Inspection Reports for Redstone Highlands
4 GARDEN CENTER DRIVE,, GREENSBURG, PA, 15601
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
12.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
166% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
24
18
12
6
0
Census
Latest occupancy rate
74% occupied
Based on a October 2024 inspection.
Census over time
Inspection Report
Renewal
Census: 45
Capacity: 61
Deficiencies: 11
Date: Oct 16, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the facility license for Redstone Highlands on 10/16/2024.
Findings
The inspection identified multiple deficiencies related to storage of poisonous materials, sanitary conditions, ventilation, surfaces, food protection and storage, lint removal, unobstructed egress, fire drill compliance, and medication storage procedures. All deficiencies had plans of correction accepted and were implemented by 11/19/2024.
Deficiencies (11)
Unlabeled plastic spray bottle approximately 40% full of off-white liquid found on cleaning cart.
Two unmarked used toothbrushes belonging to residents found in semi-private bathroom sink.
Non-operational continuous air draw vent in Country Kitchen's common bathroom with no window.
Two unseated ceiling tiles creating gaps of 3 to 5 inches in laundry room ceiling.
Three uncovered chicken salads in main kitchen walk-in freezer; frozen potatoes on floor of refrigerator; open bag of frozen stuffed shells in freezer.
Three 5-gallon ice cream containers stored in direct contact with freezer floor.
Opened and undated bag of approximately 30 frozen omelets in walk-in freezer.
Lint approximately 0.25 inches thick covering lint trap screen in laundry room dryer.
Carpeting blocked automatic double exit doors at Tower Exit from fully opening, obstructing egress.
No fire drill conducted during sleeping hours from October 2023 through June 2024.
Medication storage and administration issues related to resident #3's glucometer readings and labeling.
Report Facts
License Capacity: 61
Residents Served: 45
Current Hospice Residents: 9
Residents Diagnosed with Mental Illness: 22
Residents with Mobility Need: 20
Total Daily Staff: 65
Waking Staff: 49
Inspection Report
Census: 49
Capacity: 61
Deficiencies: 0
Date: Jul 2, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted on 07/02/2024 due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 82
Waking Staff: 62
Residents Served: 49
License Capacity: 61
Current Hospice Residents: 9
Residents Diagnosed with Mental Illness: 22
Residents with Mobility Need: 33
Residents 60 Years of Age or Older: 49
Inspection Report
Census: 48
Capacity: 61
Deficiencies: 0
Date: Jun 13, 2024
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 06/13/2024, triggered by an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 80
Waking Staff: 60
Residents Served: 48
License Capacity: 61
Current Residents in Hospice: 9
Residents Diagnosed with Mental Illness: 22
Residents with Mobility Need: 32
Residents Age 60 or Older: 48
Inspection Report
Follow-Up
Census: 47
Capacity: 61
Deficiencies: 1
Date: May 9, 2024
Visit Reason
The inspection visit on 05/09/2024 was an unannounced partial inspection triggered by an incident at the facility.
Findings
The inspection found a violation of resident dignity and respect when a staff member manually lifted a resident against their wishes, causing distress. The facility implemented a plan of correction including staff removal, education, and monitoring to ensure compliance.
Deficiencies (1)
Staff person A refused to use the Sara Stedy sit-to-stand lift and manually lifted resident #1, causing the resident to scream and request care from a different staff member.
Report Facts
License Capacity: 61
Residents Served: 47
Current Residents in Hospice: 7
Total Daily Staff: 77
Waking Staff: 58
Residents with Mental Illness: 7
Residents with Mobility Need: 30
Residents Age 60 or Older: 47
Inspection Report
Follow-Up
Census: 47
Capacity: 61
Deficiencies: 1
Date: Apr 30, 2024
Visit Reason
The inspection visit on 04/30/2024 was an unannounced partial inspection triggered by an incident, conducted to review the facility's compliance and 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 assistance with activities of daily living, specifically safe use of mechanical lifts and transfer techniques. The plan included staff education and ongoing monitoring to ensure compliance.
Deficiencies (1)
Resident #1 sustained a skin tear requiring 27 stitches due to improper use of a sit-to-stand device during transfer, contrary to the resident's assessment and support plan requiring use of a mechanical lift.
Report Facts
License Capacity: 61
Residents Served: 47
Stitches required: 27
Total Daily Staff: 77
Waking Staff: 58
Inspection Report
Census: 46
Capacity: 61
Deficiencies: 0
Date: Jan 10, 2024
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 as a result of this inspection.
