Inspection Reports for
Sanatoga Court
227 Evergreen Rd, Pottstown, PA 19464, PA, 19464
Back to Facility Profile27 Reports
Inspection Report — May 4, 2026
Renewal
Date: May 4, 2026
Visit Reason
The inspection was conducted as a renewal, provisional, and incident review of the Personal Care Home facility Sanatoga Court to determine compliance with 55 Pa. Code Chapter 2600.
Findings
The facility was found to be in compliance with applicable regulations following the implementation of the submitted plan of correction. Several deficiencies related to record confidentiality, safeguarding resident property, staff training, and medication security were identified and addressed with corrective actions and training.
Citations (6)
2600.17 Resident records were unlocked, unattended, and accessible on top of the General 1 medication cart on 5/4/2026 at 9:14 AM.
2600.42.x The facility did not provide a system for safeguarding residents' money and property after a resident reported $100 missing from their room on 1/13/2026.
2600.65.f Direct care staff person A did not receive required training on resident needs, personal care service needs, and care for residents with mental illness or intellectual disability during 2025.
2600.65.g Staff person B did not receive training on the Older Adult Protective Services Act during 2025.
2600.183.b Prescription and over-the-counter medications and syringes were found unlocked and unattended on 5/4/2026, including medications on the General 1 med cart and in a resident's bathroom.
2600.236 Direct care staff person A in the Secure Dementia Care Unit had only 1 hour and 25 minutes of dementia care training during 2025 instead of the required 6 hours.
Report Facts
Residents Served: 42
Secure Dementia Care Unit Residents Served: 6
Current Hospice Residents: 2
Residents Age 60 or Older: 40
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 10
Residents with Physical Disability: 1
Inspection Report — Feb 2, 2026
Monitoring
Date: Feb 2, 2026
Visit Reason
The inspection was a partial, unannounced visit conducted for the reasons of a fine and monitoring of compliance.
Findings
The facility was found to have multiple deficiencies including lack of CPR-certified staff during shifts, hazardous entrapment zones on bedside mobility devices, snow accumulation obstructing exits, loose pills in medication carts, and incomplete medical evaluations for dementia care unit admissions. Plans of correction were accepted and implemented by early April 2026.
Citations (5)
63a - At least one staff person per 50 residents must be certified in first aid and CPR at all times. No staff certified in first aid and CPR were present during multiple shifts with 39 residents.
81b - Bedside mobility devices had hazardous entrapment zones due to uncovered spaces between bars measuring up to 12 inches by 8 inches.
100b - Snow and ice accumulated approximately 6 inches on memory care courtyard walkways and exit door #4, obstructing safe egress.
183e - Two and a half loose pills were found in the Carrington medication cart, posing a medication storage hazard.
231b - A resident admitted to the Secure Dementia Care Unit had a medical evaluation completed after admission and lacking documentation of the need for secured dementia care.
Report Facts
Residents served: 39
Secured Dementia Care Unit Residents Served: 4
Hospice Current Residents: 2
Residents Age 60 or Older: 37
Residents with Mobility Need: 12
Inspection Report — Dec 1, 2025
Renewal
Date: Dec 1, 2025
Visit Reason
The inspection was a full, unannounced renewal inspection with an incident review conducted on 12/01/2025 and 12/03/2025.
Findings
Multiple deficiencies were identified including issues with resident abuse reporting, record confidentiality, quality management, staff training, equipment maintenance, food safety, medical evaluations, and safety/security measures. Plans of correction were accepted and implemented with ongoing monitoring and audits.
Citations (26)
15a - Resident Abuse Report: On 7/17/2025, a theft allegation of $226 cash was not reported to the local Area Agency on Aging.
17 - Record Confidentiality: On 12/1/2025, resident records were found unsecured in an unlocked cabinet and a medication record was left unattended in a hallway.
26b - Quality Management Plan Content: The home had not held a quarterly quality management meeting since June 2025.
63a - First Aid/CPR Training: On 11/18/25 and 11/22/25, no staff certified in first aid/CPR were present during overnight and evening shifts with 38 residents present.
81b - Resident Personal Equipment: A bedside mobility device lacked a secure cover, creating a hazard for Resident 3.
82c - Locking Poisonous Materials: On 12/1/25, hazardous cleaning spray was unlocked and accessible to residents in the Homestead kitchenette.
85a - Sanitary Conditions: A large dried sticky puddle of pink liquid was found under the refrigerator; the unit was removed and replaced.
85e - Trash Outside Home: Trash and debris were scattered outside near the dumpster and stair exit, with a piece of frayed plastic hanging from the dumpster.
88a - Surfaces: Missing ceiling tiles and water stains with mold were found in multiple locations; a large water accumulation was found in the boiler room.
95 - Furniture and Equipment: A leak sprayed water on the boiler room floor and a keypad was dry rotted and inoperable.
103e - Left Overs: Unlabeled and undated leftover food items and beverages were found in the Homestead Kitchenette.
103f - Refrigerator/Freezer Temps: The refrigerator temperature in the Homestead kitchenette was 48°F, above the required 40°F.
103i - Outdated Food: Unlabeled and undated food items including brown sugar, peaches, and juice were found in the Homestead Kitchenette.
105g - Lint Removal and Duct Cleaning: Approximately 1/4 inch lint accumulation was found in dryer lint traps in laundry rooms.
107d - Procedure Emergency Management Agency Submission: Emergency procedures had not been submitted to the local agency since 08/22/2024.
125a - Combustible Storage: Fabric elevator wall covers were stored next to electrical elevator controls.
