Inspection Reports for
Messiah Lifeways at Messiah Village

The waiver is granted with conditions including obtaining written consent from residents, ensuring residents can independently operate the locking system, and allowing specified residents to remain in their rooms despite lacking a dementia diagnosis. The Department will review compliance during its annual inspection.

The visit was complaint-related and involved an incident of medication error. The medication error was reported to the Department of Human Services within the required 24-hour timeframe. The resident’s physician and Power of Attorney were notified, and follow-up calls were made to review the resident’s status.

The inspection found snow and ice obstructing emergency egress routes, and a medication error where a resident was administered medications prescribed to another resident. The facility implemented corrective actions including environmental audits and staff education.

The facility failed to ensure accurate resident assessments for two residents, with errors in reporting falls and medication use. Additionally, the facility did not follow proper disinfection procedures for glucose meters on one nursing unit, failing to meet infection prevention standards.

The investigation substantiated abuse by a contracted agency staff member who threw a leg brace at a resident. The staff member was suspended and terminated. The facility implemented additional training and monthly resident interviews to prevent future abuse.

The report found deficiencies related to resident personal equipment, unobstructed egress, support plan medical/dental, self-administration of medication, and no objection statements for secured dementia care unit admissions. Plans of correction were accepted and implemented by early January 2025.

No health deficiencies were found during the inspection.

The facility failed to provide a resident with the ordered thickened liquid, resulting in actual harm evidenced by aspiration pneumonitis. The facility conducted a timely investigation, provided staff education, implemented audits, and showed no further concerns during the survey.

The inspection identified multiple deficiencies including commingling of resident funds, lack of required annual staff training, hot water temperature exceeding limits, snow removal issues, inadequate fire drills during sleeping hours, incomplete medical evaluations and assessments for residents, missing items in first aid kits, expired medications, unsecured resident records, and incomplete support plans and screenings. All deficiencies had corrective action plans accepted and were implemented by 02/20/2024.

The complaint involved two separate incidents in August where a resident in the independent living wing performed sexual acts on another resident with memory impairment. The incidents were not reported timely to the local Area Agency on Aging or the Department. Staff Member A delayed notifying the Administrator, who then ensured immediate reporting and staff education on abuse reporting requirements.

The investigation found that two separate incidents of sexual acts involving a resident with memory impairment were witnessed but not reported immediately as required by law. Staff education on abuse reporting and consent was initiated following the incidents, and a plan of correction was accepted and implemented.

The facility was found deficient in providing appropriate catheter care to prevent urinary tract infections and maintain resident dignity, as well as in food storage and sanitation practices, including failure to label and date food items and use of expired sanitizer test strips.

No regulatory citations or deficiencies were identified as a result of this inspection.

The visit was complaint-related and involved an incident of verbal abuse. The plan of correction was accepted and fully implemented.

The report found a violation related to the treatment of residents, specifically verbal abuse by a staff member towards a resident. The staff member was suspended and subsequently terminated. Additional training on verbal abuse and resident rights was initiated.

The facility was found to have fully implemented the submitted plan of correction related to multiple deficiencies including resident abuse reporting, record confidentiality, activities of daily living assistance, unobstructed egress, and medication security. Continued compliance and ongoing audits were mandated.

Multiple deficiencies were identified including unsecured enabler bars posing entrapment risks, incomplete first aid kit, lack of operable bedside lighting for a resident, unlocked medication cart, inaccurate glucometer documentation, unavailable prescribed medication, and delayed admission support plan completion. All deficiencies had plans of correction accepted and were implemented by the end of December 2022.

The Department advises that an onsite annual inspection will be conducted within the next twelve months to ensure compliance with Title 55, PA Code, Chapter 2600, and enforcement actions will be taken if noncompliance is found.

The submitted plan of correction was fully implemented and compliance was maintained. The Department approved a reduction in licensed capacity from 238 to 190, including a reduction in the Secured Dementia Care Unit from 97 to 76 beds.

No inspection findings are reported in this document; it is a license renewal notice with a certificate of compliance.

The inspection was complaint-driven. The submitted plan of correction was accepted and fully implemented as of 08/07/2020.

The submitted plan of correction was found to be fully implemented. A deficiency was identified related to the resident support plan not documenting medical care services for a resident's pacemaker and remote monitor.

The Department of Human Services approved the capacity increase request for the Secured Dementia Care Unit. The overall facility capacity remains unchanged at 238 beds.

The facility was found to be in compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes.

No inspection findings are reported in this document. It is a licensing and renewal notification only.

The facility was found to be in compliance with the applicable regulations during the annual inspection.

No inspection findings are reported in this document. It is a licensing and renewal notice with no compliance or deficiency information.

Violations of 55 Pa.Code Chapter 2600 related to Personal Care Homes were found, including failure to provide resident rights training, improper use of glucometers, and hot water temperature exceeding 120°F. Plans of correction were submitted and partially implemented with adequate progress noted.

No inspection findings are reported in this document. It is a licensing and renewal notification letter with an enclosed certificate of compliance.

The waiver request is denied as documentation confirms the diploma is equivalent to a United States high school diploma. The Department advises the facility to keep a copy of the educational documentation.

The facility was found to be in compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes during the inspections on September 28 and 29, 2016.

No inspection findings are reported in this document. It is a license renewal notice confirming the issuance of a regular license based on the renewal application.

The document confirms the revised licensed capacity for the facility and states that the expiration date of the license remains unchanged.