Inspection Report
Census: 76
Capacity: 160
Deficiencies: 0
Oct 15, 2025
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, with the reason stated as Settlement.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 160
Residents Served: 76
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 3
Resident Support Staff: 0
Total Daily Staff: 103
Waking Staff: 77
Residents Age 60 or Older: 76
Residents with Mobility Need: 27
Inspection Report
Complaint Investigation
Census: 81
Capacity: 160
Deficiencies: 1
Jun 5, 2025
Visit Reason
The inspection was conducted on June 5, 2025, as a complaint and monitoring visit to investigate a violation related to resident privacy under 55 Pa. Code Ch. 2600.
Findings
A violation was found where a staff member posted a video on TikTok showing residents holding signs without clear consent, violating resident privacy rights. A plan of correction was directed to train staff on cell phone use policies and enforce compliance.
Complaint Details
The visit was complaint-related and monitoring in nature. The violation involved unauthorized video recording and posting of residents on social media without clear consent. The complaint was substantiated by staff interviews and evidence of the video.
Deficiencies (1)
| Description |
|---|
| Staff Person A posted a video on TikTok including images of residents holding signs without full consent, violating resident privacy. |
Report Facts
License Capacity: 160
Residents Served: 81
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 23
Hospice Residents: 5
Total Daily Staff: 110
Waking Staff: 83
Residents with Mobility Need: 29
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 88
Capacity: 160
Deficiencies: 0
Feb 18, 2025
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection of Highland Park Senior Living.
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: 160
Residents Served: 88
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 6
Residents Age 60 or Older: 88
Residents with Mobility Need: 23
Residents with Physical Disability: 1
Resident Support Staff: 0
Total Daily Staff: 111
Waking Staff: 83
Inspection Report
Complaint Investigation
Census: 92
Capacity: 160
Deficiencies: 4
Feb 11, 2025
Visit Reason
The inspection was a complaint investigation conducted on February 11, 2025, as a partial unannounced visit to address allegations and concerns regarding resident care and facility compliance.
Findings
The inspection found multiple violations including failure to report a resident incident timely, incomplete resident support plans regarding medical devices, and abuse allegations involving a resident who sustained a fall resulting in injury and subsequent death. The facility was cited for neglect, failure to ensure safety, and inadequate preadmission screening and supervision.
Complaint Details
The complaint investigation was substantiated with findings of neglect related to a resident who fell and sustained a closed head injury, confusion, and inadequate supervision. The resident was admitted from a rehabilitation center and discharged after the incident. The facility denied allegations of abuse but failed to meet regulatory requirements for incident reporting, support planning, and preadmission screening.
Deficiencies (4)
| Description |
|---|
| Failure to submit an incident report to the Department within 24 hours after a resident sustained a closed head injury requiring hospital treatment. |
| Resident support plan did not document the use, need, risks, and safety measures related to a bed rail device. |
| Resident was neglected resulting in a fall with injury, confusion, and inadequate supervision; abuse allegations were denied by the facility but substantiated by investigation. |
| Failure to complete adequate preadmission screening and ensure safety needs of resident prior to admission. |
Report Facts
License Capacity: 160
Residents Served: 92
Secured Dementia Care Unit Capacity: 24
Residents Served in Secured Dementia Care Unit: 23
Hospice Residents: 4
Residents with Mobility Need: 29
Residents with Physical Disability: 1
Staffing Total Daily Staff: 121
Staffing Waking Staff: 91
Inspection Report
Complaint Investigation
Census: 92
Capacity: 160
Deficiencies: 4
Feb 11, 2025
Visit Reason
The inspection was a complaint investigation conducted as a partial, unannounced visit on February 11, 2025, to address allegations and concerns regarding resident care and facility compliance.
Findings
The inspection found multiple violations including failure to report a resident incident resulting in a closed head injury, incomplete documentation in a resident's support plan regarding bed rail use, and issues related to resident safety and care. The facility's license was revoked due to gross incompetence, negligence, misconduct, and failure to submit an acceptable plan of correction.
