Inspection Reports for
Loyalhanna Senior Suites and Personal Care
543 McFarland Rd, Latrobe, PA 15650, United States, PA, 15650
Back to Facility Profile24 Reports
Inspection Report — Aug 1, 2025
Complaint Investigation
Date: 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.
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.
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.
Citations (4)
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
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 — Apr 16, 2025
Date: 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
Current hospice residents: 6
Residents age 60 or older: 39
Residents with mobility need: 15
Total daily staff: 54
Waking staff: 41
Inspection Report — Jul 16, 2024
Follow-Up
Date: 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.
Citations (8)
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
Residents Served: 46
Current Hospice Residents: 10
Residents with Mobility Need: 18
Inspection Report — Feb 27, 2024
Follow-Up
Date: 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.
Citations (2)
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
Residents Served: 44
Current Hospice Residents: 6
Resident Mobility Need: 19
Total Daily Staff: 63
Waking Staff: 47
Inspection Report — Jul 18, 2023
Plan of Correction
Date: 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.
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.
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.
Citations (14)
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
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 — Mar 14, 2022
Renewal
Date: 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.
Citations (8)
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
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 — Jan 5, 2022
Renewal
Date: 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 — Aug 27, 2021
Date: 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
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report — Jun 2, 2021
Renewal
Date: 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.
Citations (3)
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
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 |
Inspection Report — Oct 30, 2020
Renewal
Date: Oct 30, 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 — May 28, 2020
Renewal
Date: May 28, 2020
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing for Loyalhanna Health Care Associates.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report — Mar 23, 2020
Complaint Investigation
Date: Mar 23, 2020
Visit Reason
The inspection was conducted as a complaint investigation following allegations of resident abuse at Loyalhanna Health Care Associates.
Complaint Details
The complaint was substantiated. The investigation confirmed that staff failed to report and notify as required, and the home did not follow proper policies and procedures related to abuse reporting and supervision.
Findings
The investigation found that direct care staff failed to timely report suspected abuse of a resident and did not notify the appropriate parties as required. Multiple violations related to abuse reporting, supervision, notification, incident policies, and reporting procedures were identified.
Citations (5)
Regulation 2600.15a: The home failed to immediately report suspected abuse of a resident as required by the Older Adult Protective Services Act and state code. Staff delayed reporting the incident to appropriate personnel and agencies.
Regulation 2600.15b: The home failed to develop and implement a plan of supervision or suspend staff involved in the alleged abuse. The staff member continued to work unsupervised after the incident.
Regulation 2600.15d: The home failed to immediately notify the resident and the resident’s designated person of the suspected abuse report. Notification was delayed until after the investigation began.
Regulation 2600.16b: The home failed to develop and implement written policies and procedures for prevention, reporting, investigation, and management of reportable incidents. Staff did not timely report the alleged abuse.
Regulation 2600.16c: The home failed to report the incident to the Department’s complaint hotline within 24 hours as required. The abuse was not reported until weeks after the incident.
Report Facts
Residents Served: 34
Current Hospice Residents: 6
Staff Counts: 61
Waking Staff: 46
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Peggy Konecny | PCHA | Signed multiple plans of correction and involved in abuse reporting and education |
Inspection Report — Jan 9, 2020
Renewal
Date: Jan 9, 2020
Visit Reason
The inspection was a renewal inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Services Licensing, to review compliance and verify the submitted plan of correction.
Findings
The facility had multiple deficiencies related to posting of current license, compliance with laws including carbon monoxide detector maintenance, staff training, storage of poisonous materials, emergency telephone numbers, medication administration, fire drill records, evacuation times, and record keeping. Plans of correction were submitted and approved with implementation verified.
Citations (21)
Regulation 2600.3c: The home's most recent license inspection summary dated 9/19/19 was not posted in a conspicuous and public place in the home.
Regulation 2600.18: The carbon monoxide detector near the home's bar did not include the date of battery installation, so it was unclear if batteries were replaced within the past year.
Regulation 2600.65e: Two direct care staff hired in 2015 did not receive the required 12 hours of annual training during the 2019 training year.
Regulation 2600.65f: Two direct care staff did not receive annual training on required topics including medication self-administration, infection control, and personal care needs during 2019.
Regulation 2600.65g: Two direct care staff did not receive annual fire safety and emergency preparedness training during 2019.
Regulation 2600.82a: A bag of miracle grow feeder was present in the activity room closet not in its original labeled container.
Regulation 2600.82b: Multiple food items were stored next to poisonous materials in the activity room closet.
Regulation 2600.82c: Several poisonous materials with poison control labels were unlocked, unattended, and accessible to residents in the activity room closet.
