Inspection Reports for
Masonic Village at Sewickley-Star Points Building
1000 MASONIC DRIVE,, SEWICKLEY, PA, 15143
Back to Facility Profile19 Reports
Inspection Report — Jun 25, 2026
Complaint Investigation
Date: Jun 25, 2026
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection to review compliance and the submitted plan of correction.
Complaint Details
The visit was complaint-related and the medication error was discovered during the inspection. A reportable incident was submitted by the administrator on the day of the exit conference, 06/25/2026.
Findings
A medication administration error was found where a resident did not receive prescribed medication correctly due to a transcription error in the electronic medication administration record (emar). The facility submitted a plan of correction and demonstrated full implementation of corrective actions.
Citations (1)
187d - Follow Prescriber's Orders: A resident was prescribed medication to be taken twice daily for 7 days then a reduced dose, but the medication was administered incorrectly for eight days and missed doses occurred. The error was due to a transcription mistake in the emar system causing the medication to fall off the medication administration record.
Report Facts
Residents Served: 39
Staffing Hours - Total Daily Staff: 39
Staffing Hours - Waking Staff: 29
Hospice Current Residents: 2
Residents Age 60 or Older: 38
Residents Diagnosed with Intellectual Disability: 4
Inspection Report — Mar 22, 2023
Renewal
Date: 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.
Citations (16)
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
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 — Sep 16, 2021
Date: 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
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
Notice — Aug 10, 2021
Date: 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 — Aug 9, 2021
Renewal
Date: 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.
Inspection Report — Jun 30, 2020
Follow-Up
Date: Jun 30, 2020
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction addressing issues related to resident dignity, annual staff training, and timely completion of resident support plans. Continued compliance was required.
Citations (3)
42c - Treatment of Residents: A direct care staff person called a resident racist during a conversation, causing the resident to feel offended and disrespected.
65g - Annual Training Content: A direct care staff person did not receive required annual training in Falls and Accident Prevention during the 2019 training year.
227a - Support Plan 30 Days: The initial support plan for a resident admitted on 8/22/19 was not completed until 9/24/19, exceeding the 30-day requirement.
Report Facts
Residents Served: 50
Staff Total Daily: 50
Staff Waking: 38
Residents Age 60 or Older: 48
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 3
Residents Receiving Supplemental Security Income: 1
Inspection Report — Apr 20, 2020
Routine
Date: Apr 20, 2020
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of the Masonic Village at Sewickley, Star Points Building, to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jason Williams | Human Services Licensing Supervisor | Signed the inspection report letter. |
Inspection Report — Oct 10, 2019
Follow-Up
Date: Oct 10, 2019
Visit Reason
The visit was a full, unannounced licensing inspection conducted to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the plan of correction related to posting the influenza awareness poster, maintaining proper freezer temperature monitoring, and calibrating the resident glucometer. Continued compliance is required.
Citations (3)
The facility did not have the required influenza awareness poster posted in a public place as required by the Influenza Awareness Act effective July 2016.
There was no thermometer in the freezer in the recreation room to verify temperature compliance.
Resident #1's glucometer was not calibrated to the current date and time, risking inaccurate blood glucose readings.
Report Facts
Residents Served: 55
Total Daily Staff: 55
Waking Staff: 41
Residents Age 60 or Older: 55
Residents Diagnosed with Intellectual Disability: 3
Residents Receiving Supplemental Security Income: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cindy Stefl | Director of Resident Services | Named in plan of correction approval and monitoring |
| Barb Barone | On-site inspector during the inspection | |
| Jan Cutter | On-site inspector during the inspection | |
| Ashley Roser | On-site inspector during the inspection |
Inspection Report — Sep 11, 2019
Renewal
Date: Sep 11, 2019
Visit Reason
The document is a renewal application response for the Personal Care Home license of Masonic Village at Sewickley - Star Points Building. The Department of Human Services will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification confirming issuance of a regular license.
Report Facts
Inspection Report — Oct 23, 2018
Renewal
Date: Oct 23, 2018
Visit Reason
The inspection was a renewal inspection conducted by the Department's Bureau of Human Services Licensing on October 23, 2018, for the Masonic Village at Sewickley Star Points Building.
