Inspection Reports for Faithful Living
2015 N Reading Rd, Denver, PA 17517, PA, 17517
Back to Facility Profile
Inspection Report
Plan of Correction
Census: 65
Capacity: 75
Deficiencies: 9
Jul 17, 2025
Visit Reason
The inspection was an unannounced partial inspection conducted as an interim review to verify that the submitted plan of correction was fully implemented.
Findings
Multiple deficiencies were identified related to resident record confidentiality, sanitary conditions, building maintenance, medication storage and administration, and smoking area safety. All deficiencies had accepted plans of correction with completion dates in August 2025 and were reported as implemented by late August.
Deficiencies (9)
| Description |
|---|
| Resident records were unlocked, unattended, and accessible in the office and closet areas, violating confidentiality requirements. |
| A piece of food with approximately 15 ants was found in the main hallway outside the dining room. |
| A half-moon shaped crack approximately six inches long was found in the ceiling of a room. |
| A window in a resident's room was open without a screen present. |
| Heavy accumulation of air conditioning condensate and dark-colored slime on the exterior dining room wall created a slippery fall hazard. |
| Multiple boxes of food including ground beef, cookies, and pound cake were stored on the floor of the walk-in freezer. |
| Heavy accumulation of cigarette ashes was found underneath chairs in the designated smoking area outside the dining room. |
| Prescription medications and syringes were unlocked and accessible on top of the medication cart in the hallway; a small red pill was found on the floor outside the dining room. |
| A prescribed medication for constipation was not available in the home, constituting a repeated violation. |
Report Facts
Residents Served: 65
License Capacity: 75
Number of ants: 15
Inspection Report
Complaint Investigation
Census: 55
Capacity: 75
Deficiencies: 3
Dec 17, 2024
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with regulatory requirements and to verify the submitted plan of correction.
Findings
The inspection found deficiencies related to incomplete medical evaluations lacking mobility assessments, medication administration errors including missed doses and over-administration, and missing determinations on preadmission screening forms. Plans of correction were accepted and implemented with follow-up dates scheduled.
Complaint Details
The visit was complaint-related as indicated by the inspection information. The submitted plan of correction was reviewed and determined to be fully implemented. Medication errors were self-reported and investigated with no adverse effects noted.
Deficiencies (3)
| Description |
|---|
| Resident initial and annual medical evaluations did not include the mobility needs assessment. |
| Medication administration errors including missed doses and over-administration of prescribed medications. |
| Resident preadmission screening form did not include a determination that the needs of the resident can be met by the services provided by the home. |
Report Facts
License Capacity: 75
Residents Served: 55
Total Daily Staff: 62
Waking Staff: 47
Resident with Supplemental Security Income: 16
Residents 60 Years or Older: 49
Residents with Mobility Need: 7
Residents with Intellectual Disability: 1
Residents with Physical Disability: 1
Medication Administration Error Doses: 18
Inspection Report
Complaint Investigation
Census: 66
Capacity: 75
Deficiencies: 6
Sep 26, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation at Faithful Living facility on 09/26/2023.
Findings
Multiple deficiencies were found including abuse by a staff member, smoking policy violations, medication administration errors, unlabeled and expired medications, and unsecured medications and syringes. Plans of correction were accepted and implemented with ongoing quality assurance measures.
Complaint Details
The visit was complaint-related involving allegations of abuse and medication errors. The abuse allegation was investigated, substantiated by suspension and termination of the staff member involved. Other complaints involved medication and smoking policy violations.
Deficiencies (6)
| Description |
|---|
| Staff person A intentionally kicked Resident #1 and made disparaging remarks. |
| Smoking paraphernalia found near main entrance despite designated smoking areas and posted signs. |
| Medication administration errors including medications left unattended and residents not properly supervised. |
| Prescription medications found in unlabeled containers in resident rooms. |
| Medications and syringes were found unlocked, unattended, and accessible in resident rooms and shared areas. |
| Expired and unlabeled medications found in unlocked drawer in shared resident room. |
Report Facts
Residents Served: 66
License Capacity: 75
Staffing Hours: 67
Waking Staff: 50
Residents Receiving Supplemental Security Income: 11
Residents Age 60 or Older: 61
Residents Diagnosed with Mental Illness: 18
Residents Diagnosed with Intellectual Disability: 10
Residents with Mobility Need: 1
Residents with Physical Disability: 2
Current Hospice Residents: 1
Cigarette Butts Observed: 7
Pills Found in Unattended Medicine Cup: 3
Expired Medication Bottles: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in abuse allegation and terminated following investigation | |
| MW | Employee who received disciplinary action for medication administration errors |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 75
Deficiencies: 5
May 10, 2023
Visit Reason
The inspection was conducted as a complaint investigation to review compliance at the facility following a complaint.
