Inspection Reports for Juniper Village at South Hills
1320 Greentree Rd, Pittsburgh, PA 15220, PA, 15220
Back to Facility ProfileDeficiencies per Year
24
18
12
6
0
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High
Moderate
Low
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Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 46
Capacity: 96
Deficiencies: 0
Jun 11, 2025
Visit Reason
The inspection was conducted as a complaint investigation at Juniper Village at South Hills on 06/11/2025.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was triggered by a complaint; however, no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 96
Residents Served: 46
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 14
Hospice Current Residents: 8
Residents with Mental Illness: 1
Residents with Mobility Need: 25
Residents 60 Years or Older: 46
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 41
Capacity: 96
Deficiencies: 0
May 6, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 05/06/2025.
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 citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 96
Residents Served: 41
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 13
Hospice Current Residents: 10
Resident Support Staff: 13
Total Daily Staff: 77
Waking Staff: 58
Inspection Report
Complaint Investigation
Census: 45
Capacity: 96
Deficiencies: 4
May 23, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation related to resident abuse and reporting violations at the facility.
Findings
The facility failed to immediately report suspected resident abuse and incidents within required timeframes, and failed to provide sufficient supervision to protect residents from inappropriate behaviors. Multiple violations related to abuse reporting, resident neglect, and assessment documentation were identified, with plans of correction accepted and implemented.
Complaint Details
The complaint involved allegations of resident abuse where a resident was observed engaging in inappropriate sexual behaviors toward another resident. The facility delayed reporting the abuse and incident to the appropriate authorities. The investigation found multiple prior incidents and insufficient supervision. The complaint was substantiated with corrective actions required.
Deficiencies (4)
| Description |
|---|
| Failure to immediately report suspected resident abuse to the local Area Agency on Aging Protective Services. |
| Failure to report the incident to the Department within 24 hours as required. |
| Failure to protect residents from abuse and neglect, including insufficient supervision of a resident exhibiting inappropriate sexual behaviors. |
| Failure to update resident assessments to address behaviors and supervision needs. |
Report Facts
License Capacity: 96
Residents Served: 45
Secured Dementia Care Unit Capacity: 26
Residents Served in Dementia Unit: 14
Current Hospice Residents: 8
Resident Support Staff: 65
Waking Staff: 49
Follow-Up Date: 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Responsible for reeducating staff and overseeing compliance with abuse reporting and resident supervision. | |
| Director of Wellness | Named in relation to reeducation on abuse reporting and incident review. | |
| Medical Concierge | Involved in incident review and reporting process. |
Inspection Report
Follow-Up
Census: 55
Capacity: 96
Deficiencies: 4
Apr 17, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident, with the purpose of reviewing the submitted plan of correction and verifying compliance.
Findings
The facility was found to have deficiencies related to failure to submit a plan of supervision for a staff person involved in an abuse allegation, incomplete fire safety orientation for a staff member, incomplete training records, and unsigned resident support plans. The submitted plan of correction was determined to be fully implemented as of the follow-up date.
Deficiencies (4)
| Description |
|---|
| Failure to submit a plan of supervision for a staff person involved in an abuse allegation. |
| Staff person did not receive orientation in general fire safety and emergency preparedness including evacuation procedures, staff duties, designated meeting place, smoking safety, fire extinguisher use, smoke detectors, and emergency telephone use. |
| Training record for staff person did not include dates of training for resident rights, emergency medical plan, mandatory abuse reporting, and reporting of incidents. |
| Support plans for residents were not signed by the residents nor documented as unable or choosing not to sign. |
Report Facts
License Capacity: 96
Residents Served: 55
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 20
Hospice Residents: 15
Resident Mobility Need: 28
Total Daily Staff: 83
Waking Staff: 62
Inspection Report
Complaint Investigation
Census: 50
Capacity: 96
Deficiencies: 0
Jan 17, 2024
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 triggered by a complaint; however, no deficiencies or citations were found.
Report Facts
License Capacity: 96
Residents Served: 50
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 19
Hospice Current Residents: 9
Residents Age 60 or Older: 50
Residents with Mobility Need: 26
Inspection Report
Complaint Investigation
Census: 43
Capacity: 96
Deficiencies: 0
Aug 16, 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 or citations were substantiated.
Report Facts
License Capacity: 96
Residents Served: 43
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 16
Hospice Current Residents: 14
Residents Age 60 or Older: 43
Residents with Mobility Need: 22
Inspection Report
Renewal
Census: 57
Capacity: 96
Deficiencies: 21
Mar 8, 2023
Visit Reason
The inspection was conducted as a renewal and complaint investigation of the facility to assess compliance with licensing regulations and to verify the implementation of the submitted plan of correction.
Findings
The inspection identified multiple deficiencies including expired license posting, contract compliance issues, visitation restrictions, incomplete criminal background checks, inadequate staff training, sanitary and safety violations, medication management errors, and deficiencies in resident medical evaluations and support plans. All cited deficiencies had plans of correction accepted and were implemented by June 14, 2023.
