Inspection Reports for Juniper Village at Monroeville
2589 MOSSIDE BOULEVARD,, MONROEVILLE, PA, 15146
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
9.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
109% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
50% occupied
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 63
Capacity: 126
Deficiencies: 0
Jun 9, 2025
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Complaint Details
The visit was incident-related as indicated by the reason 'Incident'. No deficiencies or citations were found.
Report Facts
License Capacity: 126
Residents Served: 63
Secured Dementia Care Unit Capacity: 21
Secured Dementia Care Unit Residents Served: 16
Hospice Current Residents: 14
Total Daily Staff: 86
Waking Staff: 65
Residents Age 60 or Older: 63
Residents with Mobility Need: 23
Inspection Report
Complaint Investigation
Census: 59
Capacity: 126
Deficiencies: 0
May 7, 2025
Visit Reason
The inspection was conducted as a complaint investigation and included a fine, as indicated by the reason 'Complaint, Fine' and the unannounced partial inspection type.
Findings
No regulatory citations or deficiencies were identified during the inspection conducted on 05/07/2025.
Complaint Details
The inspection was complaint-related and included a fine; however, no deficiencies or citations were found, indicating no substantiated violations.
Report Facts
License Capacity: 126
Residents Served: 59
Secured Dementia Care Unit Capacity: 21
Secured Dementia Care Unit Residents Served: 14
Hospice Current Residents: 13
Resident Support Staff Daily Total: 86
Waking Staff: 65
Residents Age 60 or Older: 59
Residents with Mobility Need: 27
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 71
Capacity: 126
Deficiencies: 0
Aug 15, 2024
Visit Reason
The inspection was conducted as a complaint investigation at Juniper Village at Monroeville on 08/15/2024.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Complaint Details
The inspection was triggered by a complaint, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 126
Residents Served: 71
Secured Dementia Care Unit Capacity: 21
Secured Dementia Care Unit Residents Served: 16
Hospice Current Residents: 17
Resident Support Staff Total Daily Staff: 100
Resident Support Staff Waking Staff: 75
Residents Age 60 or Older: 71
Residents with Mobility Need: 29
Inspection Report
Complaint Investigation
Census: 69
Capacity: 126
Deficiencies: 6
May 16, 2024
Visit Reason
The inspection was a complaint investigation conducted as a partial, unannounced review of Juniper Village at Monroeville.
Findings
The inspection found multiple deficiencies related to medication storage, administration, documentation, and following prescriber's orders, including missing medications and inaccurate medication administration records. Additionally, there were issues with discharge notices not meeting regulatory requirements.
Complaint Details
The inspection was triggered by a complaint, as indicated by the inspection reason and the focus on medication administration and discharge procedures.
Deficiencies (6)
| Description |
|---|
| Medication prescribed for Resident #3 was not available in the home for administration. |
| Staff person A administered medications to residents (#2, #4, #5, #6, #7) inconsistently documented on medication administration records and narcotic count sheets. |
| Medication administration times were not properly recorded on residents' medication administration records. |
| Resident #2 was administered medication multiple times in one day contrary to prescriber's orders. |
| A 30-day discharge notice was emailed to Resident #1's designated person but was not issued in writing to the resident as required. |
| The grounds for discharge stated in the 30-day notice for Resident #1 did not meet regulatory conditions. |
Report Facts
License Capacity: 126
Residents Served: 69
Total Daily Staff: 99
Waking Staff: 74
Secured Dementia Care Unit Capacity: 21
Secured Dementia Care Unit Residents Served: 17
Hospice Current Residents: 20
Residents Age 60 or Older: 69
Residents with Mobility Need: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in multiple medication administration and documentation deficiencies; removed indefinitely from passing medications. |
Inspection Report
Renewal
Census: 59
Capacity: 126
Deficiencies: 13
Apr 17, 2024
Visit Reason
The inspection was conducted as a renewal and complaint investigation of Juniper Village at Monroeville on 04/17/2024 and 04/18/2024.
