Inspection Report
Complaint Investigation
Census: 90
Capacity: 136
Deficiencies: 0
Oct 29, 2025
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection on 10/29/2025.
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 regulatory citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 136
Residents Served: 90
Secured Dementia Care Unit Capacity: 40
Secured Dementia Care Unit Residents Served: 34
Hospice Current Residents: 26
Residents Age 60 or Older: 90
Residents with Mobility Need: 39
Residents with Physical Disability: 1
Notice
Deficiencies: 0
Oct 18, 2025
Visit Reason
The document serves to notify the facility that their request to waive the requirement for direct care staff to have a high school diploma, GED, or active registry status was granted due to education obtained outside the United States.
Findings
The waiver is granted with conditions that the staff member serves in the role of direct care staff based on credential evaluation, and documentation must be maintained and made available upon request. The waiver will be reviewed annually during inspections.
Notice
Deficiencies: 0
Jul 10, 2025
Visit Reason
The document serves to notify Harmony at Hart's Run that their request to waive the requirement for direct care staff to have a high school diploma, GED, or active registry status has been granted due to education obtained outside the United States.
Findings
The waiver is granted under specific conditions including documentation requirements and annual review during inspections to ensure compliance. Failure to comply may result in termination of the waiver or other licensing actions.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter and is responsible for oversight. |
Notice
Deficiencies: 0
Jul 10, 2025
Visit Reason
The document serves to notify Harmony at Hart's Run that their request to waive the requirement for direct care staff to have a high school diploma, GED, or active registry status has been granted under specified conditions.
Findings
The waiver is granted with conditions including documentation of education and training to be kept on file and subject to annual review during inspections to ensure compliance.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter and noted as Bureau Director in the Department of Human Services. |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 136
Deficiencies: 1
Feb 14, 2025
Visit Reason
The inspection was conducted as a complaint and incident investigation related to allegations of resident abuse and financial exploitation.
Findings
The investigation found that a former staff member stole a resident's personal financial information and used it to open a credit card account, with unauthorized charges made. Additionally, another staff member attempted to cash a check belonging to a resident, which was not cashed by the company.
Complaint Details
The complaint investigation was substantiated with findings of financial exploitation involving staff members stealing and attempting to misuse resident financial assets.
Deficiencies (1)
| Description |
|---|
| A resident's personal financial information was stolen by a former staff member and used to open a credit card in the resident's name, with unauthorized charges made. Another staff member attempted to cash a check belonging to a resident. |
Report Facts
License Capacity: 136
Residents Served: 81
Secured Dementia Care Unit Capacity: 40
Secured Dementia Care Unit Residents Served: 26
Hospice Current Residents: 19
Residents Age 60 or Older: 80
Residents Diagnosed with Mental Illness: 5
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 33
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 90
Capacity: 114
Deficiencies: 5
Dec 11, 2024
Visit Reason
The inspection was conducted as a complaint investigation with an interim exit conference on 12/11/2024.
Findings
The inspection identified multiple deficiencies including improper refrigerator and freezer temperatures, food storage violations, and fire drill evacuation time exceeding the allowed maximum. Plans of correction were directed and implemented for each deficiency.
Complaint Details
The visit was complaint-related and interim exit conference was held on 12/11/2024. Follow-up actions including plans of correction submissions and document reviews were conducted through January 2025.
