Inspection Reports for
Normandie Ridge
1700 NORMANDIE DRIVE,, YORK, PA, 17408
Back to Facility Profile20 Reports
Notice — Jun 2, 2026
Date: Jun 2, 2026
Visit Reason
The document responds to a request submitted by the facility to use AUGi, a wall-mounted smart device using artificial intelligence for fall detection and fall management for individuals with cognitive impairment.
Findings
The Department reviewed the submitted information and determined that the informed consent includes voluntary participation and the right to discontinue use of the device at any time. The facility must maintain signed informed consent forms and comply with resident rights and privacy regulations.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Director | Signed the response letter from the Bureau of Human Services Licensing |
Inspection Report — Aug 7, 2024
Renewal
Date: Aug 7, 2024
Visit Reason
The inspection was conducted as a full, unannounced review for renewal, complaint, and incident purposes at Normandie Ridge.
Findings
The inspection identified multiple deficiencies including unsigned resident contracts, lack of payment responsibility specification in contracts, incidents of resident abuse, incomplete criminal background checks, failure to follow prescriber's medication orders, missing signage for key-locking devices, and incomplete resident death records. Plans of correction were accepted and fully implemented by the facility.
Citations (7)
Resident-home contract was not signed by the resident nor by the administrator or designee.
Resident-home contracts did not specify the party responsible for payment.
Resident #5 physically abused Resident #6 and Resident #7 on multiple occasions.
Criminal background check for Staff Member A was incomplete with no follow-up for final disposition.
Resident #3 was administered medication despite blood sugar levels below prescribed threshold.
Directions for operating key-locking devices were not conspicuously posted near Secure Dementia Care Unit exits and exterior gate.
Resident #4's record did not include a copy of the official death certificate.
Report Facts
Residents Served: 26
Residents Served in SDCU: 17
Hospice Residents: 1
Residents Age 60 or Older: 26
Residents with Intellectual Disability: 1
Residents with Mobility Need: 18
Total Daily Staff: 44
Waking Staff: 33
Inspection Report — Sep 28, 2023
Follow-Up
Date: Sep 28, 2023
Visit Reason
The visit was a partial, unannounced inspection conducted due to an incident at the facility.
Findings
The inspection found a violation related to abuse where a staff member verbally abused residents and refused care. The staff member was placed on administrative leave and subsequently terminated. A plan of correction including staff training and monitoring was implemented.
Citations (1)
Staff Member A verbally abused Resident 1 and refused to provide care, and was observed arguing with Resident 2 and telling them to be quiet.
Report Facts
Residents Served: 27
Residents Served: 9
Residents Served: 18
Total Daily Staff: 29
Waking Staff: 22
Inspection Report — Mar 8, 2023
Renewal
Date: Mar 8, 2023
Visit Reason
The inspection was conducted as a full, unannounced renewal inspection with an incident review on 03/08/2023 and 03/09/2023.
Findings
The inspection identified multiple deficiencies including medication errors, treatment of residents, facility maintenance issues such as water leaks and soap dispenser labeling, emergency procedure submission delays, exit door accessibility issues, fire drill record deficiencies, and medication storage violations. Plans of correction were accepted and implemented with follow-up audits and staff education scheduled.
Citations (9)
Medication errors occurred resulting in residents not receiving prescribed medications and delayed reporting of these errors to the Department and prescribers.
A staff member verbally belittled a resident, affecting the resident's demeanor.
Ceiling tile between resident rooms was wet due to an active water leak.
An unlabeled, used bar of soap was observed next to a bathroom sink shared by two residents.
Written emergency procedures were not submitted annually to the local emergency management agency as required.
Exit doors in the Secured Dementia Care Unit require a key fob or key to open, restricting resident access.
Fire drill records for multiple dates did not include required details such as exit routes used and number of residents evacuated.
Residents in the Secured Dementia Care Unit participated in separate fire drills from other residents, contrary to requirements.
A container of cough drops was unlocked and accessible in a resident's bedroom; the resident was not assessed to self-administer medications.
Report Facts
Residents Served: 26
Memory Care Residents Served: 17
Current Hospice Residents: 1
Total Daily Staff: 48
Waking Staff: 36
Inspection Report — Nov 8, 2022
Follow-Up
Date: Nov 8, 2022
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident involving alleged resident abuse and to review the submitted plan of correction.
Complaint Details
The visit was triggered by an incident involving allegations of verbal abuse of Resident 1 by Staff Member A. The complaint was substantiated as the facility confirmed abuse occurred and took corrective actions including suspension and termination of the staff member.
