Inspection Reports for
Forest City Personal Care
911 DELAWARE STREET,, FOREST CITY, PA, 18421
Back to Facility Profile33 Reports
Inspection Report — Jun 23, 2026
Complaint Investigation
Date: Jun 23, 2026
Visit Reason
The inspection was conducted as a complaint investigation with partial, unannounced visits on 06/23/2026, 07/15/2026, and 07/21/2026.
Complaint Details
The inspection was complaint-related, but no deficiencies or regulatory citations were found, indicating no substantiated violations.
Findings
No regulatory citations or deficiencies were identified as a result of the inspections conducted on the stated dates.
Report Facts
Residents Served: 22
Current Hospice Residents: 0
Residents Age 60 or Older: 22
Residents Diagnosed with Mental Illness: 2
Residents Receiving Supplemental Security Income: 1
Residents with Mobility Need: 2
Inspection Report — Jun 16, 2026
Complaint Investigation
Date: Jun 16, 2026
Visit Reason
The inspection was conducted as a complaint investigation with multiple licensing inspections on 06/16/2026, 06/23/2026, 07/15/2026, 07/21/2026, and 07/22/2026.
Complaint Details
The inspection was complaint-driven as indicated by the reason 'Complaint' in the inspection information section. No deficiencies or citations were found, indicating no substantiated violations.
Findings
No regulatory citations or deficiencies were identified as a result of these inspections. The facility was found to be in compliance with licensing requirements.
Report Facts
Residents Served: 22
Receive Supplemental Security Income: 1
Diagnosed with Mental Illness: 2
Have Mobility Need: 2
Are 60 Years of Age or Older: 22
Diagnosed with Intellectual Disability: 0
Have Physical Disability: 0
Inspection Report — Apr 23, 2026
Complaint Investigation
Date: Apr 23, 2026
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 04/23/2026.
Complaint Details
The inspection was complaint-driven and the plan of correction was accepted and fully implemented as of 05/18/2026.
Findings
The facility was found to have a deficiency in the annual medical evaluation where a resident's evaluation did not include whether secured dementia care was needed and lacked a medication addendum. The submitted plan of correction was accepted and fully implemented.
Citations (1)
141b1 - Annual Medical Evaluation: A resident's medical evaluation did not include whether secured dementia care was needed and had no medication addendum attached.
Report Facts
Residents Served: 22
Resident Age 60 or Older: 22
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 2
Inspection Report — Mar 25, 2026
Complaint Investigation
Date: Mar 25, 2026
Visit Reason
The inspection was conducted as a partial, unannounced complaint investigation and incident review at Forest City Personal Care on 03/25/2026.
Complaint Details
The visit was complaint-related and incident-driven, focusing on failure to report a hot water outage and water pressure issues. The plan of correction was accepted and implemented.
Findings
The facility failed to report a loss of hot water to resident bathrooms and shower rooms within 24 hours as required. The hot water loss was due to a malfunctioning mixing valve and was not repaired promptly, but corrective actions were implemented and accepted.
Citations (2)
16c - Written Incident Report: The home lost hot water to resident bathrooms and shower rooms due to a malfunctioning mixing valve and did not report the incident to the Department's regional office within 24 hours as required.
89a - Water Pressure: The home did not have hot water in resident bathrooms and shower rooms at 7:00 a.m. due to a malfunctioning mixing valve, and the hot water heater was not repaired as of the inspection date.
Report Facts
Residents Served: 22
Staff: 22
Waking Staff: 17
Inspection Report — Dec 29, 2025
Follow-Up
Date: Dec 29, 2025
Visit Reason
The inspection was conducted as a partial, unannounced follow-up visit triggered by a complaint and incident to verify the submitted plan of correction.
Complaint Details
The inspection was complaint-related with a reason listed as Complaint, Incident. The plan of correction was accepted and fully implemented.
Findings
The submitted plan of correction was determined to be fully implemented as of the follow-up review. The deficiency involved incomplete preadmission screening forms which were corrected immediately during the survey.
Citations (1)
224a - Preadmission Screen Form: The resident's preadmission screening form was not completed within 30 days prior to admission as required. Correction was made immediately by the Administrator during the survey.
