Inspection Reports for Penn Assisted Care

68 MAIN STREET,, PENNSBURG, PA, 18073

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 1.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

62% better than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year

Deficiencies per year

4 3 2 1 0
2021
2022
2023
2024
2025

Census

Latest occupancy rate 94% occupied

Based on a October 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

21 28 35 42 49 56 Apr 2021 Apr 2022 Jul 2023 Jul 2024 May 2025 Oct 2025

Inspection Report

Follow-Up
Census: 44 Capacity: 47 Deficiencies: 2 Date: Oct 16, 2025

Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident to review the submitted plan of correction.

Findings
The facility was found to have implemented the submitted plan of correction fully, including staff training on safety management techniques and updating resident assessment support plans for completeness and accuracy.

Deficiencies (2)
Failure to implement positive interventions to modify or eliminate a resident's behavior that endangered others, including lack of documentation on behavior redirection and incomplete resident assessment support plans.
Resident assessments did not include all needs, such as assistance with toileting and other specific needs.
Report Facts
License Capacity: 47 Residents Served: 44 Total Daily Staff: 44 Waking Staff: 33 Residents Age 60 or Older: 33 Residents Diagnosed with Mental Illness: 26 Residents Diagnosed with Intellectual Disability: 2 Residents Receiving Supplemental Security Income: 1

Inspection Report

Renewal
Census: 41 Capacity: 47 Deficiencies: 1 Date: May 29, 2025

Visit Reason
The inspection was conducted as a renewal inspection of the facility license.

Findings
The submitted plan of correction was reviewed and determined to be fully implemented. The facility must maintain continued compliance. A deficiency was noted regarding a resident not signing the support plan, but corrective actions were implemented.

Deficiencies (1)
Resident #1 participated in the development of the support plan but did not sign the support plan.
Report Facts
License Capacity: 47 Residents Served: 41 Total Daily Staff: 41 Waking Staff: 31 Residents 60 Years or Older: 31 Residents Diagnosed with Mental Illness: 25 Residents Diagnosed with Intellectual Disability: 2

Inspection Report

Complaint Investigation
Census: 42 Capacity: 47 Deficiencies: 0 Date: Mar 18, 2025

Visit Reason
The inspection was conducted as a result of an incident, with an unannounced partial inspection type.

Complaint Details
The visit was incident-related; no deficiencies or citations were found, indicating no substantiated complaints.
Findings
No regulatory citations or deficiencies were identified during the inspection.

Report Facts
License Capacity: 47 Residents Served: 42 Total Daily Staff: 42 Waking Staff: 32 Residents Receiving Supplemental Security Income: 2 Residents Age 60 or Older: 23 Residents Diagnosed with Mental Illness: 30 Residents Diagnosed with Intellectual Disability: 1 Residents with Mobility Need: 0 Residents with Physical Disability: 0 Current Hospice Residents: 0

Inspection Report

Renewal
Census: 43 Capacity: 47 Deficiencies: 1 Date: Jul 16, 2024

Visit Reason
The inspection was conducted as a renewal inspection of the facility's license to ensure compliance with regulatory requirements.

Findings
The submitted plan of correction related to medication storage deficiencies was fully implemented and compliance was maintained. The deficiency involved opened medications without opening dates, which was corrected with staff training and ongoing monitoring.

Deficiencies (1)
Opened Fluticasone Propionate/Salmeterol Diskus inhalers belonging to residents were stored without an opening date, contrary to manufacturer instructions requiring dating and expiration 30 days after opening.
Report Facts
License Capacity: 47 Residents Served: 43 Total Daily Staff: 43 Waking Staff: 32

Inspection Report

Follow-Up
Census: 43 Capacity: 47 Deficiencies: 3 Date: May 9, 2024

Visit Reason
The inspection visit on 05/09/2024 was a follow-up to review the submitted plan of correction related to a complaint and incident at the facility.

Complaint Details
The inspection was complaint-related, involving allegations of abuse and medication refusal. The plan of correction was accepted and fully implemented.
Findings
The facility was found to have fully implemented the submitted plan of correction addressing issues of resident abuse, refusal of medication, and additional resident assessments. Continued compliance is required.

Deficiencies (3)
Resident was subjected to inappropriate relationship and communication with a staff member, including sending of inappropriate messages and photos.
Resident refused prescribed medications which were not reported to the physician as required.
Resident assessment did not include the need related to suicidal ideations prior to the annual assessment.
Report Facts
Total Daily Staff: 43 Waking Staff: 32 License Capacity: 47 Residents Served: 43 Residents Age 60 or Older: 36 Residents Diagnosed with Mental Illness: 30 Residents Diagnosed with Intellectual Disability: 3 Residents Receiving Supplemental Security Income: 1 Current Hospice Residents: 0

Inspection Report

Renewal
Census: 42 Capacity: 47 Deficiencies: 0 Date: Jul 3, 2023

Visit Reason
The inspection was conducted as a renewal licensing inspection of the facility.