Deficiencies (5)
| Description |
|---|
| The temperature in the walk-in refrigerator was 41 degrees Fahrenheit, exceeding the required 40°F. |
| The temperature in the walk-in freezer was above 0°F at times (10°F and 5°F recorded). |
| No thermometer was present in the ice cream freezer initially; temperature recorded at 8°F after thermometer placement. |
| An open and unsealed box of Bran Flakes was found on the pantry shelf in the kitchen. |
| The evacuation time during a fire drill was 20 minutes and 9 seconds, exceeding the maximum allowed 15 minutes. |
Report Facts
License Capacity: 114
Residents Served: 90
Secured Dementia Care Unit Capacity: 40
Secured Dementia Care Unit Residents Served: 28
Hospice Residents: 22
Fire Drill Evacuation Time: 20.15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed the revised license approval letter. |
| Dining Services Director | Named in relation to deficiencies regarding refrigerator/freezer temperatures and food storage violations; responsible for corrective actions and audits. | |
| Maintenance Director | Named in relation to fire drill evacuation deficiency and responsible for staff re-education and monitoring fire drills. |
Inspection Report
Follow-Up
Census: 87
Capacity: 114
Deficiencies: 3
Oct 9, 2024
Visit Reason
The inspection visit was conducted as a follow-up to review the submitted plan of correction for previously identified deficiencies at Harmony at Harts Run.
Findings
The submitted plan of correction was determined to be fully implemented, with ongoing audits and re-education planned to ensure continued compliance in medical evaluations, resident assessments, and support plans.
Deficiencies (3)
| Description |
|---|
| Resident initial medical evaluation did not record the resident’s pulse rate or the medical professional’s license number. |
| Resident assessment indicated 'Moderate (Immobile)' for mobility, but resident requires total physical or oral assistance for evacuation. |
| Resident support plan did not indicate care and services to be provided by Commonwealth Hospice including showering, toileting, personal hygiene, and incontinence care. |
Report Facts
Residents Served: 87
License Capacity: 114
Secured Dementia Care Unit Capacity: 40
Secured Dementia Care Unit Residents Served: 24
Hospice Current Residents: 15
Residents Age 60 or Older: 87
Residents Diagnosed with Mental Illness: 5
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 35
Inspection Report
Renewal
Census: 82
Capacity: 114
Deficiencies: 17
Apr 29, 2024
Visit Reason
The inspection was conducted as a result of licensing inspections on April 29, 2024, April 30, 2024, July 22, 2024, and July 23, 2024, including renewal, complaint, and incident reasons to determine compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes.
Findings
The facility was found to be in compliance with applicable regulations after inspections and corrections. Several deficiencies were identified related to resident abuse reporting, confidentiality breaches, medication management, staff training, and resident care, with plans of correction accepted and implemented by specified dates.
Complaint Details
The visit included complaint investigations related to resident abuse allegations involving staff shouting and berating a resident, failure to report abuse timely, and failure to suspend staff involved. The allegations were investigated and found to be unsubstantiated by the Area Agency on Aging. Training and corrective actions were implemented.
Deficiencies (17)
| Description |
|---|
| Licensing Inspection Summaries were not posted on the bulletin board as required. |
| Resident abuse incident involving staff shouting at a resident and failure to report the incident timely. |
| Failure to immediately suspend staff involved in alleged resident abuse and failure to submit plan of supervision. |
| Failure to report incident or condition to Department within 24 hours as required. |
| Resident records confidentiality breach due to unattended binder containing personal information and open Health Care Director's office door with sensitive materials visible. |
| Resident was verbally abused and berated by staff in dining room. |
| Medication technicians and LPN did not receive required annual training on resident needs and safe management techniques. |
| Medication technicians and LPN did not receive required annual fire safety training. |
| Prescription medications and syringes were not kept locked in a secure area. |
| Expired medications were not immediately disposed of and stored improperly. |
| Medication labeling errors including missing 'directions changed' stickers on medication containers. |
| Failure to properly document glucose readings and medication administration. |
| Failure to follow prescriber's orders for medication administration, including delayed start of medication. |
| Resident assessments were incomplete or not updated to reflect changes such as elopements and diagnoses. |
| Resident mobility needs were not properly assessed or documented. |
| Failure to post code to override magnetic locking system at secure dementia care unit courtyard. |
| Staff working in secure dementia care unit did not receive required annual dementia training hours. |
Report Facts
License Capacity: 114
Residents Served: 82
Capacity of Secure Dementia Care Unit: 40
Residents Served in Secure Dementia Care Unit: 17
Current Residents in Hospice: 8
Residents Age 60 or Older: 82
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 35
Residents with Physical Disability: 2
Inspection Report
Renewal
Census: 82
Capacity: 114
Deficiencies: 17
Apr 29, 2024
Visit Reason
The inspection was conducted as part of licensing inspections on April 29th, 2024, April 30th, 2024, July 22nd, 2024, and July 23rd, 2024, including renewal, complaint, and incident reasons.
