Inspection Reports for Gloria Dei Communities Memory Care at The Park
PA, 19040
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
6.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
38% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
46% occupied
Based on a April 2024 inspection.
Census over time
Inspection Report
Renewal
Census: 52
Capacity: 113
Deficiencies: 13
Apr 9, 2024
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing regulations at the Personal Care/Memory Care facility.
Findings
The inspection identified multiple deficiencies related to safety, food handling, dietary needs, medication administration, medication storage, medication records, and resident assessments. All deficiencies had plans of correction accepted and were implemented by the facility.
Deficiencies (13)
| Description |
|---|
| Unlabeled cup of blue liquid (mouthwash) unlocked and accessible in resident #1's room. |
| Uncovered tomato soup and grilled cheese sandwich stored on serving counter in memory care 1. |
| Unlabeled, undated leftover frozen smoothie and bag of dinner rolls in kitchen storage. |
| Approximate 1 inch accumulation of lint in lint trap of Memory Care 2 laundry dryer. |
| Resident #2 prescribed mechanical soft diet was served grilled cheese sandwich with crust. |
| Resident #3 medication (Systane eye drops) not administered as documented; staff signed in error. |
| Open bottles of medications in medication cart without open date. |
| Resident #4's medications stored in old box without correct pharmacy label. |
| Resident #4 and #5 medications not included on medication administration record. |
| Resident #3's medication administration record missing staff initials for dose given on 04/09/24 at 8pm. |
| Resident #5 was not administered prescribed medication as ordered. |
| Resident #6's initial assessment was not completed within 15 days of admission. |
| Resident #4's support plan did not document allergies despite medical evaluation indicating allergies. |
Report Facts
License Capacity: 113
Residents Served: 52
Secured Dementia Care Unit Capacity: 48
Secured Dementia Care Unit Residents Served: 24
Hospice Current Residents: 6
Residents Age 60 or Older: 52
Residents with Mobility Need: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Named in multiple findings related to correction of deficiencies including poisonous materials, lint removal, medication administration, and medication storage. | |
| Director of Dietary Services | Named in findings related to food protection, dietary needs, and leftover food handling. | |
| Charge Nurse/Med Tech | Responsible for conducting medication cart audits and ensuring continued compliance. | |
| Support Plan Coordinator | Involved in correcting resident assessment and support plan documentation errors. |
Inspection Report
Follow-Up
Census: 44
Capacity: 113
Deficiencies: 2
May 23, 2023
Visit Reason
The inspection was a follow-up visit to verify the implementation of a previously submitted plan of correction related to an incident.
Findings
The submitted plan of correction was determined to be fully implemented. The report details an incident involving verbal abuse and physical contact between a staff member and a resident, resulting in the termination of the staff member involved and staff in-service training on residents' rights and abuse reporting.
Complaint Details
The visit was related to an incident complaint involving abuse. Staff person B was terminated following investigation. Verbal reports were made to Adult Protective Services (AAA), Behavioral Health Services (BHS), the resident's physician, and Power of Attorney (POA).
Deficiencies (2)
| Description |
|---|
| Staff person B verbally abused resident 1 using racial slurs and physically smacked the resident's arm after the resident attempted to move away. |
| Resident 1 was not treated with dignity and respect due to the verbal and physical abuse by staff person B. |
Report Facts
License Capacity: 113
Residents Served: 44
Secured Dementia Care Unit Capacity: 42
Secured Dementia Care Unit Residents Served: 16
Current Hospice Residents: 2
Residents with Mobility Need: 24
Residents 60 Years or Older: 44
Inspection Report
Renewal
Census: 47
Capacity: 113
Deficiencies: 9
Oct 17, 2022
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on 10/17/2022 and 10/18/2022 to review compliance with licensing requirements.
Findings
The facility had multiple deficiencies related to direct care staff training, food protection, fire drill exit routes, medication storage and handling, medication records, and preadmission screening. All deficiencies had plans of correction accepted and were implemented by 04/13/2023.
Deficiencies (9)
| Description |
|---|
| Direct care staff person provided unsupervised ADL services without completing and passing the Department-approved direct care training course or competency test. |
| Uncovered cake stored in the main kitchen refrigerator. |
| Alternate exit routes were not used during fire drills; only certain exits were used from January to June 2022 and January to September 2022. |
| Prescription medications in blister cards had tape covering ripped foil on the back of pills, indicating compromised medication packaging. |
| Discontinued or expired medications were stored in the med stations without proper destruction according to regulations. |
| Narcotic medication count discrepancy: medication log showed 26 but blister card had 25 tablets. |
| Medication record for a Triple Antibiotic Ointment did not include diagnosis or purpose of the medication. |
| Medication prescribed (Triple Antibiotic Ointment) was not available in the home. |
| Written cognitive preadmission screening for a resident admitted to the Secure Dementia Care Unit was missing resident's behaviors and needs. |
Report Facts
License Capacity: 113
Residents Served: 47
Memory Care Unit Capacity: 42
Memory Care Residents Served: 21
Current Hospice Residents: 2
Residents with Mobility Need: 32
Total Daily Staff: 79
Waking Staff: 59
Notice
Capacity: 113
Deficiencies: 0
Jul 7, 2021
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care/Memory Care @ the Park facility, confirming receipt of the renewal application and advising of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it is a license renewal notice confirming the facility's compliance and the issuance of a regular license.
Report Facts
Maximum capacity: 113
Secure Dementia Care Unit capacity: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 51
Capacity: 113
Deficiencies: 2
Jun 2, 2021
Visit Reason
The inspection was conducted as a renewal review of the Personal Care/Memory Care facility at The Park to verify compliance with licensing requirements.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies included freezer temperatures exceeding required limits and missing resident photographs in records, all of which were corrected with plans in place to maintain compliance.
Deficiencies (2)
| Description |
|---|
| The temperature in the ice cream freezer, pie freezer, and walk-in freezer exceeded 0 degrees Fahrenheit. |
| Resident #1, #2, #3, and #4's records did not include a photograph of the resident that is no more than 2 years old. |
Report Facts
License Capacity: 113
Residents Served: 51
Memory Care Unit Capacity: 48
Memory Care Residents Served: 22
Freezer Temperature: 10
Freezer Temperature: 20
Staff Total Daily: 86
Staff Waking: 65
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