Inspection Reports for Golden Heights Personal Care Home
3522 ROUTE 130,, IRWIN, PA, 15642
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
8.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
81% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
75% occupied
Based on a May 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 56
Capacity: 75
Deficiencies: 0
May 20, 2025
Visit Reason
The inspection was conducted as a complaint investigation at Golden Heights Personal Care Home on 05/20/2025.
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
Total Daily Staff: 84
Waking Staff: 63
Residents Served: 56
License Capacity: 75
Residents Who Are 60 Years of Age or Older: 56
Residents Who Have Mobility Need: 28
Inspection Report
Monitoring
Census: 57
Capacity: 75
Deficiencies: 1
Nov 12, 2024
Visit Reason
The inspection was an unannounced monitoring visit conducted on 11/12/2024 to review the facility's compliance and plan of correction implementation.
Findings
The submitted plan of correction was found to be fully implemented. A deficiency was noted regarding medications and syringes not being properly locked in a secured area, specifically a partially used tube found on a resident's bedside nightstand without assessment for self-administration.
Deficiencies (1)
| Description |
|---|
| Partially used tube of medication found on resident bedside nightstand without assessment for self-administration. |
Report Facts
License Capacity: 75
Residents Served: 57
Total Daily Staff: 86
Waking Staff: 65
Room Audits: 10
Inspection Report
Complaint Investigation
Census: 60
Capacity: 75
Deficiencies: 4
Sep 6, 2024
Visit Reason
The inspection was conducted due to a complaint and incident involving resident care and treatment at Golden Heights Personal Care Home.
Findings
The inspection found violations related to abuse and improper treatment of residents, including a staff member performing a one-person transfer causing a skin tear to resident #1, and another staff member striking resident #2 to get attention. Additionally, deficiencies were found in support plans and catheter care.
Complaint Details
The visit was complaint-related involving allegations of abuse and neglect. The complaint was substantiated as violations were found including improper transfer causing injury and physical striking of a resident.
Deficiencies (4)
| Description |
|---|
| Resident #1 was transferred by one staff member instead of two, resulting in a skin tear requiring hospital treatment. |
| Staff member struck resident #2 on the forehead to get attention, causing distress and disrespect. |
| Resident #1's support plan was not properly followed regarding transfers requiring two-person assist and use of a Hoyer lift. |
| Resident #2's catheter was not draining properly, and home health care had to intervene; monitoring and documentation were inadequate. |
Report Facts
License Capacity: 75
Residents Served: 60
Staffing Hours - Total Daily Staff: 90
Staffing Hours - Waking Staff: 68
Inspection Report
Plan of Correction
Census: 55
Capacity: 75
Deficiencies: 3
Jul 12, 2024
Visit Reason
The inspection was conducted as a follow-up review of a previously submitted plan of correction related to complaints and incidents at the facility.
Findings
The facility was found to have fully implemented the submitted plan of correction addressing deficiencies related to resident care, abuse prevention, and medication security. The report details specific incidents involving resident injury due to improper wheelchair transport and unsecured medications, along with corrective and preventative actions taken.
Complaint Details
The inspection was complaint-related, triggered by incidents involving resident injury due to staff actions and medication security concerns. The plan of correction was reviewed and accepted.
Deficiencies (3)
| Description |
|---|
| Resident fell out of wheelchair due to staff pushing too hard and fast without leg rests, resulting in injury including facial laceration and fractures. |
| Resident was physically abused by staff pushing wheelchair too fast causing fall and injury. |
| A 4 ounce tube of medication was found unsecured and unattended on a resident's dresser. |
Report Facts
License Capacity: 75
Residents Served: 55
Current Residents in Hospice: 9
Residents Diagnosed with Mental Illness: 1
Residents Aged 60 or Older: 55
Deficiencies cited: 3
Inspection Report
Renewal
Census: 63
Capacity: 75
Deficiencies: 9
Mar 7, 2024
Visit Reason
The inspection was conducted as a full, unannounced review for renewal, complaint, and incident reasons at Golden Heights Personal Care Home.
Findings
The inspection found multiple deficiencies including insufficient staffing for emergency evacuation, improper food labeling, failure to evacuate residents to designated meeting places during fire drills, unsecured medications, outdated prescriptions, unlabeled OTC medications, and errors in medication administration documentation. Plans of correction were accepted and implemented with ongoing monitoring.
