Inspection Reports for Providence Place Senior Living of Chambersburg
PA, 17202
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Renewal
Census: 108
Capacity: 187
Deficiencies: 11
Mar 27, 2024
Visit Reason
The inspection was conducted as a full, unannounced renewal inspection with additional incident review on 03/27/2024 and 03/28/2024 to assess compliance with licensing requirements.
Findings
The facility was found to have multiple deficiencies related to fire safety training, evacuation procedures during fire drills, medication storage and administration, documentation errors, and key-locking device signage. The submitted plan of correction was fully implemented and accepted.
Deficiencies (11)
| Description |
|---|
| Staff Member A did not complete fire safety training by a Fire Safety Expert or trained staff during the 2023 training year. |
| During fire drills, not all residents evacuated to designated meeting places as required. |
| Medication cart beside the laundry room on the third floor was unlocked, unattended, and accessible. |
| Discontinued medications were found in the residence's first floor medication cart. |
| A loose pill was observed in the first-floor medication cart. |
| Blood glucose checks on the glucometer did not match the numbers transcribed on the Medication Administration Record (MAR) for Resident #4. |
| Resident #4's medication record did not indicate the amount of medication administered. |
| The home did not follow prescriber's orders correctly for Residents #3, #4, #5, #6, and #7 regarding medication administration. |
| Resident #4's initial assessment was not completed within 30 days of admission. |
| Resident #4's medical evaluation and support plan did not indicate the need for certain care services. |
| Directions for operation were not conspicuously posted near a combination keypad magnetic locking system on one of the vinyl gates in the Secure Care Unit courtyard. |
Report Facts
Residents served: 108
License capacity: 187
Staff total daily: 164
Staff waking: 123
Residents evacuated during fire drill: 137
Residents evacuated during fire drill: 136
Audit frequency: 5
Audit duration: 4
Medication doses: 10
Medication doses administered: 8
Medication doses administered: Doses administered to Resident #6 (number redacted)
Medication units prescribed: 12
Audit diabetic residents: 3
Audit MARs: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Provided education and conducted audits related to fire safety, medication storage, and other deficiencies | |
| Director of Nursing | Involved in medication audits, re-education, and correction plans | |
| Connections Director | Manager of Secure Care Unit | Provided education and conducted audits related to keypad locking system |
| Med Tech | Responsible for medication cart found unlocked and involved in medication corrections |
Inspection Report
Follow-Up
Census: 143
Capacity: 187
Deficiencies: 1
Jul 12, 2023
Visit Reason
The visit was a partial, unannounced inspection conducted due to an incident, with a follow-up to verify the implementation of a previously submitted plan of correction.
Findings
The inspection found that poisonous materials were not properly locked and accessible to residents, specifically Resident 1, who was observed with various unlocked poisonous items. The facility implemented re-education and disciplinary actions, and audits and inspections were planned to ensure compliance. The plan of correction was accepted and fully implemented by 08/11/2023.
Deficiencies (1)
| Description |
|---|
| Poisonous materials were kept unlocked and accessible to Resident 1, including cleaning solutions and personal hygiene products, despite the resident being unable to safely use or avoid poisonous materials. |
Report Facts
License Capacity: 187
Residents Served: 143
Special Care Unit Capacity: 58
Special Care Unit Residents Served: 33
Current Hospice Residents: 10
Residents Age 60 or Older: 143
Residents with Mobility Need: 48
Total Daily Staff: 191
Waking Staff: 143
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Connections Program Director | Program Director | Provided re-education and disciplinary action to caregiver responsible for unlocked poisonous materials |
| Director of Wellness | Director of Wellness | Provided re-education to nursing coworkers regarding personal hygiene items |
| Maintenance Director | Maintenance Director | Inspected locking cabinets in the secured dementia unit to ensure proper functioning |
Inspection Report
Complaint Investigation
Census: 113
Capacity: 187
Deficiencies: 0
Apr 11, 2023
Visit Reason
The inspection was conducted as a complaint investigation at Providence Place of Chambersburg on 04/11/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-driven, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 187
Residents Served: 113
Special Care Unit Capacity: 58
Special Care Unit Residents Served: 32
Residents Age 60 or Older: 113
Residents with Mobility Need: 49
Residents with Physical Disability: 2
Total Daily Staff: 162
Waking Staff: 122
Inspection Report
Plan of Correction
Deficiencies: 0
Nov 1, 2022
Visit Reason
The document confirms that the submitted plan of correction for the facility was reviewed and determined to be fully implemented following inspections on 11/01/2022 and 11/02/2022.
Findings
The review concluded that the facility's plan of correction is fully implemented and that continued compliance must be maintained.
Report Facts
Inspection dates: 2
Inspection Report
Original Licensing
Capacity: 187
Deficiencies: 0
Mar 3, 2021
Visit Reason
Licensing inspection of a newly licensed assisted living facility to assess compliance with regulations for initial licensure.
Findings
The facility was found to be in substantial compliance with applicable regulations, but the licensing inspector was unable to complete a full inspection due to the new legal entity operating the home. A re-inspection will be conducted within 3 months.
Report Facts
Maximum capacity: 187
Special Care Unit capacity: 58
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed letter regarding licensing inspection results |
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