Inspection Report
Follow-Up
Census: 94
Capacity: 100
Deficiencies: 2
Sep 9, 2025
Visit Reason
The visit was a partial, unannounced inspection triggered by a complaint and incident review to verify the submitted plan of correction was fully implemented.
Findings
The facility was found to have implemented the submitted plan of correction related to medication administration errors and documentation deficiencies. Retraining of medication technicians and improved documentation procedures were completed and verified.
Complaint Details
The inspection was complaint-related and involved review of medication administration errors and documentation. The plan of correction was accepted and fully implemented.
Deficiencies (2)
| Description |
|---|
| Failure to follow prescriber's orders resulting in medication administration errors. |
| Lack of documentation of medication errors and prescriber's response in the resident's record. |
Report Facts
Residents Served: 94
License Capacity: 100
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 20
Hospice Current Residents: 4
Residents Age 60 or Older: 94
Residents with Mobility Need: 23
Total Daily Staff: 117
Waking Staff: 88
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Facility Train-the-Trainer | Conducted retraining of Med Techs on medication administration | |
| Director of Wellness | Responsible for reviewing documentation of medication error incidents and prescriber notifications |
Inspection Report
Census: 87
Capacity: 100
Deficiencies: 0
Jun 11, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 100
Residents Served: 87
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 21
Hospice Current Residents: 6
Residents Age 60 or Older: 87
Residents with Mobility Need: 24
Total Daily Staff: 111
Waking Staff: 83
Inspection Report
Census: 86
Capacity: 100
Deficiencies: 0
May 20, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 100
Residents Served: 86
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 21
Hospice Current Residents: 4
Residents with Mobility Need: 24
Residents Age 60 or Older: 86
Inspection Report
Plan of Correction
Census: 85
Capacity: 100
Deficiencies: 1
Apr 21, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility on 04/21/2025.
Findings
The facility failed to provide a system to safeguard residents' money and property, resulting in a resident suffering a loss from their dresser top. A plan of correction was submitted and accepted, with policies implemented to safeguard residents' valuables through lock boxes or cabinet locks.
Deficiencies (1)
| Description |
|---|
| Failed to provide a system of safeguarding resident money and property, resulting in a resident loss from the dresser top. |
Report Facts
License Capacity: 100
Residents Served: 85
Secured Dementia Care Unit Capacity: 25
Secured Dementia Care Unit Residents Served: 24
Hospice Current Residents: 5
Residents Age 60 or Older: 85
Residents with Mobility Need: 27
Total Daily Staff: 112
Waking Staff: 84
Inspection Report
Renewal
Census: 85
Capacity: 100
Deficiencies: 8
Mar 4, 2025
Visit Reason
The inspection was conducted as a full, unannounced visit for renewal and complaint purposes at Glenmaura Senior Living.
Findings
The inspection identified multiple deficiencies including failure to report a fire alarm incident, delayed criminal background checks, unqualified direct care staff, unlocked poisonous materials accessible to residents, unsecured trash receptacles, missing emergency telephone numbers, inaccurate medication records, and unsecured resident records. Plans of correction were accepted and implemented with ongoing monitoring.
Deficiencies (8)
| Description |
|---|
| Failure to report fire alarm incident to the Department within 24 hours. |
| Criminal background check for a staff member was not requested until after the first day of work. |
| Direct care staff person lacked GED, high school diploma, or active registry status on the Pennsylvania nurse aide registry. |
| Unattended housekeeping cart with poisonous materials was unlocked and accessible to memory care residents. |
| Dumpster lid was open and trash bag protruding, leaving dumpster susceptible to infestation. |
| Emergency telephone numbers were not posted by the landline phone outside room 306. |
| Medication Administration Record (MAR) for a resident incorrectly listed Fish Oil dosage as 1200 mg instead of 1000 mg. |
| Unlocked hallway storage closet contained discharged resident records and Covid records. |
Report Facts
License Capacity: 100
Residents Served: 85
Secured Dementia Care Unit Capacity: 24
Residents Served in Dementia Unit: 21
Hospice Residents: 6
Residents with Mobility Need: 25
Total Daily Staff: 110
Waking Staff: 83
Inspection Report
Complaint Investigation
Census: 83
Capacity: 100
Deficiencies: 0
Jan 22, 2025
Visit Reason
The inspection was conducted as a complaint investigation at Glenmaura Senior Living on 01/22/2025.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 100
Residents Served: 83
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 22
Hospice Current Residents: 4
Residents with Mobility Need: 30
Residents Age 60 or Older: 83
Inspection Report
Complaint Investigation
Census: 83
Capacity: 100
Deficiencies: 1
Jun 5, 2024
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received by the Pennsylvania Department of Human Services.
