Inspection Reports for Celebration Villa of York

The inspection was a partial, unannounced follow-up visit to verify the full implementation of a previously submitted plan of correction related to a fine.

The facility was found to have multiple deficiencies including unlocked medication carts with accessible resident records and medications, unsupervised ADL services by untrained staff, unsanitary conditions in resident bathrooms, combustible materials accessible to residents, incomplete medical evaluations, improper medication storage, unlabeled medical equipment, and incomplete resident assessments. Plans of correction were accepted and implemented with ongoing monitoring and staff training scheduled.

The inspection was conducted as a complaint and incident investigation at Celebration Villa of York following multiple licensing inspections on April 10, 14, and July 2, 2025.

The inspection found multiple violations including resident abuse, neglect, failure to report incidents timely, medication management deficiencies, sanitary condition issues, and incomplete resident assessments and records. Several staff members were terminated due to neglect and abuse. A provisional license was issued with required corrections and ongoing monitoring.

The inspection was complaint-driven, triggered by allegations of resident abuse, neglect, failure to report incidents, and medication errors. The complaint was substantiated with multiple violations found, including abuse by residents and neglect by staff, resulting in staff terminations and enforcement actions.

The inspection was conducted as a renewal inspection of the facility's license, with an unannounced full inspection on 02/25/2025 and an exit conference on 02/26/2025.

Multiple deficiencies were identified including failure to post the current license inspection summary, lack of CPR/First Aid trained staff during night hours, improper refrigerator/freezer temperatures, incomplete fire drill records, smoking area violations, medication management issues including self-administration assessments, storage, refusals, and follow prescriber's orders, as well as incomplete resident preadmission screenings, assessments, and support plans. Plans of correction were accepted and many were implemented by 05/01/2025.

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.

The facility was found to have fully implemented the submitted plan of correction. Deficiencies related to medication storage, medication refusal documentation, and support plan signatures were addressed with training and ongoing monitoring.

The inspection was conducted due to a complaint and incident, as stated in the inspection information section.

The inspection visit on 10/01/2024 was conducted as a complaint investigation and included a follow-up review of the submitted plan of correction.

The facility was found to have deficiencies related to failure to report incidents timely, inadequate assistance with activities of daily living, and failure to follow prescriber's medication orders. The submitted plan of correction was determined to be fully implemented as of the follow-up review.

The visit was complaint-related, triggered by concerns about medication administration and resident care. The plan of correction was accepted and fully implemented by 11/18/2024.

The inspection was conducted as a complaint investigation at the facility.

No regulatory citations or deficiencies were identified as a result of this inspection.

The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.

The inspection was conducted as a full, unannounced visit for renewal, complaint, and incident review purposes on 09/27/2022 and 09/28/2022.

Multiple deficiencies were identified including abuse of a resident by staff, cleanliness issues in resident rooms, lint accumulation in dryer lint traps, lack of current rabies vaccination for a resident's pet, medication administration errors, and incomplete resident assessments and support plans. Plans of correction were accepted and implemented with follow-up scheduled.

The inspection visit on 06/08/2022 was a partial, unannounced follow-up to review the submitted plan of correction related to prior incidents and compliance issues at Celebration Villa of York.

The facility was found to have fully implemented the submitted plan of correction. Previous violations included failure to timely report an abuse incident, verbal and physical abuse by staff members, and direct care staff providing unsupervised ADL services without completing required training. Staff involved in abuse incidents were suspended or terminated, and training was conducted to prevent recurrence.

The visit was related to complaints of abuse involving two residents. The abuse allegations were substantiated with findings of physical and verbal abuse by staff members. Staff involved were suspended or terminated accordingly.

The inspection was conducted as a renewal visit to review compliance and verify the submitted plan of correction was fully implemented.

The submitted plan of correction was determined to be fully implemented. Several specific deficiencies related to medical evaluations, storage procedures, preadmission screening, and support plans were identified and addressed with corrective actions and training.

The document serves as a renewal notification and issuance of a regular license for the Personal Care Home 'Elmcroft of York' following receipt of the renewal application dated February 25, 2021.

The Department has approved the renewal application and issued a regular license. It advises that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.