Inspection Reports for Country Manor

The inspection was conducted as a complaint and monitoring visit to assess compliance with regulations at Country Manor Personal Care Home.

Multiple violations were found including privacy breaches due to a motion-sensored camera in the dining room, improper safeguarding of resident property, unqualified staff administering medications, inadequate meal provision policies, failure to report medication refusals, and incomplete staff qualifications for medication administration.

The inspection was complaint-driven and included monitoring. Specific complaints involved privacy violations, safeguarding of resident property, staff qualifications, medication administration, meal provision, and reporting of medication refusals.

The inspection was conducted as a complaint and monitoring visit to assess compliance with Pennsylvania Department of Human Services regulations for Personal Care Homes.

The inspection identified multiple violations including entrapment hazards with resident bed enablers, lint accumulation in dryer vents posing fire risks, failure to conduct monthly fire drills in March and April 2025, and fire alarms not being activated during fire drills in May and June 2025. Plans of correction were directed for all deficiencies.

The inspection was complaint-related and included monitoring. Specific substantiation status is not stated.

The inspection was conducted as a complaint and monitoring visit to assess compliance with regulations at Country Manor Personal Care Home.

Multiple violations were found including failure to submit incident reports, missing medications, incomplete medication records lacking diagnosis or purpose, failure to document medication administration times, and not following prescriber's orders. Several violations were repeat offenses.

The inspection was complaint-related and included monitoring. Specific complaint details are not provided but violations were substantiated as multiple repeat violations were noted.

The inspection was conducted as a partial, unannounced visit due to complaint, incident, and fine reasons, with exit conference on 04/02/2025.

The inspection found multiple deficiencies including a violation of resident dignity and respect due to an argument between staff and a resident, lack of administrator presence averaging 20 hours per week, medication administration errors including arguments over medication handling, unlocked medication carts, and failure to follow prescriber's orders due to unavailable medications. Plans of correction were accepted and implemented by 06/24/2025.

The visit was complaint-related, triggered by complaints, incidents, and fines. The plan of correction was fully implemented and accepted.

The Department conducted multiple licensing inspections between June and December 2024 due to complaints, incidents, and enforcement concerns, resulting in refusal to renew the facility's license due to violations and noncompliance.

The facility was found to have multiple violations including failure to report abuse and incidents timely, inadequate assistance with activities of daily living, improper medication administration and documentation, unsanitary conditions, inadequate staffing and supervision, failure to maintain proper food safety and storage, and failure to maintain required documentation and assessments. The Department imposed fines and mandated corrective actions.

The inspection was complaint-related, triggered by allegations including abuse, neglect, inadequate care, and regulatory noncompliance. Specific complaints involved resident abuse, failure to report incidents, medication errors, and unsanitary conditions.

The document is a regulatory enforcement notice resulting from multiple licensing inspections conducted between June and December 2024. The Department refuses to renew the facility's certificate of compliance due to violations of Personal Care Homes regulations, gross incompetence, negligence, misconduct, and failure to submit an acceptable plan of correction.

The facility was found to have multiple violations including failure to report abuse, inadequate assistance with activities of daily living, improper medication administration and documentation, sanitary and safety deficiencies, staffing issues, and failure to maintain required supplies and equipment. The Department intends to assess fines unless violations are corrected by mandated dates.

The inspection was complaint-related, triggered by allegations including abuse, neglect, inadequate care, and failure to report incidents. Specific complaints involved inappropriate touching between residents, failure to assist residents with activities of daily living, medication administration errors, and poor sanitary conditions.

The inspection was an unannounced partial inspection conducted due to a complaint.

Multiple deficiencies were found including failure to provide immediate access to records, failure to report incidents timely, abuse hazards due to unsafe furniture, sanitary condition violations, improper medication storage and administration, failure to follow prescriber's orders, and smoking area safety issues. Plans of correction were accepted and implemented with ongoing compliance monitoring.

The inspection was complaint-driven as indicated by the inspection information section stating the reason as 'Complaint'.

The inspection was conducted due to complaints, incidents, and fines, including multiple licensing inspections over several months.

The facility was found to have multiple violations including failure to report abuse, inadequate assistance with activities of daily living, improper medication administration and documentation, sanitary and safety issues, staffing deficiencies, and failure to maintain required supplies and equipment.

The inspection was complaint-related, involving allegations of abuse, neglect, failure to report incidents, and inadequate care.

The inspection was conducted as a complaint investigation with multiple follow-up and enforcement activities related to violations found during prior inspections.

The facility was found to have multiple violations including failure to report abuse, inadequate assistance with activities of daily living, improper medication administration and documentation, sanitary deficiencies, lack of proper staffing and supervision, and failure to maintain required safety and health standards. The Department refused to renew the facility's license due to gross incompetence, negligence, and misconduct.

