Inspection Reports for
Homewood Living Martinsburg, Inc.
437 GIVLER DRIVE,, MARTINSBURG, PA, 16662
Back to Facility Profile16 Reports
Inspection Report — Jun 10, 2025
Renewal
Date: Jun 10, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found several deficiencies including the presence of a prohibited portable space heater, incorrect calibration of a glucometer affecting medication administration records, incomplete cognitive preadmission screening documentation for a resident in the secured dementia care unit, and missing documentation of no objection statements for admission to the secured dementia care unit. All deficiencies had submitted plans of correction which were fully implemented by the follow-up date.
Citations (4)
Presence of a portable space heater, which is prohibited, found unplugged in the elevator room.
Glucometer for resident #2 was incorrectly calibrated, causing inaccurate blood sugar measurements recorded on the Medication Administration Record.
Resident #1's written cognitive preadmission screening was completed only by the administrator and not by a geriatric assessment team as required.
Resident #1's record lacked documentation that the resident and designated person had not objected to admission to the secured dementia care unit.
Report Facts
Residents Served: 61
Secured Dementia Care Unit Residents Served: 10
Hospice Current Residents: 3
Resident Age 60 or Older: 71
Residents with Mobility Need: 10
Total Daily Staff: 71
Waking Staff: 53
Inspection Report — Jun 4, 2024
Renewal
Date: Jun 4, 2024
Visit Reason
The inspection was conducted as a full, unannounced visit for renewal, complaint, and incident reasons on 06/04/2024 and 06/05/2024.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies included missing signed statements acknowledging receipt of resident rights and complaint procedures, unlocked poisonous materials accessible to residents on the secured dementia care unit, and missing signatures on resident support plans. Corrective actions were accepted and implemented by early July 2024.
Citations (3)
Resident #1's and Resident #2's records did not contain a signed statement acknowledging receipt of resident rights and complaint procedures.
An unlocked supply closet contained hand sanitizer accessible to residents on the secured dementia care unit, posing a poisoning risk.
Resident #1's support plan was not signed by the assessor; Resident #2's support plan was not signed by the assessor, resident, or responsible party.
Report Facts
Residents Served: 73
Secured Dementia Care Unit Residents Served: 10
Hospice Current Residents: 1
Resident Mobility Need: 12
Total Daily Staff: 85
Waking Staff: 64
Inspection Report — May 3, 2023
Renewal
Date: May 3, 2023
Visit Reason
The inspection was conducted as a renewal review of the facility's license on 05/03/2023 and 05/04/2023 to determine compliance with regulatory requirements.
Findings
The facility was found to have multiple deficiencies including failure to post the current licensing inspection summary, unsigned resident-home contract, unlocked poisonous materials accessible to residents, non-functioning bathroom ventilation, presence of a prohibited portable space heater, unsecured medications in a resident's room, and incomplete medication administration records. Plans of correction were accepted and implemented or scheduled.
Citations (8)
The home's most recent licensing inspection summary was not posted in a conspicuous and public place in the home.
The resident-home contract for Resident 1 was not signed by the resident.
Two 4-ounce tubes of cream labeled as poisonous materials were unlocked, unattended, and accessible to residents in the unlocked and open hallway bathroom in the secure dementia care unit.
Bathrooms in bedrooms do not have windows and the ventilation system is not functioning as evidenced by lack of airflow through ventilation grates.
A portable space heater was observed in the maintenance office next to the front entrance, which is prohibited.
Resident 2 self-administers medications but leaves them unsecured and the door unlocked when leaving the bedroom.
The home does not document the number of units of insulin administered to Residents 3 and 4 who are prescribed sliding scale insulin.
The Medication Administration Record (MAR) for Resident 3 does not indicate whether medications were administered or refused on the morning of the inspection date.
Report Facts
Residents Served: 71
Secured Dementia Care Unit Residents Served: 12
Current Hospice Residents: 1
Total Daily Staff: 84
Waking Staff: 63
Inspection Report — Aug 18, 2021
Renewal
Date: Aug 18, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the Homewood at Martinsburg facility to assess compliance with licensing requirements.
Findings
The inspection identified several deficiencies related to direct care staff qualifications and training, medication management including expired prescriptions, and inconsistent documentation of blood sugar testing results. Plans of correction were accepted and implemented to address these issues.
Citations (4)
Direct Care Staff Person A did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Direct Care Staff Person A did not complete and pass the Department-approved direct care training course and competency test before providing unsupervised ADL services.
Expired prescription medications for Resident #1 were stored in the medication cart.
Blood sugar testing results were inconsistently and inaccurately recorded across multiple documentation forms (MAR, flow sheets, jot sheets).
Report Facts
Residents Served: 74
Residents Served in Dementia Unit: 14
Hospice Residents: 2
Total Daily Staff: 88
Waking Staff: 66
Notice — May 21, 2021
Date: May 21, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Homewood at Martinsburg Personal Care Home, confirming receipt of the renewal application and advising of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it is an administrative notice confirming license renewal and outlining future inspection requirements.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mandi Cottle | Personal Care Home Administrator | Recipient of the renewal notification letter |
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signer of the renewal notification letter |
Inspection Report — Jun 29, 2020
Routine
Date: Jun 29, 2020
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 — Feb 24, 2020
Renewal
Date: Feb 24, 2020
Visit Reason
The document is a renewal license issued in response to the facility's renewal application to operate a Personal Care Home. The Department 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 serves as a license renewal certificate and notification letter confirming the facility's authorized capacity and renewal status.
