Deficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Renewal
Census: 55
Capacity: 64
Deficiencies: 8
Aug 14, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the Foxdale Village facility to assess compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including insufficient First Aid/CPR trained staff during night shifts, lapses in annual staff training, unlabeled poisonous materials, failure to serve meals in the dining room, missing PRN medications, medication record discrepancies, incomplete medication administration training recertification, and incomplete preadmission screening documentation. Plans of correction were accepted and implemented with follow-up audits and training scheduled.
Deficiencies (8)
| Description |
|---|
| Insufficient number of staff trained in First Aid and CPR during night shifts when census exceeded 50 residents. |
| Direct care staff person did not receive required annual training in fire safety, emergency preparedness, resident rights, and Older Adult Protective Services Act. |
| Poisonous materials stored in unlabeled containers on housekeeping cart. |
| All residents were eating meals in their rooms instead of the dining room as required. |
| PRN medications for Resident #3 were missing at time of inspection. |
| Medication administration records did not match pharmacy labels for multiple residents. |
| Staff member did not complete required medication administration recertification by inspection date. |
| Resident #4's preadmission screening form was not completed within required timeframe prior to admission. |
Report Facts
Residents served: 55
License capacity: 64
Total daily staff: 55
Waking staff: 41
Residents present during First Aid/CPR deficiency: 54
Inspection Report
Census: 46
Capacity: 64
Deficiencies: 0
Nov 21, 2024
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Resident census: 46
Total licensed capacity: 64
Total daily staff: 46
Waking staff: 35
Inspection Report
Renewal
Census: 48
Capacity: 64
Deficiencies: 2
Jul 23, 2024
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.
Findings
The submitted plan of correction was determined to be fully implemented. Two specific deficiencies were noted: one resident refused to evacuate during a fire drill, and a resident's medical evaluation documentation did not note the ability to self-administer medications. Both issues were addressed with reeducation and audits to ensure ongoing compliance.
Deficiencies (2)
| Description |
|---|
| One resident refused to evacuate during the fire drill conducted on 07/11/2024. |
| Resident #1's Documentation of Medical Evaluation did not note if the resident can or cannot self-administer medications. |
Report Facts
License Capacity: 64
Residents Served: 48
Total Daily Staff: 48
Waking Staff: 36
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Personal Care Administrator | Responsible for reeducating resident who refused evacuation and reviewing fire drill logs. | |
| Director of Health Services | Reeducated providers on medication evaluation documentation and reeducated residents on fire drill evacuation. | |
| Assistant Personal Care Administrator | Updated Resident #1's Documentation of Medical Evaluation. | |
| Director of Environmental Services and/or Designee | Responsible for reporting refusals to evacuate during fire drills. |
Inspection Report
Follow-Up
Census: 38
Capacity: 64
Deficiencies: 1
Jun 17, 2021
Visit Reason
The inspection visit on 06/17/2021 was a partial, unannounced follow-up inspection triggered by an incident to verify the implementation of a previously submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented, with ongoing compliance required. The deficiency involved failure to update the resident's support plan to reflect changes in medical and behavioral care needs, which was corrected through audits and interdisciplinary team meetings.
Deficiencies (1)
| Description |
|---|
| Resident #1's support plan was not updated to reflect changes in medical and behavioral care needs including transfer assistance, diet, bed alarm, and repositioning. |
Report Facts
License Capacity: 64
Residents Served: 38
Current Hospice Residents: 1
Resident Support Staff: 39
Waking Staff: 29
Notice
Capacity: 64
Deficiencies: 0
Jun 9, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for Foxdale Village Personal Care Home following receipt of the renewal application dated March 5, 2021.
Findings
The Department advises that an onsite annual inspection will be conducted within the next twelve months to ensure compliance with Title 55, PA Code, Chapter 2600, and enforcement actions will be taken if noncompliance is found.
Report Facts
Maximum capacity: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 40
Capacity: 64
Deficiencies: 7
May 4, 2021
Visit Reason
The inspection was conducted as a renewal inspection of Foxdale Village to assess compliance with licensing requirements.
Findings
Several deficiencies were identified including lack of operable bedside lamps, missing freezer thermometer, outdated food items, medication technician recertification issues, unsecured medications, improper medication labeling, and errors in medication administration records. Plans of correction were accepted and documented with follow-up and education measures.
Deficiencies (7)
| Description |
|---|
| Resident #3 did not have an operable lamp or other source of lighting that can be turned on at bedside. |
| The freezer located in the kitchenette did not have a thermometer. |
| Outdated or expired food items were found in the kitchenette and refrigerator. |
| Staff person B did not complete required medication recertification training but remained on the schedule as a MedTech. |
| Resident #3 had medications and vitamins unsecured on bedside table; resident's door did not lock when absent. |
| Medication label for Resident #4 did not reflect correct prescribed dosage and instructions. |
| Medication Administration Record (MAR) errors due to incorrect transcription of blood glucose test results and glucometer calibration issues. |
Report Facts
License Capacity: 64
Residents Served: 40
Total Daily Staff: 41
Waking Staff: 31
Resident with Mobility Need: 1
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