Inspection Reports for Pleasant Ridge
981 PLEASANT HILL ROAD,, LEECHBURG, PA, 15656
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
11.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
143% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
66% occupied
Based on a August 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 48
Capacity: 73
Deficiencies: 5
Aug 4, 2025
Visit Reason
The inspection was conducted as a renewal and complaint investigation visit to assess compliance with licensing regulations and address complaint issues.
Findings
The inspection found deficiencies related to bathroom ventilation, menu posting, medication storage procedures, and medication administration documentation. Plans of correction were submitted and determined to be fully implemented by the follow-up date.
Complaint Details
The inspection included a complaint investigation component, but the report does not explicitly state the substantiation status of the complaint.
Deficiencies (5)
| Description |
|---|
| The 2 bathrooms across from bedroom #228 did not have an operable, outside window or an operable exhaust fan for ventilation. |
| The menus posted in the facility only included the dates of 8/4/25 to 8/10/25. |
| Resident #2’s glucometer was not set to the correct time, resulting in incorrect documentation of blood glucose readings. |
| Resident #3’s medication administration record included an entry for Atorvastatin 10 mg instead of the prescribed 20 mg, with staff initialing entries as if administered. |
| Resident #2 was prescribed Toujeo 300 units/ml – 26 units at bedtime, but the medication was not administered from 7/14/25 to 7/20/25 due to unavailability. |
Report Facts
License Capacity: 73
Residents Served: 48
Staffing Hours: 58
Waking Staff: 44
Current Hospice Residents: 6
Residents with Mental Illness: 30
Residents 60 Years or Older: 46
Residents with Mobility Need: 10
Inspection Report
Original Licensing
Census: 47
Capacity: 73
Deficiencies: 5
Mar 19, 2025
Visit Reason
The inspection was conducted due to a change in legal entity and as part of the initial licensing inspection for the newly licensed facility.
Findings
The facility was found to be in substantial compliance with applicable regulations, but several citations were noted including missing carbon monoxide alarms, hot water temperature exceeding limits, missing window screens, lack of bedside lighting for a resident, and missing fire department notification documentation. All deficiencies had accepted plans of correction and were implemented by early April 2025.
Deficiencies (5)
| Description |
|---|
| No operable carbon monoxide alarms near the gas stove, gas dryers, and gas boilers. |
| Hot water temperature at a common bathroom sink measured 130.1°F, exceeding the 120°F limit. |
| No screen in the open window in the kitchen. |
| Resident #1 did not have access to a source of light that can be turned on/off at bedside. |
| No documentation of written notification to the local fire department regarding the home's address, bedroom locations, and evacuation assistance needs. |
Report Facts
License Capacity: 73
Residents Served: 47
Hot Water Temperature: 130.1
Staffing Hours: 58
Waking Staff: 44
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed the licensing letter and certificate. |
| Maintenance Director | Responsible for correcting carbon monoxide alarms, hot water temperature checks, window screen installation, and related maintenance tasks. | |
| Administrator | Notified the fire department during the inspection and responsible for ongoing notifications. |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 75
Deficiencies: 12
Jul 18, 2024
Visit Reason
The inspection was a complaint investigation conducted on 07/18/2024 to review compliance with applicable regulations at Pleasant Ridge Mature Living.
Findings
The inspection found multiple violations including lack of food manager certification among staff, unsanitary kitchen and facility conditions, evidence of insect infestation including bed bugs, malfunctioning kitchen equipment, and improper food storage temperatures. Plans of correction were submitted but not fully implemented as of the follow-up date.
Complaint Details
The inspection was conducted as a complaint investigation with an exit conference on 07/18/2024. The submitted plan of correction was found not fully implemented as of the follow-up date.
