20 Reports
Inspection Report — Jan 13, 2026
Complaint Investigation
Date: Jan 13, 2026
Visit Reason
The inspection was conducted as a complaint investigation at Garden Spot Village on 01/13/2026.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 59
Current Hospice Residents: 1
Residents Age 60 or Older: 59
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Notice — May 28, 2025
Date: May 28, 2025
Visit Reason
This document serves to notify Garden Spot Village that their request to waive the requirement for direct care staff to have a high school diploma, GED, or active registry status was granted due to education obtained outside the United States.
Findings
The waiver is granted with conditions including documentation of educational equivalency to a Bachelor Degree and maintenance of such documentation in personnel files. The Department will review this waiver annually during inspections to ensure compliance.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — May 13, 2025
Renewal
Date: May 13, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license, with an unannounced full inspection on 05/13/2025 and 05/14/2025.
Findings
The facility was found to have fully implemented its submitted plan of correction. Two specific deficiencies were noted: failure to conspicuously post a granted waiver related to staff education status, and incomplete or inaccurate resident assessments regarding mobility and medication self-administration.
Citations (3)
The home failed to conspicuously and publicly post a waiver dated 03/17/25 related to a direct care staff member receiving education outside of the United States.
Resident #2's most recent assessment did not include an accurate assessment for moderate mobility as indicated on the resident's medical evaluation.
Resident #3's most recent assessment did not include an assessment that the resident cannot self-administer medications, contrary to the medical evaluation.
Report Facts
Residents Served: 62
Current Hospice Residents: 1
Total Daily Staff: 62
Waking Staff: 47
Notice — Mar 17, 2025
Date: Mar 17, 2025
Visit Reason
This document serves to notify Garden Spot Village that their request to waive the educational qualification requirement for direct care staff under 55 Pa.Code § 2600.54(a)(2) has been granted.
Findings
The waiver is granted with conditions including documentation of educational equivalency and annual review during inspections to ensure compliance. Failure to comply may result in termination of the waiver or other licensing actions.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Notice — Jun 26, 2024
Date: Jun 26, 2024
Visit Reason
The document serves to notify Garden Spot Village that their request to waive the requirement for direct care staff to have a high school diploma, GED, or active registry status was granted due to education received outside the United States.
Findings
The waiver is granted with conditions including documentation of educational qualifications to be kept on file and subject to annual review during inspections. Noncompliance with conditions may result in waiver termination or licensing action.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Jan 18, 2023
Renewal
Date: Jan 18, 2023
Visit Reason
The inspection was conducted as a renewal review of the facility's license to ensure compliance with regulatory requirements.
Findings
The inspection identified several deficiencies including lack of emergency telephone numbers posted near telephones, uncovered food in storage, unsecured fireplace screens while in use, and a staff member not completing required medication administration training on time. Plans of correction were accepted and implemented for all deficiencies.
Citations (4)
No emergency telephone numbers posted on or near telephones in the home's kitchen.
A bag of hamburger patties was open and exposed to air in the walk-in freezer.
The gas fireplace in the home's 2nd floor lounge was in use without a secure screen or protective guard.
Staff person administering medications had not completed required evaluation and practicum since March 2022.
Report Facts
Number of hamburger patties: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dining Services Manager | Responsible for obtaining emergency phone stickers, covering food, and education of staff | |
| Administrator | Placed protective screen on fireplace and educated staff on fireplace safety and medication training | |
| Clinical Care Coordinator | Educated on medication administration regulation and observed staff medication competency |
Inspection Report — Sep 21, 2021
Renewal
Date: Sep 21, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility license.
Findings
The submitted plan of correction from the previous inspection was determined to be fully implemented. Two specific violations were noted: lack of written notification to the local fire department regarding emergency evacuation details, and a medication storage issue involving a prescribed medication that was not available on site. Both violations had plans of correction accepted and implemented.
Citations (2)
The home did not have documentation of written notification to the local fire department of the address of the home, location of the bedrooms, and the assistance needed to evacuate in an emergency.
Resident #1 was prescribed a medication that was not available in the home on 09/22/21.
Report Facts
Residents Served: 61
Current Hospice Residents: 1
Resident Age 60 or Older: 61
Resident Diagnosed with Intellectual Disability: 1
Notice — Aug 25, 2021
Date: Aug 25, 2021
Visit Reason
This document serves as a renewal notification and license issuance for Garden Spot Village Personal Care Home, confirming receipt of the renewal application and advising that an annual inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document; it is a license renewal notice and certificate of compliance.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
Inspection Report — Dec 21, 2020
Renewal
Date: Dec 21, 2020
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 — Sep 11, 2020
Date: Sep 11, 2020
Visit Reason
This document serves as a certificate of compliance and notification of license renewal for Garden Spot Village Personal Care Home, confirming the facility's authorized capacity and the requirement for an annual inspection within the next twelve months.
Findings
The certificate confirms that Garden Spot Village is authorized to operate as a Personal Care Home with a maximum capacity of 110 residents and a Secure Dementia Care Unit capacity of 30. The Department will conduct an onsite inspection within the next twelve months as required by regulation.