Findings
The submitted plan of correction related to delayed access to employee timecards was reviewed and determined to be fully implemented. The facility was found to have delayed providing requested payroll records to a DHS inspector due to legal consultation and access issues, but corrective actions were completed.
Complaint Details
The complaint involved the facility's failure to provide immediate access to employee timecards requested by a Department agent. The plan of correction was accepted and fully implemented by 07/02/2024.
Deficiencies (1)
| Description |
|---|
| Delayed provision of employee timecards to DHS inspector due to legal consultation and access issues. |
Report Facts
License Capacity: 100
Residents Served: 83
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 22
Hospice Current Residents: 4
Resident Mobility Need: 30
Total Daily Staff: 113
Waking Staff: 85
Inspection Report
Follow-Up
Census: 85
Capacity: 100
Deficiencies: 1
Mar 11, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 03/11/2024 to review the submitted plan of correction related to a prior incident.
Findings
The submitted plan of correction was determined to be fully implemented as of the inspection date. The deficiency involved omission of body positioning or movement information on a resident's medical evaluation form, which was corrected and monitored by the Director of Wellness.
Deficiencies (1)
| Description |
|---|
| Resident medical evaluation did not indicate if the resident requires body positioning or movement if any. |
Report Facts
License Capacity: 100
Residents Served: 85
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 2
Residents with Mobility Need: 29
Resident Support Staff: 1
Total Daily Staff: 115
Waking Staff: 86
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Wellness | Responsible for reviewing the medical evaluation form with the physician and monitoring compliance with regulation 2600.141a |
Inspection Report
Renewal
Census: 81
Capacity: 100
Deficiencies: 14
Jan 30, 2024
Visit Reason
The inspection was conducted as a renewal, complaint, and incident review of Glenmaura Senior Living to assess compliance with licensing regulations.
Findings
The inspection identified multiple deficiencies including lack of verification of required staff training, improper storage of poisonous materials, uncovered trash receptacles, damaged window, incomplete first aid kits, combustible storage violations, missing posted menus, medication storage and administration issues, and incomplete staff training related to dementia care. Plans of correction were submitted and accepted with follow-up monitoring.
Deficiencies (14)
| Description |
|---|
| No verification that a copy of the financial quarterly statement was provided to Resident 1 or their designee. |
| Resident 2 passed away and did not receive the proper refund for room charges as required. |
| No verification that direct care staff members B & C received 12 hours of annual training in 2023. |
| No verification that direct care staff members B & C received required training topics including medication self-administration, dementia care, infection control, and other required areas for 2023. |
| No verification that direct care staff members B & C received fire safety training by a fire safety expert or trained staff in 2023. |
| Cleaning products stored in unlabeled spray bottles in laundry rooms. |
| Two bathroom trash cans were uncovered, violating requirements for covered trash receptacles. |
| A window in the 2nd floor dining area was cracked approximately 12 inches in length. |
| Tape and tweezers were missing from the second floor first aid kit. |
| Cigarette butts found in a potted plant in the outside area of the secured dementia unit. |
| No food menu posted in the secured dementia unit at time of inspection. |
| Medication storage issue: a tablet was popped and taped back into the medication card. |
| Failure to follow prescriber's orders for medication administration and blood glucose monitoring, including missed blood pressure and insulin documentation. |
| Staff member D had only 1 hour of required 6 additional hours of annual training related to dementia care and services. |
Report Facts
License Capacity: 100
Residents Served: 81
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 22
Current Hospice Residents: 2
Resident Mobility Need: 30
Total Daily Staff: 111
Waking Staff: 83
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janet Zaleski | Housekeeping Supervisor | Named in cleaning product labeling and combustible storage findings |
| Susan Hudick | Executive Director | Responsible for monitoring compliance and staff training |
| Michael Fure | Fire & Life Safety Trainer | Conducted fire safety training and drills |
| Robert Iyoob | Head of Maintenance | Responsible for repair of cracked window and maintenance compliance |
| Debra Bauman | Memory Care Activities Director | Responsible for monitoring cigarette butt disposal compliance |
| Med Trainer | Provided medication training during follow-up | |
| Peter Conserette | Head of Maintenance | Responsible for monitoring building maintenance compliance |
Inspection Report
Follow-Up
Census: 79
Capacity: 100
Deficiencies: 4
Nov 14, 2023
Visit Reason
The inspection visit was conducted as a follow-up to review the submitted plan of correction related to a prior complaint investigation at Glenmaura Senior Living.
