Inspection Reports for Loyalhanna Senior Suites and Personal Care
543 McFarland Rd, Latrobe, PA 15650, United States, PA, 15650
Back to Facility ProfileDeficiencies per Year
16
12
8
4
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Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 39
Capacity: 84
Deficiencies: 4
Aug 1, 2025
Visit Reason
The inspection was conducted due to a complaint and incident involving allegations of abuse and mistreatment of residents at the facility.
Findings
The inspection found multiple violations including failure to immediately implement a supervision plan or suspend a staff member involved in alleged abuse, failure to report an incident to the Department, mistreatment of a resident with disrespectful language by staff, and a fire hazard caused by lint accumulation in a dryer.
Complaint Details
The visit was complaint-related involving allegations of abuse by staff person C towards a resident, including physical roughness and verbal mistreatment. The complaint was substantiated with findings of violations.
Deficiencies (4)
| Description |
|---|
| Failure to immediately develop and implement a plan of supervision or suspend staff person involved in alleged abuse. |
| Failure to report an incident involving staff mistreatment of a resident to the Department within 24 hours. |
| Resident was treated without dignity and respect; staff used disrespectful language towards resident. |
| Fire hazard due to lint accumulation in the dryer vent and ductwork. |
Report Facts
License Capacity: 84
Residents Served: 39
Current Residents in Hospice: 10
Total Daily Staff: 56
Waking Staff: 42
Residents with Mobility Need: 17
Residents Age 60 or Older: 39
Inspection Report
Census: 39
Capacity: 84
Deficiencies: 0
Apr 16, 2025
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, due to an incident.
Findings
No regulatory citations or deficiencies were identified during this unannounced partial licensing inspection.
Report Facts
Resident census: 39
Licensed capacity: 84
Current hospice residents: 6
Residents age 60 or older: 39
Residents with mobility need: 15
Total daily staff: 54
Waking staff: 41
Inspection Report
Follow-Up
Census: 46
Capacity: 84
Deficiencies: 8
Jul 16, 2024
Visit Reason
The inspection was a full, unannounced review conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to a renewal and incident.
Findings
The facility was found to have fully implemented the plan of correction with continued compliance required. Several deficiencies were identified and corrected, including hot water temperature, food storage, unobstructed egress, designated meeting place during fire drills, smoking policy violations, and medication administration issues.
Deficiencies (8)
| Description |
|---|
| Hot water temperature at the bathroom sink in resident room 314 measured 125.9°F, exceeding the 120°F limit. |
| Food items in the kitchen were opened and unsealed, including bags of pasta, rice, sugar, rainbow sprinkles, hash browns, cooked eggs, and mixed vegetables. |
| Emergency exit doors had signs posted blocking egress, indicating 'STOP, do not use stairs!' |
| Resident #1 did not evacuate to a designated meeting place during monthly fire drills since January 2024. |
| Staff member observed smoking in the gazebo and residents smoking on the back patio despite the home being designated non-smoking. |
| Medication labeling errors: Resident #1's medication label indicated 'give as needed' contrary to order; Resident #2's label indicated incorrect dosing frequency. |
| Medication administration record (MAR) was initialed for Resident #1 for a topical medication not administered for approximately one week due to medication unavailability. |
| Failure to follow prescriber's orders: Resident #1 did not receive prescribed topical medication for about one week; Resident #2 was administered medication once daily instead of prescribed frequency. |
Report Facts
License Capacity: 84
Residents Served: 46
Current Hospice Residents: 10
Residents with Mobility Need: 18
Inspection Report
Follow-Up
Census: 44
Capacity: 84
Deficiencies: 2
Feb 27, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to review the submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented as of the inspection date. Deficiencies related to criminal background checks and initial direct care training for staff were addressed with audits, education, and checklist tools to ensure compliance going forward.
Deficiencies (2)
| Description |
|---|
| Criminal background check for a direct care staff person was not completed prior to employment. |
| Direct care staff person provided unsupervised ADL services without completing required training and competency testing. |
Report Facts
License Capacity: 84
Residents Served: 44
Current Hospice Residents: 6
Resident Mobility Need: 19
Total Daily Staff: 63
Waking Staff: 47
Inspection Report
Plan of Correction
Census: 43
Capacity: 84
Deficiencies: 14
Jul 18, 2023
Visit Reason
The inspection was conducted as a full, unannounced review for renewal and complaint reasons, including multiple on-site and off-site visits between 07/18/2023 and 07/24/2023.
Findings
The report details multiple deficiencies including record confidentiality breaches, unsigned resident contracts, incomplete staff training, unlocked poisonous materials, improper trash receptacles, unlabeled soap dispensers, lack of refrigerator/freezer thermometers, incomplete medical evaluations and assessments, medication storage and administration issues, and failure to post menus. Plans of correction were accepted and implemented by 08/17/2023.