Findings
The facility was found to have multiple deficiencies including breaches in record confidentiality, lack of a formal quality management plan, privacy violations related to voice-controlled devices, incomplete staff training, equipment hazards, hot water temperature violations, missing emergency telephone numbers, incomplete first aid kits, lint accumulation in dryers, unsecured medications, and incomplete resident support plan documentation. Plans of correction were accepted and many deficiencies were implemented by 06/12/2024.
Complaint Details
The inspection included a complaint investigation as indicated by the reason 'Renewal, Complaint'. Specific complaint substantiation status is not stated.
Deficiencies (13)
| Description |
|---|
| Packing slip for resident #1's medication was unlocked and accessible; confidential resident information was visible on a dry erase board. |
| The home did not have a formal quality management plan. |
| Residents #9 and #10 had voice-controlled devices in use without posted notification of recording. |
| Direct care staff persons A and B did not receive required training on medication self-administration and resident needs in 2023. |
| Staff person C, Environmental Services Director, was not a fire safety expert but provided annual fire safety training; direct care staff persons A and B did not receive fire safety training by a qualified expert in 2023. |
| The 'Halo' style enabler bar on resident #9's bed was not well-secured, posing an entrapment and fall hazard. |
| Hot water temperature at sinks in rooms #301 and #303 exceeded 120°F. |
| No emergency telephone numbers posted by the telephone in the main dining room kitchen. |
| First aid kits in the ice cream parlor and third floor bathtique were missing required items such as scissors, tweezers, thermometer, adhesive tape, and breathing shield. |
| Mini refrigerator/freezer in the activities room did not have a thermometer. |
| Lint accumulation of approximately 1/4 inch found in lint traps of dryers in secured dementia care unit and third floor laundry room. |
| Unlocked and accessible medications including a bottle of Tums and resident #1's Humalog Kwik pen and glucometer. |
| Resident #11 did not sign the support plan and no notation of inability or refusal to sign was documented. |
Report Facts
License Capacity: 126
Residents Served: 59
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 16
Hospice Residents: 12
Residents with Mobility Need: 28
Hot Water Temperature: 126.1
Hot Water Temperature: 124.1
Lint Accumulation: 0.25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Direct Care Staff | Named in training deficiencies for medication self-administration and resident needs. |
| Staff person B | Direct Care Staff | Named in training deficiencies for medication self-administration and resident needs. |
| Staff person C | Environmental Services Director | Named in deficiency for providing fire safety training without proper qualifications. |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 126
Deficiencies: 9
Feb 15, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to a complaint and incident involving allegations of resident abuse and other regulatory concerns.
Findings
The inspection found multiple deficiencies including failure to immediately report suspected resident abuse, inadequate assistance with activities of daily living, staff found sleeping during shifts, unlabeled poisonous materials, unsanitary conditions in the kitchen, broken trash receptacles, improperly stored food, incomplete resident assessments, and failure to update support plans addressing supervision and behavioral needs.
Complaint Details
The complaint involved allegations of sexual abuse by direct care staff person A towards resident #1, which were not reported timely to the appropriate agencies. The investigation included interviews and witness statements confirming the incident and delays in reporting.
Deficiencies (9)
| Description |
|---|
| Failure to immediately report suspected sexual abuse of resident #1 to the local Area Agency on Aging and Department. |
| Failure to provide assistance with activities of daily living as indicated in residents' assessments and support plans, including residents found with soaked briefs and mattresses. |
| Direct care staff person found sleeping during overnight shift, failing to provide required personal care to residents. |
| Poisonous materials stored in unlabeled containers in memory care unit. |
| Unsanitary conditions in memory care kitchen including coffee grounds and debris behind garbage can, debris on floor, and coffee streaks on wall. |
| Trash receptacle lid broken in memory care kitchen, preventing proper closure. |
| Food not properly labeled or dated, including uncovered plate of eggs, bacon, and muffin. |
| Resident initial assessment missing required information. |
| Support plan not revised to address resident #1's supervision needs and sexually inappropriate behaviors. |
Report Facts
License Capacity: 126
Residents Served: 69
Residents with Mobility Need: 31
Residents in Secured Dementia Care Unit Capacity: 21
Residents Served in Secured Dementia Care Unit: 16
Current Hospice Residents: 17
Total Daily Staff: 100
Waking Staff: 75
Inspection Report
Complaint Investigation
Census: 65
Capacity: 126
Deficiencies: 0
Nov 30, 2023
Visit Reason
The inspection was a partial, unannounced visit conducted due to a complaint and incident reported at the facility.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Complaint Details
The inspection was triggered by a complaint and incident; no deficiencies or citations were found as a result.
