Inspection Reports for Morris-Pace Personal Care Home
416 Reading Ave, Reading, PA 19611, United States, PA, 19611
Back to Facility ProfileInspection Report Summary
The most recent inspection on March 18, 2025, found no deficiencies. Earlier inspections showed a pattern of deficiencies primarily related to medication administration, infection control, food storage, fire safety, and emergency preparedness. Complaint investigations mostly resulted in accepted plans of correction, with no enforcement actions or fines listed in the available reports. Prior deficiencies included issues such as missed or undocumented medication doses, unlabeled food items, obstructed emergency exits, and incomplete staff training documentation. The facility appears to have addressed many prior issues, as indicated by the clean result in the latest inspection.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
9.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
104% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
90% occupied
Based on a March 2025 inspection.
Occupancy over time
Inspection Report
Census: 57
Capacity: 63
Deficiencies: 0
Date: Mar 18, 2025
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Resident Support Staff: 0
Total Daily Staff: 57
Waking Staff: 43
Residents Served: 57
License Capacity: 63
Residents Receiving Supplemental Security Income: 40
Residents Diagnosed with Mental Illness: 40
Residents Age 60 or Older: 28
Residents with Physical Disability: 1
Inspection Report
Renewal
Census: 55
Capacity: 63
Deficiencies: 10
Date: Nov 13, 2024
Visit Reason
The inspection was conducted as a full, unannounced review for renewal and complaint reasons on 11/13/2024 and 11/14/2024.
Findings
The inspection identified multiple deficiencies related to infection control, food storage and labeling, fire safety notifications, medication administration, and emergency preparedness. Plans of correction were accepted and implemented by 12/11/2024 with ongoing compliance measures described.
Deficiencies (10)
A bar of soap was found on the sink of a communal bathroom without labeling, violating infection control requirements.
Unlabeled and undated leftover food was found in the kitchen refrigerator.
An opened package of candy corn was found spilled in the pantry, violating food storage requirements.
The home failed to notify the local fire department in writing about the home address, bedroom locations, and evacuation assistance needed.
The annual fire safety inspection and fire drill by a fire safety expert were not completed within the calendar year.
Exit signs indicating paths of egress were missing on interior doors leading to emergency exits.
The home’s van used for resident transport did not contain a first aid kit.
Medication administration records lacked documentation of resident blood glucose levels as ordered.
Medication administration records did not reflect the correct dose and strength as ordered by the physician.
Residents did not receive prescribed medications on certain dates, and medications were not available onsite.
Report Facts
License Capacity: 63
Residents Served: 55
Staffing Hours: 55
Staffing Hours: 41
Residents Receiving Supplemental Security Income: 40
Residents Age 60 or Older: 28
Residents Diagnosed with Mental Illness: 42
Residents with Physical Disability: 1
Inspection Report
Census: 57
Capacity: 63
Deficiencies: 0
Date: Sep 11, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 57
Waking Staff: 43
License Capacity: 63
Residents Served: 57
Residents Receiving Supplemental Security Income: 38
Residents Aged 60 or Older: 26
Residents Diagnosed with Mental Illness: 40
Residents Diagnosed with Intellectual Disability: 0
Residents with Mobility Need: 0
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 59
Capacity: 63
Deficiencies: 1
Date: Jan 18, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.
Complaint Details
The visit was complaint-related, focusing on medication administration delays. The plan of correction was accepted and fully implemented.
Findings
The inspection found that several residents did not receive their prescribed medications on time due to delays in receiving medications from the pharmacy. A plan of correction was submitted and fully implemented to ensure medication availability prior to new admissions.
Deficiencies (1)
Multiple residents were not administered medications as prescribed due to waiting for the medication from the pharmacy.
Report Facts
License Capacity: 63
Residents Served: 59
Total Daily Staff: 59
Waking Staff: 44
Residents Receiving Supplemental Security Income: 41
Residents 60 Years or Older: 27
Residents Diagnosed with Mental Illness: 40
Residents with Physical Disability: 1
Inspection Report
Renewal
Census: 57
Capacity: 63
Deficiencies: 12
Date: Dec 19, 2023
Visit Reason
The inspection was conducted as a renewal visit with an incident review, unannounced, on 12/19/2023.
Findings
The inspection identified multiple deficiencies including incomplete staff training documentation, uncovered bed rails, overflowing trash dumpsters, lack of operable bedside lamps, outdated food labeling, obstructed emergency egress, combustible storage hazards, cigarette butt fire hazards, missing medication diagnosis information, and incomplete resident assessments and support plans. All deficiencies had plans of correction accepted and were implemented by 01/26/2024.
Deficiencies (12)
Staff training documentation was not dated, preventing confirmation of timely completion.
