Inspection Reports for Oak Leaf Manor North
2901 HARRISBURG PIKE,, LANDISVILLE, PA, 17538
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
8.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
83% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
83% occupied
Based on a March 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 112
Capacity: 135
Deficiencies: 4
Date: Mar 6, 2025
Visit Reason
The inspection was conducted as a follow-up review of the facility's plan of correction related to prior deficiencies, specifically regarding incidents of resident abuse and support plan revisions.
Findings
The facility was found to have previously failed to report multiple incidents of resident abuse to the local area agency on aging and the Department, and had not updated resident support plans to reflect behavioral changes. The submitted plan of correction was determined to be fully implemented as of the follow-up inspection date.
Deficiencies (4)
Failure to immediately report suspected abuse of residents to the local area agency on aging.
Failure to report incidents of abuse to the Department within 24 hours as required.
Resident abuse incidents including physical altercations resulting in injuries such as hair loss, bruising, and red marks.
Failure to revise resident support plans to reflect significant behavioral changes resulting in multiple physical altercations.
Report Facts
License Capacity: 135
Residents Served: 112
Staffing Hours: 151
Waking Staff: 113
Secured Dementia Care Unit Capacity: 34
Secured Dementia Care Unit Residents Served: 33
Hospice Current Residents: 11
Residents Age 60 or Older: 110
Residents with Mobility Need: 39
Residents with Physical Disability: 2
Inspection Report
Follow-Up
Census: 97
Capacity: 135
Deficiencies: 6
Date: Sep 4, 2024
Visit Reason
The inspection was conducted as a follow-up review to verify the full implementation of the submitted plan of correction related to prior deficiencies at Oak Leaf Manor North.
Findings
The submitted plan of correction was found to be fully implemented, with continued compliance required. Several deficiencies related to resident abuse reporting, medication administration training, medical evaluations, and admission support plans were addressed with corrective actions and training completed.
Deficiencies (6)
Failure to immediately report suspected resident abuse to the Local Area Agency on Aging.
Failure to report incidents of abuse to the Department within 24 hours as required.
Resident abuse incidents including physical altercations and improper handling by staff.
Staff member administered medications without completing Department-approved medication administration training.
Resident medical evaluations did not include diagnosis of dementia or need for secured dementia care unit placement.
Initial support plans for residents admitted to the secured dementia care unit were not completed within required timelines.
Report Facts
License Capacity: 135
Residents Served: 97
Secured Dementia Care Unit Capacity: 34
Secured Dementia Care Unit Residents Served: 30
Current Hospice Residents: 6
Residents Age 60 or Older: 96
Residents with Mobility Need: 31
Residents with Physical Disability: 1
Total Daily Staff: 128
Waking Staff: 96
Inspection Report
Renewal
Census: 96
Capacity: 135
Deficiencies: 14
Date: May 15, 2024
Visit Reason
The inspection was conducted as a full, unannounced review for renewal, complaint, and incident reasons from 05/15/2024 to 05/17/2024.
Findings
The inspection identified multiple deficiencies including failure to post required smoking signage, outdated resident contracts, abuse by a staff member, lint accumulation in dryers, missing rabies vaccination certificates for facility cats, incomplete first aid kits, medication storage and documentation issues, incomplete medical evaluations for secured dementia care unit residents, missing no objection statements, incomplete resident-home contracts, and incorrect emergency exit passcode signage. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (14)
Failure to post 'Smoking Permitted in Designated Areas Only' or 'No Smoking' signs at facility entrances.
Resident contracts pre-dating legal entity change in 2023 were not updated.
Staff Member A verbally and physically abused multiple residents, including belittling, humiliating, and physically grabbing a resident.
Lint trap in Dryer 1 of the 1st floor secure dementia care unit had thick lint accumulation.
Missing current certificates of rabies vaccinations for two cats living in the facility.
First aid kit in the bus used for resident transport lacked thermometer, tweezers, and eye coverings.