Report Facts
Residents Served: 46
License Capacity: 61
Current Hospice Residents: 8
Resident Support Staff Hours: 0
Total Daily Staff Hours: 80
Waking Staff Hours: 60
Residents Age 60 or Older: 46
Residents Diagnosed with Mental Illness: 9
Residents with Mobility Need: 34
Residents with Physical Disability: 1
Inspection Report
Follow-Up
Census: 45
Capacity: 61
Deficiencies: 1
Date: Nov 15, 2023
Visit Reason
The inspection was a partial, unannounced follow-up visit on 11/15/2023 to review the submitted plan of correction related to a prior incident and provisional reason.
Findings
The submitted plan of correction was determined to be fully implemented as of 11/15/2023. The report details a repeat violation involving disrespectful treatment of a resident by a staff member, who was removed and terminated. Staff education and monitoring plans were implemented to ensure compliance.
Deficiencies (1)
Staff person A was disrespectful to resident #1 on numerous occasions, including calling the resident derogatory names during care, causing emotional distress.
Report Facts
License Capacity: 61
Residents Served: 45
Current Hospice Residents: 5
Residents Diagnosed with Mental Illness: 8
Residents with Mobility Need: 33
Residents Aged 60 or Older: 45
Residents with Physical Disability: 2
Total Daily Staff: 78
Waking Staff: 59
Inspection Report
Follow-Up
Census: 45
Capacity: 61
Deficiencies: 4
Date: Aug 8, 2023
Visit Reason
The inspection was a partial, unannounced incident review conducted on 08/08/2023 to follow up on previously identified deficiencies and verify the implementation of the submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction. Deficiencies included disrespectful treatment of residents by a staff member, failure to conduct criminal background checks in accordance with regulations, incomplete fire safety orientation for staff, and incomplete training on emergency medical plans and mandatory abuse reporting. Education and audits were conducted to address these issues, with ongoing monitoring plans established.
Deficiencies (4)
Staff person A treated residents disrespectfully by setting dishes down loudly and using a disrespectful tone.
Criminal history check was not conducted for ancillary staff person A as required by the Older Adult Protective Services Act.
Ancillary staff person A did not complete orientation in general fire safety and emergency preparedness including evacuation procedures and fire extinguisher use.
Ancillary staff person A had not completed training on emergency medical plan and mandatory reporting of abuse and neglect within 40 hours of work.
Report Facts
License Capacity: 61
Residents Served: 45
Current Hospice Residents: 8
Total Daily Staff: 57
Waking Staff: 43
Residents Diagnosed with Mental Illness: 11
Residents with Mobility Need: 12
Residents with Physical Disability: 1
Inspection Report
Follow-Up
Census: 49
Capacity: 61
Deficiencies: 4
Date: Mar 24, 2023
Visit Reason
The inspection was an unannounced partial licensing inspection conducted as an interim review, with follow-up activities including plan of correction submissions and enforcement related to prior violations.
Findings
The facility was found to have multiple violations related to sanitary conditions, medication labeling, storage procedures, and following prescriber's orders. Plans of correction were submitted but some were not yet implemented as of the last follow-up date.
Deficiencies (4)
Resident #1's glucometer was used to test resident #2's blood sugar, indicating failure to maintain sanitary conditions.
Resident #3's and #4's medications were not properly labeled with pharmacy labels including required information.
Glucometers for residents #2, #3, #4, #5, and #6 were not calibrated to the correct time, and blood sugar readings did not match medication administration records.
Resident #5's blood sugar readings before meals and at bedtime were not taken as prescribed, indicating failure to follow prescriber's orders.
Report Facts
License Capacity: 61
Residents Served: 49
Current Hospice Residents: 5
Total Daily Staff: 61
Waking Staff: 46
Inspection Report
Renewal
Census: 46
Capacity: 61
Deficiencies: 22
Date: Dec 13, 2022
Visit Reason
The inspection was conducted for renewal, complaint, and incident reasons as part of the licensing inspections on multiple dates including December 13, 2022, December 28, 2022, December 29, 2022, and January 6, 2023.
Findings
Multiple violations were found related to personal care home regulations including deficiencies in resident-home contracts, sanitary conditions, fire safety inspections, medication labeling, and emergency procedures. A provisional license was issued due to failure to submit an acceptable plan of correction and failure to comply with previous plans.
Deficiencies (22)
Resident #1's resident-home contract did not indicate the resident's name, the name of the community, and the resident's responsible person.
Resident #2's resident-home contract was not signed by the resident.
Resident #2's record did not contain a statement signed by the resident acknowledging receipt of resident rights and complaint procedures.
