Deficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 69
Capacity: 90
Deficiencies: 2
Jul 30, 2025
Visit Reason
The inspection was conducted as a complaint investigation with a partial, unannounced visit to review compliance and address reported issues.
Findings
The inspection found medication administration errors where prescribed medications were not administered as ordered. A plan of correction was submitted and accepted, with ongoing audits and education implemented to ensure compliance.
Complaint Details
The visit was complaint-related, with a medication error cited as a reportable event during the complaint survey. The plan of correction was accepted and implemented.
Deficiencies (2)
| Description |
|---|
| Resident was prescribed multiple medications but was not administered these medications as ordered. |
| Resident was prescribed a medication to be held under certain conditions but was not administered accordingly. |
Report Facts
License Capacity: 90
Residents Served: 69
Staffing Hours - Total Daily Staff: 85
Staffing Hours - Waking Staff: 64
Current Hospice Residents: 2
Residents Age 60 or Older: 47
Residents with Mobility Need: 16
Inspection Report
Complaint Investigation
Census: 36
Capacity: 90
Deficiencies: 0
Aug 15, 2024
Visit Reason
The inspection was conducted as a complaint investigation at Riverton Enhanced Senior Living on 08/15/2024.
Findings
No regulatory citations or deficiencies were identified during this unannounced partial inspection.
Complaint Details
The inspection was triggered by a complaint, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 90
Residents Served: 36
Current Residents in Hospice: 4
Resident Support Staff: 50
Waking Staff: 38
Residents Age 60 or Older: 36
Residents with Mobility Need: 14
Residents with Physical Disability: 1
Residents Receiving Supplemental Security Income: 0
Residents Diagnosed with Mental Illness: 0
Residents Diagnosed with Intellectual Disability: 0
Inspection Report
Census: 67
Capacity: 90
Deficiencies: 0
Jul 1, 2024
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility on 07/01/2024.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Total Daily Staff: 74
Waking Staff: 56
Residents Served: 67
License Capacity: 90
Residents with Mobility Need: 7
Residents with Physical Disability: 2
Residents 60 Years of Age or Older: 67
Inspection Report
Follow-Up
Census: 36
Capacity: 90
Deficiencies: 5
May 29, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident, to review the submitted plan of correction and verify compliance.
Findings
The facility was found to have multiple deficiencies including verbal mistreatment of a resident by staff, inadequate staffing during a fire evacuation, failure to evacuate a resident to a designated meeting place during a fire drill, smoking policy violations, and incomplete documentation in a resident's support plan. The submitted plans of correction were accepted and fully implemented by August 1, 2024.
Deficiencies (5)
| Description |
|---|
| Resident #1 was verbally mistreated by staff, including yelling and not treating the resident with dignity and respect. |
| Inadequate staffing to meet residents' needs during a fire evacuation, including no assistance for a resident requiring two-person transfer. |
| Resident #3 refused to evacuate to a designated meeting place during a fire incident. |
| Smoking area guidelines were violated with marijuana odor detected and resident smoking on balcony contrary to policy. |
| Resident #3's support plan did not document behaviors related to smoking or how staff should address them. |
Report Facts
License Capacity: 90
Residents Served: 36
Staffing: 47
Waking Staff: 35
Residents requiring 1 person assist: 10
Residents requiring 2 person assist: 1
Fire evacuation time: 600
Random audits: 5
Smoking audits: 3
Inspection Report
Renewal
Census: 37
Capacity: 90
Deficiencies: 14
Feb 8, 2024
Visit Reason
The inspection was conducted for renewal and complaint reasons as indicated in the inspection information section.
Findings
The inspection identified multiple deficiencies including failure to conduct monthly quality management meetings, direct care staff lacking required qualifications and training, sanitary issues such as mold in a shower and insect infestation, fire safety inspection overdue, and medication administration errors. Plans of correction were accepted and many were implemented by the report date.