Loose pills found in medication drawers of two medication carts.
Glucometer calibration issues and missing documentation of blood sugar readings; PRN medications not available for some residents.
Staff Person B administered medications without completing Department-approved medication administration course.
Resident support plan did not include hospice status for a resident admitted on hospice.
Medical evaluations for residents in the Secure Dementia Care Unit did not state the need for secured care.
No documentation that resident and designated person did not object to admission to the secured dementia care unit.
Resident-home contracts lacked disclosure of services, admission and discharge criteria, change in condition policies, special programming, and costs and fees for the Secure Dementia Care Unit.
Incorrect passcode posted at emergency exit in the Secure Dementia Care Unit courtyard.
Report Facts
License Capacity: 135
Residents Served: 96
Secured Dementia Care Unit Capacity: 34
Residents Served in Secured Dementia Care Unit: 26
Current Hospice Residents: 6
Total Daily Staff: 125
Waking Staff: 94
Residents with Mobility Need: 29
Residents with Physical Disability: 1
Inspection Report
Follow-Up
Census: 99
Capacity: 99
Deficiencies: 5
Date: Sep 25, 2023
Visit Reason
The inspection was conducted as a follow-up review of the facility's plan of correction related to incidents of resident abuse and other compliance issues, following an incident-based partial unannounced inspection.
Findings
The facility was found to have incidents of resident-to-resident abuse that were not properly reported initially, deficiencies in resident assessments and support plans, and improper use of restraints. The submitted plan of correction was fully implemented by the dates indicated, including staff training and audits to ensure compliance.
Deficiencies (5)
Failure to immediately report suspected resident abuse as required by the Older Adult Protective Services Act.
Resident abuse incidents including physical aggression among residents were documented.
Improper use of manual restraint on a resident to reduce ability to move arms.
Failure to complete new assessments when resident conditions significantly changed.
Resident support plans did not properly document mental health or behavioral care needs.
Report Facts
Residents Served: 99
Capacity: 99
Staffing Hours: 131
Waking Staff: 98
Residents Served in Secured Dementia Care Unit: 28
Capacity of Secured Dementia Care Unit: 40
Current Hospice Residents: 4
Residents 60 Years or Older: 98
Residents with Mobility Need: 32
Residents with Physical Disability: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lori Dierolf | Open Door Training and Development Instructor | Provided training on dementia communication and responding to behaviors of dementia; holds multiple certifications. |
Inspection Report
Original Licensing
Census: 104
Capacity: 135
Deficiencies: 4
Date: Jul 18, 2023
Visit Reason
The inspection was conducted as a licensing inspection for the newly licensed personal care home facility, Oak Leaf Manor North, triggered by a complaint and change in legal entity.
Complaint Details
The inspection was complaint-related and also involved a change in legal entity. Substantiation status is not explicitly stated.
Findings
The facility was found to be in substantial compliance with regulations but had several deficiencies including uncovered enabler bars posing injury risks, insufficient emergency drinking water supply, outdated emergency management agency submission, and missing signatures on support plans. Plans of correction were accepted and implemented.
Deficiencies (4)
Uncovered enabler bars with openings greater than 4 3/4 inches in resident rooms A15 and A16, posing potential injury risk.
The home did not maintain at least a 3-day supply of emergency drinking water; had only 227 gallons available for 104 residents requiring 312 gallons.
Written emergency procedures had not been reviewed and submitted annually to the local Emergency Management Agency since 2021.
Support plan for Resident 1 was missing the assessor's signature.
Report Facts
License Capacity: 135
Residents Served: 104
Residents in Secure Dementia Care Unit: 34
Emergency Drinking Water Required: 312
Emergency Drinking Water Available: 227
Additional Water Obtained: 85
Additional Water Obtained: 50
Total Water Supply After Correction: 360
Staffing Hours - Total Daily Staff: 142
Staffing Hours - Waking Staff: 107
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed licensing letter and certificate. |
Inspection Report
Follow-Up
Census: 104
Capacity: 104
Deficiencies: 4
Date: Jul 18, 2023
Visit Reason
The inspection was conducted as a follow-up review of the facility's plan of correction and due to a complaint and change of legal entity.
