Inspection Reports for
Grove Manor I
435 NORTH BROAD STREET,, GROVE CITY, PA, 16127
Back to Facility Profile16 Reports
Inspection Report — Feb 9, 2026
Renewal
Date: Feb 9, 2026
Visit Reason
The inspection was conducted as a renewal inspection combined with a complaint investigation at Grove Manor I.
Findings
The inspection identified multiple deficiencies related to resident personal equipment, sanitary conditions, food labeling, vehicle documentation, medication self-administration assessments, medication labeling, storage procedures, medication records, and following prescriber's orders. Plans of correction were accepted and implemented with ongoing audits and education.
Citations (9)
2600.81.b Wheelchairs, walkers, prosthetic devices and other apparatus used by residents must be clean, in good repair and free of hazards. The bedside enabler on resident #1’s bed was loose and could be moved approximately 12 inches without significant force.
2600.85.a Sanitary conditions shall be maintained. A used unlabeled blue Bic shaving razor was found in the common bathroom sink drawer.
2600.103.e Food served and returned from an individual’s plate may not be served again or used in preparation of other dishes. An opened, undated bag of chicken tenders was found in the kitchen freezer.
2600.171.c The home shall maintain current vehicle documentation. The home’s Ford van had an expired registration as of 10/20/25.
2600.181.c Resident’s assessment shall identify ability to self-administer medications. Resident #2 was not assessed but had a partially used tube of Neosporin in their room.
2600.184.a Prescription medications shall be labeled with pharmacy labels including required information. Resident #3’s insulin pen label indicated a different dosage than prescribed.
2600.185.a The home shall implement safe storage procedures for medications and medical equipment. Resident #3 had an unattended, unsecured tube of Neosporin in an unlocked private room and missing glucometer documentation.
2600.187.a Medication records shall include date and time of administration. Resident #2’s hydration treatment was administered but not documented on the Medication Administration Record.
2600.187.d The home shall follow prescriber’s directions. Resident #3 had a high blood glucose reading but the home failed to notify the prescribing physician.
Report Facts
Residents Served: 30
Current Hospice Residents: 1
Inspection Report — Jan 23, 2025
Renewal
Date: 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.
Citations (9)
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
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. |
Notice — Oct 11, 2024
Date: Oct 11, 2024
Visit Reason
The document is a response to a waiver request to allow unlicensed direct care staff to administer subcutaneous injections of GLP-1 agonist medications in a personal care home.
Findings
The waiver permits unlicensed direct care staff to administer GLP-1 agonist injections after completing Department-approved medication administration training and receiving in-person training from a licensed health care professional. The facility must implement policies for training, monitoring, documentation, and have a clinical contact available at all times.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Jan 9, 2024
Renewal
Date: 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.
Citations (7)
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
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 — Jan 24, 2023
Renewal
Date: 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.
Citations (11)
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
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 — Feb 24, 2022
Complaint Investigation
Date: 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.
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.
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.
Citations (4)
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
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 — Sep 9, 2021
Renewal
Date: 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.
Citations (3)
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
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 — Mar 19, 2021
Date: 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
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report — Dec 5, 2019
Renewal
Date: Dec 5, 2019
Visit Reason
This document is a renewal notification and license issuance for Grove Manor I Personal Care Home, confirming the renewal application received on December 5, 2019, and advising that an onsite inspection will be conducted within the next twelve months as required by state regulations.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future inspection requirements.
Inspection Report — Sep 25, 2019
Annual Inspection
Date: Sep 25, 2019
Visit Reason
The inspection was an annual licensing inspection conducted by the Department’s Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Ch. 2600 for Personal Care Homes.
Findings
Multiple violations of 55 Pa. Code Ch. 2600 were found related to soap dispensers, food labeling, fire drill records, evacuation procedures, self-administration assessments, medication labeling, storage procedures, and medication records. Plans of correction were submitted and partially implemented as of 10/22/2019.
Citations (9)
2600.102.i A dispenser with soap was not provided within reach of a bathroom sink; an unlabeled, used bar of soap was found in a shared bathroom sink.