Findings
The submitted plan of correction was determined to be fully implemented. The facility was found to have addressed the issues related to suspected resident abuse and reporting requirements, with ongoing monitoring planned to ensure continued compliance.
Complaint Details
The visit was complaint-related, involving allegations that a staff member tightly grasped the hand of resident #1 while wandering, witnessed by a family member. The incident was not reported timely to the appropriate agencies. The complaint was investigated and plans of correction were accepted and implemented.
Deficiencies (4)
| Description |
|---|
| Failure to immediately report suspected abuse of a resident and comply with reporting requirements. |
| Failure to develop and implement a plan of supervision or suspend staff involved in alleged abuse. |
| Failure to report the incident to the Department's personal care home regional office as required. |
| Resident abuse involving staff tightly grasping resident's hand and failure to supervise. |
Report Facts
Residents Served: 79
License Capacity: 100
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 19
Hospice Current Residents: 3
Residents Age 60 or Older: 79
Residents with Mobility Need: 31
Inspection Report
Complaint Investigation
Census: 73
Capacity: 100
Deficiencies: 1
Mar 28, 2023
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received by the Pennsylvania Department of Human Services.
Findings
The facility refused to grant access to medication administration records for Resident #1 to agents of the Department, citing ongoing litigation. The submitted plan of correction was accepted and fully implemented by May 2, 2023.
Complaint Details
The visit was complaint-related. The facility initially refused access to records requested by Department agents due to ongoing litigation. The plan of correction was accepted and implemented.
Deficiencies (1)
| Description |
|---|
| Refusal to provide immediate access to medication administration records for Resident #1 to agents of the Department. |
Report Facts
Residents Served: 73
License Capacity: 100
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 17
Hospice Current Residents: 4
Residents Age 60 or Older: 73
Residents with Mobility Need: 23
Total Daily Staff: 96
Waking Staff: 72
Inspection Report
Renewal
Census: 73
Capacity: 100
Deficiencies: 9
Feb 22, 2023
Visit Reason
The inspection was conducted as a renewal review of the facility's license to ensure continued compliance with regulatory requirements.
Findings
The inspection found multiple deficiencies related to medication management, record confidentiality, combustible storage, and adherence to prescriber orders. The facility submitted and implemented a plan of correction for all identified deficiencies.
Deficiencies (9)
| Description |
|---|
| Narcotic count binder containing confidential medical information was left unattended on a medication cart. |
| Approximately 5 cigarette butts were found outside the sprinkler room door, away from the designated smoking area. |
| The Document of Medical Exam (DME) form for resident #1 did not include a list of prescribed medications. |
| Medication cart contained a blister pack for resident #2 with a previously discontinued order. |
| Medication for resident #3 was not dated when opened, violating storage instructions. |
| Medication container for resident #4 had a pharmacy label that did not match the Medication Administration Record (MAR). |
| Blood glucose readings were incorrectly documented on MARs for multiple residents. |
| Resident #2 was administered incorrect medication doses on multiple occasions. |
| Resident #3, #5, #6, and #7 had various medication administration errors including incorrect insulin doses and failure to hold medication based on blood pressure readings. |
Report Facts
License Capacity: 100
Residents Served: 73
Secured Dementia Care Unit Capacity: 24
Residents Served in Dementia Care Unit: 17
Current Hospice Residents: 4
Staffing Hours - Total Daily Staff: 96
Staffing Hours - Waking Staff: 72
Number of Cigarette Butts: 5
Inspection Report
Renewal
Census: 61
Capacity: 100
Deficiencies: 8
Dec 7, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the GLENMAURA SENIOR LIVING facility to assess compliance with licensing requirements.
Findings
Multiple deficiencies were identified including unsigned resident contracts, hot water temperature exceeding limits, missing emergency telephone numbers, lack of operable bedside lamps, overdue annual medical evaluations, medication storage and administration issues, and delayed updates to resident support plans. Plans of correction were accepted and documented as implemented.