Complaint Details
The complaint investigation was substantiated with findings of neglect and mistreatment of Resident #1, including failure to provide adequate supervision, failure to complete safety checks, and failure to properly assess and document resident needs. The resident sustained a fall resulting in a closed head injury and subsequent death.
Deficiencies (4)
| Description |
|---|
| Failure to submit an incident report to the Department within 24 hours after a resident sustained a closed head injury requiring hospital treatment. |
| Resident support plan did not document the use, need, risks, and safety measures related to a bed rail device as required by regulation. |
| Resident was neglected and mistreated, including failure to assess and ensure safety needs after a fall, inadequate supervision, and failure to complete required safety checks every 2 hours. |
| Failure to complete a preadmission screening form within 30 days prior to admission and document the resident's needs as required. |
Report Facts
License Capacity: 160
Residents Served: 92
Secured Dementia Care Unit Capacity: 24
Residents Served in Secured Dementia Care Unit: 23
Hospice Residents: 4
Residents with Mobility Need: 29
Residents with Physical Disability: 1
Staffing Hours - Total Daily Staff: 121
Staffing Hours - Waking Staff: 91
Inspection Report
Follow-Up
Census: 149
Capacity: 160
Deficiencies: 1
Sep 5, 2024
Visit Reason
The inspection visit on 09/05/2024 was conducted as a partial, unannounced follow-up related to a complaint and incident at the facility.
Findings
The submitted plan of correction was reviewed and determined to be fully implemented. The main deficiency involved incomplete resident fall risk assessments and support plans, which have since been updated and are now monitored regularly by the Director of Wellness and the Executive Director.
Complaint Details
The inspection was complaint-related and incident-driven, with the plan of correction fully implemented as of the review date.
Deficiencies (1)
| Description |
|---|
| Resident Assessment and Support Plan (RASP) did not indicate if the resident was a fall risk and lacked interventions to meet safety needs after witnessed and unwitnessed falls. |
Report Facts
License Capacity: 160
Residents Served: 149
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 4
Residents with Mobility Need: 31
Residents Age 60 or Older: 149
Residents with Physical Disability: 1
Total Daily Staff: 180
Waking Staff: 135
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jim F | Director of Wellness (DOW) | Named in training and responsible for reviewing and updating resident RASPs related to fall risk |
| Executive Director | Executive Director | Responsible for monitoring compliance of resident RASPs monthly and providing training |
Inspection Report
Census: 96
Capacity: 160
Deficiencies: 0
Aug 21, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 96
License Capacity: 160
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 22
Hospice Current Residents: 3
Residents Age 60 or Older: 96
Residents with Mobility Need: 29
Resident Support Staff: 0
Total Daily Staff: 125
Waking Staff: 94
Inspection Report
Census: 101
Capacity: 160
Deficiencies: 0
Jul 24, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 160
Residents Served: 101
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 23
Hospice Current Residents: 4
Inspection Report
Complaint Investigation
Census: 99
Capacity: 160
Deficiencies: 1
Jun 18, 2024
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received regarding privacy concerns in the secure dementia unit.
Findings
The investigation found that a resident suffered a fall near the breakfast bar area of the secure dementia unit, which was recorded by a video surveillance camera, violating the resident's right to privacy. The facility disabled the recording capabilities of the surveillance system as a corrective action.
Complaint Details
The complaint was substantiated as the investigation confirmed video recording in a secure dementia unit area, violating privacy rights.
Deficiencies (1)
| Description |
|---|
| A resident's privacy was violated due to video surveillance recording in the secure dementia unit. |
Report Facts
License Capacity: 160
Residents Served: 99
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 24
Current Hospice Residents: 5
Total Daily Staff: 123
Waking Staff: 92
Residents with Mobility Need: 24
Residents 60 Years or Older: 99
Inspection Report
Complaint Investigation
Census: 99
Capacity: 160
Deficiencies: 0
May 8, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 05/08/2024.