2600.103.e Food served and returned from an individual’s plate was not labeled or dated; an unlabeled and undated container of noodle casserole was found in the activities room refrigerator.
2600.132.c Fire drill records lacked required details including evacuation time, exit routes, number of residents evacuated, and problems encountered for drills on 7/12/19 and 9/2/19.
2600.132.d No residents were evacuated during the fire drill on 7/12/19, and no other fire drill was conducted in July 2019 as required.
2600.181.c Resident #3’s assessment indicated inability to self-administer medications, but the resident self-administered Sinex Severe nasal spray.
2600.184.a Prescription medication labels did not match prescribed administration instructions for multiple residents, including Voltaren gel, Triamcinolon cream, Metolazone, and Clobetasol cream.
2600.184.b Resident #3’s bottle of Aleve 220 mg tablets was not labeled with the resident’s name.
2600.185.a Medication storage procedures were inadequate; resident #4’s blood sugar readings on glucometer did not match the medication administration record for September 2019.
2600.187.a Resident #3’s and #4’s September 2019 medication administration records did not include diagnosis or purpose for several medications.
Report Facts
Residents Served: 30
Staff: 30
Staff: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Schepp | Administrator | Named as facility administrator and legal entity representative signing plans of correction |
| Amarck Schepp | RHA | Signed plans of correction as legal entity representative |
| Amy Duncan | On-site department representative during inspection | |
| Barbara Barone | On-site department representative during inspection |
Inspection Report — Dec 14, 2018
Renewal
Date: Dec 14, 2018
Visit Reason
The document is a renewal application and license issuance for Grove Manor I Personal Care Home, indicating the facility's renewal to operate with a maximum capacity of 40 residents.
Findings
The Department of Human Services has issued a regular license in response to the renewal application. The Department will conduct an onsite inspection within the next twelve months as required by regulation.
Inspection Report — Oct 3, 2018
Renewal
Date: Oct 3, 2018
Visit Reason
The inspection was conducted as a renewal inspection of Grove Manor I to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.
Findings
The inspection found multiple violations related to resident access to telephones, communication systems, medical evaluations, medication labeling, and documentation. Plans of correction were submitted and partially implemented as of May 2, 2019.
Citations (6)
55 Pa.Code §2600.42(e) - Resident #2 had no phone in his/her bedroom and no access to a telephone in the home to make calls in private.
55 Pa.Code §2600.90(b) - The home serving 30 residents lacked a communication system enabling staff to immediately contact other staff in emergencies.
55 Pa.Code §2600.141(a)(1) - Resident #3's medical evaluation was completed on 12/13/16, exceeding the 60 days prior to admission requirement.
55 Pa.Code §2600.184(a) - Prescription medication labels for Resident #1 lacked required information and discrepancies were found in medication administration records.
55 Pa.Code §2600.185(a) - The home failed to develop and implement procedures for safe medication storage, access, security, distribution, and use by trained staff.
55 Pa.Code §2600.187(a) - Medication records did not include all required elements such as resident's name, drug allergies, dosage, route, and administration times.
Report Facts
Number of Residents Served: 30
Number of Residents who are 60 Years or Older: 25
Number of Residents with Mental Illness: 8
Number of Residents with Intellectual Disability: 1
Number of Residents Receiving Supplemental Security Income: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Galla | Administrator | Named in relation to signing plans of correction and responses to violations. |
Notice — Dec 7, 2017
Date: Dec 7, 2017
Visit Reason
This document serves as a renewal notification for the Personal Care Home license and informs the facility of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application.
Inspection Report — Oct 5, 2017
Renewal
Date: Oct 5, 2017
Visit Reason
The inspection was a renewal licensing inspection conducted by the Pennsylvania Department of Human Services on October 5, 2017, for Grove Manor I Personal Care Home.
Findings
Several violations of 55 Pa.Code Chapter 2600 were found, including combustible materials near heat sources, improper fire hazard safeguards, missing eye coverings in the first aid kit on the transport vehicle, unlocked medications in resident rooms, and incomplete labeling on prescription medication containers. Plans of correction were submitted and partially implemented with adequate progress noted.