Resident bed rails were uncovered, posing a safety hazard.
Dumpster lids were unable to close due to overflowing trash, allowing rodent access.
Residents in rooms B3 and F3 lacked operable lamps or lighting sources at bedside.
Outdated or unlabeled food items found in kitchen refrigerator and freezer.
Emergency exit was obstructed by an ironing board and umbrella, blocking immediate egress.
Combustible sheet found behind dryer near exhaust hose, creating fire hazard.
Cigarette butts scattered in mulch near home, creating fire hazard.
Resident medications lacked diagnosis or purpose on MAR and pharmacy labels.
Resident assessment plan was not dated, preventing determination of timely completion.
Resident support plan was not dated, preventing determination of timely completion.
Resident case record did not include identifiable marks information.
Report Facts
License Capacity: 63
Residents Served: 57
Total Daily Staff: 57
Waking Staff: 43
Residents with Supplemental Security Income: 38
Residents 60 Years or Older: 26
Residents Diagnosed with Mental Illness: 40
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 60
Capacity: 63
Deficiencies: 1
Date: Aug 9, 2023
Visit Reason
The inspection was conducted as a complaint investigation following a review by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 08/09/2023.
Complaint Details
The visit was complaint-related as indicated by the inspection reason. The submitted plan of correction was accepted and fully implemented.
Findings
The inspection found a medication administration record violation where a resident's medication was not properly signed out, indicating staff did not follow medication administration policies. The submitted plan of correction was accepted and fully implemented.
Deficiencies (1)
Resident #1 medication administration record did not indicate medication was given as prescribed every 6 hours.
Report Facts
License Capacity: 63
Residents Served: 60
Staffing Hours - Total Daily Staff: 60
Staffing Hours - Waking Staff: 45
Residents Receiving Supplemental Security Income: 43
Residents Diagnosed with Mental Illness: 43
Residents Age 60 or Older: 27
Inspection Report
Follow-Up
Census: 58
Capacity: 63
Deficiencies: 2
Date: Feb 8, 2023
Visit Reason
The inspection was conducted as a follow-up review to verify that the previously submitted plan of correction was fully implemented following an incident-related partial unannounced inspection.
Findings
The facility was found to have fully implemented the plan of correction related to medication administration documentation and support plan documentation for a resident with behavioral and mental health needs. The report details deficiencies in medication record keeping and support plan documentation that were corrected with staff training and audits.
Deficiencies (2)
Medication record did not accurately reflect administration times; staff documented medications as not given when they were administered.
Resident's support plan did not document behavioral changes, mental health status, or facility plans to meet these needs despite known incidents.
Report Facts
License Capacity: 63
Residents Served: 58
Total Daily Staff: 58
Waking Staff: 44
Residents Receiving Supplemental Security Income: 40
Residents Diagnosed with Mental Illness: 47
Residents Aged 60 or Older: 27
Residents with Physical Disability: 1
Inspection Report
Routine
Deficiencies: 0
Date: Nov 29, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Complaint Investigation
Census: 58
Capacity: 63
Deficiencies: 0
Date: Oct 6, 2022
Visit Reason
The inspection was conducted as a result of an incident, with an unannounced partial inspection on 10/06/2022 and an off-site inspection on 11/29/2022.
Complaint Details
The inspection was incident-related; no deficiencies or citations were found, indicating no substantiated complaint issues.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 58
License Capacity: 63
Total Daily Staff: 58
Waking Staff: 44
Residents Receiving Supplemental Security Income: 43
Residents Age 60 or Older: 27
Residents Diagnosed with Mental Illness: 40
Inspection Report
Plan of Correction
Census: 60
Capacity: 63
Deficiencies: 1
Date: Oct 3, 2022
Visit Reason
The inspection was conducted as a partial, unannounced review due to an incident at the facility.
Findings
The submitted plan of correction related to an incomplete medical evaluation for a resident was reviewed and determined to be fully implemented. Continued compliance is required.
Deficiencies (1)
Resident #1's medical evaluation was incomplete as it did not indicate whether the resident can safely use or avoid poisonous materials.
Report Facts
License Capacity: 63
Residents Served: 60
Staffing Hours: 60
Waking Staff: 45
Inspection Report
Renewal
Census: 60
Capacity: 63
Deficiencies: 13
Date: Sep 13, 2022
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing regulations and verify the implementation of the submitted plan of correction.
Findings
Multiple deficiencies were identified including issues with criminal background checks, first aid/CPR training, surfaces, refrigerator/freezer temperatures, unobstructed egress, combustible storage, fire safety inspection, medical evaluation information, medication storage and administration, prescriber's orders, additional assessments, and support plan documentation. All deficiencies had accepted plans of correction that were implemented by January 19, 2023.
