Inspection Reports for Parker Personal Care Facility

103 SEWARD STREET,, PARKER, PA, 16049

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 8.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

85% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year

Deficiencies per year

12 9 6 3 0
2021
2022
2023

Census

Latest occupancy rate 80% occupied

Based on a December 2023 inspection.

Census over time

25 30 35 40 45 Aug 2021 Apr 2022 Feb 2023 Aug 2023 Dec 2023

Inspection Report

Complaint Investigation
Census: 32 Capacity: 40 Deficiencies: 4 Date: Dec 5, 2023

Visit Reason
The inspection was conducted as a complaint and incident investigation with unannounced partial inspections on 12/05/2023 and 12/21/2023, followed by an off-site review on 12/26/2023.

Complaint Details
The inspection was complaint-driven, investigating allegations of neglect and mistreatment. The complaint was substantiated as deficiencies were found related to resident neglect, abuse, and improper care.
Findings
The facility was found to have multiple deficiencies including failure to promptly send a resident with a hip fracture to the hospital, improper treatment of residents leading to intimidation, inadequate indoor temperature control, and incomplete initial resident assessments. The submitted plan of correction was determined to be fully implemented upon follow-up.

Deficiencies (4)
Failure to promptly send a resident with a hip fracture to the hospital despite signs of pain and injury.
Resident was intimidated and disrespected by staff regarding smoking rules.
Indoor temperature in resident's room measured below required minimum of 70°F.
Resident's initial assessment was incomplete and did not reflect supervision needs accurately.
Report Facts
License Capacity: 40 Residents Served: 32 Total Daily Staff: 36 Waking Staff: 27 Residents 60 Years or Older: 31 Residents Diagnosed with Mental Illness: 17 Residents with Mobility Need: 4 Room Temperature: 66.5

Employees mentioned
NameTitleContext
AdministratorInformed staff of potential violations and educated staff on reporting changes in resident behavior.
Assistant AdministratorEducated staff on identifying changes in non-verbal residents and reevaluated resident assessments.
Staff member I, Registered NurseAssessed resident and indicated need for medical attention.
Staff member JEngaged resident in a manner that caused intimidation and disrespect.

Inspection Report

Renewal
Census: 35 Capacity: 40 Deficiencies: 3 Date: Aug 22, 2023

Visit Reason
The inspection was an unannounced full renewal inspection conducted on 08/22/2023 to review compliance with licensing requirements for Parker Personal Care Facility.

Findings
The inspection found three deficiencies related to compliance with health and safety laws: improper placement of a carbon monoxide alarm, an inoperable bedside lamp for one resident, and an incomplete emergency evacuation diagram. All deficiencies were corrected with plans of correction implemented by 11/21/2023.

Deficiencies (3)
Carbon monoxide alarm was installed only 10 feet from the basement gas furnace, not meeting the required minimum distance of 15 feet.
The bedside lamp belonging to resident #1 was inoperable as it was unplugged from the wall.
The emergency evacuation diagram posted in the dining room did not indicate the location of fire extinguishers or pull stations.
Report Facts
License Capacity: 40 Residents Served: 35 Current Hospice Residents: 3 Residents 60 Years or Older: 34 Residents Diagnosed with Mental Illness: 15 Residents Diagnosed with Intellectual Disability: 1 Residents with Mobility Need: 2 Residents with Physical Disability: 0 Total Daily Staff: 37 Waking Staff: 28

Inspection Report

Complaint Investigation
Census: 31 Capacity: 40 Deficiencies: 1 Date: Mar 14, 2023

Visit Reason
The inspection was conducted as a complaint investigation with a partial, unannounced review on 03/14/2023 and an off-site exit conference on 03/22/2023.

Complaint Details
The inspection was complaint-driven and the plan of correction was accepted and fully implemented by 04/19/2023.
Findings
The submitted plan of correction related to a medication record deficiency was fully implemented. The deficiency involved a failure to document medication administration for a resident's wound care as required.

Deficiencies (1)
Failure to document medication administration on the medication administration record for resident #1's wound care on 3/13/23 at 6:00pm.
Report Facts
License Capacity: 40 Residents Served: 31 Current Residents in Hospice: 2 Residents Diagnosed with Mental Illness: 16 Residents Aged 60 or Older: 30 Residents with Mobility Need: 3 Residents Receiving Supplemental Security Income: 1

Inspection Report

Complaint Investigation
Census: 31 Capacity: 40 Deficiencies: 0 Date: Feb 22, 2023

Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident.

Complaint Details
The inspection was incident-related as indicated by the reason 'Incident'. No deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified during this inspection.

