Inspection Reports for Rose of Sharon Home
135 MAIN ST.,, ST. MICHAEL, PA, 15951
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
17% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
100% occupied
Based on a September 2025 inspection.
Census over time
Inspection Report
Census: 17
Capacity: 17
Deficiencies: 0
Date: Sep 18, 2025
Visit Reason
The inspection was conducted as a partial, announced licensing inspection with an interim reason on 09/18/2025.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Total Daily Staff: 19
Waking Staff: 14
Residents Served: 17
License Capacity: 17
Residents Receiving Supplemental Security Income: 3
Residents Age 60 or Older: 17
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 2
Residents Diagnosed with Intellectual Disability: 0
Residents with Physical Disability: 0
Inspection Report
Renewal
Census: 17
Capacity: 30
Deficiencies: 1
Date: Apr 22, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the Rose of Sharon Home, Inc. facility to review compliance and licensing status.
Findings
The submitted plan of correction was found to be fully implemented, with continued compliance required. A deficiency was noted regarding the timing of fire drills during sleeping hours, which was corrected with a new plan and verified as implemented.
Deficiencies (1)
The last fire drill conducted during sleeping hours was on 10/15/24 at 5:10 AM, which did not meet the requirement of being held once every 6 months.
Report Facts
License Capacity: 30
Residents Served: 17
Total Daily Staff: 18
Waking Staff: 14
Inspection Report
Complaint Investigation
Census: 15
Capacity: 30
Deficiencies: 0
Date: Oct 22, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident reported at the facility.
Complaint Details
The visit was incident-related, but no deficiencies or citations were found, indicating no substantiated violations.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Total Daily Staff: 15
Waking Staff: 11
Residents Served: 15
License Capacity: 30
Residents Receiving Supplemental Security Income: 3
Residents Aged 60 or Older: 15
Current Hospice Residents: 0
Residents Diagnosed with Mental Illness: 0
Residents Diagnosed with Intellectual Disability: 0
Residents with Mobility Need: 0
Residents with Physical Disability: 0
Inspection Report
Renewal
Census: 18
Capacity: 30
Deficiencies: 3
Date: May 1, 2024
Visit Reason
The inspection was conducted as a renewal review of the facility's license by the Pennsylvania Department of Human Services on 05/01/2024.
Findings
The inspection found violations related to resident privacy due to video recording in certain areas, hot water temperatures exceeding allowed limits, and an exit door that was difficult to open. Plans of correction were accepted and implemented by 05/21/2024, with ongoing monitoring and staff re-education planned.
Deficiencies (3)
The home has cameras which video record the beauty shop area including the chair/hair washing station and the spiral stairwell leading to the second floor resident hallway, violating resident privacy.
Hot water temperature in the sink in room #19 measured 123.6°F and in the shared sink in rooms #8 and #9 measured 122.3°F, exceeding the maximum allowed 120°F.
The exit door at the end of the first floor hallway closest to rooms #16 and #17 was very difficult to move and required significant effort to open.
Report Facts
License Capacity: 30
Residents Served: 18
Hot Water Temperature: 123.6
Hot Water Temperature: 122.3
Total Daily Staff: 20
Waking Staff: 15
Inspection Report
Renewal
Census: 15
Capacity: 30
Deficiencies: 13
Date: Sep 28, 2022
Visit Reason
The inspection visit was conducted for renewal and complaint reasons, including a full unannounced inspection and review of submitted plans of correction.
Findings
The inspection identified multiple deficiencies including failure to change carbon monoxide alarm batteries annually, incomplete criminal background checks, incomplete staff orientation and training, indoor temperature below required levels, uncovered trash receptacles, loose handrails, inadequate bedroom storage access, unlabeled soap bars in shared bathrooms, combustible materials accessible to residents, unlocked medications, and uncalibrated glucometers. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (13)
Battery-operated carbon monoxide alarm battery not changed annually.
Criminal background check not obtained upon rehiring Staff Person A in 2020.
Staff Person A did not complete required orientation on fire safety and emergency preparedness.
Staff Person A did not complete required orientation on resident rights, emergency medical plan, mandatory reporting, and reportable incidents.
Staff Person A provided unsupervised ADL services without completing initial direct care staff training.
Indoor temperature in resident bedroom was below 70°F (64°F and 66°F observed).
Trash cans in shower rooms were uncovered and unattended.
Right-handed descending handrail leading into living room was loose and wobbly.
Resident #1 lacked access to a closet or wardrobe with clothing racks or shelves in bedroom.
Unlabeled, used bars of soap observed in shared bathrooms.
Propane tank was unlocked, unattended, and accessible to residents in gas grill on back deck.
Prescription medications and syringes were unlocked and accessible on Resident #2’s dresser.
Resident #2's glucometer was not calibrated to the current date; readings for Resident #3 did not initially match MAR.
Report Facts
License Capacity: 30
Residents Served: 15
Staffing Hours: 15
Waking Staff: 11
Residents Receiving Supplemental Security Income: 4
Residents Age 60 or Older: 15
Notice
Capacity: 30
Deficiencies: 0
Date: Jun 30, 2021
Visit Reason
The document serves as a license renewal approval for Rose of Sharon Home, Inc., a Personal Care Home, and informs the facility of the Department's requirement to conduct an annual onsite inspection within the next twelve months.
Findings
The Department has issued a regular license in response to the renewal application and advises that an inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal approval letter. |
| Sherri A. Marshall | President/Administrator | Recipient of the renewal approval letter. |
Inspection Report
Renewal
Census: 17
Capacity: 30
Deficiencies: 5
Date: Apr 15, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the Rose of Sharon Home, Inc. facility to assess compliance with licensing requirements.
Findings
The inspection found several deficiencies related to staff training, emergency preparedness, medication storage, medication counting, and medication administration documentation. The facility submitted plans of correction which were accepted and fully implemented.
Deficiencies (5)
Direct Care Staff Person A was the only staff person who worked overnight on Friday, 4/2/21 and Friday, 4/9/21. Direct Care Staff Person A's CPR and First Aid certification expired in 2019.
There are no emergency service numbers posted on or nearby the telephones in the bedrooms of Residents 1 and 2.
A bottle of medication with a prescription label was sitting on top of Resident 3's dresser, accessible to anyone entering the resident's room.
The home has not implemented procedures to detect missing medications as evidenced by controlled substances not being counted at the beginning and end of each shift. Resident 2's and Resident 3's controlled substances both went uncounted from the afternoon of 4/14/21 until the medication audit on 4/15/21.
Resident 2 is prescribed a medication cream to be administered twice daily. The medication administration record indicates that this cream was given on multiple days in April 2021, but the resident states she has refused this medication for more than a year.
Report Facts
License Capacity: 30
Residents Served: 17
Total Daily Staff: 18
Waking Staff: 14
Controlled Substances Not Counted: 2
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