Deficiencies (13)
No verification of a criminal background check completed for a staff member hired.
Only one CPR certified staff member was working during night shifts despite census of 60 residents.
A piece of baseboard in the stairwell had fallen off with a nail sticking up, creating a hazard.
No thermometer in the refrigerator or freezer in the kitchenette of section D; repeat violation.
Emergency exit from room C was blocked by a chair and laundry, preventing immediate egress; repeat violation.
Laundry stored directly next to and touching the hot water heater, a combustible storage hazard.
Most recent fire inspection by a fire safety expert was completed on 8/7/2019 and was overdue.
Resident 1’s medical evaluation was incomplete with required fields for body positioning and health status left blank.
Medication for Resident 2 was not available on the medication cart at the time of inspection; repeat violation.
Medication administration was documented as given when it was not; repeat violation.
Medication cream for Resident 2 was not available and thus not administered as prescribed; repeat violation.
Most recent additional assessment for Resident 3 was not completed timely.
Resident 4’s support plan was not updated to document a hearing alert device.
Report Facts
Residents served: 60
License capacity: 63
Staffing hours - Total Daily Staff: 60
Staffing hours - Waking Staff: 45
Inspection Report
Routine
Deficiencies: 0
Date: Dec 21, 2021
Visit Reason
The inspection was conducted as a routine licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Inspection Report
Renewal
Deficiencies: 0
Date: Dec 3, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Follow-Up
Census: 58
Capacity: 63
Deficiencies: 1
Date: Oct 15, 2021
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to review the submitted plan of correction for previously identified deficiencies.
Findings
The submitted plan of correction related to an incomplete medical evaluation form for a resident was found to be fully implemented. The deficiency involved missing documentation of the resident's mobility needs, which was corrected after staff and physician intervention.
Deficiencies (1)
Resident #1's medical evaluation was incomplete as the mobility needs assessment section was left blank.
Report Facts
License Capacity: 63
Residents Served: 58
Resident Support Staff: 58
Total Daily Staff: 116
Waking Staff: 87
Notice
Capacity: 63
Deficiencies: 0
Date: Aug 25, 2021
Visit Reason
This document serves as a renewal notification and license issuance for Morris-Pace Personal Care, confirming receipt of the renewal application and advising 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 confirming license renewal and outlining future inspection requirements.
Report Facts
Maximum capacity: 63
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report
Renewal
Deficiencies: 0
Date: Aug 11, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Renewal
Census: 58
Capacity: 63
Deficiencies: 7
Date: Jul 28, 2021
Visit Reason
The inspection was conducted as a renewal and complaint investigation visit to assess compliance with licensing requirements and address complaint issues.
Complaint Details
The inspection included a complaint investigation component as indicated by the inspection reason and findings related to medication administration and storage procedures.
Findings
The inspection identified multiple deficiencies including lack of operable bedside lamps, unlabeled bar soap in bathrooms, refrigerator temperature violations, obstructed emergency egress, combustible storage hazards, and medication administration and documentation errors. Plans of correction were submitted and accepted with follow-up dates scheduled.
Deficiencies (7)
Resident room #C3 did not have a bedside lamp available for the resident to use at their bedside.
Resident Room #F1 had 2 bars of bar soap lying on the bathroom sink that were not in a container with the resident's name.
The Ropper brand refrigerator located in section A kitchenette had a temperature reading of 50°F, exceeding the required 40°F.
The rear fire exit door on the first floor in section J had a chair and a walker in front of the door preventing immediate egress in an emergency.
A pillow case and sock were found lying behind the home's commercial dryer in the main laundry room, posing a combustible storage hazard.
Resident #1's glucometer was not calibrated correctly to the date and blood glucose test readings were off by a day and not documented accurately.
Resident #2 had medications that were not available at the home but were documented as being administered, violating medication administration and documentation requirements.
Report Facts
License Capacity: 63
Residents Served: 58
Staffing Hours: 58
Waking Staff: 44
Temperature Reading: 50
Inspection Dates: 2
Inspection Report
Routine
Deficiencies: 0
Date: Jul 15, 2021
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing routine licensing inspections on 04/16/2021 and 07/15/2021.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Routine
Deficiencies: 0
Date: May 27, 2021
Visit Reason
The inspection visits on 02/02/2021 and 05/27/2021 were conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing to assess regulatory compliance of the Morris-Pace Personal Care facility.
Findings
No regulatory citations or deficiencies were identified as a result of these inspections.
Inspection Report
Routine
Deficiencies: 0
Date: Feb 25, 2021
Visit Reason
The inspection was conducted as a routine licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
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