Inspection Reports for Forest City Personal Care
911 DELAWARE STREET,, FOREST CITY, PA, 18421
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
10.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
126% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
72% occupied
Based on a August 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 26
Capacity: 36
Deficiencies: 2
Aug 26, 2025
Visit Reason
The inspection was conducted as a complaint and incident investigation during an unannounced partial inspection on 08/26/2025.
Findings
The submitted plan of correction was fully implemented and compliance was maintained. Deficiencies were related to annual medical evaluations and additional assessments not being current, with corrective actions including tracking sheets created and reviewed by staff to ensure ongoing compliance.
Complaint Details
The inspection was triggered by a complaint and incident, with the plan of correction fully implemented and compliance confirmed.
Deficiencies (2)
| Description |
|---|
| Resident's most recent medical evaluation was not current. |
| Resident's most recent additional assessment was not current. |
Report Facts
License Capacity: 36
Residents Served: 26
Total Daily Staff: 29
Waking Staff: 22
Inspection Report
Complaint Investigation
Census: 28
Capacity: 36
Deficiencies: 0
Jul 22, 2025
Visit Reason
The inspection was conducted as a complaint investigation at the Forest City Personal Care facility on 07/22/2025.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was triggered by a complaint, but no deficiencies or regulatory citations were found.
Report Facts
License Capacity: 36
Residents Served: 28
Total Daily Staff: 28
Waking Staff: 21
Inspection Report
Complaint Investigation
Census: 25
Capacity: 36
Deficiencies: 2
Mar 20, 2025
Visit Reason
The inspection was conducted as a complaint and incident investigation during an unannounced partial inspection on 03/20/2025.
Findings
The facility was found to have medication administration violations where Staff A documented giving medications to residents but failed to administer them. The submitted plan of correction was accepted and fully implemented by 04/21/2025.
Complaint Details
The inspection was triggered by a complaint and incident. The plan of correction was accepted and fully implemented, with Staff A terminated and education provided to Med Techs. Weekly audits of controlled substance logs were instituted for one month.
Deficiencies (2)
| Description |
|---|
| Staff A initialed the Medication Administration Record and narcotic book as giving Resident their 9:00 a.m. medication order but never administered the medication. |
| Resident was not given their 9:00 a.m. medication order as prescribed. |
Report Facts
License Capacity: 36
Residents Served: 25
Total Daily Staff: 28
Waking Staff: 21
Residents Age 60 or Older: 24
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 3
Inspection Report
Renewal
Census: 26
Capacity: 36
Deficiencies: 9
Jul 9, 2024
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements for Forest City Personal Care.
Findings
The inspection identified multiple deficiencies related to sanitation, food storage, combustible storage, medication storage and administration, and staff training. Immediate corrective actions were taken, and plans of correction were accepted and implemented with ongoing audits scheduled to ensure continued compliance.
Deficiencies (9)
| Description |
|---|
| Uncovered trash can in the common bathroom across from the nurse’s station. |
| Dented can of tomato soup found on the shelf in the dry goods storage area. |
| Buildup of lint and over a dozen dryer sheets located behind the dryer and near the exhaust vent in the laundry room. |
| Resident #4 self-administers medication stored unlocked in bedside nightstand drawer; room is occupied by another resident who cannot self-administer. |
| Resident #2 and Resident #4 had insulin without documentation of when the bottle was opened; undated insulin pens were discarded and replaced. |
| Resident #3 had Lidocaine patches without original pharmacy label. |
| Resident #1's blood glucose readings were documented but corresponding medication administration records (MAR) lacked documentation of insulin units administered. |
| Resident #1 received 2 units of insulin when 4 units were ordered based on blood glucose reading. |
| Staff person administering insulin lacked documentation of updated diabetic education training within past 12 months. |
Report Facts
License Capacity: 36
Residents Served: 26
Total Daily Staff: 26
Waking Staff: 20
Deficiencies cited: 9
Inspection Report
Follow-Up
Census: 24
Capacity: 36
Deficiencies: 6
Oct 4, 2023
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 10/04/2023, 10/05/2023, and 10/16/2023 to review the submitted plan of correction for the facility.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies related to food safety, thawing, outdated food, and fire drill compliance were addressed with immediate actions and ongoing audits. The facility demonstrated compliance with labeling, thawing, and fire drill regulations with plans for continued monitoring.