Complaint Details
The inspection was partially triggered by a complaint and change of legal entity. The submitted plan of correction was determined to be fully implemented.
Findings
The facility was found to have implemented the submitted plan of correction fully. Deficiencies related to uncovered enabler bars, insufficient emergency drinking water supply, outdated emergency procedures submission, and missing support plan signatures were addressed and corrected by the facility.
Deficiencies (4)
Uncovered enabler bars with openings greater than 4 3/4 inches in resident rooms A15 and A16, posing potential injury risk.
Insufficient emergency drinking water supply; only 227 gallons available for 104 residents requiring 312 gallons.
Written emergency procedures had not been reviewed and submitted annually to the local emergency management agency since 2021.
Assessor did not sign the support plan developed with Resident 1.
Report Facts
Residents served: 104
License capacity: 104
Emergency drinking water required: 312
Emergency drinking water available: 227
Additional water obtained: 85
Additional water obtained: 50
Water containers: 72
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dementia Program Director | Signed missing support plan signature page and created quarterly audit for support plan signatures. | |
| Administrator | Completed initial audit of enabler bars, mailed emergency procedures to local emergency management agency, and oversaw corrective actions. | |
| Maintenance Assistant | Obtained additional emergency drinking water to meet compliance. |
Inspection Report
Follow-Up
Census: 95
Capacity: 135
Deficiencies: 2
Date: May 31, 2023
Visit Reason
The inspection was an unannounced partial review conducted due to an incident reported at the facility on 05/31/2023.
Findings
The report found a repeat abuse violation where a staff member forcibly held a resident's door closed, preventing the resident from leaving the room. Additionally, a smoking area violation was identified where smoking occurred in an unauthorized courtyard area with fire safety hazards.
Deficiencies (2)
Staff member forcibly held Resident #1's door closed preventing the resident from leaving the room, constituting abuse.
Smoking occurred in an unauthorized courtyard area with fire hazards including non-fire-resistant furniture and cigarette butts near a patio umbrella.
Report Facts
License Capacity: 135
Residents Served: 95
Smoking receptacles found: 1
Cigarette butts found: 12
Inspection Report
Routine
Deficiencies: 0
Date: Feb 8, 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.
Notice
Capacity: 135
Deficiencies: 0
Date: May 21, 2021
Visit Reason
The document is a renewal notification and license issuance letter for Oak Leaf Manor North, a Personal Care Home, confirming receipt of the renewal application and advising that an annual inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of upcoming annual inspection requirements.
Report Facts
Maximum capacity: 135
Secure Dementia Care Unit capacity: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 91
Capacity: 135
Deficiencies: 4
Date: Mar 24, 2021
Visit Reason
The inspection was conducted for renewal and complaint reasons, including a full unannounced inspection with follow-up reviews.
Findings
The report found deficiencies related to compliance with laws including missing carbon monoxide alarms, unsigned resident contracts, incomplete past menus, and expired vehicle documents. Plans of correction were submitted and accepted with ongoing monitoring.
Deficiencies (4)
No carbon monoxide alarm was found near the gas fireplace in the lobby.
Resident-home contract for a resident was not signed by the payer.
The home keeps past menus for less than 1 month; the oldest menu on record is dated March 14-20.
The inspection for the Ford wheelchair bus expired May 2020.
Report Facts
License Capacity: 135
Residents Served: 91
Secured Dementia Care Unit Capacity: 40
Secured Dementia Care Unit Residents Served: 33
Hospice Current Residents: 4
Residents Age 60 or Older: 91
Residents with Mobility Need: 40
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