Findings
The facility was found to have delayed reporting suspected verbal abuse of a resident by a staff member, delayed notification of suspension of the staff member to the Department, and delayed notification to the resident's designated person. The alleged staff member was suspended and later terminated following investigation. The facility implemented staff education and new reporting tools to prevent future delays.
Citations (4)
Failure to immediately report suspected abuse of a resident as required by regulations.
Failure to immediately submit a plan of supervision or notice of suspension of the affected staff person to the Department.
Failure to immediately notify the resident and the resident's designated person of a report of suspected abuse or neglect.
Resident was verbally abused by a staff member over a period of months, causing emotional distress.
Report Facts
Residents Served: 23
Memory Care Residents Served: 17
Residents with Mobility Need: 21
Residents 60 Years or Older: 23
Inspection Report — Mar 8, 2022
Renewal
Date: Mar 8, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found multiple deficiencies including missing signatures on resident contracts, improper storage and locking of poisonous materials, exposed electrical outlet hazards, presence of discontinued medications, inaccurate medication storage procedures, incomplete medication administration reviews for staff, incomplete preadmission screening forms, and unsecured resident records. All deficiencies had plans of correction implemented.
Citations (9)
Resident-home contract was not signed by the designated person/payor.
Poisonous materials (flammable air fresheners) were stored in the kitchenette in the secured dementia care unit.
Poisonous materials were unlocked, unattended, and accessible to residents in the secured dementia care unit.
Exposed electrical outlet due to missing socket cover in the kitchenette/community room of the personal care section.
Discontinued medication belonging to a former resident was found in the medication cart.
Medication storage device for a resident was not accurately calibrated to the correct date and time.
Two staff persons had not completed required medication administration reviews within one year but continued to distribute medications.
Preadmission screening form for a resident was incomplete with missing diagnoses, sensory needs assessment, and status regarding poisonous materials.
Administrator's office was unlocked and unattended with at least 15 boxes of resident files accessible.
Report Facts
Residents Served: 22
Residents Served in SDCU: 16
Total Daily Staff: 44
Waking Staff: 33
Number of Resident Files Accessible: 15
Notice — Aug 23, 2021
Date: Aug 23, 2021
Visit Reason
The document serves as a renewal license issuance for Normandie Ridge Personal Care Home following receipt of the renewal application dated August 6, 2021, and advises that an annual onsite inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document; it confirms the issuance of a regular license and outlines the requirement for an annual inspection to ensure compliance with applicable regulations.
Report Facts
Notice — Jun 1, 2020
Date: Jun 1, 2020
Visit Reason
This document grants a waiver for the administrator training and orientation requirement under 55 Pa.Code § 2600.64(a)(1) for Normandie Ridge personal care home due to the orientation session not being currently available.
Findings
The waiver is granted with conditions including completion of a 100-hour training course, serving as administrator without attending orientation, and attending orientation within 90 days once available. The Department will review this waiver annually during inspections to ensure compliance.
Notice — Mar 6, 2020
Date: Mar 6, 2020
Visit Reason
The document serves as a waiver approval for Normandie Ridge personal care home to exempt an employee from completing the Department-approved administrator competency-based training test from March 14, 2020 to April 30, 2020.
Findings
The waiver is granted with conditions including documentation requirements and a specified effective period. The Department will review the waiver annually during its inspections to ensure compliance.
Report Facts
Waiver effective period: From March 14, 2020 to April 30, 2020
Inspection Report — Jan 2, 2020
Renewal
Date: Jan 2, 2020
Visit Reason
The inspection was a renewal visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Services Licensing, to assess compliance with licensing regulations at Normandie Ridge.
Findings
Several deficiencies were identified including unsigned resident contracts, incomplete staff training in safe management techniques and emergency preparedness, uncovered dumpster outside the kitchen, incomplete fire drill evacuations, missing medical evaluation documentation, unsigned resident support plans, and incomplete resident record content. Plans of correction were approved and deemed acceptable.
Citations (8)
25b - Contract Signatures: The contract for Resident 1 is not signed by the resident.
65f - Training Topics: Direct Care Staff Person C did not receive training in safe management techniques during the 2019 calendar training year.
65g - Annual Training Content: Ancillary Staff Members A and B and Direct Care Staff Persons D and E did not receive required training in emergency preparedness and falls prevention during 2019.
85e - Trash Outside Home: The dumpster outside the kitchen was uncovered with the top lid flipped up and sliding side door open.
132h - Designated Meeting Place: During fire drills on 10/31/19 and 12/27/19, only some residents present evacuated to the designated meeting place.
