Inspection Reports for Graceful Care Living South
145 BROADLAWN DRIVE,, PA, 15037
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
9.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
102% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
10% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 9
Capacity: 91
Deficiencies: 2
Sep 3, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 09/03/2025 to review compliance and follow up on a submitted plan of correction.
Findings
The facility was found to have deficiencies related to incomplete preadmission screening and delayed initial resident assessments. The submitted plan of correction was fully implemented and accepted by the Department of Human Services.
Complaint Details
The inspection was complaint-driven and the submitted plan of correction was reviewed and determined to be fully implemented.
Deficiencies (2)
| Description |
|---|
| The preadmission screening form was missing the resident's date of birth. |
| An initial resident assessment was not completed within 15 days of admission. |
Report Facts
License Capacity: 91
Residents Served: 9
Current Hospice Residents: 3
Resident Support Staff: 0
Total Daily Staff: 11
Waking Staff: 8
Inspection Report
Complaint Investigation
Census: 4
Capacity: 91
Deficiencies: 4
Jun 10, 2025
Visit Reason
The inspection was conducted as a complaint investigation with a provisional reason, including a follow-up to verify corrections.
Findings
The facility was found to have multiple deficiencies including inaccurate fire drill documentation, medication storage and administration errors, and incomplete medication records lacking diagnosis or purpose. Corrective actions and re-education plans were implemented and accepted.
Complaint Details
The inspection was complaint-driven and provisional, with a follow-up plan of correction submission required.
Deficiencies (4)
| Description |
|---|
| Fire drill records did not accurately document activation of the fire alarm during drills on 4/11/25 and 5/4/25. |
| Medication administration record did not document blood glucose reading for resident #1 on 6/5/25 at 4:00 p.m. |
| Medication administration records for residents #1, #2, #3, and #4 did not indicate diagnosis or purpose for prescribed medications. |
| Resident #3's medication administration record documented administration of Warfarin at incorrect times, not matching actual administration times. |
Report Facts
License Capacity: 91
Residents Served: 4
Staffing Hours: 4
Waking Staff: 3
Fire Drill Dates: 2
Medication Administration Errors: 4
Inspection Report
Original Licensing
Capacity: 91
Deficiencies: 13
Nov 14, 2024
Visit Reason
The inspection was conducted as a new licensing inspection for Graceful Care Living South, a newly licensed personal care home, to assess compliance with 55 Pa. Code Ch. 2600 regulations.
Findings
The facility was found to be in substantial compliance but not complete compliance with applicable regulations. Multiple deficiencies were cited including fire safety approval, carbon monoxide detectors, privacy issues, sanitary conditions, water pressure, landline telephone, windows, furniture and equipment, shower privacy, refrigerator/freezer temperatures, fire extinguishers, and fire drill requirements.
Deficiencies (13)
| Description |
|---|
| The home was undergoing renovations and did not have a valid occupancy permit; the original permit was outdated and a final inspection for a valid permit was pending. |
| Carbon monoxide detectors were inoperable due to missing batteries or absence near gas appliances. |
| Multiple resident bedrooms with bathrooms lacked locking mechanisms on doors, compromising resident privacy. |
| Sanitary conditions were poor with fecal matter in toilets, dead insects and dirt on hallway ledges, and dirty heating/air conditioning grates. |
| Drywall ceiling was cracked and crumbling in laundry room; threshold strip in resident bedroom #24 was a tripping hazard. |
| Several bathroom sinks were not functioning properly with no water or cold water. |
| The home did not have a working, non-coin-operated landline telephone. |
| Multiple resident bedroom windows lacked screens. |
| Bathroom toilets in multiple resident bedrooms were inoperable; grab bar loose; faucet handle and toilet knob broken. |
| The number of showers providing privacy was inadequate for the requested capacity of 91 residents; only privacy for one resident at a time was available in shower rooms. |
| Refrigerators/freezers were not turned on, preventing temperature measurement. |
| No operable fire extinguishers with minimum 2-A rating were present in the home. |
| A fire safety inspection and fire drill conducted by a fire safety expert had not been completed. |
Report Facts
License Capacity: 91
Current Residents: 0
Inspection Date: Nov 14, 2024
Follow-Up Date: Nov 30, 2024
Plan of Correction Completion Dates: Dec 5, 2024
Directed Completion Date: Feb 16, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed the licensing letter and correspondence. |
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