Findings
The facility was found to be in compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes after corrections were made. Multiple deficiencies were identified related to resident abuse reporting, medication management, staff training, confidentiality, and resident care, with plans of correction accepted and implemented.
Complaint Details
The visit included complaint-related inspections. The complaint involved allegations of verbal abuse by a staff person towards a resident, failure to report the incident timely, and retaliation against the resident. The allegations were investigated with training and corrective actions implemented. The Area Agency on Aging did not find the abuse allegation founded.
Deficiencies (17)
| Description |
|---|
| Licensing Inspection Summaries were not posted on the bulletin board as required. |
| Failure to immediately report suspected resident abuse and delays in notification to authorities. |
| Failure to develop and implement a plan of supervision or suspend staff involved in alleged abuse. |
| Incident or condition not reported to the Department within 24 hours as required. |
| Resident records were left accessible in an unattended area, violating confidentiality. |
| Resident was treated without dignity and respect, including verbal abuse and retaliation. |
| Staff persons did not receive required annual training on resident care needs and safe management techniques. |
| Staff persons did not receive required annual fire safety training. |
| Prescription medications and syringes were not properly locked and secured. |
| Expired medications were stored and not immediately disposed of. |
| Prescription medications were not properly labeled with pharmacy labels and instructions. |
| Glucose readings were not properly recorded on medication administration records. |
| Failure to follow prescriber's orders for medication administration. |
| Resident assessments were incomplete or not updated as required. |
| Resident mobility needs were not properly assessed or documented. |
| Code to override magnetic locking system at secure dementia care unit gate was not posted. |
| Staff training hours related to dementia care were insufficient. |
Report Facts
License Capacity: 114
Residents Served: 82
Secure Dementia Care Unit Capacity: 40
Secure Dementia Care Unit Residents Served: 17
Deficiencies Cited: 16
Inspection Report
Complaint Investigation
Census: 87
Capacity: 114
Deficiencies: 11
Mar 4, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted on 03/04/2024 due to a complaint, provisional status, and fine. The visit included a follow-up on a previously submitted plan of correction.
Findings
Multiple deficiencies were identified including delayed access to resident records, improper food storage and labeling, incomplete or untimely resident medical evaluations, assessments, support plans, and preadmission screenings. Several violations were repeat findings from previous inspections. The facility submitted plans of correction which were reviewed and deemed fully implemented by 04/29/2024.
Complaint Details
The inspection was complaint-related, provisional, and included a fine. The plan of correction was submitted and reviewed with follow-up dates scheduled. The plan of correction was found fully implemented by 04/29/2024.
Deficiencies (11)
| Description |
|---|
| Delayed provision of resident records to Department agents upon request. |
| Undated leftover food found in refrigerator, violating food safety requirements. |
| Numerous open and unsealed food items found in walk-in freezer, dry food storage, and secured dementia care unit kitchen. |
| Resident medical evaluation missing attachments and not completed timely. |
| Medication administration documentation errors, including unrecorded narcotic administration. |
| Resident preadmission screening not completed timely or missing required determinations. |
| Resident initial assessments incomplete, missing diagnoses and assessments of various needs. |
| Resident support plans incomplete or undated, missing plans to meet identified needs. |
| Resident medical evaluations for secured dementia care unit admissions not completed within required timeframe. |
| Resident cognitive preadmission screenings for secured dementia care unit admissions not completed within required timeframe. |
| Resident support plans for secured dementia care unit admissions not completed within required timeframe. |
Report Facts
License Capacity: 114
Residents Served: 87
Secured Dementia Care Unit Capacity: 40
Secured Dementia Care Unit Residents Served: 21
Hospice Residents: 7
Total Daily Staff: 127
Waking Staff: 95
Inspection Report
Monitoring
Census: 85
Capacity: 114
Deficiencies: 16
Dec 19, 2023
Visit Reason
The inspection was a partial, unannounced monitoring visit conducted on December 19, 2023, to assess compliance with regulations and follow up on previous provisional license conditions.