Deficiencies (6)
| Description |
|---|
| Leftover food items in the kitchen refrigerator were not labeled or dated. |
| Food was thawed improperly on the kitchen counter. |
| Outdated or unlabeled food items were found in the freezer. |
| No documentation of fire drills conducted in December 2022, April 2023, and May 2023. |
| Fire drill records did not accurately capture date, time, or alarm activity for multiple drills. |
| No sleeping hour fire drill was conducted in July 2023 or September 2023 as required. |
Report Facts
License Capacity: 36
Residents Served: 24
Total Daily Staff: 25
Waking Staff: 19
Residents 60 Years or Older: 22
Residents with Mobility Need: 1
Food Items Discarded: 3
Fire Drills Missing Documentation: 3
Inspection Report
Renewal
Census: 23
Capacity: 36
Deficiencies: 15
Jul 18, 2023
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for Forest City Personal Care.
Findings
The inspection identified multiple deficiencies including breaches in record confidentiality, delays in resident refunds, lack of staff First Aid/CPR certification at times, outdated food items, insufficient emergency water supply, incomplete fire drills, incomplete medical evaluation documentation, medication administration training deficiencies, expired medications, and incomplete medication records. All deficiencies had plans of correction accepted and were reported as implemented by 11/21/2023.
Deficiencies (15)
| Description |
|---|
| Resident privacy coding documents were posted exposing confidential resident information. |
| Resident #4's refund was not sent to the family within the required 30 days after discharge. |
| No staff member was certified in First Aid and CPR at all times as required. |
| Outdated food found: 4 cans of fruit cocktail with a best buy date of 4/7/23 and a teriyaki sauce not refrigerated when opened. |
| The home did not maintain the required 3-day supply of drinking water; only 60 gallons available instead of 69 gallons. |
| Fire drills were not conducted in 1/22, 2/22, 9/22, and 10/22. |
| Fire drills conducted from 1/22-6/23 exceeded 2 minutes and 30 seconds for evacuation; no fire safety letter for additional time. |
| No fire drill conducted during sleeping hours from 1/22-6/23. |
| Fire drills from 5/22-5/23 were all conducted from 7am-3pm, not on different days/times as required. |
| Residents did not always evacuate to the designated meeting place during fire drills, especially during inclement weather. |
| Documentation of Medical Evaluation Form for Resident #1 lacked physician signature and medical provider number initially. |
| Direct care staff members B, C, D, E, and F only completed one of two required medication administration record reviews and observations for 2022 annual practicum. |
| Resident #2's expired OTC medication was kept in the home. |
| Resident #3's medication was not available at the time of inspection. |
| Resident #1's and Resident #3's medications did not include diagnosis or purpose on the medication administration record. |
Report Facts
Residents served: 23
License capacity: 36
Total daily staff: 25
Waking staff: 19
Outdated food items: 4
Water supply gallons: 60
Required water gallons: 69
Residents with mobility need: 2
Residents aged 60 or older: 23
Inspection Report
Follow-Up
Census: 23
Capacity: 36
Deficiencies: 2
May 27, 2022
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident, with the purpose of reviewing the submitted plan of correction and verifying compliance.
Findings
The submitted plan of correction was determined to be fully implemented, with deficiencies related to incomplete preadmission screening forms and support plan refusal sign documentation for Resident #1 addressed and corrected.
Deficiencies (2)
| Description |
|---|
| Resident #1's preadmission screening form did not include a determination that the resident can safely use and avoid poisonous materials. |
| The Participation section of the initial and amended support plans for Resident #1 were not completed to indicate if the resident was unable or declined to participate or refused to sign the support plans. |
Report Facts
License Capacity: 36
Residents Served: 23
Resident Support Staff: 23
Total Daily Staff: 48
Waking Staff: 36
Residents 60 Years or Older: 23
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 2
Residents Receiving Supplemental Security Income: 4
Inspection Report
Renewal
Census: 36
Capacity: 36
Deficiencies: 8
May 5, 2022
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements for Forest City Personal Care.
