Inspection Reports for Maple Valley Personal Care Home
2212 ANTHONY RUN ROAD,, INDIANA, PA, 15701
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
91% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
83% occupied
Based on a December 2024 inspection.
Census over time
Inspection Report
Renewal
Census: 33
Capacity: 40
Deficiencies: 5
Date: Dec 11, 2024
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements for Maple Valley Personal Care Home.
Findings
The facility was found to have several deficiencies including incomplete criminal background checks, incomplete training records, lack of protective guards on heat sources, delayed fire safety inspections, and incomplete first aid kit contents. Plans of correction were accepted and fully implemented by the follow-up date.
Deficiencies (5)
Criminal background check for a staff person was not completed until 12/11/24.
Training records did not include length of training or training source for trainings completed during 1/1/23 - 1/31/23.
Heat source (fireplace glass) temperature was 243°F without protective guards to prevent resident contact.
Fire safety inspection was not conducted annually; previous inspection was on 7/12/23 and most recent on 10/4/24.
First aid kit in the facility's bus did not include a thermometer.
Report Facts
License Capacity: 40
Residents Served: 33
Current Hospice Residents: 2
Residents 60 Years or Older: 13
Residents Diagnosed with Mental Illness: 9
Residents with Mobility Need: 8
Total Daily Staff: 41
Waking Staff: 31
Heat Source Temperature: 243
Plan of Correction Follow-Up Date: 2025
Inspection Report
Renewal
Census: 36
Capacity: 40
Deficiencies: 13
Date: Dec 12, 2023
Visit Reason
The inspection was an unannounced full renewal inspection conducted to review compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including failure to post the current license inspection summary, incomplete criminal background checks, unqualified direct care staff, inadequate annual training, lack of bedside lighting for a resident, improper food storage, obstructed emergency egress, and medication storage and administration issues. Plans of correction were accepted and implemented with ongoing monitoring scheduled.
Deficiencies (13)
Failure to post the current license inspection summary in a conspicuous location.
Ancillary staff person did not have a Pennsylvania Criminal Background Check completed until after hire.
Direct care staff person B does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Administrator completed only 7 hours of Department-approved training instead of the required 24 hours.
Direct care staff person D did not receive required training in medication self-administration, resident needs, personal care service, and safe management.
Direct care staff person B did not receive training in Emergency Preparedness during the training year.
Resident #1 did not have access to a source of light that can be turned on/off at bedside.
Food (bag of breaded chicken strips) in the freezer was opened and unsealed.
Emergency exit door had a 'stop' sign posted, obstructing egress.
Resident #3's medications were opened and not dated to the opening date as required.
Medication for resident #3 was in the medication cart but not listed on the December 2023 medication administration record (MAR).
Resident #5's glucometer readings did not match the prescribed blood glucose check times on the MAR.
Staff person E administered insulin without completing the required Department-approved diabetes patient education program within the past 12 months.
Report Facts
License Capacity: 40
Residents Served: 36
Current Residents in Hospice: 3
Staffing Hours - Total Daily Staff: 47
Staffing Hours - Waking Staff: 35
Residents with Mobility Need: 11
Residents 60 Years or Older: 36
Residents Receiving Supplemental Security Income: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff person B | Direct Care Staff | Named in deficiency for lacking required qualifications and missing emergency preparedness training. |
| Staff person C | Administrator | Named in deficiency for incomplete annual training hours. |
| Staff person D | Direct Care Staff | Named in deficiency for missing required training topics. |
| Staff person E | Staff Person | Named in deficiency for administering insulin without required diabetes education. |
| Ancillary staff person A | Ancillary Staff | Named in deficiency for lacking timely criminal background check. |
Inspection Report
Renewal
Census: 33
Capacity: 40
Deficiencies: 5
Date: Apr 25, 2023
Visit Reason
The inspection was conducted as a renewal inspection with an incident reason, including a review of the submitted plan of correction.
Findings
The facility was found to have several deficiencies including sanitary conditions, incomplete first aid kit supplies, incomplete fire drill records, failure to follow prescriber's orders, and incomplete documentation of higher level of care for a resident. All deficiencies had plans of correction accepted and were implemented by 07/27/2023.
Deficiencies (5)
Small, uncovered plastic trash can full of paper products in the common bathroom was unsanitary.
First aid kit did not include eye coverings.
Fire drill record did not include the specific evacuation route used.
Medication was not administered to Resident #1 as prescribed due to medication unavailability.
Resident #1's support plan did not indicate care and services provided by hospice.
Report Facts
License Capacity: 40
Residents Served: 33
Current Hospice Residents: 2
Total Daily Staff: 33
Waking Staff: 25
Inspection Report
Renewal
Census: 34
Capacity: 40
Deficiencies: 4
Date: Sep 28, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the Maple Valley Personal Care Home to assess compliance with licensing requirements.
Findings
The inspection identified several deficiencies including lack of a fire-safe area for a resident with mobility needs on the second floor, improper medication storage, staff administering insulin without current diabetes education, and a documentation error in annual medical evaluations. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (4)
Resident with mobility needs residing on second floor without a fire-safe area specified in writing by a fire safety expert within the past year.
Medication for resident #3 was stored on the medication cart instead of the refrigerator as required by manufacturer instructions.
Staff person B administered insulin without having completed a Department-approved diabetes patient education program since December 2019.
Resident #2's most recent annual medical evaluation was documented as completed on 10/13/21, which was a documentation error corrected on the day of inspection.
Report Facts
License Capacity: 40
Residents Served: 34
Current Hospice Residents: 3
Total Daily Staff: 36
Waking Staff: 27
Residents with Mobility Need: 2
Residents 60 Years or Older: 34
Residents Diagnosed with Mental Illness: 2
Residents Receiving Supplemental Security Income: 2
Notice
Capacity: 40
Deficiencies: 0
Date: Feb 5, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for Maple Valley Personal Care Home following receipt of the renewal application. It also 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 confirms the issuance of a regular license and outlines the requirement for a future annual inspection to ensure compliance.
Report Facts
Maximum licensed capacity: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
| John Williams | President | Recipient of the renewal notification letter. |
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