Citations (5)
55 Pa.Code §2600.125(a): A wooden table with 3 plastic drawers was resting against the furnace in the furnace room, posing a fire hazard.
55 Pa.Code §2600.144(c)(1): A fabric-covered cushion on a chair in the smoking pavilion was not fire resistant as required.
55 Pa.Code §2600.171(b)(5): The first aid kit on the transport vehicle did not contain eye coverings.
55 Pa.Code §2600.183(b): Resident #1 kept medications in an unlocked box under the bathroom sink and the bedroom door lacked a lock, leaving medications unsecured when the resident left the room.
55 Pa.Code §2600.184(a): Prescription medication containers for Residents #2 and #3 lacked proper pharmacy labels indicating name, medication, date, dosage, and prescriber information.
Report Facts
Number of Residents Served: 27
Total Daily Staff: 28
Waking Staff: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary K Bennett | Administrator | Named as legal entity representative and signed plans of correction |
| Jan Cutler | Department representative on-site during inspection | |
| Lisa Flinner-Alman | Department representative on-site during inspection | |
| Jacqueline L. Rowe | Director | Signed cover letter from Department of Human Services |
Inspection Report — Jan 26, 2017
Renewal
Date: Jan 26, 2017
Visit Reason
The document is a renewal application and license issuance for Grove Manor I Personal Care Home, confirming the facility's renewal to operate and advising that an annual onsite inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and includes the certificate of compliance with a maximum capacity of 40 residents.
Report Facts
Inspection Report — Sep 1, 2016
Renewal
Date: Sep 1, 2016
Visit Reason
The inspection was a renewal licensing inspection conducted by the Pennsylvania Department of Human Services on September 1, 2016, for Grove Manor I, a Personal Care Home.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including issues with resident record confidentiality, incomplete resident contracts, unqualified direct care staff, incomplete staff training, fire safety inspection delays, incomplete medical evaluations, and missing resident support plans. Plans of correction were submitted with partial implementation and adequate progress noted.
Citations (13)
55 Pa.Code 2600.17: Resident records were found unsecured and accessible in the dining area on 9/1/16.
55 Pa.Code 2600.25(c)(2): Resident #2's contract did not specify the amount the resident agrees to pay for services.
55 Pa.Code 2600.54(a): Direct care staff person A lacked documentation of required qualifications including diploma, GED, or registry status.
55 Pa.Code 2600.65(d): Direct care staff persons B and C provided unsupervised care without completing required training and competency testing.
55 Pa.Code 2600.65(f): Direct care staff person B did not complete training on meeting resident needs during the 2015 training year.
55 Pa.Code 2600.132(b): Fire safety inspection and drill by a fire safety expert were not completed annually; last completed on 4/14/15.
55 Pa.Code 2600.132(d): The home lacked a fire safe evacuation time specified in writing by a fire safety expert within the past year.
55 Pa.Code 2600.141(a)(1): Resident #4's initial medical evaluation was not completed within 60 days of admission.
55 Pa.Code 2600.141(b)(1): Residents #1 and #3 lacked documentation of annual medical evaluations.
55 Pa.Code 2600.224(a): Resident #2's preadmission screening was not completed prior to admission as required.
55 Pa.Code 2600.225(a): Residents #2 and #4 had incomplete initial assessments not completed within 15 days of admission.
55 Pa.Code 2600.227(a): Residents #2 and #4 lacked completed written support plans within 30 days of admission.
55 Pa.Code 2600.227(d): Resident #2's support plan did not address the resident's problem with agitation.
Report Facts
Number of Residents Served: 23
Total Daily Staff: 23
Waking Staff: 17
Number of Current Hospice Residents: 1
Number of Hospice Residents in Past Year: 1
Number of Residents Age 60 or Older: 22
Number of Residents Receiving Supplemental Security Income: 1
Number of Residents with Intellectual Disability: 1
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