Inspection Reports for Peter Becker Community

800 MAPLE AVENUE, 1ST FLOOR,, PA, 19438

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 12 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

155% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year

Deficiencies per year

32 24 16 8 0
2021
2022
2023
2024

Census

Latest occupancy rate 85% occupied

Based on a December 2024 inspection.

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

Census over time

40 48 56 64 72 80 May 2021 Jul 2022 Jun 2023 Dec 2024
Inspection Report Monitoring Census: 58 Capacity: 68 Deficiencies: 5 Dec 2, 2024
Visit Reason
The inspection was a monitoring visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing to review the facility's compliance and implementation of the submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction. Deficiencies were noted related to incomplete staff contact lists, incomplete emergency medical plan training for some staff, incomplete training records, unsecured poisonous materials accessible to residents, and medication storage issues. All deficiencies had plans of correction accepted and were implemented by the facility.
Deficiencies (5)
Description
Administrator could not provide a full and complete list of staff members including substitute personnel.
Direct care staff did not complete training on the emergency medical plan within 40 scheduled work hours.
Training records lacked source, date completed, or length of training for emergency medical plan and monthly fire drills.
Poisonous materials were unlocked, unattended, and accessible in a resident's room; not all residents assessed as capable of safely using or avoiding poisonous materials.
Medication cards had punctured blister foil with medication still present; loose pills found in medication cart.
Report Facts
License Capacity: 68 Residents Served: 58 Secured Dementia Care Unit Capacity: 11 Secured Dementia Care Unit Residents Served: 11 Current Hospice Residents: 1 Total Daily Staff: 69 Waking Staff: 52 Residents Age 60 or Older: 58 Residents with Mobility Need: 11
Inspection Report Renewal Census: 55 Capacity: 68 Deficiencies: 29 Sep 17, 2024
Visit Reason
The inspection was a renewal inspection conducted on 09/17/2024 and 09/18/2024 to review compliance with licensing requirements for Peter Becker Community.
Findings
The inspection identified multiple deficiencies related to resident confidentiality, staff qualifications and training, medication storage and administration, fire safety, sanitary conditions, emergency procedures, and resident care documentation. Plans of correction were accepted or directed with completion dates mostly by November 2024 and implementation by January 2025.
Deficiencies (29)
Description
Resident medical records left visible on a computer screen in an unlocked, unattended medication room.
Resident records missing signed statements acknowledging receipt of resident rights and complaint procedures.
Camera in resident area recording without signage indicating recording.
Direct care staff person without required high school diploma, GED, or nurse aide registry status.
Administrator's staff list did not include substitute staff.
Insufficient staff certified in first aid, CPR, and obstructed airway techniques during certain shifts.
New direct care staff did not receive required fire safety and emergency preparedness orientation on first day.
Direct care staff person did not complete required orientation training on resident rights, emergency medical plan, abuse reporting, and incident reporting within 40 hours.
Direct care staff person provided unsupervised ADL services without completing required training and competency testing.
Direct care staff persons did not receive required annual training in medication self-administration and safe management techniques.
Home's record of direct care staff training did not include source of training for fire safety.
Poisonous materials (hand sanitizer, lotions, shampoo) unlocked and accessible to residents not assessed as safe to use them.
Sanitary conditions not maintained; sticky residue found in Secure Dementia Care Unit dining area.
Emergency telephone numbers not posted by telephones in several resident rooms.
Exterior hazards present; open bucket with broken pots accessible to residents.
Lint accumulation in dryer lint trap, repeat violation.
Written emergency procedures did not include contact information for each resident's designated person.
Home's pet policy not updated to reflect allowance of non-service pets.
Fire extinguisher inaccessible due to obstruction by rack of cups and plates.
Fire extinguisher not inspected since 2019.
Unannounced fire drill not held during August 2024.
Fire drills did not include evacuation to designated meeting place for all residents in both personal care areas.
Resident medical evaluations not completed annually as required.
Medications improperly stored: open and undated inhaler, punctured blister packs.
Medications and medical equipment not safely stored or available; glucometer not calibrated; missing medication.
Medication administration documentation errors; narcotic log not properly documented.
Prescriber's orders not followed for insulin administration based on glucose readings.
Medication administration training records missing documentation of successful completion for some staff.
Direct care staff in Secure Dementia Care Unit did not complete required 6 hours of annual dementia training.
Report Facts
License Capacity: 68 Residents Served: 55 Secured Dementia Care Unit Capacity: 11 Secured Dementia Care Unit Residents Served: 9 Hospice Residents: 1 Staffing Hours: 74 Waking Staff: 56 Residents 60 Years or Older: 55 Residents with Mobility Need: 19 Deficiencies Cited: 28
Employees Mentioned
NameTitleContext
Staff Person ANamed in findings related to lack of required education, training, and medication administration documentation.
Staff Person DNamed in findings related to incomplete fire safety orientation, lack of annual dementia training, and medication training.
Staff Person ENamed in findings related to incomplete orientation training and medication administration training.
Staff Person GNamed in finding related to providing unsupervised ADL services without completing required training.
Staff Person HNamed in finding related to lack of annual medication self-administration training.
Staff Person INamed in finding related to medication administration documentation error.
