Inspection Reports for Our Lady of the Alleghenies Residence
1037 SOUTH LOGAN BOULEVARD,, PA, 16648
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
9% better than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
65% occupied
Based on a February 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 26
Capacity: 40
Deficiencies: 2
Feb 12, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility license for Our Lady of the Alleghenies Residence.
Findings
The submitted plan of correction was determined to be fully implemented. Two deficiencies were noted: expired medication found in the facility and incomplete documentation of a resident's mental health diagnosis in the support plan, both of which were corrected with plans of correction accepted and implemented.
Deficiencies (2)
| Description |
|---|
| Expired Desonide cream .05% prescribed to resident #1 was observed with an expiration date of June 2021. |
| Resident #1's assessment did not indicate the mental health need for bipolar disorder, although the diagnosis and medications were identified elsewhere. |
Report Facts
License Capacity: 40
Residents Served: 26
Total Daily Staff: 26
Waking Staff: 20
Residents Receiving Supplemental Security Income: 1
Residents 60 Years or Older: 26
Residents Diagnosed with Mental Illness: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Services Coordinator | LPN | Named in relation to disposal of expired medication and updating resident support plan |
| Personal Care Home Administrator | BSW | Responsible for auditing resident medical records quarterly to ensure support plan compliance |
Inspection Report
Renewal
Census: 22
Capacity: 40
Deficiencies: 6
Mar 27, 2024
Visit Reason
The inspection was conducted as a renewal visit to review compliance and verify the implementation of the submitted plan of correction for the facility.
Findings
The inspection identified multiple deficiencies including entrapment risks from uncovered enabler bars on beds, incomplete fire drill records lacking exit route details, missing medical evaluation data for a resident, undated medications, incorrect recording of blood glucose readings, and incomplete medication administration records. All deficiencies had plans of correction accepted and were implemented by early May 2024.
Deficiencies (6)
| Description |
|---|
| Entrapment risk due to uncovered openings on enabler bars attached to beds in rooms A004, A104, and A113. |
| Fire drill records did not list exit routes used during drills on multiple dates. |
| Medical evaluation for resident #1 was missing date completed, height, weight, pulse, blood pressure, and temperature. |
| Prescription medications for residents #2 and #3 were not dated when opened. |
| Blood glucose readings for resident #3 were incorrectly recorded in the medication administration record. |
| Medication administration record (MAR) for resident #1 was not marked to indicate times medications were administered. |
Report Facts
License Capacity: 40
Residents Served: 22
Total Daily Staff: 22
Waking Staff: 17
Inspection Report
Renewal
Census: 34
Capacity: 54
Deficiencies: 5
Jan 10, 2023
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements at Our Lady of the Alleghenies Residence.
Findings
The facility was found to have multiple deficiencies related to staff orientation on fire safety and emergency procedures, incomplete annual medical evaluations and assessments for residents, and issues with medication self-administration assessments. The submitted plan of correction was determined to be fully implemented.
Deficiencies (5)
| Description |
|---|
| Staff Persons A, B, C, and D did not receive first day orientation on smoking safety procedures and telephone use/notification of emergency services as required. |
| Staff Persons A and C worked more than 40 hours without receiving orientation on emergency medical plan and reporting of reportable incidents and conditions. |
| Resident #1's annual medical evaluation was not completed; previous evaluation was on 11/5/21. |
| Resident #1 was found with medications on the bathroom counter despite assessment indicating inability to self-administer medications. |
| Resident #1's annual assessment and support plan (RASP) had not been completed until 1/27/23. |
Report Facts
License Capacity: 54
Residents Served: 34
Total Daily Staff: 34
Waking Staff: 26
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| D. Becker | Resident Services Coordinator | Monitors scheduling of DMEs and assists with medication administration and resident assessments |
| L. Sell | Facility Director | Reviews DME tracker monthly and oversees compliance and training implementation |
Notice
Capacity: 54
Deficiencies: 0
Aug 29, 2021
Visit Reason
This document serves as a renewal notification and certificate of compliance for the Personal Care Home 'Our Lady of the Alleghenies Residence' following receipt of the renewal application dated May 20, 2021. It also advises that an annual onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
A regular license is issued in response to the renewal application. The Department will conduct an inspection within the next twelve months and may take enforcement action if noncompliance is found.
Report Facts
Maximum licensed capacity: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 39
Capacity: 54
Deficiencies: 4
May 19, 2021
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.
Findings
The submitted plan of correction was found to be fully implemented. Deficiencies related to medication storage, medication administration documentation, and follow prescriber's orders were corrected with ongoing monitoring in place.
Deficiencies (4)
| Description |
|---|
| A blister card of Resident 1 was found to have a tear and a rip in the backing of blister cards. |
| Resident 1's medication administration record did not include the initials of the staff person who administered medication on 5/5/2021 at 9 am. |
| Resident 2's medication was not administered on 5/16/21, 5/17/21, and 5/18/21 because it was not available in the home. |
| Resident 3's medication was not administered on 5/12/21 through 5/17/21 because it was not available in the home. |
Report Facts
Residents Served: 39
License Capacity: 54
Current Hospice Residents: 1
Residents Age 60 or Older: 39
Residents with Mobility Need: 10
Total Daily Staff: 49
Waking Staff: 37
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN [Redacted] | Licensed Practical Nurse | Administered medication to Resident 1; missed documenting administration |
| Director [Redacted] | Director | Reviewed current supply of medication and delivery dates to confirm administration |
| Resident Services Coordinator | Monitors pharmacy deliveries and resident medication administration | |
| Facility Medication Administration Trainer | Monitors spacing in medication carts and staff medication administration documentation |
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