Inspection Reports for
Meadow Glen at Phoebe Richland
108 SOUTH MAIN STREET,, RICHLANDTOWN, PA, 18955
Back to Facility Profile22 Reports
Inspection Report — Nov 17, 2025
Renewal
Date: Nov 17, 2025
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements at Meadow Glen at Phoebe Richland.
Findings
The facility was found to have deficiencies related to staff orientation, emergency procedure submissions, staff training, and medication storage. The submitted plan of correction was fully implemented by the follow-up date.
Citations (4)
2600.65a - Staff person B did not receive orientation on telephone use and notification of emergency services on their first work day.
2600.107d - The home’s written emergency procedures have not been reviewed, updated, and submitted annually to the local emergency management agency since 7/01/2024.
2600.171b4 - Staff person D transports residents alone but has not completed the initial new hire direct care staff person training.
2600.183e - Lorazepam 0.5 mg blister pack was punctured and held with tape, and Calazime Intensive Paste expired on 5/23/2025 was kept on the medication cart.
Report Facts
Residents Served: 73
Secured Dementia Care Unit Residents Served: 38
Hospice Current Residents: 6
Notice — Oct 6, 2025
Date: Oct 6, 2025
Visit Reason
This letter responds to a facility request to use AUGi by Inspiren, a smart device for fall detection and management, ensuring compliance with resident rights and privacy regulations.
Findings
The Department reviewed the submitted information and found that the informed consent process includes voluntary participation, the right to discontinue use, and notification of residents and responsible parties about their rights. The letter does not endorse the device but confirms regulatory requirements are met if the facility maintains outlined practices.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Director, Bureau of Human Services Licensing | Signed the response letter regarding the use of AUGi device. |
Inspection Report — Nov 26, 2024
Follow-Up
Date: Nov 26, 2024
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident, with a follow-up on the submitted plan of correction.
Findings
The facility was found to have implemented the submitted plan of correction fully. Deficiencies related to the use of chemical restraints without documented non-pharmacological interventions and incomplete preadmission screening forms were addressed with corrective actions and education.
Citations (2)
Use of chemical restraint medication without documentation of attempted non-pharmacological interventions prior to administration.
Preadmission screening form was not completed within 30 days prior to resident admission.
Report Facts
Residents Served: 70
Residents Served in Secured Dementia Care Unit: 32
Current Residents in Hospice: 5
Residents Age 60 or Older: 70
Residents Diagnosed with Mental Illness: 25
Residents with Mobility Need: 38
Residents with Physical Disability: 3
Inspection Report — Oct 16, 2024
Renewal
Date: Oct 16, 2024
Visit Reason
The inspection was conducted as a renewal visit to review compliance and verify the implementation of the submitted plan of correction.
Findings
Multiple deficiencies were identified related to staff training, resident personal equipment, locking of poisonous materials, lighting, unobstructed egress, medication storage procedures, and support plan documentation. All deficiencies had accepted plans of correction with completion dates and were implemented by 12/24/2024.
Citations (9)
Direct care staff person A received only 1.75 hours of annual training in training year 2023, less than the required 12 hours.
Direct care staff person A did not receive required training in medication self-administration, resident needs, dementia care, infection control, personal care, safe management techniques during training year 2023.
Staff person A did not receive training in emergency preparedness, resident rights, Older Adult Protective Services Act, falls and accident prevention during training year 2023.
Resident has a bedside mobility device that is not secured to the bed frame.
Poisonous materials (Sani Cloth disinfectant wipes and DG Home Disinfectant Spray) were unlocked, unattended, and accessible to residents in Memory Care Wing B nurse station.
Resident does not have access to a source of light that can be turned on/off at bedside.
Two doors in Memory Care wing A and B were labeled as 'not an exit' but had exit signs above them.
Medication prescribed as needed was not available in the home; glucometer reading was not documented on the medication administration record.
Resident's assessment and support plan did not document the need for an enabler, including specific need, intended use, risks, and resident's ability to use it safely.
Report Facts
Residents Served: 70
Secured Dementia Care Unit Residents Served: 32
Current Hospice Residents: 3
Total Daily Staff: 106
Waking Staff: 80
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Laporte | Administrator | Named in facility information section |
Inspection Report — Jun 21, 2023
Follow-Up
Date: Jun 21, 2023
Visit Reason
The inspection was conducted as a full, unannounced review for renewal, complaint, and incident reasons at the facility.
