: 4
Total Daily Staff: 122
Waking Staff: 92
Residents Age 60 or Older: 61
Residents with Mobility Need: 61
Inspection Report
Renewal
Census: 59
Capacity: 64
Deficiencies: 6
Jun 21, 2023
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements and regulations for ARTIS SENIOR LIVING OF WEST SHORE.
Findings
The inspection identified several deficiencies including unlocked poisonous materials accessible to residents, lack of emergency telephone numbers, overdue fire drills during sleeping hours, incomplete medical evaluations, failure to follow prescriber's orders for medication administration, and residents not educated on their right to refuse medication. Plans of correction were submitted and partially implemented with ongoing monitoring.
Deficiencies (6)
| Description |
|---|
| Unlocked 31 oz. container of Kettle Kleen accessible to residents in the secured dementia care unit. |
| No emergency telephone numbers posted for nearest hospital and fire department in community center and room 403. |
| Fire drill during sleeping hours was not conducted within the required 6-month interval. |
| Resident 3's medical evaluation did not include height, weight, pulse rate, blood pressure, and temperature. |
| Medication was not administered to Resident 5 as prescribed due to medication unavailability. |
| Residents 1, 2, and 4 were not educated on their right to refuse medication if they believe there may be a medication error. |
Report Facts
License Capacity: 64
Residents Served: 59
Current Residents in Hospice: 4
Total Daily Staff: 118
Waking Staff: 89
Medical Evaluations Audited: 61
Residents Non-Compliant with Resident Rights Education: 23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Named in relation to conducting re-education, audits, and verifying compliance with corrections. | |
| Director of Environmental Services | Involved in placing emergency telephone number stickers, conducting audits, and fire drill scheduling. | |
| Director of Health and Wellness | Conducted audits of medical evaluations and involved in medication administration corrections. | |
| Assistant Director of Health and Wellness | Conducted initial audit of medication administration. | |
| Coordinator of Health and Wellness | Provided education and will run medication variance reports. | |
| Director of Sales | Received education on resident rights compliance. | |
| Director of Business Services | Received education on resident rights compliance. |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 64
Deficiencies: 0
Dec 28, 2022
Visit Reason
The inspection was conducted as a partial, unannounced visit due to a complaint and incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related and incident-related; no deficiencies or citations were found.
Report Facts
License Capacity: 64
Residents Served: 52
Current Residents in Hospice: 3
Residents Age 60 or Older: 51
Total Daily Staff: 104
Waking Staff: 78
Inspection Report
Renewal
Census: 47
Capacity: 64
Deficiencies: 7
May 25, 2022
Visit Reason
The inspection was conducted as a renewal and complaint investigation to assess compliance with licensing regulations and to review the submitted plan of correction.
Findings
Multiple deficiencies were identified including uncovered trash receptacles in resident bathrooms, outdated or missing medical evaluations and assessments, medication labeling and administration errors, and issues with preadmission cognitive screenings. Plans of correction were accepted and implemented with ongoing audits and education.
Deficiencies (7)
| Description |
|---|
| Uncovered trashcans were observed in the bathrooms of resident rooms #301 and #413. |
| Resident #1’s most recent medical evaluation was outdated, last completed on 10/25/2021. |
| Medication Administration Record for Resident #2 did not match the medication bottle instructions for Polyethylene Glycol 3350. |
| Resident #1 was not administered prescribed Vitamin D2 on 5/22/2022 due to medication unavailability. |
| Resident #1’s additional assessment was missing or incomplete. |
| Resident #3’s cognitive preadmission screening was completed more than 72 hours prior to admission to the Secure Dementia Care Unit. |
| Discontinued medication (Diabetic Tussin Liquid) was found in the medication cart for Resident #2. |
Report Facts
License Capacity: 64
Residents Served: 47
Staffing Hours: 111
Waking Staff: 83
Hospice Residents: 2
Residents 60 Years or Older: 45
Residents with Mobility Need: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alex Shambach | Signed the letter regarding plan of correction implementation | |
| Director of Health and Wellness | Director of Health and Wellness | Conducted audits and education related to medical evaluations, medication labeling, and compliance |
| Executive Director | Executive Director | Conducted audits and education related to trash receptacle compliance and other regulatory requirements |
| Coordinator of Health & Wellness | Coordinator of Health & Wellness | Ordered medications and removed discontinued medications from medication carts |
| Director of Business Services | Director of Business Services | Responsible for verifying compliance of preadmission screening dates |
Inspection Report
Renewal
Deficiencies: 0
Dec 20, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing for ARTIS SENIOR LIVING OF WEST SHORE.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Renewal
Capacity: 64
Deficiencies: 0
Dec 1, 2021
Visit Reason
The document is a renewal license issued in response to the facility's renewal application to operate a Personal Care Home. The Department will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a certificate of compliance and license renewal for the facility.
Report Facts
Maximum capacity: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal license letter. |
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