Deficiencies (12)
| Description |
|---|
| No staff had a nationally recognized food manager certification despite serving breakfast and lunch to 44 residents. |
| Hand washing sink and surrounding areas in the main kitchen were covered with grime and food particles; multiple areas had dirt, grime, food particles, and pest evidence. |
| Multiple plungers soiled with toilet paper and feces were found in various bathrooms. |
| Rotten/moldy tomatoes found in cooler #1; repeated violation. |
| Over 20 live bed bugs and bed bug carcasses found on mattresses and bedding in bedrooms #216 and #227. |
| Trash can in main kitchen lacked a lid; dumpster lid was not covering the dumpster properly. |
| Floors, walls, and ceiling of main kitchen had multiple food stains, crumbs, and grease stains; hole in wall near bedroom #230. |
| Water dripping from ceiling of cooler #1 onto food containers; cold-water handle missing in bathroom sink. |
| Oven in main kitchen stove was inoperable. |
| Grease and grime on floor between dish sink and food serving table; toilet plunger stored on kitchen floor; crumbs and grime on metal shelves. |
| Freezer #4 temperature was 20°F, above required 0°F for frozen food; repeated violation. |
| Dishwasher water temperature was 90°F, below required minimum of 120°F. |
Report Facts
Residents served: 47
Licensed capacity: 75
Residents served breakfast and lunch: 44
Live bed bugs: 20
Freezer temperature: 20
Dishwasher water temperature: 90
Inspection Report
Follow-Up
Census: 51
Capacity: 75
Deficiencies: 3
Feb 21, 2024
Visit Reason
The inspection was a follow-up visit triggered by a complaint and incident to verify the implementation of a previously submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented with continued compliance required. Deficiencies involved treatment of residents, sanitary conditions, and additional resident assessments.
Complaint Details
The inspection was complaint-related, triggered by a complaint and incident. Substantiation status is not explicitly stated.
Deficiencies (3)
| Description |
|---|
| Resident displayed physical affection to other residents by kissing their hands and faces despite staff instructions not to do so. |
| Sanitary conditions were not maintained, including food particles and liquid spills on the dining room floor, a soiled rag on the countertop, and stained carpeting near the refrigerator. |
| Resident assessments did not include significant behavioral changes such as inappropriate physical affection and self-harm behavior using disposable razors. |
Report Facts
License Capacity: 75
Residents Served: 51
Current Hospice Residents: 10
Staffing Hours: 63
Waking Staff: 47
Residents Receiving Supplemental Security Income: 19
Residents 60 Years or Older: 50
Residents Diagnosed with Mental Illness: 14
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 12
Residents with Physical Disability: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Resident Care | Conducted staff training on treating residents with dignity and respect and sanitation; performed privacy interviews and sanitation checks. | |
| Kitchen Manager | Responsible for performing sanitation checks daily for one month, then weekly thereafter. | |
| Resident Care Supervisor | Performed audits on resident support plans and will check every two months thereafter. |
Inspection Report
Complaint Investigation
Census: 50
Capacity: 75
Deficiencies: 0
Jan 25, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 01/25/2024.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and no follow-up was required.
Report Facts
License Capacity: 75
Residents Served: 50
Current Residents in Hospice: 6
Resident Support Staff: 0
Total Daily Staff: 61
Waking Staff: 46
Residents Receiving Supplemental Security Income: 22
Residents 60 Years or Older: 49
Residents Diagnosed with Mental Illness: 3
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 11
Residents with Physical Disability: 1
Inspection Report
Renewal
Census: 50
Capacity: 75
Deficiencies: 11
Dec 6, 2023
Visit Reason
The inspection was a renewal visit conducted on 12/06/2023 to review compliance with licensing requirements for Pleasant Ridge Mature Living.
Findings
The facility was found to have multiple deficiencies including failure to post the current license inspection summary, unsecured resident records, incomplete fire safety training for staff, maintenance issues such as leaking pipes and door latches, lack of nonskid surfaces on exterior ramps, improper placement of bedside lamps, refrigerator/freezer temperature violations, obstructed egress routes, inadequate fire drills, unposted menu changes, and medication labeling discrepancies. Plans of correction were submitted and implemented by 02/21/2024.