Regulation 2600.85e: The right lid to the dumpster outside was open and full of trash.
Regulation 2600.91: Emergency telephone numbers were not posted on or near telephones located on resident #3's end table and the 4th floor kitchenette.
Regulation 2600.103e: An unlabeled and undated ziplock bag of peanut butter was found approximately half full.
Regulation 2600.132c: Fire drill records did not indicate the date of the February 2019 fire drill, number of staff participating in the April 2019 drill, or exact evacuation times for monthly drills in 2019.
Regulation 2600.132d: Fire drill records showed evacuation times exceeding the maximum safe evacuation time of 6 minutes on multiple occasions in 2019.
Regulation 2600.132f: Fire drill records indicated 'N/A' for exit routes used during monthly drills, making it unclear if alternate exits were used.
Regulation 2600.183b: A bottle of ibuprofen 200mg was unlocked, unattended, and accessible in the activity room closet.
Regulation 2600.184a: Two residents' medication labels did not match pharmacy instructions, including incorrect tablet counts and missing sliding scale instructions.
Regulation 2600.187a: Resident #1's January 2020 medication administration record indicated incorrect dosage of Coumadin compared to the prescription.
Regulation 2600.187d: Resident #2's blood sugar checks were only documented 3 times per day instead of the prescribed 4 times on multiple dates.
Regulation 2600.190a: Two staff persons had not completed the Department-approved medication administration course and administered medications.
Regulation 2600.225c: Resident #3's most recent assessment dated 2/20/19 was not present in the home.
Regulation 2600.251b: Correction fluid was used on fire drill records for drills conducted on 9/11/19, 10/16/19, and 11/26/19.
Report Facts
Residents Served: 38
Current Hospice Residents: 8
Staff Training Hours: 9
Staff Training Hours: 8
Fire Drill Evacuation Time: 11
Fire Drill Evacuation Time: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Peggy Konecny | Administrator | Signed multiple plans of correction and legal entity representative |
| Larry Mazza | Human Services Licensing Supervisor | Signed cover letter confirming plan of correction implementation |
Notice — Dec 13, 2019
Date: Dec 13, 2019
Visit Reason
The document serves as a renewal approval for the Personal Care Home license and informs the facility of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.
Inspection Report — Sep 19, 2019
Complaint Investigation
Date: Sep 19, 2019
Visit Reason
The inspection was conducted as a complaint investigation related to compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.
Complaint Details
The visit was complaint-driven and found the home did not timely report an emergency power outage incident as required by regulation.
Findings
The inspection found citations related to failure to report an incident of a power outage within the required 24-hour timeframe. The home implemented its emergency preparedness plan but delayed reporting the incident to the Department until 9/19/19.
Citations (1)
55 Pa. Code 2600.16c requires reporting incidents to the Department within 24 hours. The home failed to report a power outage incident from 9/2/19 until 9/19/19.
Report Facts
Residents served: 47
Current Hospice Residents: 4
Resident Support Staff: 0
Total Daily Staff: 50
Waking Staff: 38
Residents Age 60 or Older: 41
Residents with Mobility Need: 9
Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gregory S. Gramm | Administrator | Named in relation to the Plan of Correction and incident report |
Inspection Report — Jan 11, 2019
Renewal
Date: Jan 11, 2019
Visit Reason
The inspection was a renewal visit conducted by the Department's Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.
Findings
Multiple violations were found related to fire safety, medical evaluations, medication administration, storage and security, glucometer calibration, insulin administration, resident assessments, and support plans. Plans of correction were submitted with dates of compliance ranging from March to April 2019.
Citations (10)
55 Pa.Code 2600.84 requires heat sources accessible to residents to have protective guards. The fireplace in the dining room measured 150°F and lacked protective guards to prevent resident contact.
55 Pa.Code 2600.132(b) mandates annual fire safety inspections and drills. A fire safety inspection and drill were conducted on 11/02/17, but the next was delayed until 12/04/18.
55 Pa.Code 2600.141(b)(1) requires residents to have annual medical evaluations. Resident #1's evaluation dated 07/24/18 referenced medications as 'see attached' but no attachments were provided.
55 Pa.Code 2600.183(a)(1) mandates prescription and OTC medications be kept in original labeled containers and not removed more than 2 hours before administration. Six pills for resident #2 were in a clear plastic cup placed at 7:00 a.m. but not scheduled for administration until 11:00 a.m.
55 Pa.Code 2600.183(b) requires medications and syringes to be stored locked. Triamcinolone cream and athlete's foot cream were unlocked and accessible in resident #2's bathroom.