Deficiencies (14)
| Description |
|---|
| The home did not conduct monthly quality management meetings in October 2023 through January 2024. |
| Direct care staff person A lacks a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry. |
| Direct care staff person B's file does not contain the Department-approved direct care training certificate. |
| Black and green mold-like substance found on the floor of the shower in the bathroom of the home's Conference Room. |
| Excess of 20 box elder bugs found on the window sill of the 2nd floor stairwell. |
| Lint found in dryers on Westminster hallway on floors 2, 4, and 5 during initial walkthrough. |
| The most recent fire safety inspection was completed on 6/19/23, overdue for annual inspection. |
| Resident #1’s medical evaluation was updated after being signed by an authorized medical professional without documentation of approval. |
| Staff Person C administering medications was last certified through Department’s Medication Administration Training but Staff Person A has not completed an Annual Practicum and is not certified. |
| Resident #3’s eye drop medication label lacked instructions to wait 5 minutes between drops and to avoid touching the bottle tip to eyes. |
| Resident #3’s medication record dose did not match the medication being administered. |
| Resident #4’s medication was administered less than 8 hours apart, contrary to prescriber’s directions. |
| Resident #5’s assessment and support plan did not contain required verbiage regarding safe use of an enabler bar. |
| Resident #2’s assessment and support plan was documented on the Department’s ASP form instead of the required RASP form. |
Report Facts
Residents Served: 37
License Capacity: 90
Staffing Hours: 45
Waking Staff: 34
Current Residents: 2
Box Elder Bugs Count: 20
Inspection Report
Complaint Investigation
Census: 67
Capacity: 90
Deficiencies: 0
Jan 29, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 01/29/2024.
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 the follow-up was not required.
Report Facts
Total Daily Staff: 74
Waking Staff: 56
Resident Support Staff: 0
Residents Served: 67
License Capacity: 90
Current Hospice Residents: 1
Residents 60 Years or Older: 34
Residents with Mobility Need: 7
Inspection Report
Complaint Investigation
Census: 67
Capacity: 90
Deficiencies: 0
Oct 23, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation at Riverton Enhanced Senior Living on 10/23/2023 and 10/24/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related and included incident investigation; no deficiencies or citations were found.
Report Facts
Residents Served: 67
License Capacity: 90
Current Hospice Residents: 1
Residents Age 60 or Older: 34
Residents with Mobility Need: 7
Inspection Report
Complaint Investigation
Census: 30
Capacity: 90
Deficiencies: 1
Jul 18, 2023
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with regulatory requirements at Riverton Enhanced Senior Living.
Findings
The facility was found to have a deficiency related to scheduling staff trained to administer medications during overnight shifts, leaving no qualified staff available from 11pm to 7am. A plan of correction was directed and subsequently implemented.
Complaint Details
The visit was complaint-related as indicated by the inspection information section. The submitted plan of correction was fully implemented as of 08/30/2023.
Deficiencies (1)
| Description |
|---|
| The home did not schedule a staff member trained to pass medications from 11pm-7am, leaving no staff available to pass medications if needed. |
Report Facts
License Capacity: 90
Residents Served: 30
Current Residents in Hospice: 1
Residents Age 60 or Older: 30
Residents with Mobility Need: 5
Total Daily Staff: 35
Waking Staff: 26
Inspection Report
Complaint Investigation
Census: 42
Capacity: 90
Deficiencies: 0
Mar 2, 2023
Visit Reason
The inspection was conducted as a result of an incident, with an unannounced partial inspection on 03/02/2023.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Complaint Details
The inspection was incident-related and unannounced; no deficiencies were found, indicating no substantiated complaints.
Report Facts
Residents Served: 42
License Capacity: 90
Total Daily Staff: 49
Waking Staff: 37
Inspection Report
Renewal
Census: 32
Capacity: 90
Deficiencies: 8
Jan 24, 2023
Visit Reason
The inspection was conducted as a renewal and complaint review of the Riverton Enhanced Senior Living facility to verify compliance with licensing requirements and the implementation of the submitted plan of correction.
Findings
The inspection found multiple deficiencies related to resident record confidentiality, annual medical evaluations, medication management including prescription accuracy and labeling, medication storage procedures, medication record accuracy, adherence to prescriber's orders, and support plan documentation. The facility submitted and implemented plans of correction for all deficiencies.