Findings
The inspection identified multiple deficiencies including lack of first day fire safety orientation for a staff member, incomplete 40-hour rights/abuse training, unsecured trash outside the home, missing annual fire safety inspection and drill, incomplete medical evaluation information for a resident, incomplete preadmission screening, unsigned resident support plan signatures, and unsecured medications in a resident's room. Plans of correction were submitted and accepted with follow-up documentation provided.
Deficiencies (8)
| Description |
|---|
| Direct care staff person did not have a record of first day orientation training addressing fire safety and emergency preparedness. |
| Direct care staff person did not have a record of 40 hours training addressing resident rights, reportable incidents, mandatory reporting, and emergency medical plans. |
| Trash dumpster lid was observed to be up, allowing possible infestation of rodents and insects. |
| No fire safety inspection and fire drill completed by a fire safety expert for inspection years 2020, 2021, or 2022. |
| Resident #1's medical evaluation information was incomplete, missing vital signs, immunizations, health status, cognitive status, and medications. |
| Resident #3's preadmission screening form did not indicate if the home was able to meet their needs. |
| Resident #1's support plan was not signed by the resident and lacked notation if resident refused or was unable to sign. |
| Resident #2's medications were found out and unlocked on bedside table; resident does not manage own medications. |
Report Facts
License Capacity: 36
Residents Served: 36
Total Daily Staff: 37
Waking Staff: 28
Residents Receiving Supplemental Security Income: 4
Residents Age 60 or Older: 24
Residents with Mobility Need: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Named in multiple findings including staff training, medical evaluation completion, preadmission screening, support plan signatures, and medication storage | |
| Direct Care Staff person "A" | Named in findings related to missing first day orientation and 40-hour rights/abuse training |
Inspection Report
Routine
Deficiencies: 0
Apr 6, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Notice
Capacity: 36
Deficiencies: 0
Jun 4, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Forest City Personal Care, a Personal Care Home, confirming the facility's compliance and informing that an annual inspection will be conducted within the next twelve months.
Findings
The Department has issued a regular license in response to the renewal application and advises that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 36
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report
Renewal
Census: 17
Capacity: 36
Deficiencies: 9
Apr 29, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the Forest City Personal Care facility to verify compliance with licensing requirements and the implementation of the submitted plan of correction.
Findings
The inspection found several deficiencies including failure to post licensing inspection summaries, lack of quarterly quality management meetings, absence of a current staff training plan, unsafe resident equipment, incomplete first aid kit, obstructed emergency exit, outdated fire department notice, combustible storage hazards, improper medication storage, and incomplete resident support plans. Plans of correction were accepted and documented for all deficiencies.
Deficiencies (9)
| Description |
|---|
| Licensing inspection summaries dated 1/15/19, 9/15/20 & 10/14/20 were not posted in a public and conspicuous area of the home. |
| The home's quality management plan states quarterly meetings but the last meeting was in July 2020. |
| The home does not have a staff training plan for the current 2021 training year. |
| Resident #2 has a grab assist bar attached to the bed with a 6-inch-wide opening not covered, posing a possible limb entrapment. |
| The first aid kit in the medication room did not have a thermometer at time of inspection. |
| The emergency exit door in the sitting room did not open easily and was obstructed by a hose outside the door. |
| Combustible materials including dryer sheet, black sock, and lint were located behind the dryer posing a fire hazard. |
| Resident #1 had a PRN nasal moisturizing spray medication in their bedroom not stored in locked medication room; resident not assessed to self-administer medications. |
| Resident #2's support plan had not been updated regarding physical therapy services as of 11/28/20. |
Report Facts
License Capacity: 36
Residents Served: 17
Staffing Hours Resident Support Staff: 17
Staffing Hours Total Daily Staff: 34
Staffing Hours Waking Staff: 26
Inspection Report
Routine
Deficiencies: 0
Apr 15, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
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