Findings
Multiple deficiencies were identified including an inoperable bathroom ventilation fan, safety hazards due to exposed holes and wires, cigarette butts found outside designated smoking areas, unsecured medications accessible to residents, and incomplete medication records. Plans of correction were accepted and implemented by mid-June 2023.
Complaint Details
The visit was complaint-related as indicated by the inspection information section stating 'Reason: Complaint'.
Deficiencies (5)
| Description |
|---|
| The ventilation fan located in Resident 1's bathroom was inoperable and there was no window in the bathroom. |
| Exposed hole in cement slab and exposed wires, hosing, and copper pipes in the rear of the home posing safety and tripping hazards. |
| Cigarette butts found outside designated smoking areas near the main entrance. |
| Unsecured medications found in Resident 2 and Resident 3's bedrooms despite orders that residents cannot self-administer medications. |
| Medication found behind Resident 3's television was not listed on the Medication Administration Record. |
Report Facts
License Capacity: 75
Residents Served: 69
Resident with Mobility Need: 1
Residents 60 Years or Older: 64
Residents Diagnosed with Mental Illness: 18
Residents Diagnosed with Intellectual Disability: 5
Residents with Physical Disability: 1
Residents Receiving Supplemental Security Income: 12
Total Daily Staff: 70
Waking Staff: 53
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Regional Director of Operations | Removed unsecured medications from Resident 2 and Resident 3's apartments upon notification. | |
| Administrator | Notified maintenance of deficiencies, re-educated residents and staff on medication storage and administration, and responsible for daily room checks and staff education. | |
| Maintenance Director | Performed repairs and maintenance related to ventilation fan, exposed wires, and cement slab hazards. |
Inspection Report
Follow-Up
Census: 70
Capacity: 75
Deficiencies: 2
Apr 13, 2023
Visit Reason
The inspection was conducted as a partial, unannounced incident review to verify the submitted plan of correction for the facility.
Findings
The facility was found to have discrepancies in medication storage and documentation, specifically regarding Resident #1's glucometer readings and medication administration records. The submitted plan of correction was accepted and determined to be fully implemented.
Deficiencies (2)
| Description |
|---|
| Failure to develop and implement procedures for safe storage, access, security, distribution, and use of medications and medical equipment by trained staff, evidenced by undocumented glucometer readings and discrepancies in recorded times. |
| Medication administration record deficiencies where the number of units administered to Resident #1 was not entered on the medication administration record. |
Report Facts
License Capacity: 75
Residents Served: 70
Resident Age 60 or Older: 64
Residents Diagnosed with Mental Illness: 18
Residents Diagnosed with Intellectual Disability: 5
Residents Receiving Supplemental Security Income: 12
Residents with Mobility Need: 1
Residents with Physical Disability: 1
Total Daily Staff: 71
Waking Staff: 53
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Wellness | Director of Wellness | Responsible for calibrating glucometers, re-educating clinical staff, and auditing glucometer usage and medication administration records as part of the plan of correction. |
| Regional Director of Operation | Regional Director of Operation | Identified missing information in the medication administration record and initiated pharmacy changes. |
| Regional Director of Nursing | Regional Director of Nursing | Identified missing information in the medication administration record and initiated pharmacy changes. |
Inspection Report
Renewal
Census: 73
Capacity: 75
Deficiencies: 16
Jan 11, 2023
Visit Reason
The inspection was conducted as a renewal and complaint investigation of the Faithful Living facility to assess compliance with applicable regulations and verify correction of previous deficiencies.
Findings
The inspection identified multiple deficiencies including lack of carbon monoxide detectors, unsigned resident contracts, trash management issues, excessive hot water temperatures, missing emergency telephone numbers, window repairs needed, unlabeled soap bars, insufficient emergency water supply, combustible storage violations, incomplete medical evaluations, smoking policy violations, medication storage issues, and incomplete support plans. Plans of correction were accepted and implemented for all deficiencies.