141a 1-10 Medical Evaluation Information: Medical evaluations for Residents 1 and 2 did not document required information about diagnoses, treatments, and body positioning/movement.
227g - Support Plan Signatures: The most recent resident assessment and support plan for Resident 2 is not signed by the resident nor is there notation of refusal or inability to sign.
252 - Record Content: Records for Residents 1, 2, 3, and 4 do not document each resident's eye color, hair color, and identifying marks.
Report Facts
Residents Served: 29
Secured Dementia Care Unit Residents Served: 18
Residents Age 60 or Older: 29
Residents with Mobility Need: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nancy Posey | LPN, PCHA | Named in multiple findings and plans of correction as Personal Care Administrator and LPN Nurse Manager responsible for review and correction of deficiencies |
Notice — Mar 28, 2019
Date: Mar 28, 2019
Visit Reason
The document serves as a renewal notification and issuance of a regular license for Normandie Ridge Personal Care Home following receipt of a renewal application.
Findings
No inspection findings are reported. The letter states that an onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Inspection Report — Jan 14, 2019
Renewal
Date: Jan 14, 2019
Visit Reason
The inspection was a renewal inspection conducted by the Department’s Bureau of Human Services Licensing for Normandie Ridge on January 14, 2019.
Findings
The inspection identified multiple violations related to quality management, first aid kit contents, medical evaluations, pre-admission screening, and resident assessments. Plans of correction were submitted for each violation with steps to prevent recurrence and ensure compliance.
Citations (5)
55 Pa.Code §2600.26(a) - The home has not conducted a quality management review since 2016.
55 Pa.Code §2600.96(a) - The first aid kit in the medication room does not include scissors and tweezers.
55 Pa.Code §2600.141(b)(1) - Resident #1's last medical evaluation was completed on August 15, 2018, with the previous evaluation on May 26, 2017, not meeting annual requirements.
55 Pa.Code §2600.224(a) - There is no pre-admission screening for Resident #2.
55 Pa.Code §2600.225(c) - Resident #1 had an assessment completed on June 3, 2016, and the next on June 20, 2017, not meeting required assessment intervals.
Report Facts
Number of Residents Served: 25
Total Daily Staff: 42
Waking Staff: 32
Number of Residents Served in Secured Dementia Care Unit: 16
Number of Current Hospice Residents: 1
Number of Hospice Residents in Past Year: 2
Number of Residents 60 Years of Age or Older: 25
Number of Residents with Mobility Need: 17
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nancy Posey | Administrator | Named as Administrator and Legal Entity Representative on multiple pages and involved in plan of correction. |
| Hope OPake | Inspector | Named as Department Representative on-site during inspection. |
| Israel Springs | Inspector | Named as Department Representative on-site during inspection. |
Inspection Report — Jun 28, 2018
Complaint Investigation
Date: Jun 28, 2018
Visit Reason
The inspection was conducted as a result of an incident complaint involving resident supervision and safety concerns at Normandie Ridge Personal Care Home.
Complaint Details
The visit was triggered by an incident complaint. The report details Resident 1 being left unsupervised and safety concerns with the home's locking mechanism signage. Substantiation status is not explicitly stated.
Findings
The inspection found violations related to inadequate supervision of a resident in the secured Dementia Care Unit and missing signage for key-locking devices. The facility failed to provide the required level of supervision and did not have directions for operating locking mechanisms posted near the door.
Citations (2)
55 Pa.Code §2600.60(a) - Staffing failed to meet the needs of residents as Resident 1 was left unsupervised in the dining area, exposing unsafe conditions.
55 Pa.Code §2600.233(c) - Directions for operating key-locking devices were not posted near the door from the secured Dementia Care Unit to the parking lot.
Report Facts
Number of Residents Served: 29
Total Daily Staff: 50
Waking Staff: 38
Number of Residents Served in Secured Dementia Care Unit: 18
Number of Hospice Residents in past year: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Emily G. Shaw | Administrator | Named as administrator and legal entity representative signing the plan of correction |
| Jason McCloskey | Department Representative | On-site inspector conducting the inspection |
Inspection Report — Mar 28, 2018
Renewal
Date: Mar 28, 2018
Visit Reason
This document serves as a renewal notification and license issuance for Normandie Ridge Personal Care Home following receipt of the March 13, 2018 renewal application. The Department advises that an annual onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license and outlines the Department's plan to conduct an annual inspection within the next year.
Report Facts
Inspection Report — Feb 6, 2018
Annual Inspection
Date: Feb 6, 2018
Visit Reason
The inspection was conducted as the Department of Human Services' annual licensing inspection for Normandie Ridge Personal Care Home.