Report Facts
Residents Served: 22
Staffing Hours - Total Daily Staff: 25
Staffing Hours - Waking Staff: 19
Inspection Report — Dec 17, 2025
Date: Dec 17, 2025
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident.
Findings
No regulatory citations or deficiencies were identified during the inspections conducted on 12/17/2025, 12/18/2025, 12/23/2025, and 12/30/2025.
Report Facts
Residents Served: 63
Current Hospice Residents: 1
Residents Receiving Supplemental Security Income: 32
Residents Diagnosed with Mental Illness: 41
Residents Age 60 or Older: 32
Residents Diagnosed with Intellectual Disability: 15
Residents with Physical Disability: 1
Inspection Report — Dec 16, 2025
Follow-Up
Date: Dec 16, 2025
Visit Reason
The inspection visit was a partial, unannounced follow-up triggered by an incident to verify the submitted plan of correction was fully implemented.
Findings
The facility was found to have fully implemented the plan of correction related to a delayed incident report and disrespectful treatment of a resident. Staff person A was terminated and staff were re-educated on reporting and resident rights.
Citations (2)
16c - Written Incident Report: The home failed to report a derogatory comment made by staff toward a resident within 24 hours as required by regulations.
42c - Treatment of Residents: Staff person A made a derogatory comment to a resident, violating the requirement that residents be treated with dignity and respect.
Report Facts
Residents Served: 22
Staff: 25
Waking Staff: 19
Inspection Report — Nov 4, 2025
Complaint Investigation
Date: Nov 4, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection type.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 23
Residents Age 60 or Older: 22
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 2
Inspection Report — Aug 26, 2025
Complaint Investigation
Date: Aug 26, 2025
Visit Reason
The inspection was conducted as a complaint and incident investigation during an unannounced partial inspection on 08/26/2025.
Complaint Details
The inspection was triggered by a complaint and incident, with the plan of correction fully implemented and compliance confirmed.
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.
Citations (2)
Resident's most recent medical evaluation was not current.
Resident's most recent additional assessment was not current.
Report Facts
Residents Served: 26
Total Daily Staff: 29
Waking Staff: 22
Inspection Report — Jul 22, 2025
Complaint Investigation
Date: Jul 22, 2025
Visit Reason
The inspection was conducted as a complaint investigation at the Forest City Personal Care facility on 07/22/2025.
Complaint Details
The inspection was triggered by a complaint, but no deficiencies or regulatory citations were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 28
Total Daily Staff: 28
Waking Staff: 21
Inspection Report — Mar 20, 2025
Complaint Investigation
Date: Mar 20, 2025
Visit Reason
The inspection was conducted as a complaint and incident investigation during an unannounced partial inspection on 03/20/2025.
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.
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.
Citations (2)
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
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 — Jul 9, 2024
Renewal
Date: 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.
Citations (9)
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
Residents Served: 26
Total Daily Staff: 26
Waking Staff: 20
Deficiencies cited: 9
Inspection Report — Oct 4, 2023
Follow-Up
Date: 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.
Citations (6)
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
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 — Jul 18, 2023
Renewal
Date: 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.
Citations (15)
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
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
Notice — Nov 14, 2022
Date: Nov 14, 2022
Visit Reason
The document serves to grant a waiver for the personal care home administrator training and orientation requirements under 55 Pa.Code § 2600.64(a)(1)-(3) for Forest City Personal Care.
Findings
The waiver is granted with conditions including enrollment in a Department-approved training course, passing a competency test, attendance at a scheduled program, and supervision until training completion. The Department will review compliance with these conditions during the annual inspection.
Report Facts
Training course duration: 100
Training course dates: Scheduled to begin January 17, 2023 and end March 2, 2023
Program date: Department-approved personal care home administrator program scheduled for November 29, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeanne Parisi | Bureau Director, Human Services Licensing | Signed the waiver approval letter |
Inspection Report — May 27, 2022
Follow-Up
Date: 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.
Citations (2)
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
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 — May 5, 2022
Renewal
Date: 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.
Citations (8)
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
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 — Apr 6, 2022
Routine
Date: 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 — Nov 5, 2021
Date: Nov 5, 2021
Visit Reason
The document serves to grant a waiver for a personal care home administrator to complete required training and competency testing by December 17, 2021.