Findings
The inspection found multiple deficiencies including violations of resident dignity and privacy, incomplete criminal background checks, lack of fire safety training, missing emergency telephone numbers, improper refrigerator/freezer temperatures, incomplete emergency management submissions, fire drill record deficiencies, medication storage and labeling issues, and missing documentation for resident admissions and key-locking device instructions. All deficiencies had plans of correction accepted and were implemented by August 15, 2023.
Citations (16)
Violation of resident dignity and respect by staff recording and removing a resident's wig without consent and sharing the video on social media.
Violation of resident privacy by recording a resident without consent and sharing the video externally.
Staff person employed without a completed criminal background check prior to first day of work.
Direct care staff did not receive required annual fire safety training by a qualified trainer during 2022.
No emergency telephone numbers posted by telephone in Memory Support A kitchen.
Refrigerator and freezer temperatures exceeded regulatory limits on inspection day.
No documentation of submitting emergency procedures to local emergency management agency.
Fire drill record missing exit route used during drill on 10/31/22.
Fire drill evacuation time exceeded maximum safe time; drill took 45 minutes instead of 15.
Fire alarm was not activated during multiple fire drills in 2022 and early 2023.
Resident medical evaluation did not reflect capability to self-administer medication.
Loose pills found in medication cart drawer in Personal Care A.
Pharmacy labels on resident medications did not match prescribed orders.
Resident glucometer not calibrated to correct date; inaccurate blood glucose documentation.
No objection statements documented for residents admitted to Secure Dementia Care Unit.
Directions for operating key-locking device not conspicuously posted near exit door to Secure Dementia Care Unit stairwell #3.
Report Facts
Residents Served: 78
Memory Support Unit Residents Served: 34
Current Hospice Residents: 3
Residents Diagnosed with Mental Illness: 18
Residents with Mobility Need: 45
Residents Age 60 or Older: 77
Refrigerator Temperature: 46
Freezer Temperature: 10
Fire Drill Evacuation Time: 45
Inspection Report — Jan 5, 2023
Follow-Up
Date: Jan 5, 2023
Visit Reason
The inspection visit was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to an incident at the facility.
Findings
The submitted plan of correction was determined to be fully implemented. The facility addressed a violation involving failure to use positive interventions when managing a resident's behavior, including staff termination and education measures.
Citations (1)
Failure to use positive interventions to modify or eliminate a behavior that endangers the resident or others, specifically staff forcibly making a resident go back inside during a storm without positive intervention techniques.
Report Facts
Residents Served: 76
Secured Dementia Care Unit Residents Served: 38
Current Hospice Residents: 2
Residents Age 60 or Older: 75
Residents with Mobility Need: 46
Inspection Report — Apr 4, 2022
Renewal
Date: Apr 4, 2022
Visit Reason
The inspection was conducted as a renewal licensing inspection of the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 130
Waking Staff: 98
Residents Served: 76
Residents Served in Dementia Care Unit: 37
Current Hospice Residents: 2
Residents Age 60 or Older: 73
Residents with Mobility Need: 54
Residents with Physical Disability: 3
Inspection Report — Nov 2, 2021
Follow-Up
Date: Nov 2, 2021
Visit Reason
The inspection was a follow-up visit to verify the implementation of a previously submitted plan of correction related to an incident at the facility.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies primarily involved missing signatures on resident-home contracts, lack of signed statements acknowledging receipt of resident rights, incomplete resident education on medication refusal rights, and incomplete or missing preadmission screening documentation for residents. The facility implemented electronic signature software (Docusign) and auditing processes to address these issues.
Citations (6)
Resident-home contracts were not signed by the resident or payor as required.
Resident #1's record lacked a signed statement acknowledging receipt of resident rights and complaint procedures.
Resident #1 was not educated on the right to refuse medication if a medication error was suspected.
Resident #1’s preadmission screening form did not include a determination that the resident's needs could be met by the home or the resident's level of supervision.
Resident #1's written cognitive preadmission screening was not completed within 72 hours prior to admission to the secured dementia care unit.
