Inspection Reports for Luther Crest Retirement Community
800 HAUSMAN ROAD,, PA, 18104
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Census: 25
Capacity: 71
Deficiencies: 0
Jul 16, 2025
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
License Capacity: 71
Residents Served: 25
Secured Dementia Care Unit Capacity: 13
Secured Dementia Care Unit Residents Served: 11
Inspection Report
Complaint Investigation
Census: 25
Capacity: 71
Deficiencies: 0
Nov 5, 2024
Visit Reason
The inspection was conducted as a complaint investigation at Luther Crest Retirement Community on 11/05/2024.
Findings
No regulatory citations or deficiencies were identified during this unannounced partial inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 71
Residents Served: 25
Secured Dementia Care Unit Capacity: 13
Secured Dementia Care Unit Residents Served: 11
Residents Age 60 or Older: 25
Residents with Mobility Need: 15
Inspection Report
Renewal
Census: 25
Capacity: 71
Deficiencies: 5
Jun 27, 2024
Visit Reason
The inspection was conducted as a renewal inspection with an incident review at Luther Crest Retirement Community.
Findings
The inspection found multiple deficiencies including missing emergency telephone numbers by certain phones, non-skid surface issues with a bath mat, lack of operable bedside lamps, missing PRN medication, and incomplete documentation in resident support plans. All deficiencies had plans of correction accepted and were noted as implemented by 07/30/2024.
Deficiencies (5)
| Description |
|---|
| Telephone numbers required by regulation were not posted by phones located in rooms 601, 605, and 621. |
| Room 601 had a bath mat without non-skid backing, posing a slip or trip hazard. |
| Residents in room 621 did not have an operable lamp or other source of lighting that could be turned on at bedside. |
| Resident #3 was prescribed PRN Tylenol 325mg but the medication was not on hand. |
| Resident Assessment Support Plans for Resident #1 and Resident #2 did not reflect appropriate detail regarding bedside mobility devices, including intended use, risks, and device identification. |
Report Facts
License Capacity: 71
Residents Served: 25
Secured Dementia Care Unit Capacity: 13
Residents Served in Dementia Unit: 12
Total Daily Staff: 41
Waking Staff: 31
Residents with Mobility Need: 16
Inspection Report
Renewal
Census: 24
Capacity: 71
Deficiencies: 7
Jun 27, 2023
Visit Reason
The inspection was conducted as a renewal and complaint investigation to review compliance and verify the submitted plan of correction.
Findings
The facility was found to have multiple deficiencies including failure to post the current license summary conspicuously, uncovered trash receptacles, incomplete medical evaluation forms, unlabeled OTC medications, uncalibrated glucometer, medication record documentation errors, unlocked gate in the secured dementia unit, and failure to follow prescriber's orders. All deficiencies had corrective plans accepted and were implemented by 08/03/2023.
Complaint Details
The inspection included a complaint investigation as indicated in the inspection information section, but no substantiation status was explicitly stated.
Deficiencies (7)
| Description |
|---|
| The most recent license inspection summary was not posted conspicuously in the home. |
| There was no lid on the garbage can located in the kitchen in the secured dementia unit. |
| The medical evaluation (DME) dated 2023 for Resident 1 was incomplete; the section on self-administering medications was left blank. |
| The bottle of Centrum Men’s Vitamins for Resident 2 was not labeled with the resident’s name, only a room number. |
| Resident 3’s glucometer was not calibrated to the correct date and time; Resident 4’s PRN medication was not on hand at the time of inspection. |
| Medication administration documentation for Resident 5 was incomplete and did not indicate why medication was held despite notes of holding due to blood pressure. |
| The outdoor patio gate in the secured dementia unit was unlocked, leading to an unsecured area of the home. |
Report Facts
License Capacity: 71
Residents Served: 24
Secured Dementia Care Unit Capacity: 13
Secured Dementia Care Unit Residents Served: 11
Total Daily Staff: 37
Waking Staff: 28
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CSM | Certified Staff Member | Named in multiple findings related to medical evaluation completion, medication labeling, medication storage, medication record audits, and gate audits |
| Dietary Manager | Dietary Manager | Named in finding related to trash receptacle lid audit and education |
Inspection Report
Complaint Investigation
Census: 27
Capacity: 71
Deficiencies: 6
Apr 26, 2023
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with medication administration and reporting requirements.
Findings
The facility was found to have multiple medication-related deficiencies involving medication errors, improper documentation, failure to report incidents and refusals timely, and administration by unlicensed staff. A plan of correction was submitted and fully implemented.
Complaint Details
The visit was complaint-related, focusing on medication administration errors and reporting. The complaint was substantiated as deficiencies were identified and a plan of correction was required and implemented.
