Inspection Reports for Masonic Village at Sewickley-Star Points Building
1000 MASONIC DRIVE,, PA, 15143
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Renewal
Census: 43
Capacity: 64
Deficiencies: 16
Mar 22, 2023
Visit Reason
The inspection was conducted as a renewal review of the Masonic Village at Sewickley-Star Points Building by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 03/22/2023 through 03/24/2023.
Findings
The report found multiple deficiencies including missing signed rent rebate statements, incomplete staff orientation and training records, unsafe resident equipment, missing emergency phone postings, window screens not in place, missing bedside tables, improper refrigerator/freezer temperatures, lint accumulation in dryers, incomplete fire drill evacuations, and medication record inaccuracies. All deficiencies had plans of correction accepted and were implemented by 05/02/2023.
Deficiencies (16)
| Description |
|---|
| Resident #1’s rent rebate statement was not signed by the resident or responsible party. |
| Staff person A did not receive required fire safety and emergency preparedness orientation on the first day. |
| Staff person A did not receive required orientation within 40 scheduled work hours. |
| Training records for 2022 annual direct care staff training lacked source and length information for several courses. |
| Enabler/bed cane on resident #2’s bed was not securely attached, posing entrapment and fall risk. |
| Enabler/bed cane on resident #3’s bed was not securely attached, posing entrapment and fall risk. |
| Emergency telephone numbers, including the personal care home hotline, were not posted near telephones in the swimming pool area and assembly room. |
| Window screens were missing in the 1st floor stairwell and two windows in the 2nd floor stairwell. |
| No bedside table or shelf was present beside resident #3’s bed. |
| Ground floor country kitchen refrigerator temperature measured 46°F, above the required 40°F. |
| 1st floor country kitchen refrigerator freezer temperature measured 10°F, above the required 0°F. |
| Approximately 1/4 inch of lint was accumulated in the lint trap of the dryer in the ground floor laundry room. |
| Not all residents evacuated to a designated meeting place during multiple fire drills. |
| Resident #4’s discontinued prescription was still stored in the medication cart. |
| Medication administration records for residents #4 and #5 did not include diagnosis or purpose for several medications. |
| Resident #6’s additional assessment did not include diagnoses of recurrent conditions and hypertension as indicated in medical evaluation. |
Report Facts
License Capacity: 64
Residents Served: 43
Staff Total Daily: 43
Staff Waking: 32
Rent Rebate Percentage: 50
Fire Drill Participation: 54
Fire Drill Evacuated: 53
Fire Drill Participation: 36
Fire Drill Evacuated: 30
Fire Drill Participation: 40
Fire Drill Evacuated: 39
Fire Drill Participation: 40
Fire Drill Evacuated: 39
Lint Accumulation: 0.25
Refrigerator Temperature: 46
Freezer Temperature: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in findings related to missing orientation and training | |
| Employee #1 | Named in findings related to missing orientation documentation | |
| Nurse Manager | Conducted audits and monitoring related to medication and prescription deficiencies |
Notice
Capacity: 64
Deficiencies: 0
Sep 16, 2021
Visit Reason
The document serves as a renewal notification and license issuance for the Masonic Village at Sewickley - Star Points Building Personal Care Home, confirming receipt of the renewal application and advising of the requirement for an annual 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 the Department's inspection requirements.
Report Facts
Total licensed capacity: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
Notice
Deficiencies: 0
Aug 10, 2021
Visit Reason
The document serves to notify the facility that their request to waive specific Pennsylvania Code requirements related to preadmission screening and medical evaluation forms has been granted.
Findings
The waiver allows the facility to use preadmission screening and medical evaluation forms from Matrix Care instead of the Department's specified forms, subject to compliance conditions and review during the annual inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeanne Parisi | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report
Renewal
Deficiencies: 0
Aug 9, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 08/09/2021 and 08/10/2021.
Findings
No regulatory citations were identified as a result of this inspection.
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