11 Reports
Inspection Report — Jul 29, 2026
Date: Jul 29, 2026
Visit Reason
The inspection was a licensing inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 07/29/2026 for the facility Logan Square Enhanced Senior Living.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 74
Secured Dementia Care Unit Residents Served: 11
Hospice Current Residents: 8
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 37
Residents Age 60 or Older: 74
Notice — Jul 29, 2026
Date: Jul 29, 2026
Visit Reason
The document serves as a license capacity revision approval and a licensing inspection summary for Logan Square Enhanced Senior Living. The capacity was increased from 101 to 119 beds, including an increase in Secure Dementia Care Unit beds.
Findings
The licensing inspection conducted on 07/29/2026 found no regulatory citations or deficiencies at the facility.
Report Facts
Residents Served: 74
Secure Dementia Care Unit Residents Served: 11
Inspection Report — Jul 29, 2026
Routine
Date: Jul 29, 2026
Visit Reason
Routine licensing inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 07/29/2026.
Findings
No regulatory citations or deficiencies were identified during the inspection. The facility's license capacity was recently increased from 101 to 119 beds, including an increase in Secure Dementia Care Unit beds from 14 to 32.
Report Facts
Residents Served: 74
SDCU Residents Served: 11
Hospice Residents: 8
Total Daily Staff: 111
Waking Staff: 83
Inspection Report — Jun 15, 2026
Renewal
Date: Jun 15, 2026
Visit Reason
The inspection was conducted as a renewal review of the Logan Square Enhanced Senior Living facility by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 06/15/2026 and 06/16/2026.
Findings
The inspection identified multiple deficiencies including unsecured poisonous materials accessible to residents, inadequate lighting in stairwells, improper medication storage and documentation, failure to follow prescriber orders, incomplete resident assessments, missing preadmission screenings, and lack of conspicuous posting of key-locking device operation instructions. Plans of correction were accepted and implemented with ongoing audits scheduled to ensure compliance.
Citations (8)
82c Locking Poisonous Materials: Poisonous materials were unlocked and accessible to residents on a housekeeping cart, and not all residents were assessed capable of safely using or avoiding poisons.
87 Lighting: The 3rd floor south stairwell exit was dimly lit with missing light bulbs, compromising safe movement and evacuation.
183e Storing Medications: Resident #2's Alprazolam blister card had a tear covered by a sticker with medication still present, indicating improper medication storage.
187b Date/Time of Medication Admin.: Resident #2's medication administration record lacked staff initials for Alprazolam administration on three specified dates and times.
187d Follow Prescriber's Orders: Resident #2 was administered Midodrine despite a blood pressure reading above the prescribed hold threshold.
225a Assessment 15 Days: Resident #1's assessment did not document the use and need of a bedside mobility device for transfers in and out of bed.
231c Preadmission Screening: Resident #1's written cognitive preadmission screening was not completed within 72 hours prior to admission to the secured dementia care unit.
233c Key-Locking Devices: Directions for operating the home's locking mechanism were not conspicuously posted near the back door exit from the Secure Dementia Care Unit.
Report Facts
Residents Served: 78
Residents Served in Secured Dementia Care Unit: 11
Current Hospice Residents: 4
Residents with Mobility Need: 36
Residents 60 Years or Older: 78
Residents Diagnosed with Mental Illness: 1
Inspection Report — Jun 24, 2025
Follow-Up
Date: Jun 24, 2025
Visit Reason
The visit was a follow-up review to verify that the submitted plan of correction for previous deficiencies was fully implemented at Logan Square Enhanced Senior Living.
Findings
The submitted plan of correction was found to be fully implemented, with continued compliance required. Deficiencies related to emergency management agency submission, fire drill records, and evacuation procedures were addressed with corrective actions and education.
Citations (3)
The home’s written emergency procedures had not been submitted annually to the local emergency management agency.
Fire drill records were missing required information such as date, evacuation time, number of residents and staff participating, alarm operability, and exit routes used.
The home did not meet the designated safe evacuation time of 10 minutes during certain fire drills.
Report Facts
Residents Served: 64
Residents Served in Secured Dementia Care Unit: 10
Current Hospice Residents: 2
Total Daily Staff: 93
Waking Staff: 70
Inspection Report — Mar 27, 2025
Follow-Up
Date: Mar 27, 2025
Visit Reason
The visit was a follow-up inspection to verify the implementation of a previously submitted plan of correction for Logan Square Enhanced Senior Living.
Findings
The plan of correction was determined to be fully implemented as of the review dates 03/27/2025 and 06/24/2025. Deficiencies related to emergency management agency submission and fire drill records were addressed with corrective actions and education.
