Inspection Report
Complaint Investigation
Census: 90
Capacity: 127
Deficiencies: 0
Oct 28, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Complaint Details
The inspection was complaint-related and unannounced; no deficiencies were found, and no follow-up was required.
Report Facts
Total Daily Staff: 122
Waking Staff: 92
License Capacity: 127
Residents Served: 90
Secured Dementia Care Unit Capacity: 18
Secured Dementia Care Unit Residents Served: 14
Hospice Current Residents: 6
Residents Age 60 or Older: 90
Residents with Mobility Need: 32
Residents with Physical Disability: 1
Inspection Report
Renewal
Census: 84
Capacity: 127
Deficiencies: 9
May 29, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the facility license for Paramount Senior Living at South Hills.
Findings
The inspection found multiple deficiencies including unlocked resident records, improper use of the term 'Assisted Living Facility' in contracts, unlabeled poisonous materials, obstructed emergency egress, expired fire extinguisher inspections, medication labeling errors, incomplete resident assessments, missing mobility needs in support plans, and illegible record entries. Plans of correction were accepted and noted as implemented by August 7, 2024.
Deficiencies (9)
| Description |
|---|
| Numerous resident records were unlocked, unattended and accessible in the 1st floor nurses station. |
| Use of the term 'Assisted Living Facility' in resident contract not compliant with licensing requirements. |
| Unlabeled 32-ounce spray bottle with clear liquid on cleaning cart next to bedroom 1008. |
| Emergency exit door leading from the boiler room required a great deal of force to open. |
| Fire extinguishers had not been inspected since April 2023, including kitchen and boiler room extinguishers. |
| Medication label for Resident #2 did not match ordered directions for Albuterol inhaler. |
| Initial assessments for residents #1 and #3 missing certain diagnoses indicated in medical evaluations. |
| Support plans for residents #3 and #4 missing documentation of mobility needs and ordered equipment. |
| Correction fluid used on financial transaction records for residents #5 and #6 with overwritten amounts. |
Report Facts
License Capacity: 127
Residents Served: 84
Secured Dementia Care Unit Capacity: 17
Secured Dementia Care Unit Residents Served: 14
Hospice Residents: 11
Residents Age 60 or Older: 84
Residents with Mobility Need: 25
Residents with Physical Disability: 1
Total Daily Staff: 109
Waking Staff: 82
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Business office manager | Business office manager (BOM) | Educated on proper accounting and correction for financial record errors related to residents #5 and #6. |
| Executive Director | Executive Director (ED) | Involved in securing unlocked records, auditing assessments, performing rounds for HIPPA compliance, and auditing emergency exits and medication labeling. |
| Resident Care Manager | Resident Care Manager (RCM) | Educated on medication labeling, assessment plans, HIPPA compliance, and performs audits and rounds. |
| Assistant Resident Care Manager | Assistant Resident Care Manager (ARCM) | Educated on medication labeling, assessment plans, and performs audits. |
| Housekeeping manager | Housekeeping manager | Educated on proper labeling and storage of liquids and performs monthly education and checks. |
| Maintenance manager | Maintenance manager | Cleared emergency exit obstruction, educated on emergency egress, performs weekly and monthly checks. |
| Admissions manager | Admissions manager | Educated on proper documentation for personal care and contract corrections. |
Inspection Report
Follow-Up
Census: 89
Capacity: 127
Deficiencies: 2
Jul 10, 2023
Visit Reason
The inspection visit on 07/10/2023 was a partial, unannounced follow-up to verify the implementation of a previously submitted plan of correction related to an incident involving suspected resident abuse and reporting violations.
Findings
The facility was found to have fully implemented the plan of correction addressing failure to timely report suspected abuse and fraudulent use of a resident's credit card by a staff member. The staff member involved was terminated, and corrective actions including staff training, auditing, and securing resident valuables were initiated.
Deficiencies (2)
| Description |
|---|
| Failure to immediately report suspected abuse of a resident involving fraudulent charges made by a staff person on resident #1's credit card. |
| Unauthorized use of resident #1's credit card by staff person B, resulting in approximately $1,165 in fraudulent charges. |
Report Facts
License Capacity: 127
Residents Served: 89
Secured Dementia Care Unit Capacity: 18
Residents Served in Dementia Unit: 10
Hospice Residents: 10
Unauthorized Charges: 1165
Total Daily Staff: 123
Waking Staff: 92
Residents with Mobility Need: 34
Residents with Physical Disability: 3
Residents Diagnosed with Intellectual Disability: 1
Residents Age 60 or Older: 89
Inspection Report
Complaint Investigation
Census: 87
Capacity: 127
Deficiencies: 0
Jun 14, 2023
Visit Reason
The inspection was conducted as a complaint investigation at Paramount Senior Living at South Hills.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-driven, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 127
Residents Served: 87
Secured Dementia Care Unit Capacity: 18
Secured Dementia Care Unit Residents Served: 11
Hospice Current Residents: 9
Residents with Mobility Need: 61
Residents Age 60 or Older: 87
Residents with Physical Disability: 4
Inspection Report
Follow-Up
Census: 89
Capacity: 127
Deficiencies: 1
May 23, 2022
Visit Reason
The inspection visit on 05/23/2022 was a partial, unannounced follow-up to review the submitted plan of correction related to an incident.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. The deficiency involved failure to obtain an acceptable plan of supervision for a staff person suspended due to an alleged abuse incident before returning to work.
