Inspection Report
Renewal
Census: 57
Capacity: 100
Deficiencies: 4
Sep 17, 2024
Visit Reason
The inspection was conducted as a renewal review of the facility license on 09/17/2024 and 09/18/2024 by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
The submitted plan of correction was determined to be fully implemented. Several deficiencies were noted including incomplete fire drill records, staff training deficiencies related to transportation staff, medication storage and documentation errors, and key-locking device malfunction. All deficiencies had corrective plans with proposed completion dates in October 2024 and were marked as implemented by 10/15/2024.
Deficiencies (4)
| Description |
|---|
| Fire drill records for drills held 8/27/2024 and 12/20/2023 did not include the exit route used, number of residents in home at time of drill, nor problems encountered. |
| Staff Member A provides transportation for residents without accompanying staff and has not completed the Department-approved direct care competency training course. |
| Resident #3's prescribed glucose checks three times daily before meals were not correctly documented; blood glucose readings on the glucometer did not match the Medication Administration Record (MAR). |
| Key-locking device code posted at the door leading to the outside patio area off the SDCU dining area did not unlock the door when entered into the keypad on 9/17/2024. |
Report Facts
License Capacity: 100
Residents Served: 57
Secured Dementia Care Unit Capacity: 35
Secured Dementia Care Unit Residents Served: 25
Current Hospice Residents: 1
Staffing Hours - Total Daily Staff: 64
Staffing Hours - Waking Staff: 48
Residents Age 60 or Older: 57
Residents with Mobility Need: 7
Inspection Report
Follow-Up
Census: 58
Capacity: 100
Deficiencies: 7
May 10, 2023
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a submitted plan of correction following a review on 05/10/2023, 05/11/2023, and 05/12/2023. The inspection type is listed as Full with reasons including Renewal and Complaint.
Findings
The facility was found to have multiple deficiencies including missing influenza awareness poster, uncovered entrapment hazard on a resident's bed, uncovered trash receptacles in the kitchen, uncovered dumpster flap, missing emergency telephone numbers, uncovered food storage, and presence of a prohibited portable space heater. All deficiencies had plans of correction accepted and were implemented by the dates noted.
Deficiencies (7)
| Description |
|---|
| The home did not have the Influenza Awareness poster displayed in a conspicuous and public place in the home. |
| The enabler bar on Resident 1's bed has an uncovered opening above the surface of the mattress which exceeds 10 inches posing an entrapment hazard. |
| Two full, uncovered and unattended trash cans in the kitchen. |
| One of the home's dumpsters was full and the left flap was open. |
| No emergency telephone numbers to include the nearest hospital and fire department on or by the telephone in the south wing hallway next to room 228. |
| A plastic tub of salad dressing in one of the home's walk-in coolers was opened and unsealed. |
| A portable space heater was observed in one of the dietary offices, which is prohibited. |
Report Facts
License Capacity: 100
Residents Served: 58
Secured Dementia Care Unit Capacity: 35
Secured Dementia Care Unit Residents Served: 24
Residents Diagnosed with Mental Illness: 1
Residents Have Mobility Need: 32
Residents Are 60 Years of Age or Older: 58
Inspection Report
Plan of Correction
Deficiencies: 0
Oct 20, 2022
Visit Reason
The visit was conducted to review the submitted plan of correction for the facility.
Findings
The submitted plan of correction was determined to be fully implemented, and continued compliance must be maintained.
Inspection Report
Renewal
Census: 51
Capacity: 100
Deficiencies: 6
Apr 20, 2022
Visit Reason
The inspection was a renewal inspection conducted as a result of the facility's renewal process, including unannounced full inspections on April 20 and 21, 2022.
Findings
The report documents multiple deficiencies related to infestation, evacuation diagrams, support plan medical/dental, key-locking devices, support plan needs elements, and record content. All plans of correction were submitted and fully implemented with continued compliance required.
Deficiencies (6)
| Description |
|---|
| Infestation: Approximately 75 ants were observed moving downwards from the suspended ceiling to the floor in the kitchen area near the mop closet. |
| Evacuation Diagrams: Emergency evacuation diagrams on the second floor in the Harvest Secured Dementia Care Unit did not indicate the location of fire extinguishers and pull signals. |
| Support Plan Medical/Dental: Resident assessments and support plans for Residents #1 and #2 did not document the need for enabler bars attached to their beds or plans to protect residents from hazards of enabler bars. |
| Key-Locking Devices: Directions for operating the home's locking mechanism/keypad were not posted at doors in the Secured Dementia Care Unit leading to stairwells and courtyard exit gate. |
| Support Plan Needs Elements: Residents #3 and #4 in the home's SDCU had enabler bars attached to their beds but the RASPs did not document the need for these bars or plans to protect residents from potential dangers. |
| Record Content: The record of Resident #5 who passed away did not contain a copy of the death certificate. |
Report Facts
Number of ants observed: 75
License Capacity: 100
Residents Served: 51
Secured Dementia Care Unit Capacity: 35
Secured Dementia Care Unit Residents Served: 22
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the licensing letter approving revised license and capacity changes |
Notice
Capacity: 100
Deficiencies: 0
Sep 7, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Homestead Village, a Personal Care Home, following receipt of their renewal application dated August 5, 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 Department's requirement to conduct an annual inspection within the next year.
Report Facts
Maximum licensed capacity: 100
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