Citations (3)
2600.107d - The home’s written emergency procedures had not been submitted to the local emergency management agency since 4/2/24. The Executive Director resubmitted the plan and implemented monthly audits to ensure annual submission.
2600.132c - Fire drill records since 1/2025 were missing required information including evacuation times, resident counts, staff participation, alarm operability, and exit routes used.
2600.132d - The home failed to meet the designated safe evacuation time of 10 minutes during drills on 3/9/25 and 4/17/25, with evacuation times exceeding the limit.
Report Facts
Residents Served: 64
Residents Served in Secure Dementia Care Unit: 10
Current Hospice Residents: 2
Staff Total Daily: 93
Waking Staff: 70
Residents with Mobility Need: 29
Inspection Report — Jan 7, 2025
Renewal
Date: Jan 7, 2025
Visit Reason
The inspection was conducted as part of a renewal, complaint, provisional, and incident review of the facility license.
Findings
The facility was found to be in compliance overall, but several deficiencies were cited including lack of criminal background checks for contracted staff, failure to notify the fire department in writing, past due medical evaluations, medication storage and documentation errors, and missing documentation of fire safety inspections. Plans of correction were accepted and implemented with proposed completion dates by March 10, 2025.
Citations (5)
Staff persons A and B were contracted workers with unsupervised access without criminal background checks as required.
The home did not have documentation of written notification to the local fire department regarding the address, bedroom locations, and evacuation assistance.
Resident #1’s most recent medical evaluation was past due.
A jar of A&D ointment prescribed to deceased resident #3 was found in resident #4’s room.
Several blood-sugar readings for resident #5 were logged incorrectly in the medication administration record.
Report Facts
Residents Served: 62
Residents Served in Secure Dementia Care Unit: 8
Current Hospice Residents: 2
Total Daily Staff: 96
Waking Staff: 72
Residents with Mobility Need: 34
Residents with Physical Disability: 62
Inspection Report — Feb 5, 2024
Renewal
Date: Feb 5, 2024
Visit Reason
The inspection was conducted as a renewal and provisional licensing inspection of Logan Square Enhanced Senior Living to assess compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes.
Findings
Multiple violations were found including issues with posting licenses, access to records, compliance with health and safety laws, contract documentation, staff hiring and training, resident equipment safety, medication management, emergency procedures, and resident records. Plans of correction were proposed with follow-up dates.
Citations (37)
The home's current violation report and a copy of 55 PA. Code Chapter 2600 were not posted in a conspicuous and public place.
Staff person A was unable to provide a listing of ancillary staff until after 2:30 PM when requested by Department agents.
Carbon monoxide detector for the kitchen was within 15 feet of gas appliances, violating installation standards.
Resident contract for Resident #1 was signed but not dated.
Resident contract for Resident #2 was not signed by the resident.
Resident #2's record did not contain a signed statement acknowledging receipt of resident rights and complaint procedures.
Several staff members had incomplete or untimely criminal background checks.
Staff person A completed only 23 hours of required annual training in 2023.
Staff persons B and F did not receive required orientation on fire safety and emergency preparedness topics.
Staff persons B and F did not complete required orientation training within 40 scheduled working hours.
Direct care staff person D received only 2 hours of annual training in 2023.
Direct care staff persons C and D did not receive required annual training on multiple topics including medication self-administration and care for residents with dementia.
The home does not have a training record for staff member E.
The home's staff training plan did not include required details such as names, positions, duties, and scheduled training dates for staff.
The home's procedures for bedside mobility devices did not include periodic assessment for proper installation and maintenance.
Resident #3 and #4 had bedside mobility devices not securely attached to bedframes and with uncovered openings exceeding FDA guidelines.
Poisonous materials such as antibacterial soap and toothpaste were unlocked and accessible to resident #5, who was not assessed as capable of safe use.
Uncovered trash can found in 5th floor guest bathroom.
Heater in resident #6's bathroom was dirty, damaged, and uncovered with exposed heating coils.
Residents #3 and #7 did not have operable lamps or light sources at bedside.
Unlabeled and undated food items found in refrigerator and freezer of Memory Care kitchen.
Excessive lint in lint trap of 5th floor dryer and broken lint trap in 8th floor dryer.
Home's written emergency procedures had not been submitted to local emergency management agency since 01/18/23.
Smoke detectors on floors 5, 6, 7, and 8 were disabled or covered during renovations, and fire watch procedures were not documented.
Fire extinguisher in the home's bus lacked inspection tag.
Resident #7 had several unlocked, unattended medications in their room.
Expired medication Senna 8.6 MG Tabs found in medication cart.