55 Pa.Code 2600.185(a) requires procedures for safe storage, access, security, distribution, and use of medications by trained staff. Residents #3 and #4 had glucometers not calibrated to correct date/time; resident #7 had multiple glucometer readings inconsistent with MAR.
55 Pa.Code 2600.187(d) requires following prescriber directions. Resident #7 missed insulin doses despite glucometer readings indicating insulin was required.
55 Pa.Code 2600.225(a) requires written initial assessments within 15 days of admission. Resident #8 was admitted 10/4/18 but initial assessment was not completed until 11/2/18.
55 Pa.Code 2600.225(c) requires annual resident assessments and updates with condition changes. Resident #7's annual assessment on 04/30/18 was not updated to include medical diagnoses noted in the annual medical evaluation dated 10/24/18.
55 Pa.Code 2600.227(d) requires support plans to include plans to meet residents' needs for self-administering medications. Resident #1 and #7's annual support plans lacked plans to meet these needs and had blank sections.
Report Facts
Number of Residents Served: 31
Number of Current Hospice Residents: 4
Number of Hospice Residents in Past Year: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gregory S. Gramm | Administrator | Named as legal entity representative and administrator signing plans of correction. |
| Belinda Graziano | Department representative conducting inspection on 01/11/2019. | |
| Joseph Eveges | Department representative conducting inspection on 01/11/2019. | |
| Tom Bonura | Fire Safety Expert | Named in plan of correction for scheduling fire safety inspection and drill. |
Inspection Report — Jan 4, 2019
Renewal
Date: Jan 4, 2019
Visit Reason
This document is a renewal of the license for Loyalhanna Health Care Associates to operate a Personal Care Home. The Department of Human Services notifies that an onsite inspection will be conducted within the next twelve months as required by law.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and outlines the requirement for a future inspection.
Inspection Report — Jan 17, 2018
Renewal
Date: Jan 17, 2018
Visit Reason
The inspection was a renewal licensing inspection conducted by the Pennsylvania Department of Human Services on January 17 and 18, 2018, for Loyalhanna Health Care Associates.
Findings
Multiple violations of 55 Pa. Code Chapter 2600 were found, including confidentiality breaches, incomplete criminal background checks, excessive hot water temperature, delayed fire drill evacuation times, incomplete medical evaluations, and improper medication storage and labeling.
Citations (6)
55 Pa.Code 2600.17 - Resident records were not kept confidential as unlocked and unattended black metal filing cabinet contained personal care task sheets for all residents on the 4th floor.
55 Pa.Code 2600.51 - Staff person hired on 2/20/2015 did not have a completed criminal background check until 8/10/2017.
55 Pa.Code 2600.89(b) - Hot water temperature at kitchenette sink in bedroom #413 measured 124.4°F, exceeding the 120°F limit.
55 Pa.Code 2600.132(d) - Fire drill evacuation time was 9 minutes on 10/13/2017, exceeding the designated safe evacuation time of 6 minutes.
55 Pa.Code 2600.141(b)(1) - Resident #2's medical evaluation dated 6/8/2017 was incomplete, missing height, weight, pulse rate, blood pressure, and temperature.
55 Pa.Code 2600.183(e) - Resident #2's eye drops were labeled as opened on 8/27/2017 and 11/7/2017 but were not discarded after 28 days as required.
Report Facts
Number of Residents Served: 53
Hot Water Temperature: 124.4
Fire Drill Evacuation Time: 9
Criminal Background Check Delay: 600
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tammy Long | Administrator | Named as Administrator on report and signed plan of correction pages. |
| Jacqueline L. Rowe | Director | Signed cover letter as Director of Bureau of Human Services Licensing. |
Inspection Report — Dec 15, 2017
Renewal
Date: Dec 15, 2017
Visit Reason
The document is a renewal notice and license issuance for Loyalhanna Health Care Associates 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 primarily communicates the renewal of the facility's license and the requirement for a future annual inspection.
Inspection Report — Jan 6, 2017
Annual Inspection
Date: Jan 6, 2017
Visit Reason
The inspection was an annual licensing inspection conducted by the Pennsylvania Department of Human Services on January 6, 2017, to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Findings
Multiple violations were found related to resident confidentiality, trash receptacles, first aid kit contents, emergency water supply, fire drill documentation, annual medical evaluations, medication labeling and storage, and resident support plan documentation. Plans of correction were submitted and partially implemented with adequate progress noted.
Citations (9)
55 Pa.Code §2600.17 - Resident records were left unattended and accessible on an open laptop and in an unlocked administrator's office, exposing confidential resident information.
