Inspection Reports for Paramount Senior Living at Chambersburg Road
6375 CHAMBERSBURG ROAD,, PA, 17222
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
9.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
109% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
45% occupied
Based on a September 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 45
Capacity: 100
Deficiencies: 19
Sep 10, 2024
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements and verify the implementation of the submitted plan of correction.
Findings
The inspection identified multiple deficiencies including delays in providing resident records, unsecured resident information, lack of CPR/FA certified staff during certain hours, incomplete resident documentation, medication administration errors, and issues with resident assessments and record content. The facility submitted plans of correction which were accepted and later verified as implemented.
Deficiencies (19)
| Description |
|---|
| Delayed production of requested resident records including assessments, medical evaluations, and medication administration records. |
| Resident records were unlocked, unattended, and accessible to unauthorized persons. |
| No staff present during certain hours were certified in CPR and first aid. |
| Resident record lacked a signed statement acknowledging receipt of resident rights and complaint procedures. |
| Fire drill records lacked documentation of AM or PM times. |
| Fire drills were conducted at times not representative of actual staffing levels. |
| Resident annual medical evaluation did not include health status or cognitive function. |
| Staff transporting residents had not completed required direct care training. |
| Medications and syringes were found unlocked and accessible in the nurses' station. |
| Medications were taped back into blister packs instead of being destroyed as required. |
| Pharmacy label did not include prescribed sliding scale order or instructions. |
| Resident blood pressure readings were not documented as ordered and glucometer was not calibrated correctly. |
| Medication record did not indicate dose administered for sliding scale insulin. |
| Resident medications were not administered as prescribed, including failure to hold medication for low blood pressure and delayed initiation of sliding scale insulin. |
| Resident was not educated on the right to refuse medication if a medication error is suspected. |
| Resident preadmission screening form did not include determination that resident needs could be met by the home. |
| Resident assessment and support plans did not include all diagnoses or assistive devices needed for ambulation. |
| Resident assessments were not updated to reflect changes in assistive devices or dietary needs. |
| Resident records did not include a photograph updated within the last two years. |
Report Facts
Residents served: 45
License capacity: 100
Staff total daily: 49
Waking staff: 37
Hospice residents: 1
Residents with mobility need: 4
Residents age 60 or older: 45
Medication blister packs unlocked: 7
Fire drill staff participants: 37
Inspection Report
Follow-Up
Census: 41
Capacity: 100
Deficiencies: 2
Feb 22, 2024
Visit Reason
The inspection visit on 02/22/2024 was a partial, unannounced follow-up inspection related to an incident and plan of correction submission to verify compliance with previously identified deficiencies.
Findings
The submitted plan of correction was determined to be fully implemented as of the inspection date, with annual medical evaluations and additional assessments for residents now current. Continued compliance is required.
Deficiencies (2)
| Description |
|---|
| Annual medical evaluations for residents were not current prior to the plan of correction. |
| Annual additional assessments (RASPs) for residents were not current prior to the plan of correction. |
Report Facts
License Capacity: 100
Residents Served: 41
Current Hospice Residents: 3
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 6
Total Daily Staff: 47
Waking Staff: 35
Inspection Report
Renewal
Census: 43
Capacity: 100
Deficiencies: 12
May 9, 2023
Visit Reason
The inspection was conducted as a renewal and complaint investigation of Paramount Senior Living at Chambersburg Road.
Findings
Multiple deficiencies were identified including financial management issues such as commingling of resident funds, failure to offer interest-bearing accounts, medication management errors including expired and unavailable medications, fire safety violations including missing fire drills and evacuation time issues, and unsecured narcotic binders. Plans of correction were accepted and implemented with education and audits scheduled.
Deficiencies (12)
| Description |
|---|
| Resident funds are commingled in multiple trust accounts under a main bank account owned by the personal care home. |
| The home is holding more than $200 for a resident without offering assistance to establish an interest-bearing account. |
| Hot water temperature measured at 124.8°F exceeding the maximum allowed 120°F. |
| Leftover food in kitchen refrigerator was not labeled or dated. |
| Thick layer of lint observed in dryer lint trap in resident laundry room. |
| No fire drill conducted by a fire safety expert in 2022; previous drill was on 12/29/2021. |
| Fire drill records lacked evacuation time documentation for drills conducted in 2022. |
| Fire drill on 5/19/2022 took 7 minutes and 13 seconds, exceeding the maximum safe evacuation time of 5 minutes and 40 seconds. |
| Expired medication was still being administered to a resident with no new medication on hand. |
| Medication labels lacked proper dosage instructions or had conflicting information with medication administration records. |
| Medications ordered for residents were not available in the home. |
| Narcotic binders for medication carts were unsecured and accessible in a common area. |
Report Facts
License Capacity: 100
Residents Served: 43
Hot Water Temperature: 124.8
Fire Drill Evacuation Time: 7.13
Maximum Safe Evacuation Time: 5.67
Residents Holding >$200: 6
Inspection Report
Renewal
Census: 37
Capacity: 100
Deficiencies: 6
Mar 23, 2022
Visit Reason
The inspection was conducted as a renewal inspection combined with complaint and incident investigations, including a follow-up on a plan of correction submission.
Findings
The facility was found to have multiple deficiencies including incomplete training records, uncovered trash receptacles, lack of emergency procedure documentation, improper use of portable space heaters, inadequate lighting signage, and medication storage and documentation issues. All deficiencies had plans of correction submitted and were determined to be fully implemented by the follow-up date.
Deficiencies (6)
| Description |
|---|
| Staff Member A's orientation checklist record does not include the initials or signature of the individual who provided the training. |
| On 03/23/22, there was a full, uncovered trash can in the kitchen. |
| Doors with timed delay devices lacked directions for operation. |
| The home lacks documentation of annual emergency plan reviews including dates, updates, and verification of submission to the local emergency management agency. |
| A small, black portable space heater was in use by the receptionist desk, which is prohibited. |
| During March 2022, Resident 1's medication administration records and storage procedures were not properly documented or followed. |
Report Facts
License Capacity: 100
Residents Served: 37
Total Daily Staff: 41
Waking Staff: 31
Hospice Residents: 3
Residents Receiving Supplemental Security Income: 6
Residents 60 Years or Older: 37
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 4
Residents with Physical Disability: 2
Notice
Capacity: 100
Deficiencies: 0
Apr 20, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for Paramount Senior Living at Chambersburg Road, a Personal Care Home, pursuant to Title 55, PA Code, Chapter 2600.
Findings
The Department has approved the renewal application and issued a regular license. It advises that an onsite annual inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 100
Secure Dementia Care Unit capacity: 24
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