Inspection Reports for Ecumenical Retirement Community of Harrisburg II
601 WILHELM ROAD,, HARRISBURG, PA, 17111
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year
Deficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
76% occupied
Based on a November 2024 inspection.
Census over time
Inspection Report
Renewal
Census: 79
Capacity: 104
Deficiencies: 9
Nov 7, 2024
Visit Reason
The inspection visit was conducted as a renewal inspection with an incident review, as indicated by the reason 'Renewal, Incident' on the inspection information section.
Findings
The inspection identified multiple deficiencies including privacy violations due to audio recording in a lobby camera, unclean vents, unlabeled soap in shared bathrooms, incomplete first aid kits in transport vehicles, unsecured medications, medication labeling discrepancies, missing PRN medications, failure to follow prescriber's orders, and delayed resident initial assessments. All deficiencies had plans of correction accepted and were implemented by January 15, 2025.
Deficiencies (9)
| Description |
|---|
| Camera inside the building lobby records audio, violating privacy regulations. |
| Two large vents in the hallway had thick accumulation of dust on the screens. |
| Bar of unlabeled soap found in the shower of a shared resident room. |
| First aid kit in the Grey Ford Taurus used for resident transport lacked scissors. |
| Bottle of nystatin powder with prescription label found unsecured on bathroom counter in an unlocked resident room; resident not assessed for self-administration. |
| Medication label directions conflicted with medication administration record directions for a resident's prescription. |
| PRN medications prescribed to a resident were not available in the home. |
| Failure to follow prescriber's orders: insulin administered despite blood glucose reading and missed medication administration. |
| Resident's initial assessment was not completed within 15 days of admission. |
Report Facts
License Capacity: 104
Residents Served: 79
Total Daily Staff: 79
Waking Staff: 59
Resident with Supplemental Security Income: 16
Residents 60 Years or Older: 79
Residents Diagnosed with Mental Illness: 7
Residents Diagnosed with Intellectual Disability: 2
Residents with Physical Disability: 1
Residents in Hospice: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Responsible for turning off audio on lobby camera, checking other cameras, cleaning vents, and ongoing compliance. | |
| Campus Executive Director | Responsible for ongoing compliance with camera regulations, maintenance in-service, and education on regulations. | |
| Associate Executive Director | Purchased labeled soap containers and checked other shared occupancy apartments. | |
| Lead Driver | Placed replacement scissors in first aid kit of transport vehicle. | |
| Director of Nursing | Responsible for removing unsecured medication, reviewing medication administration policy, retraining staff, conducting audits, and ongoing compliance. | |
| Assistant Director of Nursing | Responsible for ongoing compliance with medication regulations and audits. | |
| Medication Associates and Nurses | Responsible for reviewing medication administration policy, conducting audits, and retraining. | |
| Clinical Resource Staff | Reviewed prescriber orders with Director of Nursing. |
Inspection Report
Renewal
Census: 85
Capacity: 104
Deficiencies: 4
Dec 5, 2023
Visit Reason
The inspection was a renewal visit conducted on 12/05/2023 to review the facility's compliance with licensing requirements.
Findings
The inspection identified several deficiencies including unsanitary conditions due to a pungent urine odor in a resident's apartment, lack of physician assessments for residents self-administering medications, presence of loose pills in a medication cart, and discrepancies in blood sugar readings documented versus glucometer readings. Plans of correction were accepted and implemented by 12/28/2023.
Deficiencies (4)
| Description |
|---|
| Pungent odor of urine detected upon entry into a resident's apartment indicating unsanitary conditions. |
| Residents self-administering medications were not assessed by a physician or qualified practitioner regarding their ability to self-administer and need for reminders. |
| Two loose pills were found in the home's west medication cart. |
| Discrepancies between blood sugar readings on medication administration records and glucometer readings for residents. |
Report Facts
License Capacity: 104
Residents Served: 85
Resident with Mobility Need: 2
Residents Diagnosed with Mental Illness: 37
Residents Receiving Supplemental Security Income: 14
Hospice Residents: 2
Total Daily Staff: 87
Waking Staff: 65
Inspection Report
Renewal
Census: 86
Capacity: 104
Deficiencies: 7
Jan 25, 2023
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 01/25/2023 to review compliance with licensing regulations.
Findings
The inspection found multiple deficiencies including lack of staff with current CPR/first aid certification during night shifts, a non-operable bathroom exhaust fan, lint accumulation in the dryer, overdue fire drills during sleeping hours, and medication storage and labeling issues. Plans of correction were accepted and implemented by early March 2023.
Deficiencies (7)
| Description |
|---|
| No staff persons were present in the home with current certification in first aid and CPR during night shifts on 1/19/23, 1/20/23, and 1/21/23 when 77 residents were present. |
| The bathroom in bedroom 141 does not have an operable window or ventilation fan. |
| A thick layer of lint was found in the lint trap of the commercial dryer on 1/25/23. |
| The last fire drill during sleeping hours was conducted on 7/28/22, exceeding the 6 month requirement. |
| A Novolog Insulin Pen was stored beyond the manufacturer's recommended 28 days after opening. |
| A blister card of Diphen / Atrop Tab had an open blister with a tablet stuck to the adhesive of a prescription change label. |
| The pharmacy label for Resident 3's Calcium +D3 medication did not match the current prescription order. |
Report Facts
Residents present during night shifts without CPR/first aid certified staff: 77
License capacity: 104
Residents served: 86
Staffing hours: 86
Waking staff: 65
Residents receiving Supplemental Security Income: 11
Residents 60 years or older: 86
Residents diagnosed with mental illness: 5
Residents with physical disability: 1
Notice
Capacity: 104
Deficiencies: 0
Aug 27, 2021
Visit Reason
The document serves as a renewal notification and license issuance for the Ecumenical Retirement Community of Harrisburg II Personal Care Home, confirming receipt of the renewal application 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 is a license renewal notice and certificate of compliance indicating the facility is authorized to operate with a maximum capacity of 104 residents.
Report Facts
Maximum capacity: 104
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report
Renewal
Census: 74
Capacity: 104
Deficiencies: 4
Jun 3, 2021
Visit Reason
The inspection was conducted as a renewal and complaint investigation of the facility to assess compliance with licensing requirements and address any complaints.
Findings
The inspection identified several deficiencies including failure to report a resident fall incident to the Department, unclean surfaces in a resident's bedroom, damaged furniture posing injury risks, and worn carpets with pest evidence. Plans of correction were accepted and implemented to address these issues.
Deficiencies (4)
| Description |
|---|
| Failure to report a resident fall incident to the Department within 24 hours. |
| Soiled bathroom counter, dusty and sticky phone stand, and food debris on over-the-bed table in Resident Bedroom #154. |
| Over-the-bed table in Resident Bedroom #154 had a 6-inch side strip of veneer peeling off, creating a risk of injury. |
| Carpet in Resident Rooms #154 and #138 showed signs of wear and multiple black stains; mouse droppings observed in Resident #154 bathroom. |
Report Facts
Total Daily Staff: 94
Waking Staff: 71
Residents Served: 74
License Capacity: 104
Hospice Residents: 6
Residents with Mobility Need: 20
Residents Diagnosed with Intellectual Disability: 2
Residents with Physical Disability: 1
Loading inspection reports...