Report Facts
Inspection Report — Jul 23, 2019
Renewal
Date: Jul 23, 2019
Visit Reason
The inspection was an annual licensing inspection conducted on July 23 and July 24, 2019, as part of the facility's license renewal process.
Findings
The inspection identified violations related to emergency evacuation diagrams, evacuation procedures, and medication storage practices. Plans of correction were submitted and partially implemented as of July 31, 2019.
Citations (3)
2600.123c: Evacuation diagrams were posted but not oriented to the physical location, making it difficult to follow the line of travel to the nearest exit.
2600.132d: The fire drill on 6/26/19 exceeded the maximum safe evacuation time of 10 minutes, taking 10 minutes and 26 seconds to complete.
2600.185a: The home failed to follow its policy for storing schedule IV medications, with Ativan stored improperly and inventory not verified at the end of each shift.
Report Facts
Residents Served: 87
Residents Served: 21
Current Residents: 2
Residents Present: 19
Residents Evacuated: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Denise Hoak | Director of Facility Services | Signed plans of correction related to evacuation and medication storage violations |
Notice — May 22, 2019
Date: May 22, 2019
Visit Reason
The document serves as a renewal notification and license issuance for Garden Spot Village Personal Care Home following receipt of a renewal application.
Findings
No inspection findings are reported in this document. It confirms the license issuance and states that an annual onsite inspection will be conducted within the next twelve months.
Report Facts
Inspection Report — Aug 1, 2018
Annual Inspection
Date: Aug 1, 2018
Visit Reason
The visit was an annual licensing inspection conducted by the Department's Bureau of Human Services Licensing to assess compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes.
Findings
The facility was found to be in compliance with the applicable regulations during the annual inspection conducted on August 1 and 2, 2018.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the inspection report letter as Director. |
Notice — Jun 29, 2018
Date: Jun 29, 2018
Visit Reason
Response to a request for a waiver of 55 Pa.Code § 2600.54(a) relating to qualifications for direct care staff persons at Garden Spot Village.
Findings
The Department determined that the individual meets the educational qualifications for a direct care staff person and that a waiver is not needed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Kachmar | Regulatory Licensing Manager | Signed the waiver response letter. |
Inspection Report — May 22, 2018
Renewal
Date: May 22, 2018
Visit Reason
The document is a renewal of the license to operate the Personal Care Home Garden Spot Village. The Department of Human Services received a renewal application and will conduct an annual inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and confirmation of the facility's authorized capacity.
Report Facts
Inspection Report — Aug 1, 2017
Annual Inspection
Date: Aug 1, 2017
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections for Garden Spot Village.
Findings
The facility was found to be in compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes during the annual licensing inspections on August 1 and 2, 2017.
Inspection Report — May 22, 2017
Renewal
Date: May 22, 2017
Visit Reason
This document is a renewal application and license issuance for Garden Spot Village to operate a Personal Care Home, with a requirement for annual onsite inspections pursuant to 55 Pa.Code § 20.31.
Findings
The Department has approved the renewal application and issued a regular license for Garden Spot Village. The Department will conduct an onsite inspection within the next twelve months and take enforcement action if noncompliance is found.
Report Facts
Inspection Report — Aug 17, 2016
Renewal
Date: Aug 17, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing renewal inspections on August 17 and 18, 2016.
Findings
The facility was found to be in compliance with 55 Pa.Code Chapter 2600 after corrections were made. Two violations were identified related to emergency water supply and the presence of a portable space heater, both of which were fully corrected.
Citations (2)
Regulation 2600.107(c) - The home must maintain at least a 3-day supply of nonperishable food and drinking water. The facility initially lacked sufficient emergency water but ordered and received enough to meet the 3-day supply requirement.
Regulation 2600.127(a) - Portable space heaters are prohibited. A portable electric space heater was found in the dietary office and was removed promptly with staff re-education and safety measures implemented.
Report Facts
Number of Residents Served: 89
Number of Residents Served in Secured Dementia Care Unit: 22
Number of Current Hospice Residents: 2
Number of Hospice Residents in Past Year: 5
Waking Staff: 83
Total Daily Staff: 111
Gallons of Water Ordered: 106
Gallons of Water Ordered: 220
Total Emergency Water Supply: 440
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Denise Hoak | Director of Personal Care Services | Signed plan of correction for violations |
| Jason McCloskey | Department representative conducting inspection | |
| Laura Heemer | Department representative conducting inspection |
Notice — Aug 8, 2016
Date: Aug 8, 2016
Visit Reason
Response to a waiver request for qualifications of direct care staff persons under 55 Pa.Code § 2600.54(a).
Findings
The waiver for direct care staff qualifications is not needed as the staff member has appropriate educational documentation. The facility must keep a copy of the educational documentation on file.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tara Pride | Director of Regulatory Implementation | Signed the waiver response letter |
Notice — May 31, 2016
Date: May 31, 2016
Visit Reason
The document serves as a renewal approval for the Personal Care Home license for Garden Spot Village and informs about the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.
Report Facts
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