Inspection Reports for
EverTrue Luther Crest

No regulatory citations or deficiencies were identified during this inspection.

No regulatory citations or deficiencies were identified during this inspection.

The facility failed to ensure accurate Minimum Data Set (MDS) assessments for one resident and failed to implement physician's orders for weighing two residents as directed, confirmed by clinical record reviews and staff interviews.

The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.

No regulatory citations or deficiencies were identified during this unannounced partial inspection.

The visit was complaint-related, triggered by allegations of failure to notify residents and representatives about transfers, failure to provide bed-hold policy notices, failure to maintain residents' activities of daily living, failure to provide appropriate pressure ulcer care, and failure to post nurse staffing information. Substantiation status is not explicitly stated.

The facility was found to have multiple deficiencies including failure to notify residents and representatives in writing about transfers and bed-hold policies for two residents, failure to consistently provide restorative ambulation services for three residents, failure to provide wound care as ordered for one resident, and failure to post accurate daily nurse staffing information.

The inspection found multiple deficiencies including missing emergency telephone numbers by certain phones, non-skid surface issues with a bath mat, lack of operable bedside lamps, missing PRN medication, and incomplete documentation in resident support plans. All deficiencies had plans of correction accepted and were noted as implemented by 07/30/2024.

The inspection included a complaint investigation as indicated in the inspection information section, but no substantiation status was explicitly stated.

The facility was found to have multiple deficiencies including failure to post the current license summary conspicuously, uncovered trash receptacles, incomplete medical evaluation forms, unlabeled OTC medications, uncalibrated glucometer, medication record documentation errors, unlocked gate in the secured dementia unit, and failure to follow prescriber's orders. All deficiencies had corrective plans accepted and were implemented by 08/03/2023.

The facility failed to maintain accurate clinical records for three of 16 sampled residents, specifically failing to document non-medication interventions prior to administering narcotic pain medication as ordered by physicians.

The visit was complaint-related, focusing on medication administration errors and reporting. The complaint was substantiated as deficiencies were identified and a plan of correction was required and implemented.

The facility was found to have multiple medication-related deficiencies involving medication errors, improper documentation, failure to report incidents and refusals timely, and administration by unlicensed staff. A plan of correction was submitted and fully implemented.

The visit was complaint-related as indicated by the inspection information section stating 'Reason: Complaint'.

Two deficiencies were identified: an uncovered bed enabler posing entrapment hazards, and a resident's support plan lacking documentation of the need for the bed enabler. Both issues were addressed with immediate corrective actions and staff re-education.

The Pennsylvania Department of Human Services determined that the submitted plan of correction is fully implemented and that continued compliance must be maintained.

No regulatory citations were identified as a result of this inspection.

The visit was complaint-related. The complaint involved medication administration practices where staff did not observe residents taking their medications. The plan of correction was accepted and fully implemented.

The submitted plan of correction related to medication administration was found to be fully implemented. The main deficiency involved staff leaving medications with residents without observing ingestion, which was addressed through staff re-education and ongoing monitoring.

No regulatory citations were identified as a result of the inspections conducted on 11/12/2021, 11/23/2021, 11/24/2021, and 11/29/2021.

The inspection identified several deficiencies related to incomplete medical evaluations, medication storage and availability, preadmission screening documentation, and missing support plan signatures. Plans of correction were submitted and determined to be fully implemented.

No regulatory citations were identified as a result of these inspections.

No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.

The investigation was complaint-driven and unannounced. The complaint involved failure to conduct neurological checks and failure to notify the physician after a resident's fall. The plan of correction was approved and fully implemented as of 5/19/2020.

The facility was found to have deficiencies related to failure of medical staff to conduct neurological checks on a resident after a fall, and failure to notify the resident's physician as required by policy. The submitted plan of correction was determined to be fully implemented.

An allegation of abuse was made regarding Resident #1 and Direct care staff member A on 6/20/19. The home did not report the allegation to the local area agency on aging until 6/25/19. The complaint was substantiated by the findings.

The facility failed to immediately report suspected abuse of a resident and did not treat a resident with dignity and respect. Plans of correction included re-education of staff and implementation of mandatory education on dementia care and abuse recognition.

The investigation was triggered by a report of suspected mistreatment of resident #1 by staff person A. The home suspended the staff person, conducted an investigation, but did not submit a required supervision plan. Additionally, resident #2 was mistreated by the same staff person in the dementia unit.

Two violations were found: failure to submit a plan of supervision for a suspended staff person after a suspected mistreatment report, and failure to treat a resident with dignity and respect in the secure dementia unit.

Violations of 55 Pa. Code Ch. 2600 were found during the annual renewal inspection. Plans of correction were submitted addressing direct care training and medication labeling deficiencies.

No inspection findings are reported in this document. It confirms the issuance of a regular license based on the renewal application.

No inspection findings are reported in this document. It serves as a license renewal notification and outlines the requirement for a future annual inspection.

The inspection identified multiple violations including failure to post the required influenza awareness poster, lack of documentation of direct care staff training and competency, missing annual training for staff in protective services and fire safety, and improper storage of medications with loose pills found in the medication cart drawer.

The inspection was triggered by a complaint. The violations related to confidentiality and medication storage were substantiated as described in the violation report.

Violations were found related to confidentiality of resident records and medication storage. Specifically, the office door behind the nursing station was open and unattended, allowing access to confidential resident records and medications that were not locked as required.

No inspection findings are reported in this document. It is a license renewal notice with an attached certificate of compliance.

Multiple violations of 55 Pa.Code Chapter 2600 were found, including issues with posting the licensing inspection summary, resident privacy, contract signatures, staff qualifications, fire drill documentation, medication management, and resident support plans. Plans of correction were submitted with partial implementation and adequate progress noted.

The inspection was triggered by a complaint. The violations were substantiated as the residents admitted to the secured dementia care unit lacked required medical and cognitive preadmission documentation.

The facility was found to have violations regarding the lack of timely medical evaluations and cognitive preadmission screenings for residents admitted to the secured dementia care unit. The violations involved residents not having required documentation completed prior to admission, resulting in emergency placements and inability to provide proper care.

No inspection findings are reported in this document. It is an administrative notice confirming license renewal and outlining future inspection requirements.

Multiple violations of 55 Pa.Code Chapter 2600 were found related to staff training, emergency preparedness, fire safety, exit accessibility, and incomplete medical evaluations. Plans of correction were submitted with partial implementation status noted.

No inspection findings are reported in this document. It confirms issuance of a regular license and notes the facility's name change from Luther Crest Retirement Community to Luther Crest Personal Care Home.