Deficiencies (9)
| Description |
|---|
| Insufficient staffing to meet residents' needs and evacuate them within the designated safe evacuation time. |
| A bag of cut chicken in the freezer was unlabeled and undated. |
| Failure to evacuate all residents to a designated meeting place during a fire drill. |
| A bottle of medication belonging to Resident #1 was unlocked and accessible in the resident's bedroom. |
| Discontinued medication was still present in the medication cart. |
| Medication container lacked a pharmacy label with required information. |
| OTC medication belonging to Resident #2 was not labeled with the resident's name. |
| Errors in recording blood glucose levels on the medication administration record (MAR). |
| Failure to follow prescriber's medication orders, including missed medication administration. |
Report Facts
Residents present: 63
Total licensed capacity: 75
Staff present during shift: 3
Residents with mobility needs: 33
Residents requiring 2-person assist: 17
Total daily staff: 96
Waking staff: 72
Inspection Report
Complaint Investigation
Census: 57
Capacity: 75
Deficiencies: 1
Jan 23, 2024
Visit Reason
The inspection was conducted as a complaint investigation following an unannounced partial inspection on 01/23/2024.
Findings
The investigation found that a staff member verbally mistreated a resident by yelling and making disrespectful comments during a transfer. The facility took corrective actions including staff suspension and termination, mandatory abuse reporting, and scheduled training on resident rights and abuse reporting.
Complaint Details
The complaint was substantiated as the investigation confirmed inappropriate verbal treatment of a resident by staff member B. Protective Services and state inspectors investigated the incident. Staff B was suspended and later terminated for unrelated reasons.
Deficiencies (1)
| Description |
|---|
| Staff member verbally mistreated a resident by yelling that the resident was 'laying in own filth' and 'disgusting' during transfer. |
Report Facts
License Capacity: 75
Residents Served: 57
Current Residents in Hospice: 9
Residents with Mobility Need: 30
Residents with Physical Disability: 1
Total Daily Staff: 87
Waking Staff: 65
Inspection Report
Census: 61
Capacity: 75
Deficiencies: 0
Mar 30, 2023
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
Total Daily Staff: 86
Waking Staff: 65
License Capacity: 75
Residents Served: 61
Current Residents in Hospice: 5
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 25
Residents Age 60 or Older: 61
Inspection Report
Renewal
Census: 55
Capacity: 75
Deficiencies: 14
Nov 29, 2021
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements at Golden Heights Personal Care Home on 11/29/2021 and 11/30/2021.
Findings
The inspection identified multiple deficiencies including issues with resident personal equipment, windows, first aid kits, food protection and labeling, medication storage and administration, and annual assessments. Plans of correction were submitted and some were accepted while others were not accepted, indicating ongoing compliance efforts.
Deficiencies (14)
| Description |
|---|
| Toilet seat grab bar in bedroom #103 was heavily rusted and in poor condition. |
| Several windows lacked screens or had damaged screens. |
| First aid kit at North nurses station missing tweezers and scissors. |
| Food items in kitchen refrigerator were uncovered and not protected from contamination. |
| Multiple unlabeled and undated leftover food items in kitchen refrigerator. |
| Multiple unlabeled and undated food items in kitchen freezer. |
| Resident #1's most recent medical evaluation was not current at time of inspection. |
| Menus for current and future weeks were not properly posted or dated. |
| Medications such as eye drops and insulin were not dated upon opening as required. |
| Resident glucometers were not calibrated to correct date/time; blood glucose readings were not consistently recorded. |
| Medication administration records (MAR) were incomplete or not initialed for several residents; medications were sometimes unavailable for administration. |
| Medication labels did not always match prescribed dosages and instructions. |
| Resident #5's MAR did not include insulin dose amounts as required. |
| Resident #1's annual assessment was not current at time of inspection. |
Report Facts
License Capacity: 75
Residents Served: 55
Staffing Hours: 76
Waking Staff: 57
Current Hospice Residents: 13
Inspection Report
Follow-Up
Census: 57
Capacity: 75
Deficiencies: 2
Nov 19, 2021
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 11/19/2021 to review the submitted plan of correction related to an incident at the facility.
Findings
The facility was found to have fully implemented the submitted plan of correction addressing a delayed reporting of a physical abuse incident and a resident personal equipment hazard. Continued compliance was required.
Deficiencies (2)
| Description |
|---|
| Delayed reporting of physical abuse incident involving staff member B towards resident #2, not reported to the local Area Agency on Aging or Department until 11/16/21. |
| Resident #1's bed enabler was uncovered with an approximate 8" x 12" opening, posing a potential entrapment hazard. |
Report Facts
License Capacity: 75
Residents Served: 57
Current Hospice Residents: 15
Residents with Mobility Need: 24
Total Daily Staff: 81
Waking Staff: 61
Inspection Report
Renewal
Deficiencies: 0
Mar 24, 2021
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing's licensing inspections of the facility on 03/24/2021 and 03/26/2021.
Findings
No regulatory citations were identified as a result of this inspection.
Notice
Capacity: 75
Deficiencies: 0
Feb 5, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Golden Heights 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
Maximum capacity: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
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