Inspection Reports for Lutheran Home at Kane/Residential Care Center
100 HIGH POINT DRIVE,, PA, 16735
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
7.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
60% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
76% occupied
Based on a September 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 25
Capacity: 33
Deficiencies: 0
Sep 19, 2024
Visit Reason
The inspection was conducted as a renewal licensing inspection of the Lutheran Home at Kane/Residential Care Center.
Findings
No regulatory citations or deficiencies were identified during this licensing inspection.
Report Facts
Residents Served: 25
License Capacity: 33
Residents Age 60 or Older: 33
Residents Diagnosed with Mental Illness: 12
Residents Diagnosed with Intellectual Disability: 1
Residents Receiving Supplemental Security Income: 6
Inspection Report
Renewal
Census: 22
Capacity: 33
Deficiencies: 9
Oct 4, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the Lutheran Home at Kane/Residential Care Center on 10/04/2023 and 10/05/2023.
Findings
The inspection found multiple deficiencies including improper placement of carbon monoxide alarms, incomplete administrator orientation documentation, lack of required staff training on care for residents with mental illness or intellectual disability, sanitary condition issues, incomplete evacuation during fire drills, medication labeling and administration errors, incomplete resident assessments, and incomplete documentation in resident support plans. Plans of correction were accepted and implemented by 11/30/2023.
Deficiencies (9)
| Description |
|---|
| Carbon monoxide alarm was installed approximately 6 feet from gas hot water tanks/boilers, not meeting the required minimum distance of 15 feet. |
| Staff person A, the administrator, had not successfully completed an orientation program approved and administered by the Department. |
| Direct care staff persons B and C did not receive training in care for residents with mental illness or intellectual disability during the training year 8/1/22-7/31/23. |
| Unlabeled bar of soap and multiple plastic cups with unknown stains found in shared bathroom. |
| During fire drills on 2/27/23 and 8/29/23, not all residents evacuated to a designated meeting place away from the building or within the fire-safe area. |
| Medication labeling errors for three residents including missing alert stickers and inconsistent pharmacy labels. |
| Medication administration records lacked initials of staff administering medications and incorrect documentation of who administered injections. |
| Resident #4's initial assessment did not address the use/need of an enabler bar found on the bed. |
| Resident #3's support plan did not document refusal to participate in fire drills and how this need will be met. |
Report Facts
License Capacity: 33
Residents Served: 22
Staffing Hours: 22
Waking Staff: 17
Fire Drill Evacuation - 2/27/23: 19
Fire Drill Evacuation - 9/29/23: 23
Inspection Report
Complaint Investigation
Census: 21
Capacity: 33
Deficiencies: 2
Jan 18, 2023
Visit Reason
The inspection was conducted as a complaint investigation following allegations of resident abuse and mistreatment at the facility.
Findings
The investigation found that resident #1 engaged in inappropriate behavior towards resident #2, causing discomfort. Protective services were involved, and corrective actions including resident relocation and increased supervision were implemented. Additionally, deficiencies were found in documenting psychological services in the resident's support plan.
Complaint Details
The complaint involved allegations of abuse by resident #1 towards resident #2, including unwanted physical contact and verbal harassment. Protective services and DHS were notified and conducted investigations. Resident #1 was relocated and provided with mental health appointments. Resident #2 reported feeling safe after interventions.
Deficiencies (2)
| Description |
|---|
| Resident #1 engaged in inappropriate physical and verbal behavior towards resident #2, violating abuse prevention regulations. |
| The resident's support plan did not document the monthly psychological service visits as required. |
Report Facts
Residents Served: 21
License Capacity: 33
Staffing Hours - Total Daily Staff: 21
Staffing Hours - Waking Staff: 16
Residents Diagnosed with Mental Illness: 10
Residents Age 60 or Older: 20
Residents Receiving Supplemental Security Income: 6
Residents Diagnosed with Intellectual Disability: 2
Inspection Report
Renewal
Census: 21
Capacity: 33
Deficiencies: 11
Sep 27, 2022
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing regulations at Lutheran Home at Kane/Residential Care Center.
Findings
The facility was found to have multiple deficiencies including incomplete staff orientation, lack of an annual staff training plan, unsecured resident equipment posing entrapment hazards, uncovered trash receptacles, outdated food items, and incomplete medical evaluations. Plans of correction were submitted and fully implemented by February 18, 2023.
Deficiencies (11)
| Description |
|---|
| Staff person did not complete orientation in required topics including fire safety and emergency preparedness. |
| Staff person did not complete orientation in emergency medical plan and mandatory reporting of abuse and neglect. |
| The home did not have an annual staff training plan for training year 8/1/22 to 7/31/23. |
| Buckles securing the pouch covering the enabler bar on resident #1's bed were not secure, posing a potential entrapment hazard. |
| Trash cans in the main kitchen had 10 inch holes in the lids, allowing penetration of insects and rodents. |
| Outdated or undated food items found in the freezer section of the kitchenette refrigerator/freezer. |
| Fire safety inspection and fire drill were not conducted annually as required. |
| Resident #2's initial medical evaluation did not indicate cognitive functioning; section was blank. |
| Resident #3's most recent medical evaluation was delayed beyond the annual requirement. |
| Resident #4's prescription medication label dosage did not match the administration instructions. |
| Resident #1's medication administration record did not include initials of staff who administered medication. |
Report Facts
License Capacity: 33
Residents Served: 21
Staffing Hours - Total Daily Staff: 21
Staffing Hours - Waking Staff: 16
Deficiency Count: 11
Notice
Capacity: 33
Deficiencies: 0
Sep 7, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for Lutheran Home at Kane/Residential Care Center following receipt of their renewal application dated July 26, 2021.
Findings
The Department advises that an onsite annual inspection will be conducted within the next twelve months to ensure compliance with applicable regulations, and enforcement actions will be taken if noncompliance is found.
Report Facts
Maximum licensed capacity: 33
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 22
Capacity: 33
Deficiencies: 8
Aug 5, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the Lutheran Home at Kane/Residential Care Center on 08/05/2021 and 08/06/2021.
Findings
The inspection identified several deficiencies including issues with surfaces (detached cove base and water damage), food storage violations (uncovered and unsealed food items), outdated food labeling, obstructed egress due to a stuck fire exit door, and medication record deficiencies related to self-administered medications and labeling of sliding scale insulin. Plans of correction were accepted and implemented.
Deficiencies (8)
| Description |
|---|
| Detached cove base next to fire exit door with water damage to the wall. |
| Uncovered and unsealed food items in walk-in cooler and freezer. |
| Outdated or unlabeled food (uncovered and unlabeled bowl of chocolate ice cream). |
| Fire exit door stuck shut due to rust on door and jamb/threshold. |
| No record of resident currently self-administering medication kept at bedside. |
| Sliding scale not indicated on pharmacy label for insulin. |
| Resident's glucometer not calibrated to correct time. |
| Sliding scale not indicated on resident's August 2021 Medication Administration Record (MAR). |
Report Facts
License Capacity: 33
Residents Served: 22
Uncovered pie tarts: 15
Unsealed pinwheel pastries: 12
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