Inspection Reports for
Cornwall Manor
1 BOYD STREET, PO BOX 125,, CORNWALL, PA, 17016
Back to Facility Profile16 Reports
Inspection Report — Sep 8, 2025
Renewal
Date: Sep 8, 2025
Visit Reason
The inspection was conducted as a renewal inspection of Cornwall Manor, a personal care home, to assess compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including unlocked controlled substance books, unsafe resident equipment posing entrapment risks, lack of refrigerator/freezer thermometers, outdated food items, incomplete medical evaluations, discontinued medications still present, damaged medication packaging, incomplete resident assessments, and incomplete support plans. Plans of correction were accepted and implemented with follow-up audits and staff education scheduled.
Citations (9)
Two control substance books containing residents' medication information were unlocked, unattended, and accessible on medication carts.
Resident #2's enabler bar for transferring and repositioning in bed was uncovered with a large opening and not securely fastened, posing an entrapment risk.
No thermometer was present in the refrigerator or freezer in the second-floor kitchenette.
Dented cans of Campbell's chicken noodle soup and pineapple chunks were found in the home's kitchen.
Resident #3's initial medical evaluation was not completed within the required timeframe.
Discontinued medication Cefdinir 300mg for resident #2 was found in the medication cart.
Resident #4's Lorazepam 0.5mg bubble pack contained a tear with the pill still inside, covered with scotch tape.
Resident #3 and #5 had incomplete or outdated additional assessments.
Resident #2's support plan did not include required details about the enabler bar device used for transferring and repositioning.
Report Facts
Residents Served: 36
Current Hospice Residents: 1
Total Daily Staff: 36
Waking Staff: 27
Inspection Report — Sep 11, 2024
Renewal
Date: Sep 11, 2024
Visit Reason
The inspection was conducted as a full, unannounced visit for renewal and complaint reasons on 09/11/2024.
Findings
The inspection identified multiple deficiencies related to staff training hours and topics, fire drill compliance, medical evaluations, medication storage and administration, and following prescriber's orders. Plans of correction were accepted and some were implemented by mid to late October 2024.
Citations (8)
Direct Care Staff Members A and B received only 8.5 hours of annual training in training year 2023, less than the required 12 hours.
Direct Care Staff Members A and B did not receive required training topics during 2023 including medication self-administration, meeting resident needs, dementia care, personal care service needs, and safe management techniques.
Direct Care Staff Members A and B did not receive training in resident rights, Older Adult Protective Services Act, and falls and accident prevention during 2023.
A fire drill during sleeping hours was not conducted within the required 6-month interval.
During multiple fire drills, not all residents evacuated to a designated meeting place away from the building or within the fire-safe area.
Resident #1's most recent medical evaluation was incomplete; Resident #2's previous medical evaluation was outdated.
Resident #3's prescribed medication was not available in the home and thus not administered as ordered.
Resident #1 and Resident #3 did not receive prescribed medications on specified dates.
Report Facts
Residents Served: 35
Total Daily Staff: 35
Waking Staff: 26
Resident with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Personal Care Administrator | Reviewed training plans, fire drill logs, and medication procedures; responsible for staff training audits and compliance. | |
| Manager of Nursing | Responsible for reviewing and signing off monthly fire drill documents and medication audits; provided education on fire drill requirements. | |
| LPN | Re-ordered medication for Resident #2 and involved in medication reconciliation and audits. |
Inspection Report — May 11, 2023
Renewal
Date: May 11, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The submitted plan of correction was determined to be fully implemented. Two deficiencies were noted related to emergency management agency submission and medication storage procedures, both of which had corrective actions accepted and implemented.
Citations (2)
The home's written emergency procedures were not submitted annually to the local emergency management agency as required.
A prescribed medication for Resident #1 was not available in the home on the day of inspection.
Report Facts
Total Daily Staff: 36
Waking Staff: 27
Inspection Report — Apr 21, 2022
Renewal
Date: Apr 21, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The submitted plan of correction was found to be fully implemented, with the emergency procedures now posted in a conspicuous and public place as required.
Citations (1)
The home’s emergency procedures are not posted in a conspicuous and public place in the home.
Report Facts
Residents Served: 26
Total Daily Staff: 26
Waking Staff: 20
Inspection Report — Jan 12, 2022
Follow-Up
Date: Jan 12, 2022
Visit Reason
The inspection was conducted as an interim partial inspection with a follow-up type of Plan of Correction (POC) submission to verify correction of previous deficiencies.