Inspection Report Renewal Census: 53 Capacity: 68 Deficiencies: 1 Jun 22, 2023
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance and licensing status.
Findings
The submitted plan of correction was found to be fully implemented. A deficiency was noted regarding lint accumulation in the dryer lint trap, which was immediately corrected and addressed with staff re-education and ongoing audits.
Deficiencies (1)
Description
Approximately 1/2 inch accumulation of lint in the lint trap of the dryer located in the personal care laundry room.
Report Facts
License Capacity: 68 Residents Served: 53 Secured Dementia Care Unit Capacity: 11 Secured Dementia Care Unit Residents Served: 10 Current Hospice Residents: 1 Residents Age 60 or Older: 53 Residents with Mental Illness: 1 Residents with Mobility Need: 24
Inspection Report Follow-Up Census: 56 Capacity: 68 Deficiencies: 4 Aug 11, 2022
Visit Reason
The inspection was a partial, unannounced follow-up visit to verify the implementation of a previously submitted plan of correction related to an incident.
Findings
The facility was found to have fully implemented the submitted plan of correction addressing delayed abuse reporting and incomplete resident records. Deficiencies included failure to immediately report suspected abuse and incomplete resident record content, which were corrected through staff re-inservice and documentation updates.
Complaint Details
The visit was related to a complaint involving alleged resident abuse, which was substantiated by findings of delayed reporting and failure to report to the Department within required timeframes.
Deficiencies (4)
Description
On 07/22/22, a staff person locked resident #1 in a room, and the abuse allegation was not reported until 07/29/2022, which was delayed.
The facility hotline received a complaint about alleged abuse on 07/29/2022, but the home did not report this incident to the Department until 08/08/2022.
Resident #1's record does not include eye color or hair color.
Resident #1's record does not include a record of incident reports for the individual resident.
Report Facts
License Capacity: 68 Residents Served: 56 Memory Care Capacity: 11 Memory Care Residents Served: 11 Hospice Residents: 2 Residents Diagnosed with Mental Illness: 6 Residents with Mobility Need: 13 Residents with Physical Disability: 1
Inspection Report Follow-Up Census: 56 Capacity: 68 Deficiencies: 4 Jul 14, 2022
Visit Reason
The inspection visit was a partial, unannounced follow-up review triggered by an incident to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to resident abuse incidents involving two residents. The report details violations regarding failure to immediately report suspected abuse and failure to complete timely assessments following significant behavior changes. The facility has taken corrective actions including staff training, incident audits, and increased resident monitoring.
Deficiencies (4)
Description
Failure to immediately report suspected abuse of a resident to the Area Agency on Aging and lack of investigation.
Failure to report an incident to the Department’s personal care home regional office within 24 hours.
Resident abuse involving physical assault with a cane resulting in bruises.
Failure to complete additional resident assessment after significant behavior change.
Report Facts
License Capacity: 68 Residents Served: 56 Secured Dementia Care Unit Capacity: 11 Residents Served in Dementia Care Unit: 10 Current Hospice Residents: 1 Total Daily Staff: 69 Waking Staff: 52 Residents Age 60 or Older: 56 Residents Diagnosed with Mental Illness: 6 Residents with Mobility Need: 13 Residents with Physical Disability: 1
Inspection Report Renewal Census: 52 Capacity: 68 Deficiencies: 5 Apr 12, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the Peter Becker Community facility to assess compliance with licensing requirements.
Findings
The inspection found multiple deficiencies related to staff orientation and training, use of prohibited portable space heaters, medication storage and documentation errors, and preadmission screening form completion. The facility submitted plans of correction which were accepted and fully implemented by the time of the follow-up.
Deficiencies (5)
Description
Staff person A did not receive orientation on fire safety and emergency preparedness topics on their first day of work.
Staff person A did not complete required training within 40 scheduled working hours on resident rights, emergency medical plan, mandatory abuse reporting, and incident reporting.
A portable space heater was found in resident room 134, which is prohibited.
Medication storage procedures were not properly implemented, including inaccurate glucometer readings documentation for resident #1.
Preadmission screening forms for residents #1 and #2 were not completed within the required timeframe prior to admission.
Report Facts
License Capacity: 68 Residents Served: 52 Secured Dementia Care Unit Capacity: 11 Secured Dementia Care Unit Residents Served: 10 Hospice Residents: 1 Residents Diagnosed with Mental Illness: 6 Residents with Mobility Need: 13 Residents with Physical Disability: 1 Total Daily Staff: 65 Waking Staff: 49
Notice Capacity: 68 Deficiencies: 0 Jun 4, 2021
Visit Reason
The document serves as a certificate of compliance and a license renewal notice for Peter Becker Community Personal Care Home, confirming the facility's authorized capacity and informing about the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application and advises that an annual inspection will be conducted within the next year.
Report Facts
Maximum capacity: 68 Secure Dementia Care Unit capacity: 11
Employees Mentioned
NameTitleContext
Jessica SaccarelliPersonal Care Home AdministratorRecipient of the license renewal notice
Jamie L. BuchenauerDeputy Secretary, Office of Long-term LivingSigned the license renewal notice
Inspection Report Renewal Census: 48 Capacity: 68 Deficiencies: 0 May 19, 2021
Visit Reason
The inspection was a full, unannounced licensing inspection conducted on 05/19/2021 and 05/20/2021 as part of the facility's license renewal process.
Findings
No regulatory citations or deficiencies were identified during this licensing inspection.
Report Facts
Residents Served: 48 License Capacity: 68 Secured Dementia Care Unit Capacity: 11 Secured Dementia Care Unit Residents Served: 11 Hospice Current Residents: 1 Total Daily Staff: 59 Waking Staff: 44

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