Unlabeled container of Latanoprost Ophthalmic Solution found in resident #11's medication bin.
Resident #12 and #13 prescribed medications were not available in the home.
Medication administration training records for staff person C and others were incomplete or missing.
Resident #2 had not been educated on the right to refuse medication.
Resident #14's preadmission screening form was completed after admission date.
Support plans for residents #3, #4, and #6 did not fully document bedside mobility device needs and related information.
Resident #15 participated in support plan development but did not sign the plan.
Support plan for resident #1 did not address behavioral or cognitive needs.
Resident #14's record lacked race, hair color, eye color, religious affiliation, identifying marks, and recent photograph.
Home did not keep a log of destroyed resident records.
Report Facts
Residents Served: 67
Residents Served in Secure Dementia Care Unit: 8
Hospice Residents: 2
Staffing Hours: 105
Waking Staff: 79
Mobility Need: 38
Residents Served: 61
Total Daily Staff: 89
Waking Staff: 67
Mobility Need: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in findings related to delayed access to staff list, medication errors, and unlocked medications | |
| Staff person B | Named in findings related to incomplete orientation and training, and inaccurate staff list | |
| Staff person C | Named in findings related to incomplete medication administration training and medication errors | |
| Staff person D | Named in findings related to incomplete medication administration training and medication errors | |
| Staff person E | Named in findings related to incomplete medication administration training and medication errors | |
| Staff person F | Named in findings related to incomplete orientation and training | |
| Executive Director | Named in multiple findings and plans of correction overseeing compliance and audits | |
| Administrator | Named in multiple findings and plans of correction overseeing compliance and audits | |
| Maintenance Director | Named in findings related to safety equipment, fire safety, and maintenance audits | |
| Health & Wellness Director | Named in findings related to medication management, resident safety, and staff education | |
| Housekeeping Director | Named in findings related to cleanliness and lint trap maintenance |
Inspection Report — Nov 30, 2023
Monitoring
Date: Nov 30, 2023
Visit Reason
The inspection was a provisional, monitoring visit conducted as a partial, unannounced inspection on 11/30/2023.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Total Daily Staff: 90
Waking Staff: 68
Residents Served: 59
Secured Dementia Care Unit Residents Served: 8
Hospice Current Residents: 2
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 0
Residents Receiving Supplemental Security Income: 0
Residents Age 60 or Older: 59
Residents with Mobility Need: 31
Residents with Physical Disability: 31
Inspection Report — Sep 22, 2023
Monitoring
Date: Sep 22, 2023
Visit Reason
The inspection was a monitoring visit conducted on September 22, 2023, to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes following a change in legal entity and prior provisional licensing.
Findings
The facility was found to be in substantial compliance with regulations but had several citations including fire safety inspection documentation, license posting, trash receptacle coverage, food storage, and labeling of leftovers. Plans of correction were submitted and partially implemented.
Citations (5)
2600.132.b requires an annual fire safety inspection and drill by a fire safety expert. The last documented inspection was on 07/26/2022 and the report was initially not on hand during inspection.
2600.3.c requires posting the current license and inspection summary in a conspicuous place. The facility was using a license issued to the previous legal entity at the time of inspection.
2600.85.d requires trash in kitchens and bathrooms to be kept in covered receptacles. An uncovered, full trash can was observed in the main kitchen on 09/22/2023.
2600.103.d requires food to be stored off the floor. Twenty-two boxes of bottled water were stored on the floor in the lower-level garage on 09/22/2023.
2600.103.e prohibits serving leftover food returned from an individual’s plate unless labeled and dated. An unlabeled, undated container of pickles and fruit salad were found in the main refrigerator.
Report Facts
Residents Served: 56
Residents Served in Dementia Unit: 9
Current Hospice Residents: 1
Staff Total Daily: 82
Waking Staff: 62
Unlabeled Food Items: 2
Boxes of Bottled Water Stored on Floor: 22
Inspection Report — Aug 17, 2023
Plan of Correction
Date: Aug 17, 2023
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 08/17/2023 to verify the implementation of a previously submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented. The main deficiency involved a delayed fire safety inspection and drill report, which was subsequently received and documented.
Citations (1)
The last fire safety inspection and drill observed by a fire safety expert was conducted on 07/26/22, and the inspection report was not on hand at the time of the visit.
Report Facts
Residents Served: 52
Secured Dementia Care Unit Residents Served: 9
Current Hospice Residents: 1
Residents Age 60 or Older: 52
Residents Diagnosed with Mental Illness: 4
Residents with Mobility Need: 32
Residents with Physical Disability: 32
Total Daily Staff: 84
Waking Staff: 63
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