Findings
The facility was found to have multiple deficiencies including issues with medical evaluations, preadmission screenings, support plans, medication storage and labeling, incident reporting, sanitary conditions, and medication procedures. Several repeat violations were noted, and plans of correction were accepted but many were not yet implemented as of the inspection date.
Deficiencies (16)
| Description |
|---|
| Resident medical evaluations did not indicate the need for secured dementia care unit or were incomplete. |
| Preadmission screenings, including cognitive screenings, were not completed timely or were incomplete for some residents. |
| Support plans were not developed or documented within required timeframes for several residents. |
| Incident of missing medication was not reported to the Department within 24 hours. |
| Waiver requests and Department decisions were not posted in a conspicuous place within the home. |
| Direct care staff lacked proper educational waivers for non-US diplomas. |
| Training records did not include location and use of fire extinguishers for some staff. |
| Sanitary conditions were compromised by cigarette butts and trash in the kitchen receiving area. |
| Resident did not have operable lamp or source of lighting at bedside. |
| Food was stored in open and unsealed containers in the commercial freezer. |
| Fire extinguisher lacked inspection tag with date. |
| Expired eye drops were stored beyond recommended discard date. |
| Prescription medications lacked proper pharmacy labels including resident name, dosage, and prescriber information. |
| Medication procedures failed to document receipt and count of controlled substances; missing medications were not accounted for. |
| Medications prescribed were not available in the home when needed. |
| Initial assessments and support plans were not completed timely for multiple residents. |
Report Facts
License Capacity: 114
Residents Served: 85
Secured Dementia Care Unit Capacity: 40
Residents Served in Secured Dementia Care Unit: 19
Total Daily Staff: 117
Waking Staff: 88
Fine per violation per day: 5
Calculated Fine per violation: 425
Number of violations listed for fine: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary, Office of Long-term Living | Signed enforcement and licensing letters. |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 114
Deficiencies: 11
Aug 11, 2023
Visit Reason
The inspection was conducted as a provisional and fine-related visit following licensing inspections on August 11, 2023, September 27-28, 2023, and December 19, 2023, to address violations of 55 Pa. Code Chapter 2600 related to Personal Care Homes.
Findings
Multiple violations were found including deficiencies in medical evaluations, preadmission screenings, admission support plans, medication storage and procedures, sanitary conditions, and documentation. Several repeat violations were noted. Plans of correction were submitted but many were not fully implemented by the time of the report.
Complaint Details
The visit was complaint-related, triggered by licensing inspections identifying multiple violations. The report documents ongoing enforcement actions including provisional licensing and fines related to failure to correct deficiencies.
Deficiencies (11)
| Description |
|---|
| Resident medical evaluations did not indicate the need for secured dementia care unit or were incomplete. |
| Preadmission cognitive screenings were incomplete or not timely for residents admitted to the secured dementia care unit. |
| Admission support plans were not developed or documented within required timeframes. |
| Missing or incomplete pharmacy labels on resident medications including insulin pens and nasal sprays. |
| Medication procedures failed to document receipt and count of controlled substances; missing medications were not properly accounted for. |
| Sanitary conditions were not maintained; cigarette butts and trash found in facility exterior areas. |
| Food items were stored unsealed or open in commercial kitchen freezer. |
| Fire extinguisher inspection tags were missing or not current. |
| Incident reporting was delayed beyond required 24-hour timeframe. |
| Direct care staff lacked required educational waivers for non-US diplomas. |
| Resident initial assessments and support plans were not completed timely for multiple residents. |
Report Facts
License Capacity: 114
Residents Served: 75
Secured Dementia Care Unit Capacity: 40
Residents Served in Secured Dementia Care Unit: 18
Fine Amount Per Violation: 425
Number of Violations Listed for Fine: 9
Total Daily Staff: 101
Waking Staff: 76
Inspection Report
Provisional
Census: 85
Capacity: 114
Deficiencies: 18
Aug 11, 2023
Visit Reason
The inspection was conducted as a provisional licensing inspection with enforcement and monitoring components, including follow-up on previous violations and plan of correction submissions.
