Inspection Reports for
Paramount Senior Living at Chambersburg Road
6375 CHAMBERSBURG ROAD,, FAYETTEVILLE, PA, 17222
Back to Facility Profile15 Reports
Inspection Report — Sep 10, 2024
Renewal
Date: 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.
Citations (19)
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
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 — Feb 22, 2024
Follow-Up
Date: 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.
Citations (2)
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
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 — May 9, 2023
Renewal
Date: 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.
Citations (12)
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
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 — Mar 23, 2022
Renewal
Date: 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.
Citations (6)
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
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 — Apr 20, 2021
Date: 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
Inspection Report — Sep 21, 2020
Complaint Investigation
Date: Sep 21, 2020
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident.
Complaint Details
The investigation was triggered by an incident of resident abuse on 09/12/2020 involving physical assault by resident #1 on three other residents. The abuse was substantiated as described in the violations.
Findings
The facility was found to have violations related to resident abuse, including a physical assault by one resident on three others. The facility's plan of correction was accepted.
Citations (2)
2600. 15a. The facility failed to immediately report suspected abuse when resident #1 physically assaulted three other residents, resulting in injuries to residents #2 and #3. This incident was not reported to the Area Agency on Aging as required.
2600. 42b. Resident #1 physically assaulted three other residents causing bruises and scratches. Resident #4 was forcefully shoved but did not sustain injury. The facility failed to prevent this abuse.
Report Facts
Residents Served: 52
Secured Dementia Care Unit Residents Served: 12
Hospice Current Residents: 5
Inspection Report — Jun 17, 2020
Renewal
Date: Jun 17, 2020
Visit Reason
The inspection was conducted as part of licensing inspections by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 06/17/2020, 06/22/2020, and 06/23/2020.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report — May 28, 2020
Routine
Date: May 28, 2020
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Services Licensing.
Findings
The facility was found to be in compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Inspection Report — Jan 22, 2020
Renewal
Date: Jan 22, 2020
Visit Reason
The inspection was conducted as a renewal and complaint investigation to review compliance at Paramount Senior Living at Chambersburg Road.
Findings
The submitted plan of correction was found to be fully implemented. The report includes multiple plans of correction addressing issues such as criminal background checks, direct care training, furniture condition, water temperature, fire drill documentation, and medication storage.
Citations (7)
Criminal background checks for staff members A and B were initially missing but were rerun and placed in employee files as required by regulation 10225.101 and Chapter 15.
Direct care staff persons A and C completed the required direct care giving training course and certificates were placed in employee files as per regulation 2600 65.i.
Upholstered chairs in the Memory Care Unit were in poor condition and have been ordered for replacement within six weeks as per regulation 2600.89 b.
The mixing valve part to keep hot water from exceeding 120 degrees was ordered and maintenance staff were educated on regulation 89b to monitor water temperature daily until repair.
Fire drill records did not accurately document the total number of residents present or evacuated. The maintenance manager will audit fire drill records for three months starting February 2020 for compliance with regulation 2600 132c.
The fire safety expert established a safe evacuation time of 4 minutes, and the maintenance manager will audit monthly fire drills to ensure compliance with regulation 2600 132.d.
Unsecured medications, including Triamcinolone Acetonide Lotion and aspirin tablets, were found in resident rooms. Medications were removed and staff were educated to store all prescription medications in locked areas.
Report Facts
Residents Served: 64
Memory Care Unit Residents Served: 14
Hospice Current Residents: 5
Residents Age 60 or Older: 64
Residents with Mobility Need: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christine Gorby | PCTHA | Signed multiple plans of correction as Legal Entity Representative |
Notice — Jan 7, 2020
Date: Jan 7, 2020
Visit Reason
This document is a renewal notification and license issuance for Paramount Senior Living at Chambersburg Road, confirming the facility's compliance and outlining the requirement for annual onsite inspections.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future annual inspections.
Report Facts
Inspection Report — Mar 11, 2019
Renewal
Date: Mar 11, 2019
Visit Reason
The inspection was conducted as a renewal licensing inspection of Paramount Senior Living at Chambersburg Road on March 11 and 12, 2019.
