21 Reports
Inspection Report — Apr 21, 2026
Renewal
Date: Apr 21, 2026
Visit Reason
The inspection was an unannounced full renewal inspection conducted to review compliance with licensing requirements for the facility.
Findings
Two deficiencies were cited related to food safety: unlabeled frozen food items in the walk-in freezer and dented cans of pineapple pieces in the dry pantry. Both violations were immediately corrected and plans of correction were implemented.
Citations (2)
103.e Food served and returned from an individual’s plate may not be served again or used in preparation of other dishes. An unlabeled bag of frozen Eggos, frozen bananas, and hash browns were found in the kitchen’s walk-in freezer.
103.i Outdated or spoiled food or dented cans may not be used. Five dented cans of pineapple pieces were found on the shelf in the dry pantry storage area.
Report Facts
Residents Served: 39
Dented cans found: 5
Inspection Report — Apr 3, 2025
Renewal
Date: 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.
Citations (4)
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
Residents Served: 37
Staffing Hours: 37
Waking Staff: 28
Hospice Residents: 1
Inspection Report — May 10, 2023
Date: 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
Current Residents Hospice: 3
Residents Age 60 or Older: 61
Residents with Mobility Need: 1
Inspection Report — Mar 21, 2023
Renewal
Date: 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.
Citations (6)
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
Total daily staff: 50
Waking staff: 38
Overnight staff: 2
Emergency medical training hours delay: 7
Fire drill dates: 2
Notice — Feb 14, 2023
Date: Feb 14, 2023
Visit Reason
The document serves to approve the facility's request to participate in a research study assessing the Tango Belt device's effectiveness in reducing fall-related major hip injuries among at-risk adult residents.
Findings
The Department of Human Services approved the facility's participation contingent on use of the submitted consent form and adherence to resident privacy policies. The letter clarifies that this approval is not an endorsement and may be revoked at any time.
Inspection Report — Apr 27, 2022
Renewal
Date: 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
Current Residents in Hospice: 2
Inspection Report — Feb 17, 2022
Renewal
Date: 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 — Mar 26, 2021
Renewal
Date: 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
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal license letter. |
Inspection Report — Mar 23, 2021
Renewal
Date: 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.
Citations (1)
The home had the residents' privacy coding document posted in the first floor lobby area, violating confidentiality requirements.
Report Facts
Residents Served: 42
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 |
Inspection Report — Jan 8, 2020
Renewal
Date: Jan 8, 2020
Visit Reason
The inspection was a renewal visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Services Licensing, to assess compliance with licensing requirements.
Findings
The facility submitted a plan of correction that was determined to be fully implemented. Deficiencies involved medication error reporting, annual training hours for the administrator, medication administration observations, and following prescriber orders.
Citations (5)
Regulation 2600.16c: Resident #1 did not receive prescribed medications on 1/1/2020 at 4:30 pm and 9:30 pm, and the home failed to submit an incident report regarding the medication error.
Regulation 2600.64c: Administrator A completed 23.5 hours of the required 24 hours of annual training for April 2018 - March 2019.
Regulation 2600.182b: Direct care staff member B's most recent annual practicum was completed 6/2019 and did not include medication administration observations.
Regulation 2600.187d: Resident #1 did not receive prescribed medications on 1/1/2020 at 4:30 pm and 9:30 pm, violating the requirement to follow prescriber directions.
Regulation 2600.188b: Medication error was not immediately reported to the resident, designated person, and prescriber as required.
Report Facts
Residents Served: 52
Total Daily Staff: 52
Waking Staff: 39
Current Hospice Residents: 4
Administrator Annual Training Hours Completed: 23.5
Notice — Dec 18, 2019
Date: Dec 18, 2019
Visit Reason
The document serves as a renewal notification for the Personal Care Home license of Country Meadows of Wyomissing I, confirming receipt of the renewal application and explaining 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 regarding license renewal and future inspection requirements.
Inspection Report — Feb 26, 2019
Annual Inspection
Date: Feb 26, 2019
Visit Reason
The inspection was conducted as the Department’s Bureau of Human Services Licensing annual inspection of the facility.
Findings
The facility was found to be in compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes, and a regular license is being issued.
Notice — Dec 4, 2018
Date: Dec 4, 2018
Visit Reason
This document serves as a renewal notification for the Personal Care Home license for Country Meadows of Wyomissing I and includes the certificate of occupancy indicating the maximum capacity permitted.
Findings
No inspection findings are reported. The letter states that an onsite inspection will be conducted within the next twelve months as required by regulation.
Notice — Oct 11, 2018
Date: Oct 11, 2018
Visit Reason
Issuance and subsequent rescinding of a consolidated Certificate of Compliance for Country Meadows of Wyomissing I and II due to operational independence of the two homes.