Deficiencies (11)
| Description |
|---|
| The most recent license inspection summary was not posted in a conspicuous and public place in the home. |
| Resident records were unsecured and accessible in an unlocked medical records room. |
| Direct care staff persons did not receive fire safety training completed by a fire safety expert during the 2022 training year. |
| Leaking boiler tank and water pipe causing wet floor areas and water damage; door latches removed preventing secure closure. |
| No nonskid surface on wooden landing and wooden ramp outside emergency exit door between bedrooms #206 and #207. |
| Resident bedside lamp was not within reach and could not be turned on/off from bedside. |
| Kitchen storage room freezer temperatures exceeded required limits and lacked thermometers. |
| Emergency exit door was obstructed by a large piece of particle board. |
| Fire drills were not conducted with only two staff persons during overnight shifts in the past year. |
| Menu changes were not posted in a conspicuous and public place in advance of the meal. |
| Medication labeling discrepancy with conflicting dosage instructions on pharmacy labels. |
Report Facts
License Capacity: 75
Residents Served: 50
Resident Records Boxes: 25
Wet Area Length: 8
Particle Board Size: 35
Particle Board Width: 31
Freezer Temperature: 50
Freezer Temperature: 2
Freezer Temperature: 12
Freezer Temperature: 3
Inspection Report
Complaint Investigation
Census: 42
Capacity: 75
Deficiencies: 0
Aug 22, 2023
Visit Reason
The inspection was conducted as a complaint investigation at Pleasant Ridge Mature Living on 08/22/2023.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Complaint Details
The inspection was complaint-driven, but no deficiencies or regulatory citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 75
Residents Served: 42
Current Hospice Residents: 8
Resident Support Staff: 0
Total Daily Staff: 51
Waking Staff: 38
Residents Receiving Supplemental Security Income: 18
Residents Age 60 or Older: 41
Residents Diagnosed with Mental Illness: 13
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 9
Residents with Physical Disability: 2
Inspection Report
Complaint Investigation
Census: 47
Capacity: 75
Deficiencies: 0
Jul 25, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation during unannounced licensing inspections on 07/25/2023 and 07/26/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or citations were found.
Report Facts
License Capacity: 75
Residents Served: 47
Current Hospice Residents: 7
Resident Support Staff Daily Hours: 58
Waking Staff Daily Hours: 44
Residents Receiving Supplemental Security Income: 18
Residents Age 60 or Older: 45
Residents Diagnosed with Mental Illness: 13
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 11
Residents with Physical Disability: 4
Inspection Report
Complaint Investigation
Census: 47
Capacity: 75
Deficiencies: 3
Jul 12, 2023
Visit Reason
The inspection was conducted as a complaint investigation following an incident involving resident #1 who fell from a Hoyer lift during transfer.
Findings
The facility failed to report the incident to the Department within 24 hours and did not follow the required assistance protocol for transferring resident #1, who requires two staff persons for transfers. Additionally, a criminal background check was not completed timely for a staff member.
Complaint Details
The visit was complaint-related due to an incident where resident #1 fell from a Hoyer lift during transfer and was injured. The complaint was substantiated by findings of failure to report the incident and improper transfer assistance.
Deficiencies (3)
| Description |
|---|
| Failure to report an incident involving resident #1 falling from a Hoyer lift to the Department within 24 hours. |
| Resident #1 was transferred with a Hoyer lift by only one staff member instead of two as required, resulting in a fall and injury. |
| Pennsylvania criminal background check was not completed timely for staff person B. |
Report Facts
License Capacity: 75
Residents Served: 47
Hospice Current Residents: 7
Residents Receiving Supplemental Security Income: 20
Residents Age 60 or Older: 46
Residents Diagnosed with Mental Illness: 13
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 10
Residents with Physical Disability: 3
Inspection Report
Census: 44
Capacity: 75
Deficiencies: 0
Jun 6, 2023
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 06/06/2023, with the reason stated as 'Incident'.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
License Capacity: 75
Residents Served: 44
Current Residents in Hospice: 7
Resident Support Staff: 0
Total Daily Staff: 55
Waking Staff: 41
Residents Receiving Supplemental Security Income: 20
Residents Age 60 or Older: 42
Residents Diagnosed with Mental Illness: 5
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 11
Residents with Physical Disability: 4
Inspection Report
Complaint Investigation
Census: 48
Capacity: 75
Deficiencies: 0
Feb 23, 2023
Visit Reason
The inspection was conducted as a complaint investigation at Pleasant Ridge Mature Living on 02/23/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and no follow-up was required.