Resident #2's glucometer was used to test resident #4's blood sugar on 12/21/22 at approximately 8:00 a.m.
There was an uncovered, unattended, half-full trash can on the side of a wheeled cart in the first floor kitchen.
The faucet on the sink in the common bathroom next to the PC+ laundry room was loose and not attached to the sink, causing the sink not to drain properly.
The temperature in the first floor kitchen's ice cream freezer was 6 degrees Fahrenheit, above the required 0°F.
The temperature in the PC+ kitchen's ice cream freezer was 4 degrees Fahrenheit, above the required 0°F.
An unsealed bag of 11 pieces of French toast was stored in an uncovered plastic bin in the first floor kitchen's upright freezer next to the stove.
There were 8 packages of unlabeled, undated 4-packs of pancakes in the PC+ upright freezer (violation later withdrawn).
The home's emergency procedures were located in the first floor medication room, which is not a conspicuous and public place in the home.
The fire extinguisher in the administration office had not been inspected by a fire safety expert since November 2020.
The facility did not complete annual fire safety inspection and fire drill by a fire safety expert by December 31, 2021.
Fire drill logs did not indicate accurate counts of residents and evacuees on multiple occasions.
Residents were not regularly evacuated to a fire safe area during fire drills unless they were in the zone where the imaginary fire took place.
Resident #3's most recent medical evaluation was completed on 2/15/22; previous evaluation was on 1/7/21, violating the annual requirement.
Resident #2's medication label for Systane balance solution eye drops did not match the EMAR instructions.
Resident #5's medication label for potassium chloride packet did not match the administration instructions.
Resident #2's and Resident #5's glucometers were not calibrated to the current date and time on multiple occasions.
Resident #2 was not documented as educated on the right to refuse medication.
Resident #2's home contract did not contain a signed statement acknowledging education of right to refuse medication.
Resident #3's most recent assessment was completed on 2/18/22; previous assessment was on 1/10/20, violating the annual requirement.
Report Facts
Inspection Dates: 4
Residents Served: 46
License Capacity: 61
Staffing Hours: 64
Waking Staff: 48
Current Hospice Residents: 1
Mobility Need: 18
Residents 60 Years or Older: 46
Unlabeled Pancake Packages: 8
French Toast Pieces: 11
Fire Drill Dates: 7
Fire Drill Log Inaccuracies: 11
Inspection Report
Renewal
Census: 49
Capacity: 61
Deficiencies: 6
Date: Dec 1, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility license for Redstone Highlands.
Findings
The inspection identified several deficiencies including missing specific charges for bed hold in resident contracts, an emergency exit door not latching properly, hot water temperatures exceeding allowed limits, clogged bathroom sink, inoperable bedside lamp, and menus not posted properly. All deficiencies had plans of correction accepted and implemented with ongoing audits and staff education.
Deficiencies (6)
Resident-home contracts did not include specific charges for holding a bed during hospitalization or extended absence.
Emergency exit #7 stairwell door did not securely close and latch.
Hot water temperature at resident #2's bathroom sink was 123.4°F and at resident #5's bathroom sink was 123°F, exceeding the 120°F limit.
Resident #2's bathroom sink was clogged and not draining properly.
Resident #5's bedside lamp was inoperable with no other source of lighting at bedside.
Weekly menus were not posted in a conspicuous and public place; the only menu posted ended on 12/4/21.
Report Facts
License Capacity: 61
Residents Served: 49
Staffing: 73
Waking Staff: 55
Hot Water Temperature: 123.4
Hot Water Temperature: 123
Residents on Hospice: 5
Residents with Mobility Need: 24
Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laurie Garrigan | Lead Inspector | Conducted the on-site inspection on 12/01/2021 and 12/02/2021. |
| Larry Mazza | Reviewer | Reviewed plan of correction submissions and document submissions. |
Inspection Report
Renewal
Capacity: 61
Deficiencies: 0
Date: Sep 17, 2021
Visit Reason
The document is a renewal application and license issuance for Redstone Highlands Personal Care Home, submitted on September 17, 2021, to operate pursuant to Title 55, PA Code, Chapter 2600.
Findings
A regular license is being issued in response to the renewal application. The Department will conduct an onsite inspection within the next twelve months to ensure compliance with applicable laws and regulations.
Report Facts
Maximum capacity: 61
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed letter regarding license renewal and inspection requirements |
Inspection Report
Routine
Deficiencies: 0
Date: Jul 15, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 07/15/2021.
Findings
No regulatory citations were identified as a result of this inspection.
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