Report Facts
Total Daily Staff: 91
Waking Staff: 68
Residents Served: 65
License Capacity: 126
Secured Dementia Care Unit Capacity: 21
Secured Dementia Care Unit Residents Served: 17
Hospice Current Residents: 14
Residents Are 60 Years of Age or Older: 65
Residents Have Mobility Need: 26
Inspection Report
Complaint Investigation
Census: 59
Capacity: 126
Deficiencies: 1
Jul 13, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation with unannounced partial inspections on 07/13/2023 and 07/19/2023.
Findings
A deficiency was found related to unsecured poisonous materials in the secured dementia care unit's activity closet, which was immediately corrected and staff educated. The plan of correction was fully implemented and compliance maintained.
Complaint Details
The visit was complaint-related, triggered by a complaint and incident. The submitted plan of correction was reviewed and determined fully implemented.
Deficiencies (1)
| Description |
|---|
| On the morning of 7/19/23, 2 cans of Krylon spray paint were unlocked, unattended and accessible to residents in the secured dementia care unit's activity closet. |
Report Facts
License Capacity: 126
Residents Served: 59
Secured Dementia Care Unit Capacity: 21
Secured Dementia Care Unit Residents Served: 11
Current Hospice Residents: 11
Resident Support Staff: 86
Waking Staff: 65
Mobility Need Residents: 27
Inspection Report
Complaint Investigation
Census: 66
Capacity: 126
Deficiencies: 0
Apr 27, 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 complaint-related, but no deficiencies were found and no follow-up was required.
Report Facts
License Capacity: 126
Residents Served: 66
Secured Dementia Care Unit Capacity: 19
Secured Dementia Care Unit Residents Served: 12
Hospice Current Residents: 14
Residents Age 60 or Older: 66
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 31
Total Daily Staff: 97
Waking Staff: 73
Inspection Report
Census: 61
Capacity: 126
Deficiencies: 0
Sep 21, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, on 09/21/2022.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 61
License Capacity: 126
Memory Care Capacity: 19
Memory Care Residents Served: 14
Residents 60 Years or Older: 61
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 21
Residents with Physical Disability: 3
Inspection Report
Renewal
Census: 53
Capacity: 126
Deficiencies: 3
Aug 2, 2022
Visit Reason
The inspection was conducted as a renewal licensing inspection of Juniper Village at Monroeville on 08/02/2022 and 08/03/2022.
Findings
The inspection identified several deficiencies including uncovered trash receptacles, unlabeled prescription medication containers, and missing conspicuous posting of emergency exit locking mechanism instructions. All deficiencies were corrected promptly with plans of correction accepted and implemented.
Deficiencies (3)
| Description |
|---|
| Uncovered trash can in the common bathroom in the hallway of the Secured Dementia Care Unit (SDCU). |
| No pharmacy labels on resident #1's prescription medications stored in the medication cart drawer. |
| Directions for operating the home's locking mechanism were not conspicuously posted near the emergency exit door in Annabelle Way in the Secure Dementia Care Unit (SDCU). |
Report Facts
License Capacity: 126
Residents Served: 53
Secured Dementia Care Unit Capacity: 21
Secured Dementia Care Unit Residents Served: 13
Hospice Residents: 7
Resident Support Staff: 0
Total Daily Staff: 80
Waking Staff: 60
Completion Date for Deficiencies: Sep 2, 2022
Inspection Report
Routine
Deficiencies: 0
May 5, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 05/05/2022.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Renewal
Deficiencies: 0
Feb 18, 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
Complaint Investigation
Census: 56
Capacity: 126
Deficiencies: 0
Feb 11, 2022
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection on 02/11/2022.