The complaint investigation revealed multiple violations including abuse allegations, failure to report incidents, inadequate care and supervision, medication errors, and sanitary deficiencies. The facility was found to have ongoing issues despite prior citations and plans of correction.

The inspection was conducted due to multiple complaint investigations and enforcement actions related to regulatory violations at Country Manor Personal Care Home.

The facility was found to have multiple violations including failure to renew license due to gross incompetence, negligence, and misconduct; failure to report abuse and incidents timely; inadequate staffing and supervision; unsafe sanitary conditions; medication administration errors; failure to maintain required supplies and equipment; and failure to comply with health and safety laws.

The inspection was complaint-related, triggered by multiple allegations including abuse, neglect, inadequate care, and regulatory noncompliance. Specific substantiation status is not explicitly stated.

The inspection was conducted due to multiple complaint investigations and enforcement actions related to regulatory violations at Country Manor Personal Care Home.

The facility was found to have multiple violations including failure to renew license due to gross incompetence, negligence, and misconduct; failure to report abuse and incidents timely; inadequate staffing and supervision; unsanitary conditions; medication administration errors; failure to maintain required supplies and equipment; and failure to comply with health and safety laws.

The inspection was complaint-related, triggered by allegations including resident abuse, neglect, failure to report incidents, and inadequate care. The complaint was substantiated with multiple violations found.

The inspection was a complaint investigation conducted as an unannounced partial inspection on 04/11/2024 and 04/19/2024 to review allegations and compliance with regulations.

The inspection found multiple deficiencies including failure to immediately supervise or suspend a staff person involved in an alleged abuse incident, failure to report the incident timely, treatment of residents without dignity and respect, incomplete criminal background checks, unsafe facility conditions, incomplete medical evaluations, medication management issues, and staff not completing required training or competency tests. Plans of correction were accepted and implemented by 10/28/2024.

The inspection was triggered by a complaint involving an alleged abuse incident where a staff person responded inappropriately to a resident. The home failed to immediately supervise or suspend the staff person and did not report the incident timely to the Department. The complaint was substantiated with multiple related deficiencies found.

The inspection was conducted due to a renewal and complaint investigation at the Country Manor Personal Care Home.

Multiple violations were found including failure to post current licenses and inspection summaries, confidentiality breaches, incomplete criminal background checks, unqualified staff, lack of CPR/first aid trained staff, unsanitary conditions, improper medication management, and fire safety deficiencies. Several repeat violations were noted. Plans of correction were submitted with some implemented and others pending.

The complaint investigation revealed multiple deficiencies including medication errors, unsanitary conditions, lack of staff qualifications, and safety hazards. Repeat violations were noted from previous inspections.

The inspection was conducted due to a renewal and complaint investigation at the Country Manor Personal Care Home.

Multiple violations were found including failure to post current licenses and inspection summaries, breaches in resident record confidentiality, incomplete criminal background checks for staff, inadequate staff qualifications, lack of first aid/CPR trained staff during shifts, unsanitary conditions, improper medication labeling and administration, and fire safety deficiencies.

The complaint investigation revealed multiple deficiencies related to resident care, medication management, staff qualifications, sanitary conditions, and safety compliance. Several repeat violations were noted from previous inspections.

The inspection was conducted due to a renewal and complaint investigation at the Country Manor Personal Care Home.

Multiple violations were found including failure to post current license and inspection summaries, confidentiality breaches of resident records, incomplete criminal background checks, unqualified staff, lack of first aid/CPR trained staff, unsanitary conditions, improper medication labeling and administration, and safety hazards such as obstructed egress and infestation concerns.

The complaint investigation revealed multiple violations including medication errors, unsanitary conditions, lack of staff qualifications, and safety hazards. Several repeat violations were noted.

The inspection was conducted as a renewal and complaint investigation of the Country Manor Personal Care Home.

Multiple violations were found including failure to post current license and inspection summaries, unlocked confidential resident records, incomplete criminal background checks for staff, unqualified administrator, unqualified direct care staff, lack of CPR/first aid trained staff on certain shifts, inadequate staff training, unsanitary conditions, improper medication labeling and administration, and safety hazards such as obstructed egress and fire safety deficiencies.

The complaint investigation revealed multiple deficiencies including medication errors, unsanitary conditions, lack of staff qualifications, and safety hazards. Several repeat violations were noted from previous inspections.

The inspection was conducted as a complaint investigation with an unannounced partial inspection on 08/31/2023 to review compliance and follow-up on a plan of correction submission.

The facility was found to have a medication administration deficiency where a resident was not administered prescribed medication on multiple dates. The submitted plan of correction was accepted and fully implemented by 10/10/2023.