Deficiencies (6)
| Description |
|---|
| Failure to submit an incident report specific to medication errors for Resident #1. |
| A verbal order was taken by an unlicensed staff person to administer medication. |
| Medication Administration Record (MAR) was incorrectly documented for Resident #1. |
| Failure to notify prescriber regarding Resident #1's refusal of medication. |
| Failure to follow prescriber's orders for Resident #1's medication administration. |
| Failure to immediately report medication errors to resident, designated person, and prescriber. |
Report Facts
License Capacity: 71
Residents Served: 27
Secured Dementia Care Unit Capacity: 17
Secured Dementia Care Unit Residents Served: 13
Staffing Hours - Total Daily Staff: 44
Staffing Hours - Waking Staff: 33
Medication audits frequency: 4
Plan of Correction Target Completion Date: Jul 1, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rabecca Martin | Clinical Services Manager | Named in multiple medication-related findings and responsible for conducting audits and education. |
Inspection Report
Complaint Investigation
Census: 26
Capacity: 71
Deficiencies: 2
Jan 12, 2023
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with regulations at Luther Crest Retirement Community.
Findings
Two deficiencies were identified: an uncovered bed enabler posing entrapment hazards, and a resident's support plan lacking documentation of the need for the bed enabler. Both issues were addressed with immediate corrective actions and staff re-education.
Complaint Details
The visit was complaint-related as indicated by the inspection information section stating 'Reason: Complaint'.
Deficiencies (2)
| Description |
|---|
| Bed enabler located in room was not covered, with openings large enough to cause entrapment of body limbs, potentially causing injury or death. |
| Resident #1's assessment and support plan did not address the need for the bed enabler used for transfers in and out of bed. |
Report Facts
License Capacity: 71
Residents Served: 26
Secured Dementia Care Unit Capacity: 13
Secured Dementia Care Unit Residents Served: 12
Residents with Mobility Need: 12
Residents Age 60 or Older: 26
Inspection Report
Plan of Correction
Deficiencies: 0
Aug 9, 2022
Visit Reason
The visit was conducted to review the submitted plan of correction for the facility following prior inspections on 08/09/2022, 08/10/2022, 08/12/2022, and 08/22/2022.
Findings
The Pennsylvania Department of Human Services determined that the submitted plan of correction is fully implemented and that continued compliance must be maintained.
Inspection Report
Routine
Deficiencies: 0
Apr 20, 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.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michele Moskalczyk | Human Services Licensing Supervisor | Signed the inspection report letter. |
Inspection Report
Complaint Investigation
Census: 25
Capacity: 71
Deficiencies: 1
Mar 15, 2022
Visit Reason
The inspection visit was conducted as a complaint investigation to review compliance at Luther Crest Retirement Community.
Findings
The submitted plan of correction related to medication administration was found to be fully implemented. The main deficiency involved staff leaving medications with residents without observing ingestion, which was addressed through staff re-education and ongoing monitoring.
Complaint Details
The visit was complaint-related. The complaint involved medication administration practices where staff did not observe residents taking their medications. The plan of correction was accepted and fully implemented.
Deficiencies (1)
| Description |
|---|
| Staff members left medication for residents in their rooms without observing ingestion. |
Report Facts
Residents served: 25
License capacity: 71
Staffing hours: 40
Staffing hours: 30
Current residents in hospice: 1
Residents age 60 or older: 25
Residents with mobility need: 15
Inspection Report
Renewal
Deficiencies: 0
Nov 12, 2021
Visit Reason
The inspection was conducted as part of licensing inspections by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on multiple dates in November 2021.
Findings
No regulatory citations were identified as a result of the inspections conducted on 11/12/2021, 11/23/2021, 11/24/2021, and 11/29/2021.
Report Facts
Inspection dates: 4
Inspection Report
Renewal
Census: 25
Capacity: 71
Deficiencies: 4
Jun 17, 2021
Visit Reason
The inspection was a full, unannounced renewal inspection conducted to assess compliance with licensing requirements at Luther Crest Retirement Community.
Findings
The inspection identified several deficiencies related to incomplete medical evaluations, medication storage and availability, preadmission screening documentation, and missing support plan signatures. Plans of correction were submitted and determined to be fully implemented.
Deficiencies (4)
| Description |
|---|
| Resident #1's medical evaluation did not include height or allergies. |
| Medications prescribed for Residents #1, #2, and #3 were not available in the home at the time of inspection. |
| The preadmission screening for Resident #1 did not indicate if the home can meet the resident's needs. |
| The support plan for Resident #1 was not signed by the resident nor was there documentation of inability or refusal to sign. |
Report Facts
Residents Served: 25
License Capacity: 71
Secured Dementia Care Unit Capacity: 13
Secured Dementia Care Unit Residents Served: 12
Residents with Mobility Need: 20
Residents Age 60 or Older: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anne Graziano | Signed the letter confirming plan of correction implementation. |
Inspection Report
Renewal
Deficiencies: 0
Apr 15, 2021
Visit Reason
The inspection was conducted as part of licensing inspections on multiple dates (03/31/2021, 04/02/2021, 04/12/2021, 04/15/2021) for the Luther Crest Retirement Community.
Findings
No regulatory citations were identified as a result of these inspections.
Report Facts
Inspection dates count: 4
Notice
Capacity: 71
Deficiencies: 0
Aug 23, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Luther Crest Personal Care Home following receipt of the renewal application dated April 15, 2021. It also informs 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 confirms issuance of a regular license and notes the facility's name change from Luther Crest Retirement Community to Luther Crest Personal Care Home.
Report Facts
Maximum licensed capacity: 71
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