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
License Capacity: 160
Residents Served: 99
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 24
Hospice Residents: 5
Residents Age 60 or Older: 99
Residents with Mobility Need: 31
Total Daily Staff: 130
Waking Staff: 98
Inspection Report
Follow-Up
Census: 68
Capacity: 160
Deficiencies: 4
Jan 23, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident and interim review to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to treatment of residents, fire extinguisher inspection, following prescriber's orders, and prohibitions on certain procedures. Trainings were conducted to address dignity and respect for residents, proper restraint use, and medication administration.
Deficiencies (4)
| Description |
|---|
| Staff verbally abused a resident during a combative showering incident. |
| Fire extinguisher in Bridges East section lacked an inspection tag. |
| Failure to follow prescriber's orders for insulin administration and blood glucose readings. |
| Use of prohibited restraints by staff restraining resident's arms during an incident. |
Report Facts
License Capacity: 160
Residents Served: 68
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 23
Hospice Residents: 4
Total Daily Staff: 91
Waking Staff: 68
Residents with Mobility Need: 23
Residents 60 Years or Older: 68
Inspection Report
Renewal
Census: 101
Capacity: 160
Deficiencies: 19
Nov 28, 2023
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements and verify the implementation of the submitted plan of correction.
Findings
The inspection found multiple deficiencies including failure to post the License Inspection Summary conspicuously, failure to report suspected resident abuse, inadequate incident reporting, treatment of residents without dignity and respect, lack of documentation for fire safety training, inability of staff to locate first aid kits, improper food labeling and storage, obstructed egress, combustible storage issues, missing fire extinguisher inspection tags, delayed fire drills during sleeping hours, incomplete medical evaluations, unsigned support plans, and delayed admission support plans. Plans of correction were accepted or directed with completion dates mostly by January 2024.
Deficiencies (19)
| Description |
|---|
| The home did not have the License Inspection Summary (LIS) report dated 8/31/22 posted in a conspicuous manner in the home. |
| The home did not report suspected resident abuse involving staff person A bumping a wheelchair into resident #1's arm and subsequent verbal admonishment. |
| The home did not report the incident to the department’s regional office within 24 hours as required. |
| Resident #1 was not treated with dignity and respect due to staff person A's behavior. |
| Lack of documentation that staff persons B, C, and D attended fire safety training conducted by a fire safety expert for the 2022 training year. |
| Staff in the memory care unit and medication room were unable to immediately locate the first aid kit. |
| A glass of milk and a container of butter in the memory care kitchenette were not labeled with dates. |
| The ice cream freezer temperature was at 40°F, and a tub of butter was stored on the counter in the memory care kitchenette. |
| The exit door to the rear of the main dining room was partially blocked by a Christmas tree. |
| A planter with dirt and dried leaves containing extinguished cigarette butts was located next to the door leading to the memory care courtyard. |
| A fire extinguisher did not have an inspection tag attached during the initial walk through. |
| The home failed to conduct a required sleeping hour fire drill within six months as required. |
| Medical Evaluation (DME) forms for resident #2 were missing the resident’s weight. |
| The designated smoking area had numerous extinguished cigarette butts and an ashtray receptacle was placed across the patio. |
| The home had only the current week’s menus posted, not one week in advance as required. |
| Resident #3's medication order parameters were incomplete and insulin administration errors occurred for resident #4 and #5. |
| The support plan for resident #6 was not signed by the person completing it. |
| Resident #6's medical evaluation was not completed within the required timeframe prior to admission to the memory care unit. |
| Resident #6's admission support plan was not completed within 72 hours of admission to the secured dementia care unit. |
Report Facts
License Capacity: 160
Residents Served: 101
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 23
Current Hospice Residents: 4
Residents Age 60 or Older: 101
Residents with Mobility Need: 32
Total Daily Staff: 133
Waking Staff: 100
Inspection Report
Census: 105
Capacity: 160
Deficiencies: 0
Mar 3, 2023
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, triggered by an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 105
License Capacity: 160
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 24
Current Hospice Residents: 5
Residents Age 60 or Older: 105
Residents with Mobility Need: 53
Inspection Report
Renewal
Census: 106
Capacity: 160
Deficiencies: 7
Aug 31, 2022
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements for Highland Park Senior Living.