Findings
Multiple violations were found related to medical evaluations, preadmission screenings, support plans, medication storage and administration, sanitary conditions, staff qualifications, and documentation. Several repeat violations were noted. Plans of correction were submitted but many were not fully implemented by the time of the inspection.
Deficiencies (18)
| Description |
|---|
| Resident medical evaluations did not indicate the need for secured dementia care unit or were incomplete. |
| Preadmission screenings including cognitive screenings were not completed within required timeframes. |
| Support plans were not developed or implemented within required timeframes for residents in secured dementia care unit. |
| Incident of missing medication (Hydrocodone) was not reported within 24 hours as required. |
| Waivers for staff educational requirements were not posted in a conspicuous place. |
| Direct care staff had non-US high school diplomas without waivers. |
| Training records did not include fire extinguisher training details. |
| Sanitary conditions were not maintained; cigarette butts and trash found outside kitchen area. |
| Residents did not have operable lamps or lighting at bedside. |
| Food was stored in opened and unsealed containers in kitchen freezer. |
| Fire extinguisher lacked inspection tag with date. |
| Medications were not stored properly; expired eye drops found. |
| Prescription medications lacked proper pharmacy labels. |
| Medication procedures were not followed; missing narcotics and inaccurate counts. |
| Medications prescribed for residents were not available in the home when needed. |
| Resident support plans did not address assessed needs such as transferring, ambulating, and managing health care. |
| Initial assessments and support plans were not completed timely for several residents. |
| Preadmission screening forms were incomplete or missing for some residents. |
Report Facts
License Capacity: 114
Residents Served: 85
Secured Dementia Care Unit Capacity: 40
Residents Served in Secured Dementia Care Unit: 19
Total Daily Staff: 117
Waking Staff: 88
Medication Fine Calculation: 425
Medication Fine Days to Avoid: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed enforcement and licensing letters. |
Inspection Report
Follow-Up
Census: 69
Capacity: 114
Deficiencies: 2
Jul 26, 2023
Visit Reason
The visit was conducted as a follow-up to review the submitted plan of correction related to an incident at the facility.
Findings
The submitted plan of correction was determined to be fully implemented. The report details repeated violations related to abuse and medical evaluation documentation, with corrective actions and ongoing monitoring established.
Deficiencies (2)
| Description |
|---|
| Resident neglect and abuse incidents involving staff pushing a resident in a wheelchair, yelling, slapping, and pulling a resident's ponytail, as well as pushing a resident causing them to fall on a sofa. |
| Resident #2's most recent medical evaluation did not indicate the need for continued placement in the secured dementia care unit (SDCU). |
Report Facts
License Capacity: 114
Residents Served: 69
Secured Dementia Care Unit Capacity: 40
Secured Dementia Care Unit Residents Served: 17
Hospice Current Residents: 4
Residents 60 Years or Older: 69
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 22
Inspection Report
Complaint Investigation
Census: 64
Capacity: 114
Deficiencies: 2
May 25, 2023
Visit Reason
The inspection visit was conducted as a complaint investigation to review compliance at the facility.
Findings
Two deficiencies were identified: improper medication storage and inaccurate resident initial assessment documentation. The facility submitted a plan of correction which was accepted and implemented.
Complaint Details
The visit was complaint-related as indicated by the inspection reason. The submitted plan of correction was fully implemented and compliance was maintained.
