Inspection Reports for Sacred Heart Senior Living by the Creek

602 EAST 21ST STREET,, NORTHAMPTON, PA, 18067

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

15% better than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2025
2026

Census

Latest occupancy rate 55% occupied

Based on a August 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

60 80 100 120 140 Aug 2021 Dec 2022 Apr 2025 Aug 2025

Notice

Capacity: 124 Deficiencies: 0 Date: Jun 8, 2026

Visit Reason
The document serves as a renewal notification and license issuance for Sacred Heart Senior Living by the Creek, a Personal Care Home, following receipt of the renewal application dated June 8, 2026.

Findings
The Department issued a regular license in response to the renewal application and advised that an onsite inspection will be conducted within the next twelve months to ensure compliance with applicable regulations.

Report Facts
Maximum capacity: 124

Employees mentioned
NameTitleContext
Jamie L. BuchenauerDeputy SecretarySigned the renewal notification letter and certificate of compliance.

Inspection Report

Renewal
Census: 68 Capacity: 124 Deficiencies: 5 Date: Aug 12, 2025

Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements and verify the implementation of a previously submitted plan of correction.

Findings
The facility was found to have multiple deficiencies including record confidentiality breaches, improper storage of poisonous materials, lint accumulation posing fire hazards, and medication documentation errors. Corrective actions were accepted and implemented by the facility with ongoing monitoring plans in place.

Deficiencies (5)
A medication technician's laptop was left unattended and unlocked on the medication cart, exposing confidential resident records.
An unlabeled aerosol air freshener can was found in a common bathroom accessible to residents.
Toiletries labeled as poisonous materials were unlocked and accessible to a resident with advanced dementia who was unable to safely avoid poisons.
An accumulation of dryer lint approximately 1/8 inch thick was found outside beneath the dryer vent and lint pieces were noted on the back panel of the interior dryer within 2 inches of the vent.
A discrepancy in medication administration records showed conflicting documentation of insulin doses given to a resident, though the correct dose was administered.
Report Facts
License Capacity: 124 Residents Served: 68 Current Hospice Residents: 4 Residents with Mobility Need: 15 Total Daily Staff: 83 Waking Staff: 62

Inspection Report

Complaint Investigation
Census: 81 Capacity: 124 Deficiencies: 1 Date: Apr 1, 2025

Visit Reason
The inspection was conducted as a partial, unannounced incident investigation related to an abuse complaint involving theft by a staff member.

Complaint Details
The complaint involved abuse in the form of theft by a staff member. The investigation substantiated the complaint, with police and the County District Attorney's Office pursuing charges. The facility implemented a plan of correction including security enhancements and employee terminations.
Findings
The investigation found that a staff member stole credit cards from a resident and used them for unauthorized purchases. The facility took immediate corrective actions including police involvement, termination of implicated employees, installation of security cameras and safes, and notification to residents and families. Criminal charges are pending against the staff member.

Deficiencies (1)
A staff person stole from a resident's apartment and made unauthorized purchases using the resident's credit cards.
Report Facts
License Capacity: 124 Residents Served: 81 Current Hospice Residents: 5 Resident Support Staff: 18 Total Daily Staff: 117 Waking Staff: 88 Terminated Employees: 1

Inspection Report

Complaint Investigation
Census: 70 Capacity: 124 Deficiencies: 4 Date: Dec 1, 2022

Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection to review compliance and the submitted plan of correction.

Complaint Details
The inspection was triggered by a complaint, and the plan of correction was reviewed and determined to be fully implemented.
Findings
The facility was found to have deficiencies related to failure to report a fall incident within 24 hours, improper administration of prescription medication by untrained staff, incomplete medication records, and lack of resident signature on support plans. The submitted plan of correction was accepted and fully implemented.

Deficiencies (4)
Failure to report a witnessed fall incident to the Department within 24 hours.
Prescription medication was administered by direct care staff without Department-approved Medication Administration Training.
Medication record was not completed to indicate administration of prescribed medication ointment.
Resident's assessment and support plan was not signed by the resident, nor was there documentation of refusal or inability to sign.
Report Facts
License Capacity: 124 Residents Served: 70 Current Hospice Residents: 9 Resident Mobility Need: 26

Inspection Report

Renewal
Census: 69 Capacity: 124 Deficiencies: 6 Date: Aug 9, 2021

Visit Reason
The inspection was conducted as a renewal inspection of the facility license for Sacred Heart Senior Living by the Creek on 08/09/2021 and 08/10/2021.

Findings
The inspection identified multiple deficiencies related to resident personal equipment safety, medication storage and administration, medication record keeping, following prescriber's orders, and updating resident support plans. Plans of correction were accepted and implemented with ongoing monitoring and documentation submissions.

Deficiencies (6)
The bed in Room #228 has a grab assist bar attached to the bed that is not covered, with openings where limb entrapment can occur.
Resident #1's medications were not stored in a locked or secure area in the resident's unlocked room.
Resident #2's medications were unlocked and accessible in the resident's room despite inability to self-administer.
Resident #3's medication administration record was not initialed as administered on multiple occasions.
Resident #3's medication was administered when it should have been held due to low heart rate.
Resident #4's Resident Assessment Support Plan (RASP) was not updated regarding use of an enabler bar and cessation of hospice services.
Report Facts
License Capacity: 124 Residents Served: 69 Current Residents Receiving Hospice: 9 Residents with Mobility Need: 12 Total Daily Staff: 81 Waking Staff: 61 Medication Errors: 3

Employees mentioned
NameTitleContext
DBResident Assessment CoordinatorCorrected and updated Resident #4's RASP and educated nursing staff on bed post use.
DBMed TechCounseled and instructed about medication hold for blood pressure parameters; monitored for compliance.
KKNurse DirectorEnsured compliance with medication storage regulations and staff reminders.
KDNurse DirectorEnsured compliance with medication storage regulations and staff reminders.
AGLicensing InspectorReviewed and documented plan of correction submissions and compliance monitoring.

Inspection Report

Routine
Deficiencies: 0 Date: May 13, 2021

Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.

Findings
No regulatory citations were identified as a result of this inspection.

Employees mentioned
NameTitleContext
Michele MoskalczykHuman Services Licensing SupervisorSigned the inspection report.

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