Complaint Details
The inspection included a complaint investigation component as indicated by the inspection reason 'Renewal, Complaint'. Specific complaint details or substantiation status were not explicitly stated.
Deficiencies (16)
| Description |
|---|
| No carbon monoxide detector near gas furnaces and gas-fired dryer in basement and laundry room. |
| Resident-home contracts for two residents were not signed by the residents. |
| Dumpster sliding door was open showing trash visible from parking lot. |
| Hot water temperature exceeded 120°F in multiple resident-accessible locations. |
| Emergency telephone numbers not posted by telephones in some resident rooms. |
| Windows in resident rooms were in poor repair with missing or cracked panes. |
| Unlabeled used bars of soap found in shared resident bathrooms. |
| Emergency drinking water supply was below the required 3-day amount. |
| Combustible and flammable materials stored unlocked near heat sources and in resident rooms. |
| Incomplete medical evaluations missing key information such as weight, temperature, immunization history, and cognitive functioning. |
| Smoking observed in resident room and cigarette butts found near main entrance despite no smoking signs. |
| Medications and syringes not stored in locked containers in resident rooms. |
| Glucometers not calibrated to correct date and time; inaccurate documentation in Medication Administration Records. |
| Medications prescribed were not discontinued or available as required. |
| Resident support plans lacked documentation of medical/dental needs and ability to self-administer medications. |
| Support plan for a resident lacked required signatures. |
Report Facts
License Capacity: 75
Residents Served: 73
Current Residents in Hospice: 1
Residents Receiving Supplemental Security Income: 14
Residents Age 60 or Older: 66
Residents Diagnosed with Mental Illness: 19
Residents Diagnosed with Intellectual Disability: 5
Residents with Mobility Need: 1
Residents with Physical Disability: 1
Total Daily Staff: 74
Waking Staff: 56
Emergency Drinking Water Required (gallons): 216
Emergency Drinking Water On Site (gallons): 199
Inspection Report
Renewal
Census: 74
Capacity: 75
Deficiencies: 8
Aug 18, 2021
Visit Reason
The inspection was conducted as a renewal and complaint investigation to assess compliance with licensing requirements and address specific complaints.
Findings
The facility was found to have multiple violations including failure to report an incident, lack of carbon monoxide detector, elevated hot water temperatures, unsafe furniture equipment, smoking area violations, medication storage and labeling issues, and incomplete support plans. Plans of correction were accepted and implemented for all deficiencies.
Complaint Details
The complaint involved an allegation of abuse regarding Resident 1, which was investigated and found to be unsubstantiated under the previous administrator.
Deficiencies (8)
| Description |
|---|
| Failure to report an incident of alleged abuse regarding Resident 1 to the Department as required. |
| No carbon monoxide detector placed in the kitchen area as required by the Care Facility Carbon Monoxide Standards Act. |
| Hot water temperature in bathroom sinks exceeded 120°F, measuring 126.5°F and 131.1°F. |
| An enabler bar attached to beds of Residents 2 and 3 had openings presenting potential safety hazards. |
| Smoking permitted in two designated areas with fire safety violations including unlabeled fire retardant chairs and cushions. |
| Inhaler prescribed to Resident 4 was not labeled with the date it was opened. |
| Medication box for Resident 5 contained a trainer pen but no pens with medication. |
| Resident 6's support plan was not updated to include new diagnoses and medication prescriptions. |
Report Facts
License Capacity: 75
Residents Served: 74
Current Residents in Hospice: 1
Residents 60 Years or Older: 74
Residents Diagnosed with Mental Illness: 22
Residents Diagnosed with Intellectual Disability: 4
Residents with Mobility Need: 1
Residents with Physical Disability: 2
Inspection Date: Aug 18, 2021
Completion Dates for Corrections: 2021-08-19 to 2021-08-27
Inspection Report
Renewal
Capacity: 75
Deficiencies: 0
Mar 19, 2021
Visit Reason
The document is a renewal application response and license issuance for the Personal Care Home 'Faithful Living'. It informs that an onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It is a license renewal notification with no mention of deficiencies or compliance issues.
Report Facts
Total licensed capacity: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal license letter |
Loading inspection reports...