Deficiencies (8)
| Description |
|---|
| The resident-home contract for resident #1 was not signed by the resident. |
| Hot water temperature measured 123.5°F in room #233, exceeding the 120°F limit. |
| Emergency telephone numbers were not posted by the phone located in resident bathroom #233. |
| Residents in room #225 did not have an operable lamp or other source of lighting at bedside. |
| Resident #2’s most recent medical evaluation was beyond the allowable timeframe. |
| Resident #1’s medication was not available as ordered. |
| Medication Administration Record (MAR) was not properly maintained due to incorrect transcription of blood glucose test results for residents #3 and #4. |
| Resident #2’s support plan was not updated timely after diet change. |
Report Facts
License Capacity: 100
Residents Served: 61
Hot Water Temperature: 123.5
Residents with Mobility Need: 25
Residents in Secured Dementia Care Unit: 20
Residents in Hospice: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janine Starinsky | Administrator | Signed renewal application and referenced in monitoring compliance |
Inspection Report
Follow-Up
Census: 57
Capacity: 100
Deficiencies: 3
Sep 29, 2021
Visit Reason
The inspection was a partial, unannounced follow-up visit to review the submitted plan of correction related to a prior incident and compliance issues.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. Previous deficiencies included failure to report suspected resident abuse, failure to report incidents to the department, and failure to update a resident's support plan to reflect behavioral and physical changes.
Complaint Details
The visit was a follow-up to a complaint involving an incident on 11/28/2020 where a family member alleged rough transfer of resident #1 by staff person A. The home investigated and concluded no abuse occurred, but failed to report the incident as required. The complaint was not substantiated.
Deficiencies (3)
| Description |
|---|
| Failure to immediately report suspected abuse of a resident as required by the Older Adult Protective Services Act and related regulations. |
| Failure to report the incident or condition to the Department’s personal care home regional office or complaint hotline within 24 hours as required. |
| Failure to revise the resident's support plan to reflect numerous aggressive behaviors, behavioral issues, and decline in mobility. |
Report Facts
License Capacity: 100
Residents Served: 57
Secured Dementia Care Unit Capacity: 24
Residents Served in Dementia Unit: 16
Current Hospice Residents: 1
Resident Mobility Need: 27
Total Daily Staff: 84
Waking Staff: 63
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff Person A | Named in the resident abuse and incident report violations for rough transfer of resident #1. | |
| Director of Wellness | Responsible for updating resident support plans and auditing charts for ongoing compliance. |
Notice
Capacity: 100
Deficiencies: 0
Sep 13, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for Glenmaura Senior Living at Montage LLC to operate a Personal Care Home. It also advises that an annual onsite inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms receipt of the renewal application and issuance of a regular license, with a reminder of the upcoming annual inspection requirement.
Report Facts
Total licensed capacity: 100
Secure Dementia Care Unit capacity: 24
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
| Janine Starinsky | Administrator | Signed the renewal application form. |
| Kristen Angelicola | Owner | Listed as the legal entity representative on the renewal application. |
Inspection Report
Follow-Up
Census: 42
Capacity: 100
Deficiencies: 2
Sep 2, 2021
Visit Reason
The inspection visit was a partial, unannounced follow-up to review the submitted plan of correction related to an incident at the facility.
Findings
The inspection found that the submitted plan of correction was fully implemented. Specific deficiencies included failure to evacuate a resident during a fire alarm caused by burnt toast and inadequate documentation and monitoring related to a resident's elopement risk and window safety locks.
Deficiencies (2)
| Description |
|---|
| Resident did not evacuate from their room into a fire safe area during a fire alarm caused by burnt toast. |
| Resident eloped through a window after removing safety locks; support plan did not reflect exit-seeking behavior or specify adequate monitoring timeframes. |
Report Facts
License Capacity: 100
Residents Served: 42
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 16
Hospice Residents: 1
Residents 60 Years or Older: 58
Residents with Mobility Need: 23
Total Daily Staff: 65
Waking Staff: 49
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michele Moskalczyk | Signed the letter confirming plan of correction implementation. |
Inspection Report
Plan of Correction
Census: 55
Capacity: 100
Deficiencies: 1
Jun 16, 2021
Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial review.
Findings
The submitted plan of correction was determined to be fully implemented following the review. The main deficiency involved neglect in providing wound care to a resident, which the facility disputed but ultimately addressed with corrective actions.
Complaint Details
The visit was complaint-related and involved an incident of alleged neglect in wound care. The plan of correction was accepted and implemented, with no explicit substantiation status stated.
Deficiencies (1)
| Description |
|---|
| Neglect in providing wound care to resident #1, including failure to treat wounds during hospice absence. |
Report Facts
Residents Served: 55
License Capacity: 100
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 16
Hospice Current Residents: 2
Residents Age 60 or Older: 55
Residents with Mobility Need: 28
Inspection Report
Routine
Deficiencies: 0
Jan 21, 2021
Visit Reason
The inspection was conducted as a routine 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.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michele Moskalczyk | Human Services Licensing Supervisor | Signed the inspection report. |
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