Deficiencies (1)
| Description |
|---|
| Direct care staff person A was suspended due to an alleged abuse incident but returned to work without an approved plan of supervision from the Department's personal care home regional office. |
Report Facts
License Capacity: 127
Residents Served: 89
Secured Dementia Care Unit Capacity: 18
Secured Dementia Care Unit Residents Served: 13
Hospice Current Residents: 22
Residents Age 60 or Older: 88
Residents with Mobility Need: 59
Residents with Physical Disability: 2
Total Daily Staff: 148
Waking Staff: 111
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jon Kimberland | Signed the letter confirming plan of correction implementation | |
| Executive Director | Named in plan of correction and education related to abuse allegation and supervision plan | |
| Resident Care Manager | Named in plan of correction and education related to abuse allegation and supervision plan | |
| Assistant Resident Care Manager | Named in plan of correction and education related to abuse allegation and supervision plan | |
| Business Office Manager | Named in plan of correction and education related to abuse allegation and supervision plan |
Inspection Report
Renewal
Deficiencies: 0
Mar 4, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing for the facility Paramount Senior Living at South Hills.
Findings
No regulatory citations were identified as a result of this inspection.
Notice
Capacity: 127
Deficiencies: 0
Jul 16, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Paramount Senior Living at South Hills, a Personal Care Home, confirming the facility's compliance and informing about the upcoming annual inspection required within the next twelve months.
Findings
The Department has issued a regular license in response to the renewal application and advises that an onsite annual inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 127
Secure Dementia Care Unit capacity: 18
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janet Stockhausen | Director of Compliance | Recipient of the renewal notification letter |
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signer of the renewal notification letter |
Inspection Report
Renewal
Census: 82
Capacity: 127
Deficiencies: 4
Jun 15, 2021
Visit Reason
The inspection was a full, unannounced renewal inspection conducted over three days from 06/15/2021 to 06/17/2021 to assess compliance with licensing requirements.
Findings
The facility was found to have implemented its submitted plan of correction fully. Deficiencies were identified related to record confidentiality, medication storage procedures, glucometer usage and recording, and following prescriber's orders, all with accepted plans of correction and completion dates set.
Deficiencies (4)
| Description |
|---|
| Resident records confidentiality was breached when the white narcotics binder was found unlocked and unattended on the medication cart containing controlled substances inventory. |
| Failure to implement proper storage procedures for medications and medical equipment by trained staff. |
| Discrepancies between glucometer blood glucose readings and medication administration records for residents #5 and #6. |
| Failure to follow prescriber's sliding scale orders for insulin administration for resident #5, with under-dosing on two occasions. |
Report Facts
License Capacity: 127
Residents Served: 82
Secured Dementia Care Unit Capacity: 18
Secured Dementia Care Unit Residents Served: 11
Hospice Residents: 4
Resident Mobility Need: 63
Total Daily Staff: 145
Waking Staff: 109
Inspection Report
Renewal
Deficiencies: 0
Mar 31, 2021
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing's licensing inspections of the facility on 03/31/2021 and 05/03/2021.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Follow-Up
Census: 72
Capacity: 127
Deficiencies: 1
Mar 10, 2021
Visit Reason
The visit was conducted as a follow-up review to verify that the submitted plan of correction was fully implemented following a prior incident.
Findings
The submitted plan of correction related to a criminal background check deficiency was found to be fully implemented, with continued compliance required.
Deficiencies (1)
| Description |
|---|
| Direct care staff A did not have a criminal background check completed until 3/10/2021. |
Report Facts
License Capacity: 127
Residents Served: 72
Secured Dementia Care Unit Capacity: 18
Secured Dementia Care Unit Residents Served: 18
Current Hospice Residents: 10
Residents Age 60 or Older: 71
Residents with Mobility Need: 44
Total Daily Staff: 116
Waking Staff: 87
Document
Capacity: 127
Deficiencies: 0
Mar 4, 2021
Visit Reason
The document serves to approve a revised license increasing the facility's maximum capacity from 110 to 127 residents, following a request to adjust the use of physical space.
Findings
The facility met all regulatory requirements for the increased capacity, with no violations or corrective actions noted in the self-inspection tool.
Report Facts
Current Maximum Capacity: 110
New Maximum Capacity: 127
Inspection Dates: Inspection conducted on 2021-03-04 and 2021-03-05
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tyler Funa | Executive Director | Facility Inspector and Legal Entity Representative who signed the declaration |
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed approval letter for license revision |
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