Deficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Renewal
Census: 124
Capacity: 215
Deficiencies: 5
Aug 27, 2024
Visit Reason
The inspection was conducted as a renewal visit with an incident review, including a follow-up on a previously submitted plan of correction.
Findings
The inspection found multiple deficiencies including failure to report suspected resident abuse, unsecured resident personal equipment, unlocked poisonous materials accessible to residents, discontinued medications kept in the home, and incomplete documentation of medication administration parameters. Plans of correction were accepted and implemented by the facility.
Deficiencies (5)
| Description |
|---|
| Failure to immediately report suspected abuse of a resident following a physical altercation between two residents. |
| Resident's bedside mobility device was not securely fastened to the bed. |
| Poisonous materials (eye glass cleaner) were unlocked and accessible in a resident's room without all residents assessed as capable of safe use. |
| Discontinued medication (Oxycodone) was found in the home's controlled substances lock box. |
| Incomplete documentation of blood sugar readings and blood pressure parameters for residents on medication. |
Report Facts
License Capacity: 215
Residents Served: 124
Secured Dementia Care Unit Capacity: 45
Residents Served in Dementia Unit: 29
Hospice Residents: 5
Residents with Mobility Need: 45
Residents 60 Years or Older: 124
Total Daily Staff: 169
Waking Staff: 127
Inspection Report
Follow-Up
Census: 126
Capacity: 215
Deficiencies: 5
Sep 27, 2023
Visit Reason
The visit was a partial, unannounced follow-up inspection conducted due to an incident, to review the submitted plan of correction and verify compliance.
Findings
The inspection found that the submitted plan of correction related to incidents of alleged resident abuse, failure to timely report incidents, and medication management was fully implemented. Multiple deficiencies related to abuse reporting, resident supervision, chemical restraint use, and additional assessments were identified and addressed with corrective actions.
Deficiencies (5)
| Description |
|---|
| Failure to immediately report an alleged sexual abuse incident to the local area agency on aging. |
| Failure to report an alleged sexual abuse incident to the Department within required timeframes. |
| Resident #1 exhibited increased sexual behavior and inappropriate touching; inadequate supervision and delayed implementation of 24/7 private duty staffing. |
| Use of psychotropic medications to lower Resident #1's sexual drive and behaviors without proper classification as chemical restraint. |
| Resident #1's assessment was not updated timely to reflect need for 24/7 1:1 supervision and behavioral changes. |
Report Facts
License Capacity: 215
Residents Served: 126
Secured Dementia Care Unit Capacity: 48
Residents Served in Dementia Unit: 32
Total Daily Staff: 158
Waking Staff: 119
Inspection Report
Follow-Up
Census: 116
Capacity: 215
Deficiencies: 2
May 16, 2023
Visit Reason
The visit was a follow-up to verify that the submitted plan of correction was fully implemented following previous inspections conducted on 05/16/2023, 05/17/2023, and 05/18/2023.
Findings
The facility was found to have implemented the submitted plan of correction. However, deficiencies related to medication administration and documentation were identified, including late administration of medications and failure to follow prescriber's orders, with corrective actions and monitoring plans outlined.
Deficiencies (2)
| Description |
|---|
| Resident 1's morning medications were not administered at the prescribed time, but the medication administration record was marked as if they were given on time. |
| Resident 1's medications prescribed to be administered upon awakening and before bed were not administered as ordered, including a medication not given at bedtime. |
Report Facts
License Capacity: 215
Residents Served: 116
Secured Dementia Care Unit Capacity: 48
Secured Dementia Care Unit Residents Served: 34
Hospice Current Residents: 8
Residents with Mobility Need: 57
Residents 60 Years or Older: 116
Residents with Physical Disability: 1
Total Daily Staff: 173
Waking Staff: 130
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Named in medication administration and documentation deficiencies and corrective actions |
| Campus Executive Director | Campus Executive Director | Involved in observation and auditing of medication administration and documentation |
Inspection Report
Renewal
Census: 117
Capacity: 215
Deficiencies: 3
May 3, 2022
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements at COUNTRY MEADOWS OF YORK.
Findings
The submitted plan of correction was found to be fully implemented following the inspection. Deficiencies related to medication storage and administration, prescriber order compliance, and key-locking device signage were identified and corrected with plans of correction accepted and implemented.
Deficiencies (3)
| Description |
|---|
| The Glucometer readings for Residents #1 and #2 were not recorded on their Medication Administration Records (MAR). |
| The prescribed medication for Resident #3 to be administered at bedtime was not available for administration on 5/4/21. |
| The keypad number for exit door #42 leading from the Secure Dementia Care Unit to the Personal Care Hallway was not posted. |
Report Facts
License Capacity: 215
Residents Served: 117
Secured Dementia Care Unit Capacity: 48
Secured Dementia Care Unit Residents Served: 33
Hospice Current Residents: 8
Residents Diagnosed with Mental Illness: 4
Residents with Mobility Need: 54
Residents with Physical Disability: 1
Resident Support Staff Hours: 0
Total Daily Staff: 171
Waking Staff: 128
Inspection Report
Routine
Deficiencies: 0
Oct 12, 2021
Visit Reason
The inspection was conducted as a routine licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Inspection Report
Renewal
Capacity: 215
Deficiencies: 0
Jul 30, 2021
Visit Reason
The document is a renewal license issued in response to the May 13, 2021 renewal application to operate the Personal Care Home, Country Meadows of York, pursuant to Title 55, PA Code, Chapter 2600.
Findings
The Department issued a regular license following the renewal application and advised that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 215
Secure Dementia Care Unit capacity: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Diana Ponterio | VP of Operations and Regulatory Compliance | Recipient of the renewal license letter |
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal license letter |
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