Inspection Reports for Beaver Meadows
5130 TUSCARAWAS ROAD,, BEAVER, PA, 15009
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
61% occupied
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 51
Capacity: 83
Deficiencies: 0
May 20, 2025
Visit Reason
The inspection was conducted as a complaint-related incident investigation at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was triggered by an incident and was unannounced. No deficiencies were found.
Report Facts
Total Daily Staff: 67
Waking Staff: 50
Residents Served: 51
License Capacity: 83
Current Hospice Residents: 10
Residents Diagnosed with Mental Illness: 35
Residents with Mobility Need: 16
Residents Are 60 Years of Age or Older: 51
Residents with Physical Disability: 2
Inspection Report
Complaint Investigation
Census: 50
Capacity: 83
Deficiencies: 0
Apr 9, 2025
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 violations.
Report Facts
Total Daily Staff: 66
Waking Staff: 50
Residents Served: 50
License Capacity: 83
Current Hospice Residents: 9
Residents Age 60 or Older: 50
Residents with Mobility Need: 16
Inspection Report
Follow-Up
Census: 43
Capacity: 83
Deficiencies: 8
Aug 1, 2023
Visit Reason
The inspection visit on 08/01/2023 was conducted as a full, unannounced review for renewal and complaint reasons.
Findings
The inspection found multiple deficiencies including improper posting of licenses and emergency procedures, expired boiler certificates, fire door gaps, inadequate fire drills, missing exit signs, and incomplete resident medical evaluations and support plans. All deficiencies had plans of correction accepted and were implemented by September 2023.
Deficiencies (8)
| Description |
|---|
| License inspection summary and regulation chapter were posted in a locked case, not in a conspicuous and public place. |
| "No smoking" sign was posted in a glass case in the recreation room, not in a public and conspicuous place; boiler certificates expired. |
| Interior fire doors between bedroom 100 and Nurses station east had a gap of approximately ½ inch at the bottom. |
| Emergency procedures were locked in a glass case in the recreation room and not posted in a conspicuous and public place. |
| No sleeping time fire drill conducted with minimum nursing staffing despite low staffing during certain shifts. |
| No exit sign over the door leading to the exterior courtyard and main entrance; multiple areas lacked exit signs showing direct visual line to nearest exit. |
| Resident #1's most recent medical evaluation was overdue, completed on 7/19/22 prior to inspection. |
| Resident #3's support plan did not address use of hoyer lift and assistance of 2 staff persons for transfers. |
Report Facts
Residents served: 43
License capacity: 83
Current residents in hospice: 7
Residents diagnosed with mental illness: 22
Residents with mobility need: 16
Residents aged 60 or older: 43
Inspection Report
Complaint Investigation
Census: 42
Capacity: 83
Deficiencies: 2
Nov 30, 2022
Visit Reason
The inspection was conducted as a complaint investigation following allegations related to medication administration errors by a staff person who held a practical nurse temporary permit.
Findings
The investigation found that staff person A, who was not qualified to pass medication, administered medications incorrectly to resident #1, who recognized the error and refused the medication. The home failed to conduct an investigation or ensure resolution of the complaint. A plan of correction was submitted and fully implemented.
Complaint Details
The complaint involved medication errors by staff person A during medication passes, including administering AM medications for PM use and leaving medications prescribed for one resident on another resident's counter. Resident #1 recognized and refused the medication and reported the errors. The home failed to investigate or resolve the complaint initially but later implemented corrective actions.
Deficiencies (2)
| Description |
|---|
| Staff person A, holding a practical nurse temporary permit, was not qualified to pass medication but administered medications to resident #1 incorrectly. |
| The home did not conduct an investigation or ensure resolution of the medication administration complaint. |
Report Facts
License Capacity: 83
Residents Served: 42
Current Residents in Hospice: 6
Residents with Mobility Need: 14
Residents Age 60 or Older: 42
Residents with Physical Disability: 1
Total Daily Staff: 56
Waking Staff: 42
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff Person A | Practical Nurse Temporary Permit Holder | Named in medication administration errors and complaint investigation |
| Administrator | Educated Nursing Care Supervisor and responsible for monitoring compliance and complaint resolution | |
| Nursing Care Supervisor | Conducted routine care conference and was educated on complaint resolution and medication administration regulations |
Inspection Report
Follow-Up
Census: 49
Capacity: 83
Deficiencies: 11
Jun 22, 2022
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a previously submitted plan of correction, triggered by renewal, complaint, and incident reasons.
Findings
The facility was found to have multiple deficiencies including failure to immediately report suspected resident abuse, unlocked and unattended electronic devices exposing resident information, resident personal equipment posing entrapment hazards, heat sources exceeding safe temperatures, improper refrigerator/freezer temperatures, obstructed egress routes, failure to conduct monthly fire drills, medication labeling issues, failure to follow prescriber's orders, prohibited seclusion practices, and incomplete resident assessments. Corrective actions and staff education were implemented with monitoring plans.
Complaint Details
The visit included complaint-related investigation regarding alleged resident abuse involving seclusion and failure to report the abuse timely. The complaint was substantiated with findings of abuse and failure to report.
Deficiencies (11)
| Description |
|---|
| Failure to immediately report suspected resident abuse as required by Older Adult Protective Services Act. |
| Unlocked and unattended laptop and tablet with accessible resident medication and incontinence information. |
| Resident personal equipment (beds) posed entrapment hazards due to openings. |
| Wall mounted heaters exceeded 120 degrees Fahrenheit without protective guards, posing burn hazard. |
| Freezer temperature in west kitchenette was above required freezing temperature. |
| Egress route partially blocked by table and chairs, reducing clearance to approximately 37 inches. |
| Unannounced fire drill was not held during December 2021. |
| Pharmacy label for resident's medication did not include instructions per sliding scale. |
| Resident was administered medication not consistent with prescriber's directions. |
| Resident was involuntarily secluded in room with staff physically preventing door opening. |
| Resident assessment did not reflect significant changes in resident's condition as indicated by staff interviews. |
Report Facts
License Capacity: 83
Residents Served: 49
Staffing Hours: 69
Waking Staff: 52
Temperature: 165
Freezer Temperature: 3
Egress Clearance: 37
Notice
Capacity: 83
Deficiencies: 0
Sep 13, 2021
Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care Home 'Beaver Meadows' following receipt of the renewal application dated August 31, 2021.
Findings
The Department issued a regular license in response to the renewal application and advises that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 83
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report
Renewal
Deficiencies: 0
Jun 2, 2021
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing's licensing inspections of the facility on 06/02/2021 and 06/03/2021.
Findings
No regulatory citations were identified as a result of this inspection.
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