Findings
Multiple violations of 55 Pa. Code Chapter 2600 were found, including unsigned resident contracts, incomplete staff training, missing training documentation, physical damage to resident bedrooms, incomplete first aid kits, medication administration record errors, incomplete preadmission screenings, and delayed resident assessments. Plans of correction were submitted for each violation with varying implementation statuses.
Citations (8)
55 Pa.Code §2600: Resident contracts for two residents were not signed by the residents.
55 Pa.Code 2600.65(g): A direct care staff person did not complete required fire safety and falls and accident prevention training during 2017.
55 Pa.Code 2600.65(i): The home's 2017 staff training records lacked length of course for several trainings and incomplete training date for lifts and transfers.
55 Pa.Code 2600.101(a): Damage to ceiling and walls in room 1221 included water damage and drywall removal exposing metal framing.
55 Pa.Code 2600.171(b)(5): The first aid kit in bus #1 used for transporting residents did not include tweezers.
55 Pa.Code 2600.185(a): Resident #3's blood sugar readings were not recorded on the medication administration record on multiple dates in October 2018.
55 Pa.Code 2600.224(a): The preadmission screening for resident #5 lacked required information including screener's title and screening sources.
55 Pa.Code 2600.225(a): Resident assessments for residents #2, #4, and #5 were not completed within required timeframes and lacked required diagnosis information.
Report Facts
Number of Residents Served: 58
Number of Staff: 58
Number of Waking Staff: 44
Number of Violations: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cindy Stefl | Administrator | Named in relation to multiple findings and signed plans of correction |
Notice — Sep 14, 2018
Date: Sep 14, 2018
Visit Reason
The document serves as a renewal notification and license issuance for the Masonic Village at Sewickley - Star Points Building Personal Care Home.
Findings
The Department has approved the renewal application and issued a regular license. The Department will conduct an onsite annual inspection within the next twelve months as required by regulation.
Inspection Report — Sep 7, 2018
Complaint Investigation
Date: Sep 7, 2018
Visit Reason
The inspection was conducted as a complaint and incident investigation at the Masonic Village at Sewickley Star Points Building.
Complaint Details
The visit was complaint-related and incident-driven. The allegation of abuse was substantiated by the finding that the report was not made timely to the Area Agency on Aging.
Findings
The inspection found a violation related to failure to immediately report suspected abuse of a resident served in the home. The allegation of abuse to staff person A was unreported to the Area Agency on Aging until 9/7/18.
Citations (1)
2600.15(a) - The home failed to immediately report suspected abuse of a resident served in the home as required by the Older Adults Protective Services Act and related regulations. On 8/22/18, an allegation of abuse to staff person A was unreported until 9/7/18.
Report Facts
Number of Residents Served: 59
Staffing Hours - Resident Support: 59
Staffing Hours - Waking Staff: 44
Number of Residents Age 60 or Older: 53
Number of Residents with Mental Illness: 2
Number of Residents with Intellectual Disability: 3
Number of Residents with Mobility Need: 0
Number of Residents with Physical Disability: 0
Number of Current Hospice Residents: 0
Number of Hospice Residents in Past Year: 0
Inspection Report — Nov 6, 2017
Routine
Date: Nov 6, 2017
Visit Reason
The Department of Human Services licensing representatives conducted an inspection of the Masonic Village at Sewickley facility on November 6, 2017.
Findings
No regulatory violations were identified as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brent Sutherland | Acting Regional Licensing Director | Signed the inspection report letter. |
Inspection Report — Oct 2, 2017
Renewal
Date: Oct 2, 2017
Visit Reason
The inspection was a renewal licensing inspection conducted by the Pennsylvania Department of Human Services on October 2, 2017, to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Findings
Violations were found related to incomplete fire drill records and deficiencies in medical evaluations for residents, including missing evaluation completion within required timeframes and missing printed names and license numbers of medical professionals.
Citations (4)
55 Pa.Code §2600: The fire drill record did not include the amount of time to evacuate and the exit route used during the drill conducted on 3/2/2017.
55 Pa.Code §2600: Resident #1's initial medical evaluation was not completed within the required timeframe after admission.
55 Pa.Code §2600: Resident #1's medical evaluation dated 6/23/2017 and Resident #2's evaluation dated 1/4/2017 did not include the printed name or medical license number of the medical professional.
55 Pa.Code §2600: Resident #3's most recent medical evaluation was completed on 9/27/2017, but the previous evaluation was completed late on 8/30/2016.
