Inspection Reports for Franciscan Manor
71 Darlington Rd, Beaver Falls, PA 15010, United States, PA, 15010
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Inspection Report
Complaint Investigation
Census: 87
Capacity: 119
Deficiencies: 3
May 14, 2025
Visit Reason
The inspection was conducted as a partial, unannounced visit due to a complaint and incident at the facility.
Findings
The inspection found deficiencies related to medication administration errors, failure to report incidents timely, and incomplete resident assessments. Plans of correction were accepted and implemented by mid-June 2025.
Complaint Details
The visit was complaint-related and incident-based. The submitted plan of correction was fully implemented as of 06/18/2025.
Deficiencies (3)
| Description |
|---|
| The home failed to report a medication error incident to the Department within 24 hours as required. |
| The home did not follow prescriber's orders by failing to administer prescribed medication to a resident on multiple dates due to medication unavailability. |
| Resident assessments were not completed as required, with the most recent assessment missing prior to the inspection. |
Report Facts
Residents Served: 87
License Capacity: 119
Total Daily Staff: 98
Waking Staff: 74
Current Hospice Residents: 10
Residents Age 60 or Older: 87
Residents with Mental Illness: 1
Residents with Mobility Need: 11
Inspection Report
Renewal
Census: 82
Capacity: 119
Deficiencies: 7
Oct 4, 2022
Visit Reason
The inspection was a full, unannounced renewal inspection conducted over three days from 10/04/2022 to 10/06/2022 to assess compliance with licensing requirements.
Findings
The inspection found multiple deficiencies including locked exit doors requiring keys, missing exit signage, incomplete medical evaluations for several residents, medication record omissions, improper medication administration, failure to follow prescriber's orders, and failure to report medication errors promptly. Plans of correction were accepted and implemented by April 6, 2023.
Deficiencies (7)
| Description |
|---|
| Exit doors were locked with a key, preventing easy egress by residents. |
| No exit sign over the large double wooden doors used as an exit. |
| Resident medical evaluations missing height, weight, or temperature data. |
| Medication record missing for prescribed Omeprazole for Resident #1. |
| Medications documented as administered before actual administration time for Resident #5. |
| Resident #2 was administered incorrect dosage of Potassium Chloride from 10/1/22 to 10/4/22. |
| Medication error for Resident #6 not reported to prescriber promptly. |
Report Facts
License Capacity: 119
Residents Served: 82
Current Hospice Residents: 12
Total Daily Staff: 88
Waking Staff: 66
Residents with Mobility Need: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debra Bianchin | Certified DHS Medication Administration Instructor | Provided in-service training on medication administration and documentation. |
Inspection Report
Renewal
Deficiencies: 0
Mar 11, 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: 119
Deficiencies: 0
Sep 22, 2021
Visit Reason
This document serves as a license renewal approval and certificate of compliance for Franciscan Manor, a Personal Care Home, confirming the facility's authorized capacity and informing about the upcoming annual inspection requirement.
Findings
The Department issued a regular license in response to the renewal application and advised that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum licensed capacity: 119
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the license renewal approval letter |
Inspection Report
Renewal
Census: 77
Capacity: 119
Deficiencies: 12
Sep 21, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license, including a full unannounced inspection on 09/21/2021 and follow-up reviews.
Findings
The inspection identified multiple deficiencies including sanitary condition violations related to glucometer use and cleanliness, medication storage and labeling issues, incomplete resident assessments, and failure to follow prescriber's orders. Plans of correction were submitted and determined to be fully implemented by the follow-up dates.
Deficiencies (12)
| Description |
|---|
| Use of house glucometers for multiple residents causing cross contamination risk and presence of blood stains on glucometers. |
| Multiple crumbs and food particles found in microwave oven and dirty dishes left in resident's room. |
| Resident did not have access to an operable bedside lamp. |
| Bench blocking egress from front door fire exit. |
| Residents' medical evaluations not completed timely or lacking documentation allowing postponement. |
| Unsecured and accessible medications found in resident's room. |
| Prescription medication containers missing proper pharmacy labels. |
| Staff person administered medications without completing required medication administration course. |
| Initial resident assessments missing diagnoses present in medical evaluations. |
| Resident support plans not signed by residents or documentation of refusal to sign missing. |
| Improper storage, calibration, and documentation of glucometers and blood glucose readings. |
| Failure to follow prescriber's insulin dosage orders based on blood glucose readings. |
Report Facts
License Capacity: 119
Residents Served: 77
Staffing Hours: 84
Waking Staff: 63
Hospice Residents: 5
Residents with Mental Illness: 2
Residents with Mobility Need: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in medication administration violation for not completing required medication administration course. |
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