Report Facts
License Capacity: 40 Residents Served: 31 Current Residents in Hospice: 2 Resident Support Staff: 0 Total Daily Staff: 34 Waking Staff: 26 Residents 60 Years or Older: 30 Residents Diagnosed with Mental Illness: 16 Residents with Mobility Need: 3 Residents Receiving Supplemental Security Income: 1

Inspection Report

Renewal
Census: 32 Capacity: 40 Deficiencies: 9 Date: Jul 12, 2022

Visit Reason
The inspection was conducted as a renewal inspection of the Parker Personal Care Facility to assess compliance with licensing requirements.

Findings
The inspection identified several deficiencies including unsigned resident contracts, improper food storage, missing exit signage, incomplete medical evaluations and assessments, medication record omissions, and documentation errors. All deficiencies had corrective plans of action submitted and were determined to be fully implemented by follow-up dates.

Deficiencies (9)
Resident #1’s contract was not signed by the resident nor was there notation indicating opportunity to sign.
A large bag of pasta in the pantry was opened and unsealed.
The exit door in bedroom is not labeled an emergency exit or not an exit.
Resident #2’s most recent medical evaluation was not completed within the required timeframe.
Resident #3's glucometer is not calibrated to the current time.
Resident #1’s medication administration record does not indicate the diagnosis or purpose for prescribed medications.
Resident #2 and Resident #4’s additional assessments were not completed annually as required.
Resident #1 participated in the development of the support plan but did not sign the support plan.
Correction fluid was used on the name and address of the responsible person making payment on resident #4's contract.
Report Facts
License Capacity: 40 Residents Served: 32 Total Daily Staff: 36 Waking Staff: 27 Current Hospice Residents: 4

Employees mentioned
NameTitleContext
Office ManagerTook corrective steps related to contract signatures
Kitchen SupervisorTook corrective steps related to food storage
AdministratorTook corrective steps related to exit signage and documentation errors
Assistant AdministratorMonitored glucometer calibration and medical evaluations
Pharmacy TechnicianCommunicated to ensure medication diagnosis documentation

Inspection Report

Renewal
Deficiencies: 0 Date: May 19, 2022

Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 05/19/2022.

Findings
No regulatory citations or deficiencies were identified as a result of this inspection.

Inspection Report

Complaint Investigation
Census: 33 Capacity: 40 Deficiencies: 0 Date: Apr 14, 2022

Visit Reason
The inspection was conducted as a complaint investigation following an unannounced partial inspection visit on 04/14/2022.

Complaint Details
The inspection was complaint-related, but no deficiencies were found and no follow-up was required.
Findings
No deficiencies or regulatory citations were found during the inspection.

Report Facts
License Capacity: 40 Residents Served: 33 Current Hospice Residents: 4 Residents Age 60 or Older: 30 Residents Diagnosed with Mental Illness: 14 Residents with Mobility Need: 3

Inspection Report

Plan of Correction
Census: 33 Capacity: 40 Deficiencies: 1 Date: Jan 19, 2022

Visit Reason
The inspection was a complaint and incident investigation conducted on 01/19/2022, with a follow-up to verify the implementation of the submitted plan of correction.

Complaint Details
The visit was complaint-related involving allegations of abuse by a direct care staff person. The state police were notified and found no illegal activity. The staff person was discharged and training was conducted on resident rights and professional boundaries.
Findings
The report found that a direct care staff person engaged in inappropriate sexual contact with a resident, which led to the staff's discharge and subsequent training on resident rights and professional boundaries. The submitted plan of correction was determined to be fully implemented.

Deficiencies (1)
Direct care staff person engaged in inappropriate sexual contact with a resident, including kissing and touching genitals.
Report Facts
License Capacity: 40 Residents Served: 33 Current Residents in Hospice: 3 Total Daily Staff: 36 Waking Staff: 27

Inspection Report

Renewal
Census: 30 Capacity: 40 Deficiencies: 8 Date: Aug 10, 2021

Visit Reason
The inspection was conducted as a renewal inspection of the Parker Personal Care Facility to assess compliance with licensing requirements.

Findings
The inspection identified multiple deficiencies including missing contract termination conditions, delayed criminal background checks, improper refrigerator/freezer temperatures, overdue furnace inspection, undated menus, uncalibrated glucometer, unreported medication refusals, and incomplete resident records such as missing death certificate. Plans of correction were accepted and implemented for all violations.

Deficiencies (8)
Resident-home contract for resident #1 did not include required termination conditions.
Staff person A did not have a criminal background check completed until after hire date.
Freezer temperature was above required level (28°F and 20°F) during inspection.
Most recent furnace inspection was overdue; last conducted on 06/19/2020.
Menus posted were undated, making it unclear which week they corresponded to.
Resident #2's glucometer was not calibrated to the correct date and time.
Resident #1 refused medications but refusals were not reported to the physician.
Resident #3's record did not contain a copy of the official death certificate.
Report Facts
License Capacity: 40 Residents Served: 30 Freezer Temperature: 28 Freezer Temperature: 20 Furnace Inspection Date: Jun 19, 2020

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