Inspection Reports for Polk Personal Care Center
301 NORTH STREET,, MILLERSBURG, PA, 17061
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
51% better than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
53% occupied
Based on a September 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 45
Capacity: 85
Deficiencies: 2
Sep 4, 2024
Visit Reason
The inspection was conducted as a renewal visit combined with an incident review at Polk Personal Care Center on 09/04/2024.
Findings
The submitted plan of correction related to hot water temperature violations was found to be fully implemented. The facility corrected hot water temperatures exceeding 120°F in resident bathrooms by adjusting boiler settings and instituting weekly water temperature checks.
Deficiencies (2)
| Description |
|---|
| Hot water temperature at the sink in the bathroom of room #333w measured 123.9 degrees Fahrenheit, exceeding the maximum allowed 120°F. |
| Hot water temperature at the sink in the bathroom of room #232w measured 124.4 degrees Fahrenheit, exceeding the maximum allowed 120°F. |
Report Facts
License Capacity: 85
Residents Served: 45
Current Hospice Residents: 5
Residents 60 Years or Older: 45
Residents with Mobility Need: 9
Total Daily Staff: 54
Waking Staff: 41
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Supervisor | Notified of hot water temperature violations and responsible for adjusting boiler temperature |
Inspection Report
Renewal
Census: 50
Capacity: 85
Deficiencies: 5
May 16, 2023
Visit Reason
The inspection was conducted as a renewal review of the Polk Personal Care Center to assess compliance with licensing requirements.
Findings
The facility was found to have multiple deficiencies including an expired boiler certificate, uncovered enabler bars posing entrapment hazards, lint accumulation in dryer vents, unlocked medications, and unsecured resident records. All deficiencies had plans of correction accepted and were implemented by early June 2023.
Deficiencies (5)
| Description |
|---|
| Expired boiler certificate with expiration date of 4/1/2023. |
| Uncovered enabler bar with an opening posing a potential entrapment hazard. |
| Approximate 1/4 inch accumulation of lint in the lint trap of the right dryer in the basement. |
| Topical medications found unlocked, unattended, and accessible in an unmarked blue caddy in the second-floor west supply room. |
| Flow sheet binder containing resident records found unlocked, unattended, and accessible on shelves in supply rooms. |
Report Facts
License Capacity: 85
Residents Served: 50
Current Hospice Residents: 2
Total Daily Staff: 53
Waking Staff: 40
Inspection Report
Renewal
Census: 51
Capacity: 85
Deficiencies: 2
Mar 14, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the Polk Personal Care Center to assess compliance with licensing requirements.
Findings
Two deficiencies were identified: improper storage of poisonous materials with unlabeled spray bottles and snow and ice obstructing an emergency exit stairway. Both issues were corrected with new policies and removal of hazards by 04/15/2022.
Deficiencies (2)
| Description |
|---|
| Spray bottles containing clear liquid with handwritten labels were found outside original labeled containers in sitting/dining areas. |
| Emergency exit stairway near room 214 on the second floor was snow and ice covered. |
Report Facts
License Capacity: 85
Residents Served: 51
Current Residents in Hospice: 4
Residents with Mobility Need: 9
Total Daily Staff: 61
Waking Staff: 46
Resident Support Staff: 1
Notice
Capacity: 85
Deficiencies: 0
Mar 19, 2021
Visit Reason
This document serves as a renewal notification and issuance of a regular license for Polk Personal Care Center, a Personal Care Home, following receipt of the renewal application dated December 2, 2020.
Findings
The Department has approved the renewal application and issued a regular license. The Department will conduct an onsite inspection within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 85
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
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