Resident #2's record did not include the preadmission screening for the resident's initial admission to the home.
Report Facts
Residents Served: 76
Residents Served in Secured Dementia Care Unit: 35
Total Daily Staff: 115
Waking Staff: 86
Residents 60 Years or Older: 75
Residents with Mobility Need: 39
Residents with Physical Disability: 2
Notice — Oct 20, 2021
Date: Oct 20, 2021
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care Home Meadow Glen at Phoebe Richland, with a reminder that an annual inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported; the document confirms issuance of a regular license following the renewal application and advises that an annual inspection will occur within the next year.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
Inspection Report — Mar 31, 2021
Renewal
Date: Mar 31, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection of Meadow Glen at Phoebe Richland, an assisted living facility, on 03/31/2021 and 04/01/2021.
Findings
Multiple deficiencies were identified including unlocked poisonous materials accessible to residents, missing emergency telephone numbers in resident rooms, incomplete first aid kits, lack of a system to safeguard resident laundry, incomplete medical evaluations, outdated posted menus, improper medication storage and labeling, missing medications, incomplete medication administration records, use of chemical restraints for behavior control, and lack of resident involvement in support plan development. Plans of correction were accepted for most deficiencies with specified completion dates.
Citations (14)
Unlocked, unattended, and accessible poisonous materials (Dawn Mist fluoride toothpaste) in resident rooms where not all residents are assessed capable of safe use.
No emergency telephone numbers posted on or by the telephone in resident room #112.
First aid kit in 2nd floor med room missing a thermometer.
No system to safeguard resident laundry from loss; residents reported lost bed sheets and blankets.
Resident #2's medical evaluation did not include ability to self-administer medications and health status.
Menus posted in the dining area of the secured dementia care unit were for past two weeks, not current or upcoming week.
Medications (Latanoprost Ophthalmic sol 0.005%) lacked open date on label as required.
Pharmacy label for resident #3's Lorazepam 0.5 mg did not reflect changed order to 'as needed' and lacked direction change sticker.
Resident #5's prescribed Nitroglycerin Sub 0.4 mg as needed was not available in the home on 04/01/2021.
Resident #6's glucometer reading was not logged on 03/15/2021 at 05:55 AM.
Resident #5's March MAR missing initials of staff who administered Lorazepam 0.25 mg as needed on 03/13/2021 at 07:30 AM.
Resident #3's prescribed Pantoprazole 40 mg twice daily was not administered on 04/01/2021 at 06:30 AM due to medication unavailability.
Resident #7 was administered Lorazepam gel 0.5 mg as needed for agitation to control behaviors on multiple dates, constituting chemical restraint use.
Resident #8's support plan was finalized without involvement of the resident or designated person.
Report Facts
Residents Served: 68
Secured Dementia Care Unit Residents Served: 32
Hospice Residents: 4
Staffing Hours - Total Daily Staff: 106
Staffing Hours - Waking Staff: 80
Inspection Report — Feb 8, 2021
Renewal
Date: Feb 8, 2021
Visit Reason
The document is a renewal license issued in response to the facility's renewal application to operate a Personal Care Home, with a reminder that an annual inspection will be conducted within the next twelve months.
Findings
A regular license is being issued for Meadow Glen at Phoebe Richland to operate as a Personal Care Home with a maximum capacity of 100 residents, including a Secure Dementia Care Unit with a capacity of 38. The Department will conduct an inspection within the next twelve months and take enforcement action if noncompliance is found.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal license letter |
Inspection Report — Feb 12, 2020
Renewal
Date: Feb 12, 2020
Visit Reason
The inspection was a renewal visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Services Licensing to review compliance at Meadow Glen at Phoebe Richland.
Findings
The inspection identified multiple deficiencies related to contract signatures, signed statements, staff training, locking poisonous materials, sanitary conditions, emergency telephone numbers, lighting, lint removal, fire drills, medical evaluations, medication procedures and records, resident rights, prohibitions, preadmission screening, and support plans. All plans of correction were approved and implemented.
Citations (23)
25b. The resident-home contract for resident #1 was not signed by the resident.
41e. Resident #1's record lacked a signed statement acknowledging receipt of resident rights and complaint procedures.