Findings
The inspection identified violations related to staff training documentation and medication storage. The facility failed to maintain required training records for certain staff and had unsecured medications in a resident's unlocked room.
Citations (2)
Regulation 55 Pa.Code §2600.65(g): The facility did not maintain training records for Staff Members A, B, C, and D as required for initial orientation and annual emergency preparedness training.
Regulation 55 Pa.Code §2600.183(b): A container of Ibuprofen 200mg and Hydrocerin Cream were found in an unlocked medicine cabinet in Resident #1's unlocked bedroom.
Report Facts
Number of Residents Served: 68
Number of Current Hospice Residents: 4
Number of Residents 50 Years or Older: 68
Number of Residents with Mental Illness: 2
Number of Residents with Intellectual Disability: 2
Number of Residents with Mobility Need: 19
Number of Residents with Physical Disability: 1
Number of Residents Receiving Supplemental Security Income: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christine Gorby | Administrator | Named as Administrator and Legal Entity Representative signing the plan of correction |
Notice — Jan 11, 2019
Date: Jan 11, 2019
Visit Reason
The document serves as a renewal notification for the Personal Care Home license for Paramount Senior Living at Chambersburg Road and includes a certificate of compliance.
Findings
The Department of Human Services confirms receipt of the renewal application and states that a regular license is being issued. The Department will conduct an onsite inspection within the next twelve months as required by regulation.
Report Facts
Inspection Report — Nov 19, 2018
Complaint Investigation
Date: Nov 19, 2018
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident.
Complaint Details
The inspection was incident-driven. The home's internal investigation resulted in termination of three identified staff members' employment.
Findings
Violations of 55 Pa.Code Ch. 2600 related to Personal Care Homes were found during the inspection. The facility had issues requiring correction as specified in the License Inspection Summary.
Report Facts
Number of Residents Served: 74
Number of Residents Served in Secured Dementia Care Unit: 21
Number of Current Hospice Residents: 2
Number of Hospice Residents in Past Year: 3
Residents Receiving Supplemental Security Income: 5
Residents Age 60 or Older: 73
Residents with Intellectual Disability: 2
Residents with Mobility Need: 21
Inspection Report — Jun 14, 2018
Complaint Investigation
Date: Jun 14, 2018
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident reported at the facility.
Complaint Details
The investigation was triggered by an incident involving a resident's death and medication administration errors. The facility was found noncompliant with reporting requirements and medication administration protocols.
Findings
The facility was found to have violations related to failure to report a resident death and failure to administer prescribed medication as directed by the prescriber.
Citations (2)
Regulation 55 Pa.Code §2600.16(c) - The home did not submit an incident report to the Department regarding a resident's death.
Regulation 55 Pa.Code §2600.187(d) - Resident 1 was prescribed Percocet tablets but the medication was not administered as ordered on two occasions.
Report Facts
Number of Residents Served: 45
Total Daily Staff: 69
Walking Staff: 62
Number of Residents Served in Secured Dementia Care Unit: 24
Residents 80 Years or Older: 45
Residents with Intellectual Disability: 2
Residents with Mobility Need: 24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tammy Wentz | Administrator | Named in relation to plan of correction and signature on violation report |
| Jason McCloskey | Department representative conducting inspection |
Inspection Report — Mar 12, 2018
Original Licensing
Date: Mar 12, 2018
Visit Reason
The inspection was conducted as an initial licensing inspection for Paramount Senior Living at Chambersburg Road, a new legal entity operating a personal care home.
Findings
The facility was found to be in substantial compliance with applicable regulations, but violations were identified and must be corrected. The licensing inspector was unable to complete a full inspection due to the new legal entity status.
Citations (1)
Regulation 55 Pa.Code §2600.187(a) requires medication records to include specific elements. The medication administration records for two residents lacked diagnosis or purpose for certain medications.
Report Facts
Number of Residents Served: 73
Number of Residents Served in Secured Dementia Care Unit: 24
Number of Residents Age 80 or Older: 72
Number of Residents with Mobility Need: 24
Total Daily Staff: 97
Walking Staff: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tammy Wentz | Administrator | Named in violation report and plan of correction |
| Jacqueline L. Rowe | Director | Signed letter regarding licensing inspection |
Viewing
Loading inspection reports...
