Deficiencies (last 5 years)
Deficiencies (over 5 years)
6.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
45% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
70% occupied
Based on a January 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 28
Capacity: 40
Deficiencies: 9
Jan 23, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility license.
Findings
The inspection identified multiple deficiencies including lack of first aid training for some staff, improper storage of poisonous materials, missing emergency telephone numbers, snow and ice obstructions on exterior walkways, an expired fire extinguisher in the transport vehicle, expired medications, improperly labeled medications, and incomplete resident support plans. Plans of correction were accepted and implemented.
Deficiencies (9)
| Description |
|---|
| Staff persons were not trained in first aid and worked alone with residents present. |
| An unlabeled white gallon container with bleach-like liquid was stored in an unlocked laundry room. |
| Emergency telephone numbers for emergency management and complaint hotline were not posted near a hallway phone. |
| Exterior ramp, stairs, and landing were covered with snow and ice obstructing safe passage. |
| Fire extinguisher in the home’s transportation vehicle had not been inspected since July 2023. |
| Eleven individual droppers of Refresh eye drops prescribed to a resident were expired. |
| One loose Vitamin C tablet was observed in a resident’s medication box. |
| Resident’s prescribed medication label did not match the prescribed dosage. |
| Resident’s support plan did not indicate the need for an assistive device or how the need would be met. |
Report Facts
License Capacity: 40
Residents Served: 28
Staffing Hours: 33
Waking Staff: 25
Hospice Residents: 2
Residents Diagnosed with Mental Illness: 14
Residents Age 60 or Older: 28
Residents with Mobility Need: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Environmental Services | Director of Environmental Services | Removed and replaced the expired fire extinguisher in the transport vehicle. |
Inspection Report
Renewal
Census: 25
Capacity: 40
Deficiencies: 7
Jan 9, 2024
Visit Reason
The inspection was conducted as a renewal review of the facility's license to ensure compliance with applicable regulations.
Findings
The inspection identified multiple deficiencies including improper placement of carbon monoxide detectors, insufficient annual staff training hours, uncovered trash receptacles, missing window screens, food stored on the floor, undated leftover food containers, and inadequate emergency food supply. Plans of correction were accepted and implemented by the facility.
Deficiencies (7)
| Description |
|---|
| Carbon monoxide detector was located approximately 5 feet from the furnace instead of the required minimum 15 feet. |
| Staff person A received only 4 hours of annual training instead of the required 12 hours. |
| Uncovered large garbage can full of trash and 3 full garbage bags stored on the personal care home patio. |
| No screens in the front window of the activities room. |
| Multiple boxes of frozen food stored on the floor of the outside freezer. |
| Undated plastic containers of cereal stored in a cabinet under the counter in the personal care home kitchen. |
| Not a 3 day supply of emergency food present in the home. |
Report Facts
License Capacity: 40
Residents Served: 25
Current Residents in Hospice: 1
Residents Age 60 or Older: 24
Residents Diagnosed with Mental Illness: 16
Residents Diagnosed with Intellectual Disability: 2
Residents Receiving Supplemental Security Income: 1
Inspection Report
Renewal
Census: 25
Capacity: 40
Deficiencies: 11
Jan 24, 2023
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing regulations and to verify the implementation of the submitted plan of correction.
Findings
The inspection identified multiple deficiencies including failure to post the current license inspection summary, uncovered trash receptacles, missing emergency telephone numbers, unsecured window screens, use of unlabeled bar soap, food stored on the floor, incomplete medical evaluations, medication labeling errors, and incomplete preadmission screening forms. Plans of correction were accepted and implemented with ongoing audits and staff education.
