Inspection Reports for Faith Friendship Villa of Mountville

The inspection was conducted as a complaint investigation to review compliance and verify the submitted plan of correction for the facility.

The submitted plan of correction was found to be fully implemented, with the facility demonstrating compliance. A specific deficiency involved failure to update resident assessments to reflect behavioral issues, which was corrected by the administrator and staff.

The visit was complaint-related. The complaint involved behavioral misconduct by a resident including bullying, foul language, and name calling. The resident had multiple verbal and written warnings, but the resident's assessment did not reflect these issues until updated during the plan of correction process. The complaint was substantiated by these findings.

The inspection was a partial, unannounced follow-up visit triggered by a complaint and incident to review the submitted plan of correction and verify compliance.

The facility was found to have fully implemented the submitted plan of correction related to resident abuse and aggression incidents. Staff were trained on incident and abuse reporting, and ongoing monitoring plans were established to ensure resident safety.

The visit was complaint-related, involving substantiated incidents of resident-to-resident physical and verbal abuse, including threats and physical assault. The facility was directed to implement corrective actions and ongoing monitoring.

The inspection was conducted as a partial, unannounced visit due to a complaint and incident at the facility.

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

The inspection was complaint-related and incident-related; no deficiencies or citations were substantiated.

The inspection was a licensing inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 04/16/2024.

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

The inspection was conducted as a renewal, provisional licensing review of Faith Friendship Villa of Mountville on 02/14/2024 and 02/15/2024.

The inspection found multiple deficiencies including failure to timely report incidents, verbal abuse between residents, unsafe resident equipment, unclean surfaces, incomplete medical evaluations, improper medication self-administration assessments, medication storage issues, failure to follow prescriber's orders, and improper record storage. Plans of correction were directed and implemented by mid-April 2024.

The inspection was a partial, unannounced follow-up visit conducted on 11/21/2023 to review the facility's plan of correction related to previous deficiencies and to ensure continued compliance.

The facility had multiple repeated violations including insufficient direct care staffing hours, heat source safety issues, infestation of dead fruit flies, building maintenance deficiencies, evacuation drill times exceeding safe limits, incomplete resident medical evaluations, and medication records lacking diagnosis for PRN medications. The submitted plan of correction was determined to be fully implemented as of the follow-up date.

The inspection was conducted due to renewal, complaint, and incident reasons, including multiple on-site visits from February 15-16 and February 22-23, 2023.

The inspection found multiple violations including failure to report resident abuse, inadequate notification of abuse, incomplete medical evaluations, medication procedure deficiencies, staffing shortages, safety hazards such as non-functional carbon monoxide detectors, fire safety violations, and improper food storage temperatures. The facility was issued a provisional license with fines pending correction of violations.

The inspection included complaint investigations related to resident abuse incidents involving unwanted sexual behaviors between residents and verbal abuse by staff. Some incidents were not reported timely to the Department or designated persons. Investigations substantiated abuse allegations leading to staff termination.

The inspection was conducted as a complaint and incident investigation following allegations of resident abuse and related incidents at Faith Friendship Villa of Mountville.

The investigation found multiple violations related to failure to report suspected abuse timely, failure to implement supervision or suspension of staff involved in alleged abuse, failure to notify designated persons of abuse reports, and substantiated abuse by a staff member leading to termination. Additional deficiencies included incomplete medical evaluations and resident assessments. The facility implemented a plan of correction including staff training, increased supervision, and improved documentation.

The complaint investigation was triggered by allegations of abuse involving Staff Member A and Staff Member B toward residents. The abuse involving Staff Member B was substantiated by the state, resulting in termination. The facility disputed the substantiation due to lack of access to investigation details and inability to interview the alleged victim. The Department of Human Services used different criteria than law enforcement and found the abuse highly likely based on consistent and credible resident interviews.

The inspection was conducted as a renewal licensing inspection of Faith Friendship Villa of Mountville on 03/08/2022 and 03/09/2022.

The inspection found multiple deficiencies including insufficient direct care staffing hours, fire safety inspection and drill overdue, roof leaks causing water damage, missing grab bars in bathrooms, fire evacuation times exceeding limits, smoking area hazards, incomplete medication records, and self-administration assessment issues. Plans of correction were accepted or directed with specified completion dates.

The document serves as a renewal notification and license issuance for Faith Friendship Villa of Mountville, a Personal Care Home, following receipt of the renewal application dated October 30, 2020.

The Department issued a regular license in response to the renewal application and advised that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.