Inspection Report
Renewal
Census: 48
Capacity: 80
Deficiencies: 11
Mar 24, 2025
Visit Reason
The inspection was conducted as a renewal visit with an incident review, including an unannounced full inspection on 03/24/2025 and 03/25/2025.
Findings
The inspection identified multiple deficiencies related to staff annual training hours and topics, emergency telephone number postings, food storage, annual medical evaluations, medication record accuracy, medication labeling, medication storage procedures, adherence to prescriber's orders, and support plan signatures. All deficiencies had plans of correction accepted and were implemented by 06/03/2025.
Deficiencies (11)
| Description |
|---|
| Direct care staff persons did not receive the required 12 hours of annual training in 2024. |
| Direct care staff persons did not receive required training on specific topics including medication self-administration, dementia care, infection control, and safe management techniques. |
| Direct care staff persons did not receive training in fire safety and falls and accident prevention during the 2024 training year. |
| Emergency telephone numbers were not posted on or near the telephone in the concierge area. |
| Seven ice cream containers in the main kitchen freezer were left unsealed or not properly closed. |
| Resident 1’s annual medical evaluation was seven days late. |
| Medication records for residents self-administering medications were incomplete or inaccurate, missing current medication lists or including discontinued medications. |
| OTC medication belonging to Resident 4 was not labeled with the resident's name. |
| Resident 4’s blood glucose readings were inaccurately documented or missing on multiple occasions. |
| Resident 4’s blood glucose measurements were taken outside prescribed times on multiple dates. |
| Residents 5 and 6 participated in support plan development but did not sign the support plans. |
Report Facts
License Capacity: 80
Residents Served: 48
Current Hospice Residents: 4
Residents with Mobility Need: 12
Direct Care Staff Training Hours: 0
Direct Care Staff Training Hours: 9.5
Unsealed Ice Cream Containers: 7
Days Late for Medical Evaluation: 7
Inspection Report
Renewal
Census: 52
Capacity: 80
Deficiencies: 12
Apr 15, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the Harrison Senior Living of Coatesville facility on 04/15/2024 and 04/16/2024.
Findings
The inspection identified multiple deficiencies including breaches in resident record confidentiality, delays in issuing resident refunds, inoperable bathroom ventilation fans, incomplete medical evaluations, medication storage and administration issues, incomplete resident assessments, and missing incident reports in resident records. The facility submitted and implemented plans of correction for all deficiencies.
Deficiencies (12)
| Description |
|---|
| Staff member left computer screen open with resident information visible during medication pass. |
| Refund check for a resident was not issued within the required 30-day timeframe after discharge. |
| Bathrooms in rooms 218 and 220 lacked operable ventilation fans or windows. |
| Resident medical evaluations missing information pertinent to diagnosis and treatment. |
| Resident assessments inconsistent regarding ability to self-administer medications. |
| Medications stored improperly: torn blister packs, expired medications, and punctured blister packs found. |
| Medication count discrepancies and improper handling of medication dose changes. |
| Medication not available on medication cart as prescribed for a resident. |
| Medication administration not properly documented on narcotic log at time of administration. |
| Initial resident assessment not completed within 15 days of admission. |
| Resident support plans missing descriptions of needs or plans to meet needs, including dietary needs. |
| Incident report missing from resident's record after an incident with another resident. |
Report Facts
License Capacity: 80
Residents Served: 52
Hospice Residents: 4
Resident with Mental Illness: 1
Residents with Mobility Need: 10
Resident Assessments: 1
Medication Expiry Date: 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Resident Services | Director of Resident Services | Named in multiple findings related to resident confidentiality, medication storage, and support plan corrections. |
| Assistant Director of Resident Services | Assistant Director of Resident Services | Involved in monitoring compliance and conducting audits related to medication administration and resident assessments. |
| Executive Director | Executive Director | Reminded staff about confidentiality and reviewed quarterly audits. |
| Maintenance Director | Maintenance Director | Responsible for replacing bathroom ventilation fans and conducting audits. |
| Director of Admissions | Director of Admissions | Involved in in-service training on medical evaluation requirements. |
| LPN on Duty | Licensed Practical Nurse | Signed medication out on narcotic log and handled medication corrections. |
| SPN on Duty | Staff Person Nurse | Obtained physician order to discontinue medication for a resident. |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 80
Deficiencies: 0
Aug 15, 2023
Visit Reason
The inspection was conducted as a complaint investigation at Harrison Senior Living of Coatesville on 08/15/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
Residents Served: 56
License Capacity: 80
Current Residents in Hospice: 6
Residents Age 60 or Older: 56
Residents with Intellectual Disability: 1
Residents with Mobility Need: 10
Inspection Report
Complaint Investigation
Census: 54
Capacity: 80
Deficiencies: 0
Jul 7, 2023
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection of the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was triggered by a complaint; however, no deficiencies or citations were found.
Report Facts
License Capacity: 80
Residents Served: 54
Current Residents in Hospice: 4
Residents Age 60 or Older: 54
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 12
Inspection Report
Routine
Deficiencies: 0
Nov 14, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Renewal
Census: 48
Capacity: 80
Deficiencies: 1
Sep 2, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the Harrison Senior Living of Coatesville facility on 09/02/2021 and 09/03/2021.
Findings
The submitted plan of correction related to medication administration discrepancies involving glucometer readings was fully implemented and compliance was maintained. The facility corrected calibration issues and re-inserviced staff on proper procedures.
Deficiencies (1)
| Description |
|---|
| Discrepancies in glucometer readings for resident 1, including incorrect time display and mismatched blood glucose values documented versus device readings. |
Report Facts
License Capacity: 80
Residents Served: 48
Current Residents in Hospice: 4
Residents Age 60 or Older: 47
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 7
Resident Support Staff: 0
Total Daily Staff: 55
Waking Staff: 41
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Resident Services | Director of Resident Services | Responsible for inspecting glucometers, re-inservicing nurses and med techs, and ongoing monitoring of glucometer calibrations |
Inspection Report
Census: 44
Capacity: 80
Deficiencies: 0
May 3, 2021
Visit Reason
The inspection was conducted as a partial, unannounced licensing inspection due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 44
License Capacity: 80
Current Hospice Residents: 7
Resident Support Staff: 58
Waking Staff: 44
Notice
Capacity: 80
Deficiencies: 0
Jan 22, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Harrison Senior Living of Coatesville, confirming the facility's compliance and informing that an annual inspection will be conducted within the next twelve months.
Findings
The Department has issued a regular license in response to the renewal application and advises that an onsite inspection will be conducted within the next year to ensure compliance with applicable regulations.
Report Facts
Maximum licensed capacity: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
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