Deficiencies (11)
| Description |
|---|
| License inspection summary dated 2/24/22 was not posted in a conspicuous and public place. |
| Approximately 6" holes in the center of each of the 3 partially full, 55-gallon trash cans in main kitchen. |
| No emergency telephone numbers including nearest hospital and fire department posted on or by the telephone in the dining room. |
| Screens in bedroom windows were not securely attached. |
| Three unlabeled, used bars of soap were in the common bathroom across from bedroom. |
| A 12-quart box of vanilla supplement and a 13 ounce box of powdered hot chocolate were stored on the floor of the dry food storage room of the main kitchen. |
| Fire drill records showed 25 residents present but 0 evacuated on 10/2/22; 24 evacuated on 11/10/22. |
| Resident #1's initial medical evaluation did not indicate cognitive function or health status; sections were blank. |
| Resident #2's annual medical evaluation did not indicate mobility needs, cognitive function, or health status; Resident #3's previous medical evaluation was not timely. |
| Resident #4's medication label instructions conflicted with physician orders (label indicated every 4 hours; order every 6 hours). |
| Resident #1's preadmission screening form did not include determination that the resident's needs can be met by the home. |
Report Facts
Residents present during fire drill: 25
Residents evacuated during fire drill: 0
Residents evacuated during fire drill: 24
License Capacity: 40
Residents Served: 25
Current Hospice Residents: 1
Residents Age 60 or Older: 24
Residents Diagnosed with Mental Illness: 12
Residents Diagnosed with Intellectual Disability: 1
Residents Receiving Supplemental Security Income: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Schepp | Personal Care Home Administrator | Named in relation to compliance audits and QAPI committee reporting |
| Anthony [last name redacted] | Assistant to the Director of Facility Management | Named in relation to adjustment of window screens |
| [Name redacted] | Director of Environmental Services | Named in relation to fire drills, window screen audits, and staff education |
| [Name redacted] | Dietary Manager | Named in relation to trash receptacle correction and food storage audits |
| [Name redacted] | Personal Care Home Administrator (PCHA) | Named in relation to multiple findings, audits, and staff education |
Inspection Report
Complaint Investigation
Census: 24
Capacity: 40
Deficiencies: 4
Feb 24, 2022
Visit Reason
The inspection was conducted as a complaint and incident investigation following allegations of resident abuse reported on 12/9/2021.
Findings
The facility failed to immediately report suspected resident abuse, delayed implementing a supervision or suspension plan for the involved staff, and did not submit required documentation to the Department in a timely manner. The submitted plan of correction was found to be fully implemented as of the inspection date.
Complaint Details
The complaint involved an allegation that on 12/9/21, direct care staff B grabbed and pulled resident #1's arm to administer prescribed eyedrops. The home delayed reporting the incident until 12/13/21, continued allowing the staff to provide care without supervision or suspension until 12/15/21, and delayed submitting required documentation to the Department until 12/15/21.
Deficiencies (4)
| Description |
|---|
| Failure to immediately report suspected abuse of a resident to the local Area Agency on Aging and the Department. |
| Failure to immediately develop and implement a plan of supervision or suspend the staff person involved in the alleged abuse incident. |
| Failure to immediately submit a plan of supervision or notice of suspension of the affected staff person to the Department's personal care home regional office. |
| Failure to report the incident or condition to the Department’s personal care home regional office or complaint hotline within 24 hours as required. |
Report Facts
License Capacity: 40
Residents Served: 24
Current Hospice Residents: 1
Residents 60 Years or Older: 23
Residents Diagnosed with Mental Illness: 8
Residents Diagnosed with Intellectual Disability: 1
Resident Supplemental Security Income: 2
Total Daily Staff: 24
Waking Staff: 18
Inspection Report
Renewal
Census: 16
Capacity: 40
Deficiencies: 3
Sep 9, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license to ensure continued compliance with applicable regulations.
Findings
The inspection identified deficiencies including improper placement of a carbon monoxide detector, incomplete annual medical evaluations for a resident, and labeling errors on prescription medications. Plans of correction were submitted and determined to be fully implemented.
Deficiencies (3)
| Description |
|---|
| Carbon monoxide detector was affixed approximately 8 feet from the hot water heater, less than the required 15 feet. |
| Resident #1's annual medical evaluation was not conducted within the required annual timeframe. |
| Prescription medication labels for Resident #1 did not match the prescribed dosage and instructions, constituting a repeat violation. |
Report Facts
License Capacity: 40
Residents Served: 16
Total Daily Staff: 16
Waking Staff: 12
Current Hospice Residents: 1
Residents Receiving Supplemental Security Income: 2
Residents Age 60 or Older: 15
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 1
Notice
Capacity: 40
Deficiencies: 0
Mar 19, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Grove Manor I 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 an administrative notice confirming license renewal and outlining the requirement for a future annual inspection.
Report Facts
Total licensed capacity: 40
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
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