Inspection Reports for Eagle Valley Personal Care Home
500 FRONT STREET,, MILESBURG, PA, 16853
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
3.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
26% better than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
80% occupied
Based on a October 2024 inspection.
Census over time
Inspection Report
Census: 48
Capacity: 60
Deficiencies: 0
Date: Oct 29, 2024
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 10/29/2024.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 48
License Capacity: 60
Current Hospice Residents: 6
Resident Support Staff Hours: 0
Total Daily Staff Hours: 53
Waking Staff Hours: 40
Residents Age 60 or Older: 48
Residents with Mobility Need: 5
Inspection Report
Follow-Up
Census: 49
Capacity: 60
Deficiencies: 2
Date: Sep 5, 2024
Visit Reason
The inspection visit on 09/05/2024 was a partial, unannounced follow-up review related to an incident, to verify the implementation of the submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented. Two deficiencies were noted: a failure to report a reportable incident within 24 hours, and an incomplete Resident Assessment and Support Plan (RASP) for Resident 1 regarding 1:1 additional staff assistance during transfers, both of which were corrected by 09/24/2024.
Deficiencies (2)
Failure to report a reportable incident to the Department within 24 hours as required.
Resident 1's most recent Resident Assessment and Support Plan did not include the need for 1:1 additional staff assistance during transfers.
Report Facts
License Capacity: 60
Residents Served: 49
Staffing Hours: 55
Waking Staff: 41
Residents with Supplemental Security Income: 1
Residents 60 Years or Older: 49
Residents with Mobility Need: 6
Inspection Report
Renewal
Census: 47
Capacity: 60
Deficiencies: 4
Date: Jun 4, 2024
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.
Findings
The submitted plan of correction was found to be fully implemented. Several deficiencies were identified related to fire safety training, food storage, refrigeration temperatures, and smoking area guidelines, all of which were corrected with plans of correction accepted and implemented by 06/25/2024.
Deficiencies (4)
Staff persons A, B, C, and D received 2023 annual fire safety training by staff person E who is not a fire safety expert and has not been trained by a fire safety expert to provide this training.
An open and undated container of cherry tomatoes was found on a lower shelf in the home’s main kitchen.
The freezer, located in the satellite kitchen in the North Wing of the home, measured seven degrees Fahrenheit, above the required 0°F.
A chair found in the home’s designated smoking area was made of a material that was not flame resistant.
Report Facts
License Capacity: 60
Residents Served: 47
Current Hospice Residents: 6
Residents with Mobility Need: 6
Residents 60 Years or Older: 47
Total Daily Staff: 53
Waking Staff: 40
Inspection Report
Census: 52
Capacity: 60
Deficiencies: 0
Date: Mar 20, 2024
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, on 03/20/2024.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 60
Residents Served: 52
Current Hospice Residents: 8
Total Daily Staff: 52
Waking Staff: 39
Inspection Report
Renewal
Census: 50
Capacity: 60
Deficiencies: 4
Date: May 17, 2023
Visit Reason
The inspection was conducted as a renewal and incident review of the Eagle Valley Personal Care Home on 05/17/2023 and 05/18/2023.
Findings
The submitted plan of correction was found to be fully implemented. Deficiencies included issues with outdated food labeling, incomplete fire drill records, missing resident height and vital signs in medical evaluations, and errors in medication administration record transcription. All deficiencies had corrective plans accepted and implemented by 06/21/2023.
Deficiencies (4)
A zip lock bag of breakfast sausage was in the main kitchen freezer without a date label.
The fire drill record did not document the route of evacuation for the drill conducted on 10/18/23.
Resident #1 and Resident #2 medical evaluations did not include residents' height; Resident #2's evaluation also lacked weight, pulse, blood pressure, or temperature.
Medication Administration Record was not properly maintained due to staff incorrectly transcribing blood glucose test results for Resident #3.
Report Facts
License Capacity: 60
Residents Served: 50
Current Residents in Hospice: 5
Residents Age 60 or Older: 48
Residents with Mobility Need: 4
Residents Receiving Supplemental Security Income: 2
Inspection Report
Follow-Up
Census: 48
Capacity: 60
Deficiencies: 1
Date: Nov 30, 2022
Visit Reason
The inspection was conducted as a follow-up review of a previously submitted plan of correction related to medication management and compliance issues at Eagle Valley Personal Care Home.
Findings
The submitted plan of correction was determined to be fully implemented, with the facility no longer accepting medications for residents not living in the home and updated policies to prevent recurrence. The facility demonstrated compliance with regulations regarding medication storage and handling.
Deficiencies (1)
The facility kept medications for a resident not living in the home, violating regulation 2600.183(d) which states only current prescriptions for individuals living in the home may be kept there. Medications for a Supportive Living resident were misplaced and found missing.
Report Facts
License Capacity: 60
Residents Served: 48
Current Hospice Residents: 4
Residents Age 60 or Older: 47
Residents with Supplemental Security Income: 2
Residents with Mobility Need: 1
Inspection Report
Complaint Investigation
Census: 48
Capacity: 60
Deficiencies: 0
Date: Nov 21, 2022
Visit Reason
The inspection was conducted as a partial, unannounced incident investigation on 11/21/2022 and 11/30/2022 at Eagle Valley Personal Care Home.
Complaint Details
The inspection was triggered by an incident (complaint) and was unannounced. No deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 60
Residents Served: 48
Current Residents in Hospice: 4
Resident Support Staff Hours: 48
Total Daily Staff Hours: 97
Waking Staff Hours: 73
Inspection Report
Renewal
Census: 51
Capacity: 60
Deficiencies: 1
Date: Mar 2, 2022
Visit Reason
The inspection was conducted as a renewal inspection with an incident review at Eagle Valley Personal Care Home on 03/02/2022 and 03/03/2022.
Findings
The submitted plan of correction related to a direct care staff qualification deficiency was fully implemented and accepted. Continued compliance is required.
Deficiencies (1)
Direct care staff person A did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Report Facts
License Capacity: 60
Residents Served: 51
Current Residents on Hospice: 7
Total Daily Staff: 56
Waking Staff: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff member A | Direct care staff person | Named in deficiency for lacking required qualifications |
| Administrator | Administrator | Named in plan of correction and document submission |
Notice
Capacity: 60
Deficiencies: 0
Date: May 7, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for Eagle Valley Personal Care Home pursuant to Title 55, PA Code, Chapter 2600. It also advises that an annual onsite inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document; it confirms the issuance of a license following the renewal application and outlines the requirement for an annual inspection.
Report Facts
Maximum capacity: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report
Renewal
Census: 44
Capacity: 60
Deficiencies: 2
Date: Mar 11, 2021
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.
Findings
The submitted plan of correction was found to be fully implemented, with the facility maintaining compliance. Two deficiencies were noted related to exterior hazards and outdated food, both of which had corrective plans accepted and implemented.
Deficiencies (2)
Dry and wet leaves were found scattered near the emergency exit, posing a fall hazard during emergency evacuation.
Several bags of re-wrapped chicken and one bag of sausage were found in the freezer not labeled or dated.
Report Facts
License Capacity: 60
Residents Served: 44
Total Daily Staff: 49
Waking Staff: 37
Residents Receiving Supplemental Security Income: 2
Residents Age 60 or Older: 44
Residents with Mobility Need: 5
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