Findings
The waiver allows the administrator candidate to complete a 100-hour training course and competency test by specified dates under supervision. The Department will review compliance with this waiver during the annual inspection.
Report Facts
Training course duration: 100
Notice — Jun 4, 2021
Date: 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
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report — Apr 29, 2021
Renewal
Date: 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.
Citations (9)
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
Residents Served: 17
Staffing Hours Resident Support Staff: 17
Staffing Hours Total Daily Staff: 34
Staffing Hours Waking Staff: 26
Inspection Report — Apr 15, 2021
Routine
Date: 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.
Inspection Report — Oct 14, 2020
Follow-Up
Date: Oct 14, 2020
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident at the facility.
Findings
The facility's submitted plan of correction was determined to be fully implemented. A violation was found regarding an outdated resident support plan which was subsequently updated to address a recent behavioral incident.
Citations (1)
Regulation 2600.227.d: Resident #1's support plan was not updated to include a plan addressing a recent incident involving touching another resident's leg and the need for increased supervision. The plan was updated on 10-14-20 to reflect the incident and provide staff with measures to prevent future incidents.
Report Facts
Residents Served: 25
Staffing Hours: 25
Waking Staff: 19
Inspection Report — Sep 15, 2020
Follow-Up
Date: Sep 15, 2020
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.
Complaint Details
The visit was related to an incident complaint involving abuse between residents. The plan of correction was accepted and fully implemented with no further incidents reported as of the inspection date.
Findings
The facility was found to have fully implemented the plan of correction related to an abuse incident involving inappropriate contact between two residents. Additional protective measures were recommended to prevent further abuse.
Citations (1)
42b Abuse: On 9/2/2020 resident #1 touched resident #2 inappropriately causing distress. The facility implemented 15-minute observation checks, relocated resident #1, and restricted contact between the residents to ensure safety.
Report Facts
Residents Served: 25
Current Hospice Residents: 2
Staffing: 26
Waking Staff: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Deluca | Lead Inspector | Lead inspector for the 09/15/2020 partial inspection |
| Michele Moskalczyk | Human Services Licensing Supervisor | Reviewer and licensing supervisor involved in follow-up and document submission reviews |
Notice — Jul 29, 2020
Date: Jul 29, 2020
Visit Reason
The document serves as a license renewal notification and informs the facility that an onsite inspection will be conducted within the next twelve months as required by state regulations.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application.
Report Facts
Notice — Feb 11, 2019
Date: Feb 11, 2019
Visit Reason
This document serves as a renewal notification for the Personal Care Home license and informs that an onsite inspection will be conducted within the next twelve months as required by state regulations.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application.
Inspection Report — Jan 15, 2019
Renewal
Date: Jan 15, 2019
Visit Reason
The inspection was a renewal visit conducted by the Department of Human Services Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.
Findings
Multiple violations of 55 Pa. Code Chapter 2600 were found, including incomplete staff training, blocked exit routes, improper food labeling, and incomplete resident records. Plans of correction were submitted and partially implemented as of February 13, 2019.
Citations (8)
Regulation 55 Pa.Code §2600.65(f): Staff person A did not complete annual training for medication self-administration, resident needs assessment, and safe management techniques for 2018.
Regulation 55 Pa.Code §2600.65(g): Staff person A did not complete The Older Adult Protective Services Act training for 2018.
Regulation 55 Pa.Code §2600.100(b): The South Wing Zone 4 exit was blocked by a layer of snow obstructing egress.
Regulation 55 Pa.Code §2600.103(e): Unlabeled and undated frozen food items were stored in the home’s freezer.
Regulation 55 Pa.Code §2600.121(a): Side door in living room and second hall door #2 required excess force to open and did not open freely.
Regulation 55 Pa.Code §2600.132(f): Residents were not evacuated to outdoor areas during fire drills; no alternate exit routes were used.
Regulation 55 Pa.Code §2600.135(a): Resident #1’s blood glucose readings were inconsistent; a reading of 114 was recorded but MAR showed 118.
Regulation 55 Pa.Code §2600.252: Resident #2’s record lacked a photo and identifying marks documentation.