Findings
The Certificate of Compliance issued on August 16, 2018, was found to be in error because the two personal care homes operate independently with separate services and management. The consolidated certificate was rescinded and previous separate certificates reinstated with unchanged expiration dates.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed letter regarding Certificate of Compliance rescinding |
Notice — Aug 15, 2018
Date: Aug 15, 2018
Visit Reason
Notification to the Department of Human Services that the facility at 1800 Tulpehocken Road, Wyomissing, PA, license number 205010, is no longer operated by Country Meadows Associates as it has been consolidated with license number 205040.
Findings
The document confirms the consolidation and cessation of operation of the specified personal care home license at the given location.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the notice letter |
Inspection Report — Feb 13, 2018
Renewal
Date: Feb 13, 2018
Visit Reason
The inspection was conducted as an annual licensing renewal inspection of the Country Meadows of Wyomissing I facility on February 13, 2018.
Findings
Violations of 55 Pa.Code Chapter 2600 related to Personal Care Homes were found during the inspection. The violations involved labeling of OTC medications and medication record accuracy.
Citations (2)
55 Pa.Code §2600.184(b) - Resident #1's OTC Centrum Silver was not labeled with the resident's name.
55 Pa.Code §2600.187(a) - Resident #2's PRN Robafen DM was listed on the MAR but is not a current order.
Report Facts
Number of Residents Served: 36
Number of Current Hospice Residents: 1
Number of Hospice Residents in past year: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marie Amoroso | Administrator | Named in facility header information |
| Elaine Bussoletti | Vice President of Operations | Signed plan of correction documents |
| Ryan Novak | Department representative conducting inspection | |
| Jason Harvey | Department representative conducting inspection |
Inspection Report — Dec 11, 2017
Renewal
Date: Dec 11, 2017
Visit Reason
The document is a renewal application and license issuance for Country Meadows of Wyomissing I Personal Care Home, with a required annual onsite inspection to be conducted within the next twelve months.
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 — Aug 23, 2017
Complaint Investigation
Date: Aug 23, 2017
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident at the facility.
Complaint Details
The inspection was triggered by an incident complaint. No substantiation status is stated.
Findings
Two violations were found: one involving failure to provide required annual fire safety training to direct care staff, and another involving a bathroom without an operable outside window or exhaust fan for ventilation. Plans of correction were submitted with partial implementation progress noted.
Citations (2)
55 Pa.Code §2600.65(g) - Direct care staff did not receive required annual fire safety training during the most recent training year ending 3/31/17.
55 Pa.Code §2600.86(b) - A bathroom in resident room 15 lacked an operable outside window and did not have an exhaust fan for ventilation.
Report Facts
Number of Residents Served: 59
Total Daily Staff: 61
Waking Staff: 46
Number of Hospice Residents in past year: 6
Number of Residents 60 Years or Older: 59
Number of Residents with Mobility Need: 2
Number of Residents with Physical Disability: 2
Inspection Report — Feb 2, 2017
Renewal
Date: Feb 2, 2017
Visit Reason
The inspection was a renewal licensing inspection conducted by the Department of Human Services for Country Meadows of Wyomissing I.
Findings
The inspection found violations related to food storage and dating, medication self-administration orders, and medication storage and organization. A plan of correction was submitted with retraining and monitoring measures.
Citations (3)
55 Pa.Code 2600.103(e) - Food served and returned from an individual's plate was not dated when opened, including silvered almonds, frozen shrimp, and a frozen pie shell.
55 Pa.Code 2600.181(c) - A resident had a 2oz. tube of Ben Gay in the bathroom without a physician's order or self-administration authorization.
55 Pa.Code 2600.183(e) - A loose pill was found in the bottom of a medication cart drawer; it was identified as Glimepiride 2mg belonging to a resident.
Report Facts
Number of Residents Served: 55
Total Daily Staff: 58
Waking Staff: 44
Number of Current Hospice Residents: 1
Number of Hospice Residents in past year: 5
Number of Residents 60 Years of Age or Older: 55
Number of Residents with a Mobility Need: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Hamilton | Chief of Senior Living Operations | Signed plan of correction and legal entity representative |
Inspection Report — Dec 13, 2016
Renewal
Date: Dec 13, 2016
Visit Reason
The document is a renewal application response for the Personal Care Home license of Country Meadows of Wyomissing I, confirming the issuance of a regular license 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 serves as a license renewal confirmation and notification of future annual inspections.
Report Facts
Inspection Report — Feb 4, 2016
Annual Inspection
Date: Feb 4, 2016
Visit Reason
The visit was the Department of Human Services' annual licensing inspection of the personal care home to assess compliance with 55 Pa.Code Chapter 2600 regulations.
Findings
Violations related to the pre-admission screening process were found and specified in the enclosed License Inspection Summary. The facility must correct these violations by the specified dates and maintain compliance.
Citations (1)
Regulation 55 Pa.Code §2600 2600.224(a) requires a determination within 30 days prior to admission and documentation on the Department's preadmission screening form. Resident #1 was admitted without completing the pre-admission screening until after admission.
Report Facts
Number of Residents Served: 54
Number of Current Hospice Residents: 1
Number of Hospice Residents in past year: 3
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