55 Pa.Code §2600.85(d) - Trash cans in kitchens and bathrooms were uncovered, allowing penetration of insects and rodents.
55 Pa.Code §2600.96(a) - The first aid kit lacked scissors, eye coverings, and tweezers, and some kits were not securely mounted.
55 Pa.Code §2600.107(c) - The home did not maintain the required 3-day supply of emergency drinking water for all residents during the survey.
55 Pa.Code §2600.132(c) - Fire drill records were incomplete, missing time of drill, evacuation time, exit routes used, and number of residents evacuated.
55 Pa.Code §2600.141(b)(1) - A resident's most recent medical evaluation was outdated, last completed on 2015-08-19.
55 Pa.Code §2600.183(d) - Only current prescriptions were to be kept; expired Novolog Flexpen was discarded as required.
55 Pa.Code §2600.184(a) - Prescription medication containers lacked proper pharmacy labels including resident name, medication name, date issued, dosage, and prescriber information.
55 Pa.Code §2600.227(d) - Resident support plan did not document hospice services or frequency of services as required.
Report Facts
Total Daily Staff: 53
Waking Staff: 40
Emergency Drinking Water: 120
Emergency Drinking Water: 140
Emergency Drinking Water: 158
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia K. Lilly | Administrator | Named in multiple findings and signed plans of correction throughout the report. |
Inspection Report — Dec 30, 2016
Renewal
Date: Dec 30, 2016
Visit Reason
This document is a renewal license issued to Loyalhanna Health Care Associates to operate a Personal Care Home. The Department of Human Services states 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 primarily serves as a license renewal notification and outlines the Department's intent to conduct a future inspection.
Report Facts
Inspection Report — Feb 3, 2016
Complaint Investigation
Date: Feb 3, 2016
Visit Reason
The inspection was conducted as a complaint investigation at Loyalhanna Health Care Associates to assess compliance with 55 Pa.Code Chapter 2600.
Complaint Details
The visit was complaint triggered. Substantiation status is not explicitly stated.
Findings
Three violations were found related to fire safety orientation, sanitary conditions in glucometer use, and incomplete medical evaluations. Plans of correction were partially implemented with adequate progress noted.
Citations (3)
Regulation 55 Pa.Code 2600.65(a) - Staff person did not receive orientation in fire safety and emergency preparedness including evacuation procedures, fire drills, and use of fire extinguishers on first day of work.
Regulation 55 Pa.Code 2600.85(a) - Staff did not follow sanitary practice using resident-specific glucometers, risking cross-contamination during blood sugar testing.
Regulation 55 Pa.Code 2600.141(a)(2) - Medical evaluation for resident #1 lacked date of evaluation, form completion date, and required medical professional information.
Report Facts
Number of Residents Served: 34
Total Daily Staff: 34
Waking Staff: 26
Number of Current Hospice Residents: 3
Number of Hospice Residents in Past Year: 6
Residents Age 60 or Older: 33
Residents with Mental Illness: 1
Residents with Physical Disability: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia K. Lilly | Administrator | Signed plans of correction and named in findings |
Inspection Report — Jan 14, 2016
Renewal
Date: Jan 14, 2016
Visit Reason
The inspection was a renewal licensing inspection conducted on January 14, 2016, to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Findings
Violations were found related to fire drill record accuracy, medication labeling and dating, and resident support plan signatures. Plans of correction were submitted addressing these issues with partial or full implementation status noted.
Citations (4)
Regulation 2600.132(c): The fire drill record from 8/01/2015 through 12/28/2015 did not include the correct number of residents evacuated.
Regulation 2600.183(e): Resident #2 and #3 had prescriptions without opening dates on the medication, and Humalog was only to be stored for 28 days.
Regulation 2600.184(b): Resident #1's Melatonin in the medication cart was not labeled with the resident's name.
Regulation 2600.227(g): Resident #5's support plan dated 11/25/2015 was not signed by the resident or a representative of the home.
Report Facts
Number of Residents Served: 32
Total Daily Staff: 32
Walking Staff: 24
Number of Residents Age 60 or Older: 32
Number of Residents with Mental Illness: 1
Number of Residents with Physical Disability: 1
Number of Hospice Residents in Past Year: 4
Notice — Jan 11, 2016
Date: Jan 11, 2016
Visit Reason
The document is a renewal notification and license issuance for Loyalhanna Health Care Associates to operate a Personal Care Home, pursuant to Title 55, PA Code, Chapter 2600.
Findings
No inspection findings are reported in this document. It confirms receipt of the renewal application and issuance of a regular license valid from April 10, 2016 to April 10, 2017.
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