Report Facts
Inspection Report — May 14, 2019
Renewal
Date: May 14, 2019
Visit Reason
The inspection was a renewal visit conducted on May 14 and 15, 2019, to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Findings
Violations were found related to medication management, including a nasal spray without a prescription order and improper documentation of medication administration. Plans of correction were partially implemented with ongoing education and audits.
Citations (2)
2600.183d - Only current prescription, OTC, sample and CAM for individuals living in the home may be kept in the home. A bottle of Fluticasone Propionate nasal spray was found in Resident #1's medication cart without a prescription order.
2600.187b - The information in subsection (a)(13) and (14) shall be recorded at the time the medication is administered. Direct Care Staff Member A initialed the medication administration record prior to giving Oxycontin, 20 mg, to Resident #2.
Report Facts
Residents Served: 71
Secured Dementia Care Unit Residents Served: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Cottle | Administrator, PCN | Signed plans of correction and involved in findings |
Notice — Feb 14, 2019
Date: Feb 14, 2019
Visit Reason
The document serves as a renewal certificate and notification for the Personal Care Home license for Homewood at Martinsburg, confirming the renewal application received on February 14, 2019.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license and advises that an onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Notice — Nov 21, 2018
Date: Nov 21, 2018
Visit Reason
This document serves to notify Homewood at Martinsburg that a waiver request under 55 Pa.Code Chapter 2600 has been granted with specified conditions.
Findings
The waiver allows Homewood at Martinsburg to use Answers on Demand (AOD)/Matrix instead of the Department’s medical evaluation form. The waiver remains effective as long as conditions are met and will be reviewed annually during the facility's inspection.
Inspection Report — May 22, 2018
Renewal
Date: May 22, 2018
Visit Reason
The inspection was a Bureau of Human Services Licensing annual licensing inspection conducted on May 22 and May 23, 2018, for license renewal of the Homewood at Martinsburg Personal Care Home.
Findings
Violations of 55 Pa.Code Chapter 2600 related to Personal Care Homes were found and specified in the enclosed License Inspection Summary. The facility was required to correct these violations to maintain compliance.
Citations (2)
55 Pa.Code 2600.85(a) sanitary conditions were violated due to the shared use of a CoaguChek testing machine among multiple residents, which is prohibited.
55 Pa.Code 2600.227(d) was violated as dental needs for Residents #7 and #8 were not adequately addressed in their support plans, including treatment for oral ulcers and plaque buildup.
Report Facts
Number of Residents Served: 76
Total Daily Staff: 90
Walking Staff: 68
Number of Residents Served in Secured Dementia Care Unit: 14
Number of Hospice Residents in Past Year: 3
Number of Residents Age 60 or Older: 75
Number of Residents with Mobility Need: 14
Notice — Feb 21, 2018
Date: Feb 21, 2018
Visit Reason
This document serves as a renewal notification and certificate of compliance for Homewood at Martinsburg, confirming the facility's license to operate a Personal Care Home with a maximum capacity of 101 residents.
Findings
No inspection findings are reported in this document. It confirms that the Department will conduct an onsite inspection within the next twelve months as required by regulation.
Report Facts
Inspection Report — May 16, 2017
Renewal
Date: May 16, 2017
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections for Homewood at Martinsburg, focusing on compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Findings
Violations were found related to fire safety training, furniture and equipment hazards, and unsecured egress routes. Plans of correction were submitted and partially or fully implemented to address these issues.
Citations (3)
55 Pa.Code §2600.65(g) - Staff did not complete required annual fire safety training by a fire safety expert or trained staff person.
55 Pa.Code §2600 - Furniture and equipment were not in good repair, presenting a risk of entrapment due to a 10 inch opening on an enabler bar attached to a resident's bed.
55 Pa.Code §2600.121(a) - The exit door keypad code was not posted, allowing the door to be unlocked using a keypass without visible code posted.
Report Facts
Number of Residents Served: 75
Number of Residents Served in Secured Dementia Care Unit: 15
Number of Current Hospice Residents: 1
Number of Hospice Residents in past year: 1
Residents Age 60 or Older: 75
Residents with Mobility Need: 16
Residents with Physical Disability: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mandi Cottle | Assisted Lifestyle Services Director | Named in fire safety training plan of correction and monitoring of enabler bars installation |
Inspection Report — Feb 15, 2017
Renewal
Date: Feb 15, 2017
Visit Reason
The document is a renewal license issued in response to the facility's February 13, 2017 renewal application to operate a Personal Care Home. The Department advises that an onsite inspection will be conducted within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It is a certificate of compliance and a renewal license issuance letter without any deficiencies or compliance issues noted.
Report Facts
Inspection Report — May 18, 2016
Annual Inspection
Date: May 18, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections for the facility.
Findings
The facility was found to be in compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes during the inspections conducted on May 18 and May 19, 2016.
Inspection Report — Mar 22, 2016
Renewal
Date: Mar 22, 2016
Visit Reason
The document is a renewal license issued to Homewood at Martinsburg for operating a Personal Care Home. The Department of Human Services will conduct an onsite inspection 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 following the renewal application.
Report Facts
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