Findings
No regulatory citations or deficiencies were identified during the inspection.

Report Facts
Residents Served: 42 License Capacity: 47 Total Daily Staff: 42 Waking Staff: 32 Residents Age 60 or Older: 28 Residents Diagnosed with Mental Illness: 29 Residents Diagnosed with Intellectual Disability: 2 Residents Receiving Supplemental Security Income: 1

Inspection Report

Renewal
Census: 36 Capacity: 47 Deficiencies: 0 Date: Apr 27, 2022

Visit Reason
The inspection was conducted as a renewal licensing inspection of the Penn Assisted Care facility.

Findings
No regulatory citations or deficiencies were identified during the inspection.

Report Facts
Total Daily Staff: 36 Waking Staff: 27 Residents Served: 36 License Capacity: 47 Residents Diagnosed with Mental Illness: 22 Residents Diagnosed with Intellectual Disability: 2 Residents 60 Years or Older: 26 Residents Receiving Supplemental Security Income: 1

Inspection Report

Follow-Up
Census: 37 Capacity: 47 Deficiencies: 2 Date: Apr 5, 2022

Visit Reason
The inspection was a follow-up review conducted on 04/05/2022 to verify the implementation of a previously submitted plan of correction related to a complaint and incident.

Complaint Details
The inspection was complaint-related, triggered by a complaint and incident. The submitted plan of correction was reviewed and accepted as fully implemented.
Findings
The facility was found to have fully implemented the submitted plan of correction. Deficiencies related to insufficient direct care hours during waking hours and incomplete resident support plans were addressed with updated staffing schedules and revised support plans.

Deficiencies (2)
On 4/2/22 and 4/3/22, only 22.5 of the required 37 direct care hours (60.8%) were provided during waking hours, below the required 75%.
Resident 1's support plan did not document the need for showering or how that need would be met, nor did it document the plan to meet psychological needs, frequency, or responsible party.
Report Facts
Direct care hours required: 37 Direct care hours provided during waking hours: 22.5 License capacity: 47 Residents served: 37 Total daily staff: 37 Waking staff: 28

Inspection Report

Census: 37 Capacity: 47 Deficiencies: 0 Date: Jan 11, 2022

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

Findings
No regulatory citations or deficiencies were identified during the inspection.

Report Facts
Total Daily Staff: 37 Waking Staff: 28 Resident Support Staff: 0 Residents Served: 37 License Capacity: 47 Residents 60 Years or Older: 26 Residents Diagnosed with Mental Illness: 21 Residents Diagnosed with Intellectual Disability: 3 Residents Receiving Supplemental Security Income: 1 Residents with Mobility Need: 0 Residents with Physical Disability: 0

Notice

Capacity: 47 Deficiencies: 0 Date: Aug 16, 2021

Visit Reason
The document is a notice of approval for a revised license capacity increase from 33 to 47 residents for Penn Assisted Care, LLC.

Findings
The Department granted approval for the facility's request to increase licensed capacity from 33 to 47 residents. The license expiration date remains unchanged.

Report Facts
License capacity increase: 14

Employees mentioned
NameTitleContext
Jamie BuchenauerDeputy SecretarySigned the approval letter for the revised license capacity.

Notice

Capacity: 33 Deficiencies: 0 Date: May 14, 2021

Visit Reason
The document serves as a renewal notification and license issuance for Penn Assisted Care, a Personal Care Home, following receipt of the renewal application dated February 10, 2021. It also advises that an onsite inspection will be conducted within the next twelve months as required by regulation.

Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license and states that enforcement action will be taken if noncompliance is found during future inspections.

Report Facts
Maximum capacity: 33

Employees mentioned
NameTitleContext
Jamie L. BuchenauerDeputy SecretarySigned the renewal notification letter.
Alex MainsAdministratorNamed as the facility administrator in the renewal notification letter.

Inspection Report

Renewal
Census: 32 Capacity: 33 Deficiencies: 0 Date: Apr 5, 2021

Visit Reason
The inspection was conducted as a renewal of the facility license during an unannounced full inspection visit on 04/05/2021.

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

Report Facts
Total Daily Staff: 32 Waking Staff: 24 Residents Served: 32 License Capacity: 33 Residents Age 60 or Older: 22 Residents Diagnosed with Mental Illness: 23 Residents Diagnosed with Intellectual Disability: 2 Residents Receiving Supplemental Security Income: 1

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