Inspection Reports for Harmony House Manor
601 LAMBERD AVENUE,, JOHNSTOWN, PA, 15904
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
9.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
104% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
33% occupied
Based on a March 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 28
Capacity: 84
Deficiencies: 0
Mar 18, 2025
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 03/18/2025.
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
Total Daily Staff: 37
Waking Staff: 28
License Capacity: 84
Residents Served: 28
Secured Dementia Care Unit Capacity: 28
Secured Dementia Care Unit Residents Served: 8
Current Hospice Residents: 2
Residents Receiving Supplemental Security Income: 2
Residents Aged 60 or Older: 28
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 0
Residents with Mobility Need: 9
Residents with Physical Disability: 0
Inspection Report
Follow-Up
Census: 23
Capacity: 84
Deficiencies: 2
Mar 20, 2024
Visit Reason
The inspection was a follow-up visit conducted on 03/20/2024 to review the submitted plan of correction related to a prior complaint and incident.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. Two deficiencies were noted: lack of certified medication technicians during overnight shifts affecting medication administration, and evidence of bed bug infestation in a resident room.
Complaint Details
The inspection was complaint-related, triggered by a complaint and incident. Substantiation status is not explicitly stated.
Deficiencies (2)
| Description |
|---|
| No certified medication technicians available during overnight shifts from 11:00pm to 7:00am, resulting in inability to provide medication administration services during this time. |
| Evidence of bed bug carcasses and black feces marks found on a leather couch in a resident room despite ongoing treatment since September 2023. |
Report Facts
License Capacity: 84
Residents Served: 23
Secured Dementia Care Unit Capacity: 10
Residents Served in Dementia Unit: 6
Hospice Current Residents: 4
Resident Support Staff: 31
Waking Staff: 23
Inspection Report
Renewal
Census: 25
Capacity: 84
Deficiencies: 3
Dec 12, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license, with an unannounced full inspection on 12/12/2023 and 12/13/2023.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. Deficiencies were noted related to refrigerator/freezer temperatures, lint removal and duct cleaning, and medication storage procedures, all of which were corrected by the proposed completion date.
Deficiencies (3)
| Description |
|---|
| The temperature in the freestanding black and silver freezer was above the required 0°F, with readings of 12-15°F. |
| Approximately 1/4-inch accumulation of lint was found in the lint trap of dryers #2 and #5. |
| Medication storage procedures were not properly implemented, including incorrect calibration of equipment and inaccurate medication administration record entries. |
Report Facts
License Capacity: 84
Residents Served: 25
Staffing Hours: 36
Waking Staff: 27
Residents with Mobility Need: 11
Secured Dementia Care Unit Capacity: 26
Residents Served in Secured Dementia Care Unit: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| administrator | Named in plan of correction for freezer temperature and medication storage procedures | |
| dietary | Named in plan of correction for freezer temperature | |
| maintenance | Named in plan of correction for lint removal and duct cleaning |
Inspection Report
Follow-Up
Census: 23
Capacity: 84
Deficiencies: 6
Sep 13, 2023
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have multiple deficiencies including abuse, criminal background check delays, unqualified direct care staff, improper supervision of staff under 18 years, inadequate staffing levels, and failure to complete required direct care training. The submitted plan of correction was determined to be fully implemented.
Deficiencies (6)
| Description |
|---|
| A resident was left alone with a 15-year-old ancillary staff person without direct care certification, resulting in an incident of abuse involving inappropriate behavior by the resident. |
| Staff person A did not have a criminal background check completed in a timely manner. |
| Direct care staff person A lacked a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry. |
| Ancillary staff person B, who is under 18 years old, was left alone in the Secure Dementia Care Unit (SDCU) without proper supervision. |
| Staffing levels were inadequate with only one direct care certified staff for 23 residents, including 7 in the SDCU and 9 receiving hospice care. |
| Direct care staff persons A and C provided unsupervised care without completing and passing the Department-approved direct care training and competency test. |
Report Facts
License Capacity: 84
Residents Served: 23
Residents in SDCU: 7
Hospice Residents: 9
Immobile Residents: 9
Total Daily Staff: 32
Waking Staff: 24
Inspection Report
Follow-Up
Census: 23
Capacity: 84
Deficiencies: 4
Aug 29, 2023
Visit Reason
The inspection was a complaint-related partial unannounced visit conducted on 08/29/2023 to review the facility's compliance and verify the implementation of a previously submitted plan of correction.
Findings
The inspection found multiple deficiencies including lack of CPR/First Aid trained staff during night hours, failure to post menu changes in advance, medication administration not following prescriber's orders, and failure to conduct scheduled activities for residents. The submitted plan of correction was accepted and fully implemented by 10/13/2023.
Complaint Details
The inspection was complaint-driven as indicated by the reason for the visit being 'Complaint'.