Deficiencies (2)
| Description |
|---|
| Failure to develop and implement procedures for the safe storage, access, security, distribution and use of medications, resulting in a resident taking medication blister cards outside the medication cart. |
| Resident #1's initial assessment inaccurately documented the resident as independent with ambulation despite using a rollator walker for assistance. |
Report Facts
License Capacity: 114
Residents Served: 64
Secured Dementia Care Unit Capacity: 40
Secured Dementia Care Unit Residents Served: 14
Hospice Current Residents: 4
Residents Age 60 or Older: 63
Residents Diagnosed with Mental Illness: 4
Residents with Mobility Need: 23
Residents with Physical Disability: 2
Inspection Report
Complaint Investigation
Census: 61
Capacity: 114
Deficiencies: 2
Apr 13, 2023
Visit Reason
The inspection was conducted as a complaint investigation to address violations related to mistreatment or abuse of residents, failure to submit an acceptable plan of correction, and failure to comply with the plan of correction at Harmony at Harts Run.
Findings
Violations were found related to staff working excessive hours without proper orientation and failure to follow prescriber's orders, including missed medication administration to residents. Plans of correction were submitted but some were not fully implemented by the follow-up date.
Complaint Details
The visit was complaint-related, addressing substantiated violations including mistreatment or abuse of residents and failure to comply with required plans of correction.
Deficiencies (2)
| Description |
|---|
| Staff person A worked in excess of 40 hours without proper orientation including training in resident rights, emergency medical plan, and mandatory reporting of abuse and neglect. |
| Staff person A, LPN, was unable to access electronic medication administration records and failed to administer prescribed medications to 11 residents in the memory care unit. |
Report Facts
Residents served: 61
License capacity: 114
Secured Dementia Care Unit capacity: 40
Residents served in secured dementia care unit: 17
Current hospice residents: 2
Residents age 60 or older: 59
Residents with mobility need: 30
Residents with physical disability: 1
Fine per day: 5
Calculated fine per day: 305
Mandated correction timeframe: 5
Inspection Report
Complaint Investigation
Census: 54
Capacity: 114
Deficiencies: 30
Jan 23, 2023
Visit Reason
The inspection was conducted as a complaint investigation with a provisional license review, including unannounced visits on January 23, 26, and 30, 2023, to assess compliance with licensing requirements and address reported violations.
Findings
Multiple violations were found related to resident confidentiality, privacy, staff training, medication administration, storage procedures, sanitary conditions, emergency preparedness, medical evaluations, and documentation. Plans of correction were submitted and some were implemented by June 8, 2023.
Complaint Details
The inspection was complaint-related and provisional, with violations substantiated as indicated by multiple repeated violations and corrective actions required.
Deficiencies (30)
| Description |
|---|
| Resident records were left unattended and accessible, violating confidentiality requirements. |
| A voice-controlled electronic device was observed without policies addressing privacy and recording consent. |
| No staff trained in first aid and CPR were present during specified shifts. |
| Administrator lacked documentation of completing an approved orientation program and competency test. |
| No staff training plan for 2023 was available. |
| Unlabeled and unlocked poisonous materials were found accessible to residents. |
| Trash bags were left unattended and trash receptacles outside the home lacked lids. |
| Emergency telephone numbers were not posted in resident rooms. |
| Food served and returned was unlabeled and undated. |
| Refrigerator/freezer temperatures were above required levels. |
| Food was stored uncovered or partially uncovered in the kitchen. |
| The home lacked a contract for emergency water supply and had insufficient water on site. |
| Only some resident rooms and common areas had furnace inspections documented. |
| Unannounced fire drills were not conducted in October and November 2022. |
| Fire drill records lacked documentation of number of residents evacuated. |
| During fire drills, not all residents were evacuated. |
| Alternate exit routes were not used during fire drills as required. |
| Initial medical evaluations for some residents lacked required documentation. |
| Annual medical evaluation for a resident was incomplete, missing weight information. |
| Medications for residents were discontinued without proper documentation and some medications were missing. |
| The home failed to implement safe storage procedures for medications and medical equipment. |
| Medication administration records showed incomplete or inaccurate documentation and self-administration errors. |
| The home did not follow prescriber's orders for medication administration. |
| Preadmission screening forms were not completed timely for some residents. |
| Initial assessments for residents were not completed timely or accurately. |
| Additional assessments for residents were late or incomplete. |
| Support plans for residents were not signed by assessors or residents as required. |
| Cognitive preadmission screening forms were incomplete or late. |
| The home's statement from the manufacturer did not verify that magnetic locking egress doors would release during power outages. |
| Resident record entries were partially illegible and corrected improperly. |
Report Facts
Residents served: 54
License capacity: 114
Residents served in secured dementia care unit: 15
Capacity of secured dementia care unit: 40
Current hospice residents: 4
Residents age 60 or older: 53
Residents with mobility need: 24
Residents with physical disability: 2
Gallons of emergency water required: 162
Gallons of emergency water on site: 120
Inspection Report
Complaint Investigation
Census: 54
Capacity: 114
Deficiencies: 6
Nov 29, 2022
Visit Reason
The inspection was conducted as a complaint and incident investigation at Harmony at Harts Run, an assisted living facility, to assess compliance with licensing regulations.
