Inspection Reports for Nippenose Valley Village

7190 SOUTH STATE ROUTE 44 HWY,, WILLIAMSPORT, PA, 17701

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

49% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year

Deficiencies per year

16 12 8 4 0
2021
2022
2024

Census

Latest occupancy rate 73% occupied

Based on a August 2024 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

20 40 60 80 May 2021 May 2022 Dec 2022 Jan 2024 Apr 2024 Aug 2024

Inspection Report

Renewal
Census: 43 Capacity: 59 Deficiencies: 14 Date: Aug 1, 2024

Visit Reason
The inspection was conducted as a renewal inspection of the facility license.

Findings
The inspection found multiple deficiencies including lack of first aid/CPR certified staff at times, uncovered bed rails posing entrapment risks, sanitary condition issues, lighting deficiencies, improper food storage, outdated pet vaccination, obstructed egress, combustible storage hazards, incomplete fire drills during sleeping hours, missing or outdated medical evaluations, medication administration errors, and incomplete resident support plans. Plans of correction were accepted and implemented for all deficiencies.

Deficiencies (14)
No First Aid certified staff working during certain times despite census of 43 residents.
Bed rails and bed enablers were not covered, causing a threat of entrapment of limbs.
Resident's glucometer had blood on it, indicating poor sanitary conditions.
Residents in rooms 9 did not have an operable lamp or other source of lighting at bedside.
Food stored in dry storage area was not securely closed.
A #10 can with a large dent in the top of the seal was found in dry food storage.
Visiting pet's rabies vaccination expired.
Exit door closest to conference room would not open without excessive force, obstructing egress.
Combustible cardboard boxes stored less than 1 foot from natural gas hot water heater.
Fire drills during sleeping hours were not conducted as required.
Resident's annual medical evaluation not completed for 2024 as of inspection date.
Resident's glucometer not calibrated to corrected time; medication administration record incorrectly transcribed.
Medication was incorrectly held due to blood pressure reading not meeting order criteria.
Resident support plans did not reflect specific needs, risks, or device use for bedside mobility devices.
Report Facts
Census: 43 Total Capacity: 59 Staffing Hours: 49 Waking Staff: 37 Current Hospice Residents: 2 Residents Age 60 or Older: 43 Residents with Mobility Need: 6

Inspection Report

Census: 32 Capacity: 59 Deficiencies: 0 Date: Apr 10, 2024

Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident.

Findings
No regulatory citations or deficiencies were identified during this inspection.

Report Facts
Total Daily Staff: 39 Waking Staff: 29 Resident Support Staff: 0 Residents Served: 32 License Capacity: 59 Residents 60 Years or Older: 32 Residents with Mobility Need: 7

Inspection Report

Complaint Investigation
Census: 42 Capacity: 59 Deficiencies: 0 Date: Jan 16, 2024

Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.

Complaint Details
The inspection was complaint-related, but no deficiencies were found and no follow-up was required.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.

Report Facts
Total Daily Staff: 42 Waking Staff: 32 Residents Served: 42 License Capacity: 59

Inspection Report

Complaint Investigation
Census: 35 Capacity: 59 Deficiencies: 0 Date: Dec 8, 2022

Visit Reason
The inspection was conducted as a complaint investigation at Nippenose Valley Village on 12/08/2022.

Complaint Details
The inspection was triggered by a complaint; however, no deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified during this inspection.

Report Facts
Total Daily Staff: 40 Waking Staff: 30 Residents Served: 35 License Capacity: 59 Residents with Mobility Need: 5 Residents Age 60 or Older: 35

Inspection Report

Renewal
Census: 32 Capacity: 59 Deficiencies: 1 Date: May 17, 2022

Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements at Nippenose Valley Village.

Findings
The submitted plan of correction related to a medication refusal violation was found to be fully implemented. The facility demonstrated corrective actions including staff re-education and improved documentation and notification procedures regarding medication refusals.

Deficiencies (1)
Resident #1 refused medication on multiple occasions and the doctor was not notified as required.
Report Facts
License Capacity: 59 Residents Served: 32 Total Daily Staff: 39 Waking Staff: 29 Residents with Mobility Need: 7

Employees mentioned
NameTitleContext
Ryan YankowyDepartment RepresentativeOn-site inspector during the inspection visit
Director of NursingNamed in medication refusal deficiency and corrective actions
AdministratorInvolved in corrective actions related to medication refusal

Notice

Capacity: 59 Deficiencies: 0 Date: Jun 29, 2021

Visit Reason
The document serves as a renewal notification and issuance of a regular license for Nippenose Valley Village Personal Care Home following receipt of the renewal application dated June 29, 2021.

Findings
The Department has issued a regular license in response to the renewal application and advises that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.

Report Facts
Maximum capacity: 59

Employees mentioned
NameTitleContext
Jamie L. BuchenauerDeputy SecretarySigned the renewal notification letter

Inspection Report

Renewal
Census: 25 Capacity: 59 Deficiencies: 6 Date: May 4, 2021

Visit Reason
The inspection was conducted as a renewal inspection of the facility license.

Findings
The inspection found several deficiencies including inaccurate fee schedules in resident contracts, incomplete criminal background checks, missing emergency telephone numbers, overdue annual medical evaluations, unsecured medication storage, and failure to follow prescriber's orders for medication administration. Plans of correction were submitted and implemented for all deficiencies.

Deficiencies (6)
The signed home contracts indicated transportation was provided for a fee, but the home does not provide transportation.
Personnel file for Staff Member B did not contain a finalized PA background check meeting OAPSA requirements.
Emergency telephone numbers were not posted near the phone in resident 4's room and the resident was unaware of their location.
Resident 1's annual medical evaluation was overdue; the previous was completed 11/14/2019 and the next on 12/3/2020.
Resident 4 stored self-administered medications in a box without an operating lock system.
Resident 5 received 8 units of Novolog instead of the prescribed 10 units for a blood sugar level of 309.
Report Facts
License Capacity: 59 Residents Served: 25 Total Daily Staff: 34 Waking Staff: 26 Hospice Residents: 1 Residents with Mobility Need: 9

Inspection Report

Routine
Deficiencies: 0 Date: Apr 20, 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

Routine
Deficiencies: 0 Date: Feb 18, 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 or deficiencies were identified as a result of this inspection.

Employees mentioned
NameTitleContext
Michele MoskalczykHuman Services Licensing SupervisorSigned the inspection report as the Human Services Licensing Supervisor.

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