Deficiencies (4)
| Description |
|---|
| No staff persons present in the home certified in CPR and first aid during night hours on 8/24/23 and 8/26/23 when 23 residents were present. |
| Menu changes were not posted in advance; pancakes served instead of French toast and chicken patty sandwiches served instead of hamburgers without notice on 8/29/23. |
| Resident #1 was administered pantoprazole at incorrect times (7:00 am and 5:00 pm) instead of every 12 hours from August 1 through August 28. |
| Scheduled activities did not occur on 8/29/23 in both the main personal care unit and the Secured Dementia Care Unit; no outdoor activities offered during August 2023; repeat violation noted. |
Report Facts
Residents present during inspection: 23
Licensed capacity: 84
Residents served: 23
Residents in Secured Dementia Care Unit: 6
Staff total daily hours: 31
Waking staff hours: 23
Inspection Report
Complaint Investigation
Census: 25
Capacity: 84
Deficiencies: 2
Apr 18, 2023
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial review on 04/18/2023.
Findings
Two deficiencies were identified: one involving a direct care staff person lacking required qualifications, and another involving the failure to provide scheduled activities in the secured dementia unit. Both deficiencies had plans of correction accepted and were implemented by 05/18/2023.
Complaint Details
The inspection was triggered by a complaint. The plan of correction was fully implemented as of 05/18/2023.
Deficiencies (2)
| Description |
|---|
| Direct Care Staff Person A did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry. |
| Scheduled activities such as Horoscopes, Devotionals, and Hit the Bucket were not observed in the secured dementia unit at the posted times. |
Report Facts
License Capacity: 84
Residents Served: 25
Secured Dementia Unit Capacity: 26
Secured Dementia Unit Residents Served: 8
Current Hospice Residents: 9
Residents with Mobility Need: 10
Residents 60 Years or Older: 25
Residents Diagnosed with Mental Illness: 1
Residents Receiving Supplemental Security Income: 2
Inspection Report
Complaint Investigation
Census: 24
Capacity: 84
Deficiencies: 0
Mar 23, 2023
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 03/23/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and no follow-up was required.
Report Facts
Total Daily Staff: 35
Waking Staff: 26
Residents Served: 24
License Capacity: 84
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 8
Hospice Current Residents: 7
Residents Receiving Supplemental Security Income: 2
Residents Age 60 or Older: 24
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 0
Residents with Mobility Need: 11
Residents with Physical Disability: 0
Inspection Report
Renewal
Census: 21
Capacity: 84
Deficiencies: 14
Dec 7, 2022
Visit Reason
The inspection was conducted as a renewal and complaint investigation of the facility.
Findings
The inspection identified multiple deficiencies including failure to post current license regulations, inoperable hand-drying options in a bathroom, missing exterior lighting, broken concrete creating a tripping hazard, corroded radiator and leaking sink in a secured dementia care unit bedroom, water valves turned off in bathrooms, missing emergency telephone numbers, furniture in disrepair, unlocked medication refrigerator, loose medication tablets, lack of resident education on medication refusal rights, incomplete resident assessments, and missing no objection statements for secured dementia care unit admissions. All deficiencies had plans of correction implemented or directed with specified completion dates.
Complaint Details
The inspection included a complaint investigation as indicated by the inspection reason. Specific substantiation status is not stated.
Deficiencies (14)
| Description |
|---|
| Home's copy of 55 Pa.Code Chapter 2600 was not posted in a conspicuous and public place. |
| Mechanical air blower in Touchstone Bathroom B was inoperable, no hand-drying options available. |
| Outside doorway lighting missing or inoperable at multiple locations. |
| Broken concrete at exterior smoking ramp creating a tripping hazard. |
| Corroded radiator in Secured Dementia Care Unit Bedroom #7. |
| Pedestal sink in Secured Dementia Care Unit Bedroom #7 detached from wall and leaking water. |
| Cold water valve turned off in Resident Room #7 bathroom; hot water valve turned off in Touchstone Bathroom A. |
| No emergency telephone numbers posted on or by telephone in Bedroom #10. |
| Knob for hot water at middle sink in Main B Bathroom not properly attached and fell off. |
| Novolog insulin unlocked and accessible in refrigerator behind nurse's station. |
| Loose half tablet observed in medication cart. |
| Resident #2 not educated on right to refuse medication if medication error suspected. |
| Resident assessments not completed within 15 days of admission for Resident #1 and Resident #3. |
| No objection statement documentation for Resident #2 admitted to Secure Dementia Care Unit. |
Report Facts
License Capacity: 84
Residents Served: 21
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 7
Current Hospice Residents: 5
Total Daily Staff: 29
Waking Staff: 22
Inspection Report
Complaint Investigation
Census: 25
Capacity: 84
Deficiencies: 4
Dec 14, 2021
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced full inspection on 12/14/2021 and 12/15/2021.