Findings
Multiple violations were found including abuse, privacy breaches, failure to follow prescriber's orders, incomplete medical evaluations, and deficiencies in support plans. The facility was issued a second provisional license with required plans of correction and enforcement actions.
Complaint Details
The inspection was complaint-driven, investigating incidents including resident abuse, missing personal belongings, and medication errors. The complaint was substantiated with multiple violations found.
Deficiencies (6)
| Description |
|---|
| Resident #1 was not properly supervised to prevent biting episodes, resulting in injury. |
| The community failed to protect a resident's belongings from being stolen, with missing items totaling $448. |
| Resident #2's medication administration times did not match prescriber's orders. |
| Resident #1's medical evaluation was completed beyond the required 60 days prior to admission. |
| Resident #1's preadmission cognitive screening was incomplete and lacked required signatures. |
| Support plans for residents did not meet requirements, including missing responsible person identification and lack of resident involvement documentation. |
Report Facts
License Capacity: 114
Residents Served: 54
Memory Care Capacity: 40
Memory Care Residents Served: 14
Current Hospice Residents: 1
Fine per day: 5
Calculated Fine per day: 305
Mandated Correction Days: 5
Inspection Report
Follow-Up
Deficiencies: 0
Sep 13, 2022
Visit Reason
The visit was conducted as a follow-up review by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to verify the implementation of the submitted plan of correction for the facility.
Findings
The submitted plan of correction was found to be fully implemented, and continued compliance must be maintained.
Report Facts
Inspection dates: 2
Inspection Report
Complaint Investigation
Census: 48
Capacity: 114
Deficiencies: 24
Jun 21, 2022
Visit Reason
The inspection was an unannounced partial complaint investigation conducted due to complaints received regarding the facility.
Findings
The inspection identified multiple deficiencies including delayed access to records, failure to report incidents timely, confidentiality breaches, inadequate assistance with activities of daily living, unsigned resident contracts, medication administration by unqualified staff, unsecured medications and poisonous materials, incomplete resident assessments and support plans, and missing required documentation such as preadmission screenings and no objection statements for secured dementia care unit admissions.
Complaint Details
The inspection was conducted as a complaint investigation following allegations related to resident care, medication administration, record access, and facility compliance.