Report Facts
Number of Residents Served: 28
Total Daily Staff: 30
Waking Staff: 23
Number of Residents Age 60 or Older: 27
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laura Wojcik | Administrator | Named in relation to plans of correction and signature on multiple pages. |
| Amy Deluca | Department representative present on-site during inspection. | |
| Vanessa Mendez | Department representative present on-site during inspection. |
Inspection Report — Feb 12, 2018
Renewal
Date: Feb 12, 2018
Visit Reason
The document is a renewal application and license issuance for Forest City Personal Care Home. The Department will conduct an onsite inspection within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future inspection requirements.
Inspection Report — Jan 23, 2018
Renewal
Date: Jan 23, 2018
Visit Reason
The inspection was a renewal licensing inspection conducted by the Pennsylvania Department of Human Services on January 23, 2018.
Findings
The inspection identified violations related to resident confidentiality, failure to post required influenza prevention information, improper maintenance of carbon monoxide monitors, and inaccurate calibration and documentation of glucometer readings.
Citations (3)
Regulation 55 Pa.Code §2600.17 requires resident records to be confidential. The facility inadvertently exposed confidential resident information by posting privacy coding documents publicly.
Regulation 55 Pa.Code §2600.18 requires posting of influenza prevention information. The facility failed to post the PA Department of Health's influenza poster in a public area and did not mark carbon monoxide monitors with battery installation dates.
Regulation 55 Pa.Code §2600.185(a) requires safe storage and use of medical equipment. The glucometer for resident #1 was not calibrated correctly, and blood glucose readings were inaccurately documented.
Report Facts
Number of Residents Served: 31
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mia Crotti | Administrator | Named in relation to plan of correction and signature on violation reports. |
Notice — Feb 22, 2017
Date: Feb 22, 2017
Visit Reason
This document serves as a renewal notification and license certificate for Forest City Personal Care Home, confirming the renewal application received on February 21, 2017, and outlining the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It is an administrative notice confirming license renewal and informing about future inspection requirements.
Report Facts
Inspection Report — Feb 8, 2017
Renewal
Date: Feb 8, 2017
Visit Reason
The inspection was an annual licensing renewal inspection conducted by the Department of Human Services on February 8, 2017, to assess compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Findings
Multiple violations were found related to staff training on CPR, fire safety hazards, incomplete medical evaluations, smoking area hazards, medication management, insulin documentation, and resident assessment documentation. Plans of correction were submitted with partial implementation progress noted.
Citations (8)
55 Pa.Code §2600 2600.63(d) - Staff failed to perform CPR immediately on a resident without a DNR order during a nighttime emergency, despite being trained in CPR.
55 Pa.Code §2600 2600.125(a) - Combustible cotton hand towels were found near a heat source in the laundry area, creating a fire safety hazard.
55 Pa.Code §2600 2600.141(a)(2) - The medical evaluation for a resident did not document the resident's blood pressure as required.
55 Pa.Code §2600 2600.144(c)(1) - Non-fire resistant chairs were placed in the designated smoking area, posing a fire hazard.
55 Pa.Code §2600 2600.183(d) - Discontinued medication was not promptly removed from the medication cart, risking medication errors.
55 Pa.Code §2600 2600.187(a) - The facility failed to document the number of insulin units administered to a resident on the Medication Administration Record.
55 Pa.Code §2600 2600.225(a) - The initial assessment for a resident was missing required information including primary physician and medical diagnoses.
55 Pa.Code §2600 2600.227(g) - A resident's support plan was not signed by the resident who participated in its development.
Report Facts
Total Daily Staff: 35
Waking Staff: 26
Notice — Mar 22, 2016
Date: Mar 22, 2016
Visit Reason
The document serves as a renewal notice and license issuance for Forest City Personal Care Home following receipt of a renewal application dated February 22, 2016.
Findings
The Department advises that an onsite inspection will be conducted at least once every twelve months as required by regulation. No findings or deficiencies are reported in this document.
Inspection Report — Feb 12, 2016
Annual Inspection
Date: Feb 12, 2016
Visit Reason
The visit was the Department of Human Services' annual licensing inspection of Forest City Personal Care.
Findings
The facility was found to be in compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matthew J. Jones | Director | Signed the compliance letter for the annual licensing inspection. |
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