Inspection Reports for Heartland Retirement Personal Care Home
46 ELEMENTARY LANE, BOX 210,, WOOLRICH, PA, 17779
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
21% occupied
Based on a December 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 10
Capacity: 48
Deficiencies: 1
Dec 26, 2024
Visit Reason
The inspection was conducted as a follow-up review of a previously submitted plan of correction related to an incident at the facility.
Findings
The Pennsylvania Department of Human Services determined that the submitted plan of correction was fully implemented and compliance was maintained. The deficiency involved a Resident Initial Assessment and Support Plan (RASP) that was not signed by the assessor, resident, or power of attorney, which has since been corrected.
Deficiencies (1)
| Description |
|---|
| Resident Initial Resident Assessment and Support Plan (RASP) was not signed by the assessor, the resident, or the power of attorney. |
Report Facts
License Capacity: 48
Residents Served: 10
Current Hospice Residents: 1
Total Daily Staff: 11
Waking Staff: 8
Inspection Report
Renewal
Census: 10
Capacity: 48
Deficiencies: 10
Oct 3, 2024
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 10/03/2024 to review compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including missing CO2 monitor by the fireplace, incomplete administrator training hours, uncovered bed enabler posing entrapment hazard, unlabeled leftover food items, combustible storage hazards, lack of overnight fire drills, incomplete medical evaluation documentation, medication administration record errors, narcotic count sheet issues, late resident initial assessment, and incomplete support plan documentation for a mobility device. Plans of correction were accepted with proposed completion dates mostly by 10/30/2024 and implementation dates by mid-November 2024.
Deficiencies (10)
| Description |
|---|
| CO2 monitor was not located in the living room where there was a fireplace present. |
| Staff Member A only completed 19 hours of the required 24 hours of administrator training for the training year 2023. |
| Resident 1’s bed enabler was observed uncovered presenting a possible entrapment hazard. |
| Leftover food items including half a hoagie, pumpkin pie, and Raisin Bran were not labeled with dates. |
| A washcloth was found in the laundry room behind the dryer near the exhaust vent posing a potential fire hazard. |
| No overnight fire drills had been completed in the home within the last 6 months as of 10/03/2024. |
| Resident 2’s medical evaluation documentation was incomplete; medication section indicated 'see attached' but no documentation was attached. |
| Medication Administration Record (MAR) errors due to staff incorrectly transcribing blood glucose test results and missing narcotic count documentation. |
| Resident 2’s initial assessment was completed more than 15 days after admission. |
| Resident 1’s support plan did not reflect the specific need, intended use, risks, or device identification for a bedside mobility device. |
Report Facts
License Capacity: 48
Residents Served: 10
Administrator Training Hours Completed: 19
Administrator Training Hours Required: 24
Bed Enabler Opening Size: 17
Bed Enabler Opening Size: 5
Fire Drill Frequency: 6
Medication Blister Pack Count: 12
Unaccounted Doses: 9
Inspection Report
Renewal
Census: 14
Capacity: 48
Deficiencies: 11
Aug 15, 2023
Visit Reason
The inspection visit was conducted for renewal and complaint reasons as indicated in the inspection information section.
Findings
The inspection identified multiple deficiencies including failure to change and date CO2 monitor batteries annually, missing and unsigned resident contracts, insufficient administrator staffing hours, incomplete annual training, damaged furniture and equipment, inadequate emergency water supply, difficult-to-open exit doors, unposted menu changes, lack of resident education on medication refusal rights, and failure to conduct resident activities as posted.
Deficiencies (11)
| Description |
|---|
| The home did not change and date the batteries in the home's CO2 monitor on an annual basis. |
| The resident home contract for resident #1 could not be found in the home. |
| The resident home contract for resident #2 was not signed by the resident. |
| Staff A is not completing 20 administrator hours per week; only 12 hours were completed during a specified week. |
| The administrator completed only 7.75 hours of required annual training in 2022 instead of 24 hours. |
| PTAC unit in room 11 was damaged and left with a large gap needing repair. |
| The home did not maintain a 3-day supply of emergency drinking water; only 13 gallons were available instead of 42 gallons required. |
| The emergency exit door next to room 206 would not open without excessive force. |
| A change to the menu was not posted in a conspicuous place for residents on 8/15/23 for breakfast and lunch. |
| No documentation that resident #1 was educated on the right to question or refuse medication. |
| Activities posted on the calendar were not being conducted as determined through resident interviews. |
Report Facts
License Capacity: 48
Residents Served: 14
Administrator Staffing Hours: 12
Required Administrator Hours: 20
Annual Training Hours Completed: 7.75
Required Annual Training Hours: 24
Emergency Water Supply Required (gallons): 42
Emergency Water Supply Available (gallons): 13
Inspection Report
Renewal
Census: 10
Capacity: 48
Deficiencies: 7
Jul 19, 2022
Visit Reason
The inspection was conducted as a full, unannounced visit for renewal and complaint reasons on 07/19/2022.
Findings
The report found multiple deficiencies including missing resident signatures on contracts, obstructed egress doors, lack of annual fire safety inspections and drills, absence of a written maximum safe evacuation time, incomplete medical evaluations, incomplete medication records, and incomplete preadmission screening forms. All deficiencies had plans of correction submitted and were implemented by 03/09/2023.
Deficiencies (7)
| Description |
|---|
| Resident #1's home contract was not signed by the resident. |
| Exit door F located in the hallway next to the dining and medication room did not open freely. |
| The home did not have an observed fire drill and fire safety inspection by a fire safety expert completed by December 31, 2021. |
| The home does not have a maximum safe evacuation time specified in writing within the past year by a fire safety expert and exceeded evacuation time of 2 minutes 30 seconds during multiple drills. |
| Resident #1's medical evaluation did not contain height, weight, temperature, and body positioning. |
| Medication Administration Record for resident #2 did not indicate a diagnosis or purpose for medications. |
| Resident #2's preadmission screening form did not indicate primary language, ability to self medicate, and medical, psychological, and behavioral diagnosis. |
Report Facts
License Capacity: 48
Residents Served: 10
Evacuation Time: 7
Evacuation Time Exceeded: 2.5
Notice
Capacity: 48
Deficiencies: 0
Jun 30, 2021
Visit Reason
This document serves as a license renewal notification and certificate of compliance for Heartland Retirement Personal Care Home, confirming the facility's authorized capacity and informing about the requirement for an annual onsite inspection within the next twelve months.
Findings
The Department has issued a regular license in response to the renewal application and advises that an annual inspection will be conducted within the next twelve months. Enforcement action will be taken if noncompliance is found during the inspection.
Report Facts
Maximum licensed capacity: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the license renewal notification letter. |
Inspection Report
Renewal
Census: 9
Capacity: 48
Deficiencies: 3
Jun 23, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the Heartland Retirement Personal Care Home to assess compliance with licensing requirements.
Findings
The inspection identified deficiencies related to failure to provide an itemized refund to a resident's family, difficulty opening an emergency exit door, and incomplete resident records regarding a resident's death. Plans of correction were accepted and implemented.
Deficiencies (3)
| Description |
|---|
| Failure to send the resident's family an itemized account of resident #1's refund within 30 days of discharge. |
| The emergency exit door closest to resident room #16 was difficult to open on the first attempt. |
| Resident #1's record did not contain the reason for death, death certificate, or hospital records for the hospital stay. |
Report Facts
License Capacity: 48
Residents Served: 9
Total Daily Staff: 10
Waking Staff: 8
Inspection Report
Routine
Deficiencies: 0
Apr 6, 2021
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.
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