Deficiencies (24)
| Description |
|---|
| Delayed provision of staff person A's record to Department agents. |
| Incident involving resident #1's fall was not reported to the Department within 24 hours. |
| Numerous resident records and information were unlocked, unattended and accessible at multiple nurse's stations. |
| Resident #10 waited excessive time for assistance with activities of daily living. |
| Resident-home contracts for residents #1, #3, and #6 were not signed by the residents. |
| Residents #3 and #6's records lacked signed statements acknowledging receipt of resident rights and complaint procedures. |
| Resident #1 had an unwitnessed fall with injuries; delayed hospital transfer and inadequate post-hospital assessment. |
| Staff person A, the administrator, administered medications without proper qualification. |
| Medications were unlocked and accessible in resident #10's bedroom. |
| Numerous medications were unlocked and accessible in the SDCU medication room refrigerator. |
| Discontinued medication (Ventolin inhaler) was present in medication cart. |
| Prescription medications (Advair and Breo inhalers) lacked pharmacy labels and resident identification. |
| Resident #1's prescribed medications were missing from the June 2022 MAR. |
| Resident #1's medication administration times were not recorded on the MAR. |
| Resident #3 and #6 were not administered prescribed medications as ordered. |
| Resident #6 did not receive prescribed PT/OT services as ordered. |
| Residents #3 and #6 lacked documentation of education on right to refuse medication. |
| No preadmission screening was completed for residents #1, #3, and #6. |
| No initial assessment was completed within 15 days of admission for residents #1 and #6. |
| Resident #10's support plan did not include ordered home health and hospice services. |
| Residents #3 and #10's support plans were not signed by the assessor or resident. |
| Resident #1 and #3 lacked timely completed support plans upon admission to the SDCU. |
| Resident #1 and #3 lacked timely completed medical evaluations and preadmission cognitive screenings. |
| Resident #3's record lacked a no objection statement for admission to the secured dementia care unit. |
Report Facts
License Capacity: 114
Residents Served: 48
Residents Served in Secured Dementia Care Unit: 11
Hospice Residents: 3
Staffing Hours - Resident Support Staff: 2
Staffing Hours - Total Daily Staff: 65
Staffing Hours - Waking Staff: 49
Excessive wait times for assistance: 4
Medication administration dates: 6
Medication administration dates: 3
Inspection Report
Renewal
Census: 44
Capacity: 114
Deficiencies: 23
May 11, 2022
Visit Reason
The inspection was conducted as a renewal and complaint investigation of the personal care home facility Harmony at Harts Run.
Findings
Multiple violations were found related to resident confidentiality, contract signing, staff qualifications, medication administration and storage, fire drill documentation, medical evaluations, assessment referrals, and support plans. A provisional license was issued based on an acceptable plan of correction.
Deficiencies (23)
| Description |
|---|
| Resident records were unlocked, unattended and accessible in a private dining room. |
| Resident-home contract was undated and not signed by administrator timely. |
| Criminal background check was not completed prior to hire date for a staff person. |
| Direct care staff person lacked required high school diploma, GED, or registry status. |
| Dumpster lid was open and trash overflowed. |
| Fire-rated doors near bedroom did not close properly. |
| No thermometer in freezer; freezer temperature was above required level. |
| Food stored in unsealed containers in kitchen freezer. |
| Fire drill records lacked exit routes used and number of residents evacuated for multiple drills. |
| Evacuation times exceeded maximum allowed during fire drills. |
| Resident medical evaluations incomplete or missing required information. |
| Menus were not posted one week in advance as required. |
| Medications were left unlocked and accessible on resident bedside table; resident unable to self-administer. |
| Prescription medications and syringes were unlocked and accessible in resident room. |
| Discontinued medications were present in medication cart. |
| Pharmacy label for medication did not match prescribed dosage. |
| Resident did not have a current list of medications from an authorized prescriber. |
| Resident preadmission screening indicated needs could not be met but no referral was made. |
| Resident assessment did not include diagnosis of dementia or cognitive needs. |
| Resident support plan did not include use of assistive device or hospice services. |
| Written cognitive preadmission screening was not completed for secured dementia care unit admission. |
| No documentation that resident or designated person objected to admission to secured dementia care unit. |
| Support plan was undated and it was unclear if completed within required timeframe. |
Report Facts
Inspection dates: 6
License capacity: 114
Residents served: 44
Secured dementia care unit capacity: 40
Residents served in secured dementia care unit: 11
Hospice residents: 3
Waking staff: 45
Total daily staff: 60
Resident mobility needs: 15
Fire drill evacuation time: 15
Fire drill evacuation time exceeded: 15.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie Buchenauer | Deputy Secretary | Signed letter regarding provisional license |
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