Report Facts
Number of Residents Served: 58
Total Daily Staff: 58
Waking Staff: 44
Number of Hospice Residents in past year: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cindy Stefl | Administrator | Named as legal entity representative signing plans of correction and administrator of the facility. |
| Barbara Barone | Department Representative | On-site inspector present during the inspection. |
| Josh Hoover | Department Representative | On-site inspector present during the inspection. |
Inspection Report — Sep 21, 2017
Renewal
Date: Sep 21, 2017
Visit Reason
The document is a renewal application and license issuance for the Masonic Village at Sewickley - Star Points Building Personal Care Home. The Department will conduct an annual onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It primarily communicates the issuance of a regular license following the renewal application.
Inspection Report — Jan 10, 2017
Complaint Investigation
Date: Jan 10, 2017
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident involving alleged resident abuse.
Complaint Details
The complaint was substantiated based on the visitor's report and observation of staff person A's abusive behavior toward resident #8. Staff person A was removed from the facility by police.
Findings
The investigation found that a staff person was witnessed physically abusing a resident by handing down the resident's shirt, causing discomfort. The staff person was removed from the facility by police.
Citations (1)
Regulation 55 Pa.Code §2600 2600.42(b) prohibits neglect, intimidation, physical or verbal abuse, mistreatment, or corporal punishment of residents. A visitor witnessed staff person A physically abusing resident #8 by handing down the resident's shirt, causing discomfort.
Report Facts
Number of Residents Served: 56
Number of Violations: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cindy Stef | Director | Named as Director of the facility and signed the plan of correction. |
Inspection Report — Sep 21, 2016
Renewal
Date: Sep 21, 2016
Visit Reason
The document is a renewal application and license issuance for the Personal Care Home at Masonic Village at Sewickley-Star Points Building. The Department of Human Services is conducting an onsite inspection within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It primarily communicates the license renewal approval and the requirement for an upcoming annual inspection.
Report Facts
Inspection Report — Aug 24, 2016
Annual Inspection
Date: Aug 24, 2016
Visit Reason
The inspection was an annual licensing inspection of the Masonic Village at Sewickley - Star Points Building, conducted by the Pennsylvania Department of Human Services on August 24, 2016.
Findings
Violations of 55 Pa.Code Chapter 2600 were found related to contract signatures, medication administration training, and resident assessments. Plans of correction were submitted and partially implemented as of November 2016.
Citations (3)
55 Pa.Code §2600.25(b) - The contract for resident #1 dated 6/10/16 was not signed by the administrator.
55 Pa.Code §2600.190(c) - Staff person A had not successfully completed a Department-approved medication administration course or passed the competency test but administered medications to multiple residents on specified dates.
55 Pa.Code §2600.225(o) - The assessment for resident #2 dated 7/30/16 did not include the diagnosis of cerebral palsy as indicated on the resident's medical evaluation dated 7/27/16.
Report Facts
Number of Residents Served: 55
Waking Staff: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia L. Stefl | Director of Resident Services | Signed plans of correction on multiple violations |
Inspection Report — May 9, 2016
Date: May 9, 2016
Visit Reason
The inspection was conducted as a licensing inspection triggered by an incident at the facility.
Findings
Violations of 55 Pa.Code Chapter 2600 related to Personal Care Homes were found, specifically regarding failure to secure preventative medical and psychiatric follow-up care and incomplete support plan documentation for a resident.
Citations (2)
Regulation 55 Pa.Code 2600.142(d) - The home failed to arrange timely psychiatric follow-up care for resident #1 as required by the physician's order dated 1/27/16.
Regulation 55 Pa.Code 2600.227(d) - Resident #1's support plan dated 7/19/15 did not indicate the care and services needed for dementia and anxiety diagnoses identified in the resident's initial assessment.
Report Facts
Number of Residents Served: 58
Total Daily Staff: 58
Waking Staff: 44
Residents Age 60 or Older: 55
Residents with Mental Illness: 4
Residents with Intellectual Disability: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia L. Stefl | NHA, Director of Resident Services | Signed plan of correction for violations |
| Jon Kimberland | Human Services Licensing Supervisor | Signed cover letter for inspection report |
| Patricia Bartlett | Department representative on-site during inspection |
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