Findings
The inspection identified multiple deficiencies including failure to timely report incidents, improper maintenance of carbon monoxide detector batteries, physical facility issues such as a hole in a wall, improper fire drill scheduling, medication administration record transcription errors, failure to complete significant change assessments, and incomplete updates to resident support plans. Plans of correction were accepted and implemented with ongoing monitoring.
Deficiencies (7)
| Description |
|---|
| Failure to report incidents to the Department within 24 hours as required. |
| Carbon monoxide detector batteries were not changed and dated annually as required. |
| Hole in the wall in Room 112 measuring approximately 3 inches by 3 inches. |
| Fire drills were routinely conducted between the 24th and 31st of the month, not on varied days and times. |
| Medication Administration Records (MAR) contained transcription errors of blood glucose test results. |
| Significant change assessment and support plan was not completed for a resident after hospitalization and change in care needs. |
| Resident support plan was not updated to reflect measures to ensure safety after multiple falls. |
Report Facts
License Capacity: 160
Residents Served: 106
Residents in Secured Dementia Care Unit: 21
Capacity of Secured Dementia Care Unit: 24
Current Hospice Residents: 8
Residents with Mobility Need: 46
Total Daily Staff: 152
Waking Staff: 114
Number of Falls for Resident #10: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Wellness | Named in relation to incident reporting deficiencies and plans of correction. | |
| Administrator | Responsible for monitoring ongoing compliance and staff training. | |
| Nursing Supervisor | Responsible for conducting weekly MAR audits and monitoring documentation compliance. | |
| Maintenance Supervisor | Responsible for ensuring CO2 monitor battery maintenance and facility upkeep. |
Inspection Report
Renewal
Census: 92
Capacity: 160
Deficiencies: 11
Aug 9, 2021
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on 08/09/2021 and 08/10/2021 to assess compliance with licensing requirements for Highland Park Senior Living.
Findings
Multiple deficiencies were identified related to resident record confidentiality, criminal background checks, annual staff training, locking of poisonous materials, trash management, medical evaluations, medication labeling and administration, preadmission screening, and admission support plans. Plans of correction were accepted and documented as implemented.
Deficiencies (11)
| Description |
|---|
| License inspection summaries posted on a bulletin board included resident privacy coding sheet exposing confidential information. |
| Criminal background check was not requested timely for a staff member. |
| Staff person did not receive required annual training on Older Adult Protective Services Act for 2019. |
| Kitchen area door in memory care unit was unlocked with poisonous materials accessible to residents. |
| Trash can in memory care unit courtyard was overflowing and uncovered, risking pest infestation. |
| Medical evaluation form for a resident was completed more than 30 days after admission. |
| Prescription medications and insulin pens were not properly labeled or pharmacy labels did not match medication administration records. |
| Blood glucose readings were incorrectly documented on insulin flow sheets. |
| Medication administration records were incomplete or did not match physician orders; some medications were not held or administered according to prescribed parameters. |
| Cognitive preadmission screening for a resident was completed more than 72 hours prior to admission to secured dementia care unit. |
| Admission support plan for a resident was completed more than 72 hours after admission to secured dementia care unit. |
Report Facts
License Capacity: 160
Residents Served: 92
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 20
Hospice Residents: 16
Residents with Mobility Need: 30
Total Daily Staff: 122
Waking Staff: 92
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in criminal background check deficiency. | |
| Staff person B | Named in annual training deficiency related to Older Adult Protective Services Act. | |
| Nursing supervisor | Responsible for conducting weekly medication cart audits and ensuring compliance with medication storage and documentation. | |
| Administrator | Responsible for monitoring compliance with confidentiality, criminal background checks, training, and other corrective actions. |
Notice
Capacity: 160
Deficiencies: 0
Sep 1, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Highland Park Senior Living, a Personal Care Home, following receipt of their renewal application dated June 22, 2021. It also advises that an annual onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license and outlines the requirement for a future annual inspection to ensure compliance with applicable regulations.
Report Facts
Maximum licensed capacity: 160
Secure Dementia Care Unit capacity: 24
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
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