65g. Staff person A did not receive training on resident rights and the Older Adult Protective Services Act during 2019.
82c. Poisonous materials including handwashing gels were found unlocked and accessible to residents in the memory care unit bathrooms.
85a. Laundry staff indicated that soiled laundry items were washed together with regular laundry.
91. Emergency telephone numbers for the nearest hospital and fire department were not posted on or by the telephone in room 119.
101j7. Resident in room 102 did not have access to a bedside lamp that could be turned on or off.
105g. Lint accumulated in the lint trap of the commercial dryer on 02/13/2020.
132g. Fire drills conducted in 2019 were all held on Mondays, not on different days of the week as required.
141a. Residents #2 and #3 medical evaluations did not include a list of current medications.
141b1. Resident #1's most recent medical evaluation was incomplete; resident #4's additional evaluation was not completed.
185a. Glucometers for residents #5 and #6 were not calibrated to the correct date and time.
185b. Resident #7's narcotics sign-out sheet showed discrepancies and medication administration errors.
187a. Resident #8's medication administration record lacked diagnosis or purpose for medications including PRN.
187b. Medication administration for resident #6 was not properly documented; medication was still in the med box after administration time.
187d. Resident #6 was not administered prescribed medication at the correct time.
191. Resident #1 was not educated on the right to refuse medication despite believing there may be an error.
202. Resident #9 was administered medication without a specific diagnosis accompanying the order.
224a. Resident #10's preadmission screening form did not include a determination that the resident's needs could be met.
227c. Resident #2's support plan was not updated to reflect a status change; dated 09/11/2019.
227g. Resident #2's and #4's support plans were not signed by the assessor, resident, or responsible party as required.
233c. Directions for operating the home's locking mechanism were not posted near the Secure Dementia Care Unit courtyard gate.
234c. Resident #10's support plan did not identify the individual responsible for addressing the resident's needs including avoiding poisonous materials.
Report Facts
Residents Served: 79
Secured Dementia Care Unit Residents Served: 18
Hospice Current Residents: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Simmers | Administrator | Named as Legal Entity Representative and signer of plans of correction |
Notice — Oct 15, 2019
Date: Oct 15, 2019
Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care Home Meadow Glen at Phoebe Richland. It informs the facility of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It is an administrative notice regarding license renewal and future inspection requirements.
Report Facts
Inspection Report — Feb 11, 2019
Renewal
Date: Feb 11, 2019
Visit Reason
The inspection was a renewal inspection conducted by the Department's Bureau of Human Services Licensing to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.
Findings
Violations related to refunding residents' previously paid rent after death were found, and a fire drill during sleeping hours had not been conducted as required. Plans of correction were submitted with partial implementation noted.
Citations (2)
Regulation 55 Pa.Code §2600.28(e) - The home did not refund residents' previously paid rent to their estates within the required 30 days after death for three residents.
Regulation 55 Pa.Code §2600.132(e) - A fire drill during sleeping hours was not conducted as required; the last drill was on 01/16/2018.
Report Facts
Number of Residents Served: 74
Number of Current Hospice Residents: 2
Number of Hospice Residents in past year: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Simmers | PCHA | Administrator named in plan of correction signatures related to refund violation and fire drill violation. |
Notice — Oct 22, 2018
Date: Oct 22, 2018
Visit Reason
The document serves as a renewal of the facility's license to operate a Personal Care Home and acknowledges receipt of the renewal application dated October 22, 2018.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license and states that an onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Inspection Report — Oct 23, 2017
Renewal
Date: Oct 23, 2017
Visit Reason
The document is a renewal license issued in response to the October 23, 2017 renewal application to operate the Personal Care Home Meadow Glen at Phoebe Richland. The Department 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 certificate and notification letter confirming the issuance of a regular license.
Report Facts
Inspection Report — Jul 6, 2017
Annual Inspection
Date: Jul 6, 2017
Visit Reason
The inspection was conducted as an annual licensing inspection of the Meadow Glen at Phoebe Richland Personal Care Home facility on July 6, 2017.
Findings
Violations related to medication administration, support plan signatures, and medical evaluation documentation were found. Plans of correction were partially implemented with ongoing education and audits planned.