Deficiencies (21)
| Description |
|---|
| The home's license posted in the foyer at the front entrance expired 7/12/22. |
| Resident-home contracts did not permit installation of surveillance equipment without prior written request. |
| The home restricted visitation due to COVID-19 outbreak without approval from the Department's Regional Office. |
| The home's administrator was hired without completing a criminal history background check prior to start date. |
| Direct care staff did not receive required annual training in fire safety, emergency preparedness, and Older Adult Protective Services Act. |
| Approximately 30 cigarette butts were found on the ground to the left of the front door. |
| Trash can lid in the main kitchen was broken and could not close on one side. |
| Hot water temperature in resident bedrooms exceeded the maximum allowed 120°F. |
| Unlabeled and undated leftover food items found in the kitchen refrigerator and freezer. |
| No thermometer in small refrigerator and refrigerator temperature in secured dementia care unit was 56°F. |
| Fire drill records showed number of residents evacuated exceeded number of residents in the home. |
| Evacuation time during fire drill exceeded maximum safe evacuation time of 15 minutes. |
| Resident's initial medical evaluation did not include height. |
| Discontinued medication was found in the home's medication cart. |
| Resident's insulin pen was stored without labeling the date it was opened. |
| Pharmacy label on medication did not include instructions to hold medication if pulse less than 60. |
| Resident's glucometer was not calibrated to the correct time and blood sugar readings did not match MAR. |
| Medication administration time was not recorded at the time medication was administered. |
| Resident was administered incorrect medication dosage and medication form did not match prescription. |
| Resident's support plan was not revised to reflect current needs. |
| Resident medical evaluations and support plans were not completed within required timeframes prior to admission to secured dementia care unit. |
Report Facts
License Capacity: 96
Residents Served: 57
Secured Dementia Care Unit Capacity: 26
Secured Dementia Care Unit Residents Served: 12
Staff Total Daily: 83
Staff Waking: 62
Cigarette Butts: 30
Hot Water Temperature: 133.3
Hot Water Temperature: 128.3
Refrigerator Temperature: 56
Fire Drill Residents In Home: 37
Fire Drill Residents Evacuated: 39
Fire Drill Residents In Home: 40
Fire Drill Residents Evacuated: 43
Fire Drill Residents In Home: 43
Fire Drill Residents Evacuated: 44
Evacuation Time: 16.25
Inspection Report
Follow-Up
Census: 38
Capacity: 96
Deficiencies: 12
Sep 28, 2021
Visit Reason
The inspection was a full, unannounced follow-up visit conducted on 09/28/2021 and 09/29/2021 to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have multiple deficiencies including unsecured bed enablers, hot water temperature exceeding 120°F, missing window screens, improper bedside lighting, medication labeling errors, missing medications, incomplete preadmission screenings, delayed assessments, missing medical evaluations, missing cognitive preadmission screenings, missing directions for key-locking devices, and delayed admission support plans. The facility submitted plans of correction for all deficiencies, which were accepted and implemented with ongoing audits and staff education.
Deficiencies (12)
| Description |
|---|
| Both bed enablers on resident #1's bed were not secured and moved approximately 2 inches in each direction. |
| Hot water temperature at sinks in resident areas measured above 120°F (128.8°F and 129.9°F). |
| No screens present in windows in stairwells on 1st and 2nd floors. |
| Resident #2's bedside lamp was approximately 4 feet from the bed and could not be turned on/off from bedside. |
| Medication labeling errors for Resident #3 and Resident #4 where pharmacy labels did not match prescribed dosage and instructions. |
| Resident #5's prescribed medication Atropine Sulfate Solution 1% was not available in the home on inspection date. |
| Resident #3’s preadmission screening form did not include a determination that the resident's needs could be met by the home. |
| Resident #5’s assessment was not completed within 15 days of admission. |
| Resident #5’s medical evaluation did not indicate the need for the resident to be served in the secured dementia care unit. |
| Resident #4 and #5’s cognitive preadmission screenings did not indicate the resident's diagnosis; sections were blank. |
| Directions to open keypad locking devices were not posted at exit doors in the secured dementia care unit. |
| Resident #5’s initial support plan was not completed within 72 hours of admission to the secured dementia care unit. |
Report Facts
License Capacity: 96
Residents Served: 38
Secured Dementia Care Unit Capacity: 26
Residents Served in Secured Dementia Care Unit: 15
Hospice Residents: 8
Waking Staff: 49
Total Daily Staff: 65
Inspection Report
Re-Inspection
Census: 41
Capacity: 96
Deficiencies: 10
May 5, 2021
Visit Reason
The inspection was conducted due to a change in legal entity and as a partial inspection of the newly licensed facility, with a re-inspection planned within 3 months of the license effective date.
Findings
The facility was found to be in substantial compliance overall, but several deficiencies were identified including improper posting of license and regulations, carbon monoxide detector placement, trash receptacle issues, hot water temperature exceeding limits, missing or damaged window screens, furniture and equipment disrepair, exterior hazards such as sinking patio and damaged fencing, obstructed egress routes, missing emergency procedure postings, and missing code posting for key-locking devices.
Deficiencies (10)
| Description |
|---|
| Failure to post current license, inspection summary, and regulations in a conspicuous and public place accessible to residents and the public. |
| Carbon monoxide detector installed too close (8 inches) to industrial gas dryer in laundry room. |
| Trash can lid flaps not functioning properly, leaving trash exposed in memory care unit dining room. |
| Hot water temperature exceeded 120°F in multiple resident room sinks and showers. |
| Missing or torn window screens in multiple resident bedrooms in memory care unit. |
| Furniture in disrepair: brown leather chair peeling and portable grab bars loose and damaged in private bathroom of bedroom #108. |
| Exterior patio sinking creating trip/fall hazards and white metal fencing damaged with gaps. |
| Resident's wheeled walker blocking emergency egress door in dining room. |
| Emergency procedures not posted in a conspicuous and public place in the home. |
| No code posted at elevator keypad to exit memory care unit on third floor. |
Report Facts
License Capacity: 96
Residents Served: 41
Memory Care Unit Capacity: 26
Memory Care Unit Residents Served: 12
Hot Water Temperature: 127.2
Hot Water Temperature: 126.3
Hot Water Temperature: 124.7
Hot Water Temperature: 123.8
Hot Water Temperature: 123.2
Patio sinking measurement: 23
Patio sinking depth left side: 1
Patio sinking depth right side: 2
Walker obstruction: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed licensing letter and report cover letter. |
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