Findings
Violations of 55 Pa.Code Chapter 2600 were found related to contract signatures and fire drill documentation. Plans of correction were submitted to address these issues.
Citations (2)
Regulation 55 Pa.Code §2600.25(b): Contracts for two residents were not signed by the residents as required.
Regulation 55 Pa.Code §2600.132(c): Fire drill records did not include evacuation time, exit route, number of residents present or evacuated, and the alarm was not activated.
Report Facts
Number of Residents Served: 29
Number of Current Hospice Residents: 0
Number of Hospice Residents in past year: 3
Number of Residents Served in Secured Dementia Care Unit: 18
Residents Age 90 or Older: 29
Residents with Mobility Need: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Emily Shaw | Administrator | Named in relation to plan of correction signatures and compliance |
Notice — Mar 9, 2017
Date: Mar 9, 2017
Visit Reason
This document serves as a renewal notification and license issuance for Normandie Ridge Personal Care Home following the receipt of a renewal application dated March 8, 2017.
Findings
The Department confirms issuance of a regular license and advises that an annual onsite inspection will be conducted within the next twelve months to ensure compliance with applicable laws and regulations.
Report Facts
Inspection Report — Dec 29, 2016
Annual Inspection
Date: Dec 29, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections, including renewal, complaint, and incident investigations at Normandie Ridge Personal Care Home.
Complaint Details
The inspection included complaint investigations related to medication administration errors and incident reporting failures. The complaints were substantiated as violations were found.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including failure to report incidents timely, unsecured poisonous materials, improper medication administration, inadequate medical evaluations, and fire safety deficiencies. Plans of correction were submitted and partially implemented with ongoing monitoring.
Citations (12)
Regulation 55 Pa.Code §2600.16(c) - The home failed to report two incidents to the Department within 24 hours as required by law.
Regulation 55 Pa.Code §2600.82(c) - Poisonous materials were found unlocked and accessible to residents in the memory care unit.
Regulation 2600.85(a) - Sanitary conditions were not maintained; blood glucose testing records showed inconsistent readings and procedures.
Regulation 2600.121(a) - The secure dementia care unit had an electronic locking system that restricted visitor access improperly due to limited guest fobs.
Regulation 2600.185(a) - Medications for five residents were not administered because staff were absent; no medication disposition forms were completed.
Regulation 2600.187(d) - The home failed to follow prescriber directions; medications were not given to multiple residents during an evening shift.
Regulation 2600.188(b) - Medication errors were not reported to residents, their designated persons, or prescribers as required.
Regulation 2600.225(c) - Resident assessments were not updated timely; the most recent assessment indicated independence but did not address increased service needs.
Regulation 2600.105(q)(1) - Fire hazards were present; lint trap in the dryer contained an accumulation of lint.
Regulation 2600.132(d) - The home failed to conduct a fire drill within the required time frame; the drill took longer than the fire safety expert's standard.
Regulation 2600.187(e) - Medication administration records did not document diagnosis or purpose for prescribed Omeprazole for Resident #2.
Regulation 2600.187(c) - Medication administration records were incomplete; transcription errors occurred and were not corrected timely.
Report Facts
Number of Deficiencies: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Emily G. Shaw | Administrator | Named as legal entity representative and administrator responsible for plans of correction. |
| Jason McCloskey | Inspector | Conducted on-site inspections on 12/29/2016 and 12/30/2016. |
| Israel Springs | Inspector | Conducted on-site inspections on 02/15/2017 and 02/16/2017. |
| Dale Rosenblat | Inspector | Conducted on-site inspections on 02/15/2017 and 02/16/2017. |
Inspection Report — May 12, 2016
Renewal
Date: May 12, 2016
Visit Reason
The document is a renewal inspection notification and license issuance for Normandie Ridge Personal Care Home following the March 10, 2016 renewal application.
Findings
The Department issued a regular license in response to the renewal application and stated that an onsite inspection will be conducted within the next twelve months to ensure compliance with Title 55, PA Code, Chapter 2600.
Report Facts
Notice — Mar 24, 2016
Date: Mar 24, 2016
Visit Reason
The document serves as a notice of a revised license issued due to a recent adjustment of the use of physical space at the facility.
Findings
The revised license confirms the secured dementia care unit capacity as 18 and maintains the overall licensed capacity at 66. The license expiration date remains unchanged.
Report Facts
Notice — June 12, 2020
Date: June 12, 2020
Visit Reason
This document serves as a renewal notification and license issuance for the Personal Care Home Normandie Ridge. It informs the facility that an annual inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.
Report Facts
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