Findings
Two deficiencies were identified: lack of a carbon monoxide detector in the boiler room and improper refrigerator/freezer temperatures. Both deficiencies were corrected with installation of a carbon monoxide alarm and replacement of the thermometer with consistent temperature monitoring.
Citations (2)
18. Applicable Health and Safety Laws - A carbon monoxide alarm was not installed in the ground level boiler room as required by the Care Facility Carbon Monoxide Alarms Standards Act.
103f. Food requiring refrigeration was not stored at proper temperatures; the outside thermostat on the upright freezer read 0.5 degrees while inside temperature was approximately 5 degrees Fahrenheit.
Report Facts
Residents Served: 25
Notice — Oct 20, 2021
Date: Oct 20, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Cornwall Manor Personal Care Home, confirming receipt of the renewal application and advising of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it is an administrative notice confirming license renewal and outlining future inspection requirements.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Notice — Apr 15, 2021
Date: Apr 15, 2021
Visit Reason
The document serves to notify Cornwall Manor that their request to waive the requirement for the personal care home Department-approved competency-based training test for an administrator candidate has been granted under specified conditions.
Findings
The waiver is granted with conditions including documentation requirements and a specified expiration date of April 30, 2021. The Department will review compliance with these conditions during the annual inspection.
Report Facts
Waiver expiration date: Apr 30, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeanne Parisi | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Notice — Dec 18, 2020
Date: Dec 18, 2020
Visit Reason
This document serves as a renewal notification and license issuance for Cornwall Manor Personal Care Home. It informs the facility that an annual inspection will be conducted within the next twelve months as required by state regulations.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.
Report Facts
Inspection Report — Oct 10, 2019
Renewal
Date: Oct 10, 2019
Visit Reason
The inspection was a full, unannounced renewal inspection of Cornwall Manor conducted by the Pennsylvania Department of Human Services on October 10, 2019.
Findings
The submitted plan of correction related to expired eye drops was fully implemented. The violation involved expired eye drops prescribed for a resident that were found in the medication cart and corrective actions included returning expired medication and implementing a medication log for expiration monitoring.
Citations (1)
Regulation 2600 183.d: Two bottles of prescribed eye drops for Resident #1 had expiration dates of 9/2019 and were found in the medication cart. The facility returned expired eye drops to the pharmacy and implemented a medication log to monitor expiration dates.
Report Facts
Residents Served: 20
Total Daily Staff: 20
Waking Staff: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Courtney Gruber | Administrator, LPN | Named in plan of correction signature and medication violation. |
Notice — Oct 8, 2019
Date: Oct 8, 2019
Visit Reason
This document serves as a renewal notification and license issuance for Cornwall Manor Personal Care Home, confirming the facility's authorized capacity and informing about the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It is a licensing and renewal notification letter with an enclosed certificate of compliance.
Report Facts
Inspection Report — Oct 30, 2018
Annual Inspection
Date: Oct 30, 2018
Visit Reason
The inspection was conducted as the Department's Bureau of Human Services Licensing annual inspection to assess compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes.
Findings
The facility was found to be in compliance with the applicable regulations during the annual inspection.
Inspection Report — Oct 19, 2018
Renewal
Date: Oct 19, 2018
Visit Reason
The document is a renewal notification and license issuance for Cornwall Manor Personal Care Home, indicating the Department will conduct an onsite inspection within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of upcoming inspection requirements.
Inspection Report — Nov 1, 2017
Annual Inspection
Date: Nov 1, 2017
Visit Reason
The visit was the Department of Human Services' annual licensing inspection of Cornwall Manor, Corson Hall, to assess compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes.
Findings
The facility was found to be in compliance with the applicable regulations during the annual licensing inspection.
Inspection Report — Oct 18, 2017
Renewal
Date: Oct 18, 2017
Visit Reason
The document is a renewal application and license issuance for Cornwall Manor Personal Care Home. The Department of Human Services 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 license renewal notification and outlines the requirement for a future annual inspection.
Report Facts
Inspection Report — Nov 22, 2016
Annual Inspection
Date: Nov 22, 2016
Visit Reason
The Department of Human Services conducted an annual licensing inspection of Cornwall Manor on November 22, 2016.
Findings
The facility was found to be in compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the compliance letter for the annual licensing inspection. |
Inspection Report — Oct 19, 2016
Renewal
Date: Oct 19, 2016
Visit Reason
The document is a renewal application and license issuance for Cornwall Manor Personal Care Home. The Department of Human Services 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 license renewal notification and confirmation of the facility's authorized capacity.
Report Facts
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