Inspection Report
Renewal
Census: 37
Capacity: 80
Deficiencies: 4
Apr 3, 2025
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 04/03/2025 to review the facility's compliance with licensing requirements.
Findings
The submitted plan of correction was determined to be fully implemented. Several deficiencies related to combustible storage, medication security, medication storage, and medication equipment calibration were identified and corrected with plans of correction accepted and implemented by 04/28/2025.
Deficiencies (4)
| Description |
|---|
| Combustible and flammable materials (3 pieces of cardboard and scraps of paper) were located approximately 6 inches from a hot water heater. |
| Prescription eye drops belonging to a resident were left unattended on top of a medication cart in the lobby area. |
| An Albuterol Sulfate inhaler prescribed for a resident was found expired (April 2024) in the medication cart. |
| The glucometer for a resident was not calibrated to the correct date, and a blood glucose reading was inaccurately documented. |
Report Facts
License Capacity: 80
Residents Served: 37
Staffing Hours: 37
Waking Staff: 28
Hospice Residents: 1
Inspection Report
Census: 61
Capacity: 80
Deficiencies: 0
May 10, 2023
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, on 05/10/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 62
Waking Staff: 47
Residents Served: 61
License Capacity: 80
Current Residents Hospice: 3
Residents Age 60 or Older: 61
Residents with Mobility Need: 1
Inspection Report
Renewal
Census: 50
Capacity: 80
Deficiencies: 6
Mar 21, 2023
Visit Reason
The inspection was conducted as a renewal review of the facility license, including unannounced full inspections on 03/21/2023 and 03/22/2023, and an off-site review on 03/23/2023.
Findings
The facility was found to have multiple deficiencies related to staffing levels during overnight hours, incomplete emergency medical training within required timeframes, inaccurate fire drill records, failure to conduct sleeping hours fire drills within six months, failure to evacuate residents to designated fire safe areas during drills, and premature silencing of fire alarms during drills. Plans of correction were accepted and implemented by 05/11/2023.
Deficiencies (6)
| Description |
|---|
| Insufficient staffing on overnight shift to meet residents' needs and provide required supervision during emergencies. |
| Direct care staff member did not complete emergency medical plan training within the first 40 hours of employment. |
| Fire drill log incorrectly documented the time of fire alarm activation due to fire panel time not being synchronized. |
| Sleeping hours fire drills were not conducted within the required six-month interval. |
| Residents were not evacuated to designated fire safe areas during fire drills; some residents refused to evacuate. |
| Fire alarms were silenced halfway through the fire drill instead of remaining active until evacuation completion. |
Report Facts
Residents served: 50
License capacity: 80
Total daily staff: 50
Waking staff: 38
Overnight staff: 2
Emergency medical training hours delay: 7
Fire drill dates: 2
Inspection Report
Renewal
Census: 49
Capacity: 80
Deficiencies: 0
Apr 27, 2022
Visit Reason
The inspection was conducted as a renewal licensing inspection of the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 49
Waking Staff: 37
Residents Served: 49
License Capacity: 80
Current Residents in Hospice: 2
Inspection Report
Renewal
Deficiencies: 0
Feb 17, 2022
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing's licensing inspections of the facility.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Renewal
Capacity: 80
Deficiencies: 0
Mar 26, 2021
Visit Reason
The document is a renewal license issued in response to the December 2, 2020 renewal application to operate the Personal Care Home. The Department advises that an onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
A regular license is being issued for the facility. The Department will conduct an inspection within the next twelve months and take enforcement action if noncompliance is found.
Report Facts
Maximum capacity: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal license letter. |
Inspection Report
Renewal
Census: 42
Capacity: 80
Deficiencies: 1
Mar 23, 2021
Visit Reason
The inspection was conducted as a renewal visit to review compliance and licensing status of the facility.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. One deficiency was noted regarding resident record confidentiality due to posting of privacy coding documents in a common area, which was corrected with a plan of correction accepted and implemented.
Deficiencies (1)
| Description |
|---|
| The home had the residents' privacy coding document posted in the first floor lobby area, violating confidentiality requirements. |
Report Facts
Residents Served: 42
License Capacity: 80
Current Hospice Residents: 3
Total Daily Staff: 42
Waking Staff: 32
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michele Moskalczyk | Human Services Licensing Supervisor | Signed the letter confirming plan of correction implementation |
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