Findings
The inspection identified deficiencies including an unsigned resident contract, expired medication in the medication cart, an uncalibrated glucometer, and lack of recent medication administration training for a staff member. Plans of correction were submitted and accepted with implementation dates in 2022.
Complaint Details
The inspection was complaint-driven and the submitted plan of correction was fully implemented as of the follow-up review.
Deficiencies (4)
| Description |
|---|
| The resident-home contract for Resident #2 was not signed by the resident. |
| Resident #1's prescription cream, ordered PRN, expired in 10/2021 but was still in the medication cart with no replacement available. |
| Resident #3's glucometer was not calibrated; it showed an incorrect date and time. |
| Staff Person A who administers medications had no medication administration training, reviews, or observations since 2020. |
Report Facts
License Capacity: 84
Residents Served: 25
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 13
Hospice Current Residents: 10
Residents Receiving Supplemental Security Income: 4
Residents Age 60 or Older: 3
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 13
Inspection Report
Complaint Investigation
Census: 30
Capacity: 84
Deficiencies: 6
Jul 7, 2021
Visit Reason
The inspection was conducted as a complaint and incident investigation with an unannounced partial inspection on 07/07/2021 and 07/08/2021.
Findings
The inspection identified multiple deficiencies including privacy violations, uncovered trash receptacles, fall hazards due to worn carpet on a ramp, unsecured windows without screens, accessible combustible materials, and insufficient staffing in the secured dementia care unit. Plans of correction were accepted and implemented for all deficiencies.
Complaint Details
The inspection was triggered by a complaint and incident report. The findings included privacy violations, safety hazards, and staffing issues. The complaint was substantiated with multiple deficiencies noted.
Deficiencies (6)
| Description |
|---|
| Privacy violation where residents were observed undressed and assisted in an open doorway with other residents watching. |
| Partially full, uncovered trash can in the kitchen. |
| Ramp leading from dining room to rear exit poses a fall hazard due to steepness and worn, slick carpet. |
| Windows in Bedrooms 112, 104, and 6 were open and had no screens. |
| A 10 oz. aerosol can of flammable furniture polish was unlocked and accessible to residents. |
| Nine residents were unattended and unsupervised in the secured dementia care unit while the only staff person was occupied in a distant room. |
Report Facts
License Capacity: 84
Residents Served: 30
Residents in Secured Dementia Care Unit: 17
Residents in Hospice: 5
Staff Total Daily: 47
Staff Waking: 35
Residents Unattended: 9
Distance: 60
Notice
Capacity: 84
Deficiencies: 0
Apr 30, 2021
Visit Reason
The document serves as a renewal notification for the operation license of Harmony House Manor, a Personal Care Home, and informs that an annual inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document; it confirms issuance of a regular license and outlines the requirement for an annual onsite inspection within the next year.
Report Facts
Maximum capacity: 84
Secure Dementia Care Unit capacity: 26
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report
Complaint Investigation
Census: 32
Capacity: 84
Deficiencies: 7
Feb 23, 2021
Visit Reason
The inspection was a complaint investigation conducted as an unannounced partial inspection on 02/23/2021 and 04/14/2021 to review compliance with regulations and verify the submitted plan of correction.
Findings
The facility was found to have multiple violations including staff not properly wearing masks, insufficient waking hours and awake staff coverage, housekeeping and maintenance deficiencies, unsecured medication storage, and lack of toilet paper in the bathroom. Plans of correction were submitted and determined to be fully implemented by August 23, 2021.
Complaint Details
The inspection was triggered by a complaint and conducted as a partial, unannounced investigation on 02/23/2021 and 04/14/2021. The submitted plan of correction was reviewed and found fully implemented by August 23, 2021.
Deficiencies (7)
| Description |
|---|
| Staff members were observed not wearing masks properly in the secured dementia care unit and lounge area. |
| The home failed to provide the required 49 hours of direct care staffing during waking hours, providing only 25 to 29 hours on observed days. |
| Insufficient awake staff persons on duty during night shifts to meet requirements. |
| Housekeeping and maintenance issues including food debris under dining room tables, sticky kitchen counters, a rug on the floor in the secured dementia care unit, and a bathroom shower room with a used band aid on the floor. |
| Floors, walls, ceilings, windows, doors and other surfaces were not clean and in good repair, with food debris and sticky puddles noted. |
| No toilet paper was provided for the toilet stall in the bathroom shower room located on the main floor near the steps to the office. |
| A binder containing current physicians' orders was found unsecured on a counter in the nurses' station on the main floor. |
Report Facts
License Capacity: 84
Residents Served: 32
Residents in Secured Dementia Care Unit: 17
Current Residents in Hospice: 8
Total Daily Staff: 50
Waking Staff: 38
Required waking hours: 49
Provided waking hours: 25
Provided waking hours: 29
Residents with mobility needs: 17
Residents 60 years or older: 30
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