The inspection was complaint-related and the submitted plan of correction was accepted and fully implemented. Resident #1 no longer resides at the facility. The administrator conducted retraining for medication technicians and implemented monthly cart audits.

The inspection was conducted as a complaint investigation during an unannounced partial inspection on 07/11/2023.

The inspection found sanitary condition violations including odors and feces splatters in shared bathrooms, and an incomplete resident assessment missing safety alarm information. The submitted plan of correction was determined to be fully implemented by 08/04/2023.

The inspection was complaint-driven as stated under Inspection Information with reason 'Complaint'.

The inspection was conducted as a partial, unannounced visit for complaint and monitoring reasons on 06/07/2023.

The inspection identified multiple medication-related deficiencies including improper storage of medications, incorrect medication labeling, failure to follow prescriber's orders, and missing medications. Additional deficiencies included lack of preadmission screening and incomplete resident assessments. Plans of correction were accepted and implemented by August 2023.

The inspection was complaint-related and included monitoring. The submitted plan of correction was determined to be fully implemented as of 06/07/2023.

The inspection was conducted as a complaint investigation during an unannounced partial inspection on 04/27/2023.

The inspection found multiple deficiencies related to administrator staffing hours, medication management including improper storage and documentation, discontinued medications not properly disposed, incomplete resident assessments, and incomplete support plans. The submitted plan of correction was fully implemented by 06/06/2023.

The inspection was triggered by a complaint, as stated under Inspection Information with reason 'Complaint'.

The inspection was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to a complaint.

The submitted plan of correction was found to be fully implemented, with the facility maintaining compliance. A specific deficiency involving a trip/fall hazard due to taped carpet sections was addressed and repaired.

The inspection was complaint-related and unannounced, conducted to review the plan of correction submitted in response to the complaint.

The inspection was conducted as a complaint investigation following a complaint reason and was an unannounced partial inspection on 03/23/2023.

Multiple deficiencies were found related to medication administration, storage, labeling, and documentation for resident #1, including failure to administer prescribed medications timely, unsecured medications in resident's room, incorrect medication labeling, incomplete medication administration records, and failure to follow prescriber's orders. Additionally, the resident's pre-admission screening was missing and the resident's assessment was not updated to reflect significant behavioral changes.

The inspection was complaint-driven as indicated by the reason for the inspection being 'Complaint'. The complaint involved medication administration issues and resident treatment concerns.

The inspection was conducted as a complaint and incident investigation with an unannounced partial review on 03/08/2023 and 03/09/2023.

The inspection found multiple deficiencies including incomplete medical evaluations, missing criminal background checks for staff, incomplete initial assessments and support plans, and unsigned support plans. The submitted plan of correction was fully implemented by 05/10/2023.

The inspection was triggered by a complaint and incident as noted under Inspection Information on page 2.

The inspection was conducted as a complaint and incident investigation following allegations of resident abuse involving staff members.

The investigation found that allegations of abuse against resident #1 by staff persons A and B were unsubstantiated after a full investigation. The facility was found to have delayed reporting the alleged abuse to the local Area Agency on Aging and the Department, but corrective actions including a plan of supervision and training were implemented.

The complaint involved allegations that staff persons A and B grabbed resident #1 by the throat and threw the resident against the wall in the dining area. After investigation, the lead Inspector informed the Executive Director on 2023-03-29 that the alleged abuse was unsubstantiated. The Administrator was not at fault for not reporting the fabricated allegation and was unaware of it until DHS informed her.

The inspection visit occurred as a complaint investigation to review compliance with regulations following a complaint.

The inspection found a medication administration violation where a staff member failed to observe residents ingest their medications. The submitted plan of correction was determined to be fully implemented by the follow-up date.

The visit was complaint-related as indicated by the inspection reason. The plan of correction was accepted and fully implemented.

The inspection was conducted as a renewal inspection combined with a complaint investigation, including unannounced full inspections on 11/30/2022 and 12/01/2022, and an off-site exit conference on 12/12/2022.

The inspection identified multiple deficiencies including resident treatment issues, complaint retaliation fears, missing or disputed staff documentation, medication administration errors, fire safety drill deficiencies, and environmental hazards. Plans of correction were accepted and implemented with follow-up and training scheduled.

The complaint investigation involved allegations of staff retaliation against residents for filing complaints, specifically a resident receiving a 30-day discharge notice after complaining about medication administration. The complaint was addressed with training and posting of ombudsman contact information.

The inspection was a partial, unannounced complaint investigation conducted on 09/21/2022 to review compliance with regulations following a complaint.

The inspection found violations related to window screens in bedrooms #15 and #16, including a missing screen and a tear. The facility submitted a plan of correction which was fully implemented by 12/21/2022.