Citations (4)
55 Pa.Code Ch. 2600: On 07-08-17, Oxycodone/Apap 5-325 mg was found in the medication cart but not on the MAR for resident #1.
55 Pa.Code 2600: The medication administration record for resident #2 included medications no longer taken by the resident but still written on the MAR.
55 Pa.Code 2600: Resident #2 did not sign the support plan developed on 08-08-16.
55 Pa.Code 2600: Resident #3's DME dated 09-14-16 did not state the need for secured dementia care unit (SDCU) care.
Report Facts
Number of Residents Served: 58
Inspection Report — Dec 2, 2016
Renewal
Date: Dec 2, 2016
Visit Reason
The document is a renewal application response and license issuance for Meadow Glen at Phoebe Richland Personal Care Home. The Department advises that an onsite annual inspection will be conducted 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 and certificate of compliance for the facility.
Report Facts
Inspection Report — Oct 28, 2016
Renewal
Date: Oct 28, 2016
Visit Reason
The inspection was a licensing inspection conducted on 10/28/2016 for Meadow Glen at Phoebe Richland to assess compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Findings
The inspection identified violations related to resident mistreatment, dignity and respect, and failure to complete timely resident assessments. Plans of correction included staff training, meetings on resident rights, and improved documentation practices.
Citations (3)
55 Pa.Code 2600.42(b): A resident was neglected and intimidated by staff who failed to respond to requests and hospitalize the resident as needed. The involved employee was terminated and staff received training on resident rights.
55 Pa.Code 2600.42(c): A resident was not treated with dignity and respect when staff forced the resident out of bed and into the dining room against their wishes. Staff member A was terminated and staff received in-service training on resident rights.
55 Pa.Code 2600.225(c): A resident requiring increased total assistance had not received a new assessment reflecting changes in needs. Staff received training on timely documentation and assessment updates.
Report Facts
Number of Residents Served: 47
Staffing Hours: 63
Waking Staff: 47
Number of Residents Served in Secured Dementia Care Unit: 18
Number of Current Hospice Residents: 0
Number of Hospice Residents in Past Years: 2
Residents Age 60 or Older: 47
Residents with Mobility Needs: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erin Garcia | Administrator | Named as Administrator in report and plan of correction approval |
Inspection Report — Jul 13, 2016
Annual Inspection
Date: Jul 13, 2016
Visit Reason
Annual licensing inspection of Meadow Glen at Phoebe Richland Personal Care Home to assess compliance with 55 Pa.Code Chapter 2600.
Findings
Violations were found related to missing items in first aid kits, incomplete medication administration records, incomplete cognitive preadmission screening, and lack of documented support plans within required timeframes. Plans of correction were partially implemented with ongoing education and monitoring.
Citations (4)
Regulation 2600.96(a): The first aid kit in the SDCU nursing office does not include goggles or tweezers.
Regulation 2600.187(a): Medication administration records for two residents lacked required instructions and ingredient details.
Regulation 2600.231(c): Cognitive preadmission screening was not completed within 72 hours prior to admission for a resident to the secured dementia care unit.
Regulation 2600.234(a): A support plan was not developed, implemented, and documented within 72 hours of admission for a resident to the secured dementia care unit.
Report Facts
Number of Residents Served: 37
Total Daily Staff: 52
Waking Staff: 39
Number of Residents Served in Secured Dementia Care Unit: 15
Number of Current Hospice Residents: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erin Garcia | PCH Administrator | Named in relation to findings and plans of correction for medication and screening violations. |
Inspection Report — Jan 28, 2016
Original Licensing
Date: Jan 28, 2016
Visit Reason
Licensing inspection of a new personal care home facility to assess compliance with regulations and issue a license.
Findings
The facility was found to be in substantial compliance with applicable regulations, but a full inspection could not be completed because the home was new and not yet serving four or more residents.
Document — February 7, 2020
Date: February 7, 2020
Visit Reason
The document is a letter and related licensing documents approving an increase in the licensed capacity of Meadow Glen at Phoebe Richland from 80 to 100 residents.
Findings
No inspection findings are reported. The documents confirm the approval of the revised license capacity and include regulatory requirements for personal care homes.
Report Facts
Viewing
Loading inspection reports...
