Inspection Reports for Concordia at Weatherwood

The inspection was conducted as a complaint and incident investigation during an unannounced partial inspection on 05/29/2025.

The inspection found violations related to abuse and treatment of residents, including neglect in assisting a resident from the toilet and allowing minors to enter resident rooms and disturb residents during overnight shifts. Corrective actions including staff training, counseling, and terminations were implemented.

The visit was complaint-related with substantiated findings of neglect and improper treatment of residents, including failure to assist a resident in a timely manner and inappropriate presence of minors in resident areas.

The inspection was conducted as a complaint investigation, unannounced, to review allegations of abuse and medication management issues at the facility.

The inspection found multiple deficiencies including failure to implement a supervisor plan for staff accused of abuse, medications and syringes not properly locked, presence of medications without physician orders, and inadequate documentation of residents' ability to self-administer medications. Plans of correction were accepted and implemented with ongoing audits and staff training.

The visit was triggered by allegations of resident abuse involving two staff members who continued to provide services without approved supervision plans. The complaint was substantiated with findings related to abuse supervision and medication management.

The inspection was conducted as a complaint investigation with an unannounced partial inspection on 03/12/2025 and 03/13/2025.

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

The inspection was triggered by a complaint; the inspection type is listed as Partial and Unannounced. No deficiencies or citations were found.

The inspection was conducted as a complaint and incident investigation following allegations of caregiver neglect and abuse at the facility.

The investigation found multiple violations including delayed reporting of abuse allegations, failure to provide timely assistance to residents, improper medication administration, lack of proper documentation, and incomplete resident support plan signatures. The facility implemented staff training and corrective actions to address these deficiencies.

The complaint investigation was triggered by allegations of caregiver neglect including leaving a resident on the toilet for over 1.5 hours, administering extra medication dosages, misuse of a resident's oxygen concentrator on another resident, and failure to seek timely medical care after a fall resulting in a fracture. The facility failed to timely report these incidents to the Department and local agencies.

The inspection was an unannounced full renewal inspection conducted on 12/17/2024 to review compliance with licensing requirements and verify the implementation of a previously submitted plan of correction.

The inspection identified several deficiencies including a direct care staff member lacking required qualifications and training, presence of discontinued medications in the medication cart, missing prescribed medications, and incomplete preadmission screening for a resident. Plans of correction were submitted and accepted, with full implementation verified by 02/14/2025.

The inspection was a partial, unannounced incident investigation conducted on 09/18/2024 to review compliance following a plan of correction submission.

The facility was found to have delayed reporting an incident involving alleged theft, and failed to provide proper assistance during resident transfers, resulting in a resident fall and subsequent death. Plans of correction were accepted and fully implemented by 02/21/2025.

The inspection was conducted as a renewal inspection of the facility's license.

The inspection found multiple deficiencies including improper placement of carbon monoxide detectors, unlabeled and undated leftover food, unavailable prescribed medication for a hospice resident, medication record errors, and incomplete resident support plans. All deficiencies had plans of correction accepted and were implemented by mid-July 2024.

The inspection was conducted as a partial, unannounced visit due to an incident at the facility.

No regulatory citations or deficiencies were identified during the inspection.

The inspection was incident-related; no deficiencies or citations were found, indicating no substantiated complaints.

The inspection was conducted as a full, unannounced renewal inspection with an incident review on 04/04/2023 and 04/05/2023.

The inspection found multiple deficiencies including unlocked resident records, unlabeled carbon monoxide detector batteries, locked egress door, outdated fire safety inspections, incomplete fire drill records, medication storage issues, inaccurate resident assessments, and improper use of correction fluid in records. Plans of correction were accepted and implemented with ongoing audits and education.

The inspection was conducted as a complaint investigation with a partial, unannounced visit to 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 a follow-up review conducted on 03/14/2022 to verify that the submitted plan of correction was fully implemented following a prior incident.

The plan of correction was determined to be fully implemented, addressing a violation involving abuse/neglect where a resident was improperly handled by staff. Continued compliance and staff education on resident rights and abuse prevention were emphasized.

The inspection was conducted as a renewal inspection with an incident review, including unannounced full inspections on 02/11/2022, 02/14/2022, and 02/15/2022.

The submitted plan of correction was determined to be fully implemented. Deficiencies included uncovered bedside enablers posing entrapment hazards, a bedside lamp not operable from bedside, and incomplete medical evaluation documentation. All cited deficiencies had corrective plans accepted and were addressed with staff education and procedural changes.

The inspection was conducted as a renewal inspection with an incident review, including unannounced full inspections on 02/11/2022, 02/14/2022, and 02/15/2022, followed by plan of correction submissions and document reviews.

The facility was found to have deficiencies related to bedside lighting and incomplete medical evaluations. The bedside lamp for one resident was not operable from the bedside, and a medical evaluation form lacked dates. Both issues were addressed with plans of correction, staff education, and documentation. The submitted plan of correction was fully implemented.

The inspection was conducted as a complaint investigation following allegations of resident abuse involving staff persons during COVID-19 testing.

The facility was found to have delayed implementing a plan of supervision or suspending staff involved in an abuse allegation until 12/2/2021, after being notified on 11/23/2021. The investigation detailed an incident where resident #1 was forcibly tested for COVID-19 using a nasopharyngeal swab, resulting in distress and a nosebleed. The facility disputed some aspects of the allegation but acknowledged the need for improved education and procedures regarding abuse investigations and COVID testing.

The complaint involved allegations of resident abuse by staff during COVID-19 testing. The investigation found that the facility delayed implementing a plan of supervision or suspending involved staff. The resident was forcibly tested with a nasopharyngeal swab despite resistance, resulting in distress and a nosebleed. The facility disputed some details but accepted the need for corrective education and procedural improvements.

The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing licensing inspections on 07/08/2021 and 07/14/2021 for Weatherwood Manor.

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

The inspection was conducted as a routine licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.

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

The inspection was conducted as a licensing inspection of the facility Weatherwood Manor by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.

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

The inspection was conducted as a complaint and incident investigation with unannounced partial inspections on 02/05/2021, 02/20/2021, and 03/02/2021 to review compliance and follow up on submitted plans of correction.

The facility was found to have deficiencies related to dignity and respect towards residents, failure to follow prescriber’s wound care orders, and incomplete significant change assessments. Plans of correction were accepted and fully implemented with ongoing audits and staff education.

The inspection was triggered by complaints and incidents, with a focus on dignity/respect violations and failure to follow prescriber’s orders. The complaint was substantiated as deficiencies were found and plans of correction were required and implemented.