The inspection was triggered by a complaint and was a partial, unannounced visit. The plan of correction was accepted and fully implemented.

The inspection visit on 09/01/2022 was a complaint-related partial inspection to review the facility's compliance and the implementation of a submitted plan of correction.

The facility was found to have deficiencies related to failure to report incidents timely, incomplete medical evaluations within required timeframes, incomplete medication administration records, and incomplete resident assessments. The submitted plan of correction was determined to be fully implemented as of the follow-up review.

The inspection was complaint-driven, triggered by allegations of neglect and emotional abuse investigated by the local Area Agency on Aging. The complaint was substantiated by findings related to incident reporting and resident care documentation.

The inspection was conducted as a complaint investigation with an unannounced partial inspection on 07/28/2022 to review compliance and the submitted plan of correction.

The submitted plan of correction was determined to be fully implemented. Specific deficiencies included missing height assessment in a resident's medical evaluation and failure to notify the prescribing physician of a medication refusal. Plans of correction were accepted and implemented by March 23, 2023.

The inspection was triggered by a complaint. The report does not explicitly state substantiation status.

The inspection was conducted as a complaint investigation following allegations related to resident abuse and neglect at the facility.

The investigation found multiple violations including failure to immediately report suspected abuse, inadequate supervision of staff, neglect of a resident who fell and was left unattended, staff without proper qualifications, incomplete resident medical evaluations and assessments, and failure to maintain proper resident records. Plans of correction were submitted and accepted with implementation dates noted.

The complaint investigation was triggered by an allegation of abuse involving a resident who was found lying on the floor unattended while staff were outside smoking. Staff persons involved were reprimanded, and the Area Agency on Aging spoke with the home's Administrator regarding the allegation. The allegation was not reported to the Department. Multiple violations related to abuse reporting, supervision, and resident neglect were identified.

The inspection was conducted as a complaint investigation to review compliance with regulations following allegations or issues raised about the facility.

The inspection found multiple deficiencies including failure to report a missing resident incident to the Department, unsecured medication cart accessible for approximately 10 minutes, and failure to report medication refusal to the prescribing physician. Plans of correction were submitted and accepted with completion dates in mid-2022 and implementation confirmed by November 10, 2022.

The visit was complaint-related as indicated by the inspection reason. The complaint involved failure to report incidents and medication administration issues. The plan of correction was accepted and fully implemented as of the inspection date.

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

The submitted plan of correction was found to be not fully implemented. The report details an incident where a resident was verbally abused by a staff member, and outlines the corrective actions proposed including staff training and ongoing resident interviews.

The complaint was substantiated based on the described incident of verbal abuse. The plan of correction included abuse training for all staff, notification to the county agency, and scheduled private interviews with residents.

The inspection was conducted as a complaint investigation during an unannounced partial inspection on 02/24/2022.

The inspection found deficiencies related to furniture and equipment, including a non-operable toilet with a hole in a bathroom door and insufficient chairs in resident bedrooms. The facility submitted plans of correction which were accepted and fully implemented by the time of the report.

The inspection was triggered by a complaint, as explicitly stated under Inspection Information with reason 'Complaint'.

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

The inspection identified multiple deficiencies including potential entrapment hazards with bed rails, sanitary issues with cigarette butts in the smoking area, hot water temperature exceeding allowed limits, refrigerator temperature violations, smoking area location concerns, medication labeling inaccuracies, failure to follow prescriber's orders, and incomplete resident assessments. Plans of correction were accepted and implemented for all deficiencies.

The document serves to grant an extension of a waiver for a direct care staff person at Country Manor to obtain a General Education Diploma, extending the waiver period from August 31, 2021 to October 31, 2021.

The waiver extension is granted with conditions including documentation requirements and compliance expectations. The Department will review this waiver annually during inspections and may terminate the waiver or take licensing action if conditions are not met.

This document serves as a notice granting an extension of a waiver for a direct care staff member at Country Manor to obtain a General Education Diploma by October 31, 2021.

The waiver extension is granted under specific conditions including documentation requirements and a compliance deadline of October 31, 2021. The Department will review this waiver annually during inspections.

The document serves as a formal notice granting a waiver extension for a direct care staff member at Country Manor to obtain a General Education Diploma by August 31, 2021.

The waiver is granted under specific conditions including documentation requirements and a compliance deadline of August 31, 2021. The Department will review this waiver annually during inspections to ensure compliance.

The document serves as a certificate of compliance and a license renewal notice for Country Manor Personal Care Home, confirming the facility's authorized operation and informing that an annual onsite inspection will be conducted within the next twelve months.

The Department issued a regular license in response to the renewal application and advised that an annual inspection will be conducted to ensure compliance with applicable regulations. No findings or deficiencies are reported in this document.