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, and follow-up was not required.
Report Facts
License Capacity: 126
Residents Served: 56
Memory Care Capacity: 21
Memory Care Residents Served: 14
Hospice Residents: 4
Residents Age 60 or Older: 56
Residents Diagnosed with Mental Illness: 4
Residents with Mobility Need: 21
Residents with Physical Disability: 1
Inspection Report
Follow-Up
Census: 50
Capacity: 126
Deficiencies: 17
Aug 25, 2021
Visit Reason
The inspection was conducted as a renewal and complaint investigation to review compliance and the submitted plan of correction.
Findings
The facility was found to have multiple deficiencies including failure to post required documents, incomplete resident assessments, missing signed contracts, medication administration errors, and missing documentation of resident rights. Some deficiencies were corrected immediately during the survey, while others required follow-up.
Complaint Details
The visit included a complaint investigation as indicated by the reason for visit: Renewal, Complaint.
Deficiencies (17)
| Description |
|---|
| The personal care home did not post the current license inspection summary in a conspicuous and public place. |
| The Department of Health's influenza awareness poster was not posted in a public place in the home. |
| Resident #1 was observed wearing the same clothing down to the same grey socks, despite the assessment indicating oversight was required. |
| There is no resident home contract for resident #2. |
| The resident record for resident #2 does not include a signed statement acknowledging receipt of resident rights and complaint procedures. |
| The first aid kit was not located in the home and had been moved without proper notification. |
| Resident and staff interviews confirmed that resident clothing was lost, misplaced, and returned to incorrect residents during laundering. |
| Resident #3's medical evaluation did not include required information such as special or dietary needs, immunizations, or body positioning and movement needs. |
| Menus were not posted for the home's residents and secured dementia care unit for the required dates. |
| The glucometer readings for resident #4 showed high blood glucose levels that were not reflected in the medication administration record. |
| Resident #4's medication administration record did not include diagnosis or purpose for prescribed medications. |
| Resident #4's most recent assessment was not documented. |
| Resident #5's support plan was not signed or dated by the assessor or resident. |
| Resident #4 was ordered insulin but had a high blood glucose reading and the physician was not called. |
| Resident #2 was not educated on the right to question or refuse medication, and no documentation of this education was found. |
| Resident #2's record did not include documentation that the resident or designated person had not objected to admission or transfer to the secured dementia care unit. |
| Resident #3's file did not include a photograph of the resident that is no more than 2 years old. |
Report Facts
Total Daily Staff: 71
Waking Staff: 53
License Capacity: 126
Residents Served: 50
Secured Dementia Care Unit Capacity: 21
Secured Dementia Care Unit Residents Served: 14
Hospice Current Residents: 4
Residents Age 60 or Older: 50
Residents with Mobility Need: 21
Blood Glucose Reading: 486
Blood Glucose Reading: 316
Blood Glucose Reading: 328
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| direct care staff person A | Provided first aid kit and indicated it had been moved |
Inspection Report
Original Licensing
Capacity: 126
Deficiencies: 0
May 6, 2021
Visit Reason
The inspection was conducted as a licensing inspection for a new legal entity operating the personal care home facility.
Findings
The facility was found to be in substantial compliance with applicable regulations, but the licensing inspector was unable to complete a full inspection due to the new legal entity status. A re-inspection will be conducted within 3 months of the license effective date.
Report Facts
Maximum capacity: 126
Secure Dementia Care Unit capacity: 21
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed letter regarding inspection findings and licensing |
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