Deficiencies (8)
| Description |
|---|
| Resident Privacy coding was attached to the licensing inspection summary and was accessible to the public. |
| Resident #1’s most recent medical evaluation was not completed as required annually. |
| The home had medications for Resident #2 that were not currently prescribed. |
| Medication labels for Residents #2 and #3 did not match current medication orders. |
| The home used a 'house' glucometer for blood sugar measurements, which is not allowed. |
| Resident #4's medication record had blood sugar readings not found in the glucometer, indicating inaccurate medication records. |
| Resident #4 did not receive required sliding scale insulin based on blood sugar readings; Resident #5 received medication despite blood pressure parameters indicating it should have been held. |
| Resident #6's support plan was incomplete in the Behavioral/Cognitive Needs section. |
Report Facts
License Capacity: 90
Residents Served: 32
Total Daily Staff: 39
Waking Staff: 29
Current Residents: 1
Residents Age 60 or Older: 32
Residents with Mobility Need: 7
Inspection Report
Follow-Up
Census: 29
Capacity: 90
Deficiencies: 4
Dec 13, 2022
Visit Reason
The inspection was conducted as a partial, unannounced visit due to a complaint and incident.
Findings
The submitted plan of correction was found to be fully implemented. Deficiencies involved medication management and failure to complete an annual support plan for a resident, all of which were corrected with staff education and updated documentation.
Complaint Details
The inspection was complaint-related and included incident investigation. The plan of correction was accepted and fully implemented.
Deficiencies (4)
| Description |
|---|
| A medication was found in the medication cart without a current prescription for resident #1. |
| Medication for resident #2 was not found in the medication cart and was not administered as ordered on certain dates. |
| The home did not follow prescriber's orders for medication administration and cream application for residents #1 and #2. |
| The home did not complete an annual support plan for resident #2. |
Report Facts
License Capacity: 90
Residents Served: 29
Total Daily Staff: 37
Waking Staff: 28
Inspection Report
Complaint Investigation
Census: 26
Capacity: 90
Deficiencies: 10
May 6, 2022
Visit Reason
The inspection was conducted as a complaint and monitoring review of Riverton Enhanced Senior Living to assess compliance with regulatory requirements.
Findings
Multiple deficiencies were identified including missing charges for bed hold in resident contracts, inoperable bathroom ventilation, missing exit signs, incomplete medical evaluations, inadequate first aid kit contents, medication storage and documentation issues, and incomplete resident records. All deficiencies had plans of correction accepted and were implemented by 02/28/2023.
Complaint Details
The visit was complaint-related and monitoring in nature, with the complaint reason explicitly stated. The submitted plan of correction was fully implemented as of 02/28/2023.
Deficiencies (10)
| Description |
|---|
| Resident-home contract did not include charges for holding a bed during an absence. |
| Resident room bathroom lacks operable window or ventilation fan; ventilation fan was inoperable. |
| No exit sign over the dining room exit door in a home serving 26 residents. |
| Resident #1's medical evaluation did not include height or health status. |
| First aid kit in the home's bus used to transport residents lacked tweezers, mouth shield, or eye shield. |
| Resident #3 had 3 pills missing from medication package without documentation of dispensing. |
| Medication tech took a verbal order for insulin without a written order or registered nurse on duty to receive verbal orders. |
| Resident #1's medication administration record did not include the number of units dispensed. |
| Resident #1's support plan did not indicate level of supervision, mobility, and medication needs. |
| Resident #1 and #2's records did not include identifying marks. |
Report Facts
Residents served: 26
Total licensed capacity: 90
Staff total daily: 27
Waking staff: 20
Deficiency counts: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Billing Manager | Responsible for adding charges for bed hold | |
| Maintenance Director | Responsible for replacing ventilation fans | |
| Director of Wellness | Responsible for ongoing compliance related to medical evaluations, medication administration, and staff education | |
| Administrator | Responsible for yearly audits and overall compliance |
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