Report Facts
License Capacity: 75
Residents Served: 48
Current Hospice Residents: 5
Residents Receiving Supplemental Security Income: 18
Residents 60 Years or Older: 44
Residents Diagnosed with Mental Illness: 14
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 12
Residents with Physical Disability: 3
Total Daily Staff: 60
Waking Staff: 45
Inspection Report
Renewal
Census: 45
Capacity: 75
Deficiencies: 11
May 10, 2022
Visit Reason
The inspection was conducted as a renewal and complaint investigation of Pleasant Ridge Mature Living on 05/10/2022 and 05/11/2022.
Findings
The inspection found multiple deficiencies including delayed access to staff records, lack of recent quality management review, late criminal background checks, insufficient emergency water supply, outdated fire safety inspection, incomplete medical evaluations, missing medication administration documentation, failure to follow prescriber's orders, and missing posted activity calendars.
Complaint Details
The inspection included a complaint investigation as indicated by the reason for visit: Renewal, Complaint.
Deficiencies (11)
| Description |
|---|
| Delayed provision of staff person C's record to the Department agent because it was stored offsite. |
| The home had not conducted a quality management review within the past year. |
| Criminal history checks for staff person A and staff person B were completed months after their hire dates. |
| The home did not maintain at least a 3-day supply of emergency drinking water; only 56 gallons were on-site instead of the required 135 gallons. |
| The most recent fire safety inspection and fire drill conducted by a fire safety expert was completed on 4/15/21, not within the past year. |
| Resident #1's medical evaluation update lacked date, time, and person spoken to on the medical evaluation next to the correction. |
| The only menu posted was dated 5/9/22 through 5/15/22, not posted weekly in advance. |
| Medication administration records for residents #1 and #2 lacked initials of staff who administered medications on specified dates. |
| Resident #1's blood glucose was not taken before lunch on 5/3/22, so insulin administration per sliding scale could not be verified. |
| The home did not have a current weekly activity calendar posted in a public and conspicuous place. |
| Resident #1’s preadmission screening did not include a determination that the home can meet the needs of the resident. |
Report Facts
License Capacity: 75
Residents Served: 45
Emergency Drinking Water: 56
Required Emergency Drinking Water: 135
Staffing Hours: 58
Waking Staff: 44
Hospice Residents: 7
Residents Age 60 or Older: 42
Residents Diagnosed with Mental Illness: 15
Residents with Mobility Need: 13
Residents with Physical Disability: 2
Notice
Capacity: 75
Deficiencies: 0
Oct 13, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for Pleasant Ridge Mature Living, a Personal Care Home, pursuant to Title 55, PA Code, Chapter 2600.
Findings
The Department has accepted the renewal application and issued a regular license. It advises that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Total licensed capacity: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report
Renewal
Census: 41
Capacity: 75
Deficiencies: 7
May 26, 2021
Visit Reason
The inspection was conducted as a renewal inspection of Pleasant Ridge Mature Living to assess compliance with licensing requirements.
Findings
The inspection found several deficiencies including missing resident contract signatures, direct care staff lacking required qualifications and training, exterior hazards such as a hole and sharp board on the deck, lint accumulation in the dryer posing fire risk, missing emergency procedures posting, and incomplete resident support plans regarding home health services. Plans of correction were submitted and implemented to address these issues.
Deficiencies (7)
| Description |
|---|
| Resident #1 did not sign resident-home contract. |
| Direct care staff person A does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry. |
| Direct care staff person B began providing unsupervised ADL services before completing required training and competency test. |
| There was a 7" by 7" hole in the eighth floor board from the ramp on the side deck posing a trip and fall hazard; a board on the deck railing was separated and sticking up approximately 1.5 inches posing a laceration hazard. |
| Approximately 1/4 inch accumulation of lint in the lint trap of the commercial dryer in the laundry room. |
| The home's and municipality's emergency procedures were not posted in a conspicuous and public place in the home. |
| Resident #2's support plan did not include services provided by Concordia Home Health nursing. |
Report Facts
License Capacity: 75
Residents Served: 41
Current Residents in Hospice: 9
Total Daily Staff: 53
Waking Staff: 40
Hole Size: 7
Hole Size: 7
Board Protrusion: 1.5
Lint Accumulation: 0.25
Loading inspection reports...