Complaint Details
The inspection included complaint investigation as part of the reason for the visit, but no substantiation status is explicitly stated in the report.
Deficiencies (14)
| Description |
|---|
| Resident records containing confidential information were unlocked and accessible in multiple locations on the 3rd floor nursing station and charting room. |
| Resident #2’s contract was not signed by the resident. |
| Direct care staff person B and ancillary staff person C did not receive required annual training topics during the 2022 training year. |
| Poisonous materials including disinfectants, floor finish, paint thinner, and wipes were unlocked and accessible to residents. |
| Trash cans in bathrooms and kitchens were not properly covered; uncovered trash can found in bathroom 407. |
| Trash dumpsters outside were uncovered and partially filled with trash. |
| Unlabeled, used bars of soap were found in shared bathrooms. |
| Mini-refrigerator and refrigerator/freezer in kitchen bar area lacked thermometers. |
| Medical evaluation for resident #2 was incomplete in areas of health status and cognitive functioning. |
| Home menu for the current week was not posted in a conspicuous place. |
| Resident #3 was not assessed by a qualified professional regarding ability to self-administer medication despite medical evaluation indicating inability. |
| Prescription medications, OTC medications, CAM and syringes were unlocked and accessible on the 3rd floor nursing station desk and in cabinet drawers. |
| Resident #6 was ordered medication but had 8 tablets remaining unadministered in blister package. |
| Initial assessments for residents #4 and #5 were incomplete, missing fall history and diagnoses. |
Report Facts
Inspection Dates: 4
Residents Served: 43
License Capacity: 84
Staffing Hours: 64
Waking Staff: 48
Current Hospice Residents: 5
Residents Age 60 or Older: 43
Residents with Mobility Need: 21
Medication Tablets Remaining: 8
Inspection Report
Renewal
Census: 50
Capacity: 84
Deficiencies: 8
Mar 14, 2022
Visit Reason
The inspection was conducted as a renewal and complaint investigation at Loyalhanna Senior Suites & Personal Care on 03/14/2022 and 03/15/2022.
Findings
The inspection identified multiple deficiencies including unlocked medication records, hot water temperature exceeding limits, incomplete fire drill records, failure to evacuate residents during drills, incomplete annual medical evaluations, missing pharmacy labels on medications, inaccurate blood glucose documentation, and failure to follow prescriber's orders for insulin administration. Plans of correction were accepted or directed with completion dates mostly by 04/13/2022.
Deficiencies (8)
| Description |
|---|
| Residents' medication administration records and narcotic count sheets were unlocked and unattended at the nurses' station. |
| Hot water temperature at bathroom sink in bedroom #212 was 125.6°F, exceeding the 120°F limit. |
| Fire drill records for drills on 2/18/22, 1/14/22, and 12/7/21 lacked exit routes used, number of residents in home, and number evacuated. |
| No residents were evacuated to a public thoroughfare or fire-safe area during fire drills on 2/18/22 and 1/14/22. |
| Resident #3's annual medical evaluation lacked a current medication list; Resident #4's evaluation lacked assessment of ability to self-administer medications and missing medication addendum. |
| No pharmacy label on resident #5's medication bottle. |
| Blood glucose readings documented on MAR did not match actual glucometer readings for residents #3, #6, and #7; glucometers not set to current date/time. |
| Resident #6 received insulin doses inconsistent with glucometer readings and sliding scale orders. |
Report Facts
License Capacity: 84
Residents Served: 50
Staffing: 70
Waking Staff: 53
Hot Water Temperature: 125.6
Blood Glucose Readings: 275
Blood Glucose Readings: 147
Blood Glucose Readings: 119
Blood Glucose Readings: 184
Insulin Dosage: 4
Insulin Dosage: 4
Inspection Report
Renewal
Deficiencies: 0
Jan 5, 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.
Notice
Capacity: 84
Deficiencies: 0
Aug 27, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Loyalhanna Senior Suites & Personal Care, 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
Maximum capacity: 84
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 33
Capacity: 84
Deficiencies: 3
Jun 2, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection identified three deficiencies related to lighting at bedside, outdated food storage, and resident education on the right to refuse medication. The facility submitted a plan of correction which was determined to be fully implemented.
Deficiencies (3)
| Description |
|---|
| Residents #1 and 2 did not have access to a source of light that can be turned on/off at bedside. |
| There was an unsealed and undated bag of breaded chicken legs, and 2 undated zip lock bags of chicken cordon blue patties in the commercial freezer. |
| Resident #3 and resident #4 have not been educated to the resident's right to refuse medication if the resident believes that there may be a medication error. |
Report Facts
License Capacity: 84
Residents Served: 33
Current Residents in Hospice: 2
Residents 60 Years or Older: 32
Residents with Mobility Need: 11
Total Daily Staff: 44
Waking Staff: 33
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Director | Named in outdated food deficiency and corrective actions | |
| PCHA | Named in lighting and resident education deficiencies and corrective actions |
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