141a - Medical Evaluation: Resident 4 had a medical evaluation completed more than 60 days prior to admission.
141a 1-10 Medical Evaluation Information: Resident 5's medical evaluation lacked required medical, physical, and mental diagnosis and medication addendum.
141b1 - Annual Medical Evaluation: Resident 4's most recent annual medical evaluation was overdue.
162c - Menus Posted: The home's menu for the current and following week was not posted; only an outdated menu was displayed.
182c - Medication Administration: Staff Member A signed the MAR before administering medication to Resident 2.
183e - Storing Medications: A Novolog insulin pen was undated and not discarded within 28 days of opening.
224a - Preadmission Screen Form: Resident 6 was admitted without a completed preadmission screening.
225c - Additional Assessment: Resident 1's most recent additional assessment was not completed as required.
227h - Support Plan Refuse Sign: Resident 1 refused to sign the support plan but no notation of refusal was documented.
233d - Electronic/Magnetic System: The magnetic lock on the Homestead courtyard gate was not operational, allowing the gate to be pushed open.
Report Facts
Residents Served: 38
Residents in Secured Dementia Care Unit: 5
Hospice Residents: 3
Residents Age 60 or Older: 38
Residents with Mental Illness: 1
Residents with Mobility Need: 16
Staff Total Daily: 54
Staff Waking: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff Member A | Named in medication administration documentation error involving Resident 2 | |
| Director of Nursing | Director of Nursing | Provided training on medication administration and medication cart management |
| Administrator | Administrator | Responsible for oversight, training, audits, and compliance monitoring |
| Maintenance Supervisor | Maintenance Supervisor | Provided training and responsible for environmental and safety compliance monitoring |
| Dietary Manager | Dietary Manager | Provided training on food safety, labeling, and temperature monitoring |
Inspection Report — May 19, 2025
Complaint Investigation
Date: May 19, 2025
Visit Reason
Complaint and incident investigation due to allegations of neglect, abuse, and regulatory noncompliance at Sanatoga Court.
Complaint Details
Complaint investigation due to allegations of neglect, abuse, and failure to comply with regulatory requirements including incident reporting, staffing, training, medication administration, and resident safety.
Findings
Multiple violations were found including failure to report incidents timely, neglect in responding to call pendants, unsecured medications and poisonous materials, inadequate staff training and certification, and sanitary and safety deficiencies throughout the facility.
Citations (25)
2600.16c. The home failed to report a resident fall with injury to the Department within 24 hours as required.
2600.17. Medication Administration Record book was found unlocked and unattended on the medication cart.
2600.42b. Residents experienced neglect including long delays responding to call pendants resulting in falls and hygiene issues.
2600.57d. Less than 75% of required personal care service hours were provided during waking hours on multiple days.
2600.60a. Staffing was inadequate with no medication certified staff or nurse on duty during late night shifts.
2600.63a. At least one staff person certified in first aid and CPR was not present during required hours.
2600.65f. Direct care staff failed to receive required training on resident needs, personal care, and safe management techniques.
2600.65g. Direct care staff failed to receive required annual training on Older Adult Protective Services Act and falls prevention.
2600.81b. Resident personal equipment such as bed enablers were not secured per manufacturer instructions.
2600.82c. Poisonous materials including hand sanitizer and deodorant were unlocked and accessible to residents not assessed as safe to use them.
2600.85a. Sanitary conditions were not maintained; strong odors and soiled areas were found in resident rooms.
2600.86b. Bathrooms lacked operable windows or ventilation fans; fans were inoperable.
2600.88a. Floors, walls, and ceilings were damaged or stained due to leaks and water intrusion.
2600.91. Emergency telephone numbers were not posted by telephones in resident rooms.
2600.182b. Medications were administered by staff not certified in medication administration training.
2600.183c. Medication storage areas and carts were unlocked and unsecured.
2600.224a. Preadmission screening forms were missing for multiple residents.
2600.225c. Resident assessments were overdue or incomplete for several residents.
2600.5a. Staff refused or delayed providing immediate access to requested records and call bell logs.
2600.65b. Direct care staff failed to complete required orientation training within 40 scheduled hours.
2600.65d. Direct care staff provided unsupervised ADL services without completing required training and competency testing.
2600.65e. Direct care staff failed to receive required 12 hours of annual training in the prior year.
2600.101j7. Resident did not have an operable lamp or source of lighting at bedside.
2600.231c. Cognitive preadmission screening was not completed for a resident admitted to the Secure Dementia Care Unit.
2600.236. Direct care staff working in the Secure Dementia Care Unit failed to complete required dementia care training.
Report Facts
Residents served: 51
Residents served in secured dementia care unit: 7
Fine amount: 235
Residents present during follow-up inspection: 47
Residents served in secured dementia care unit: 7
Inspection Report — Apr 10, 2025
Follow-Up
Date: Apr 10, 2025
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to review the submitted plan of correction for the facility.
Findings
The facility was found to have multiple deficiencies related to resident treatment, staffing levels, medication storage and administration, and resident rights. The submitted plan of correction was determined to be fully implemented as of the inspection date.
Citations (9)
Resident was treated without dignity and respect; caregiver was rude and rushed the resident.
Insufficient direct care staffing hours provided for residents with mobility needs; required 66 hours but only 61.5-62 hours were provided.
Less than 75% of personal care service hours were provided during waking hours; only 70-71% provided.
No staff trained to administer medications during overnight shift; insufficient staffing for emergencies.
Expired medication blister card found in medication cart.
Shift change narcotic counts were not consistently conducted; missing one pill unaccounted for.
Medication administration records missing initials of staff who administered medications at specified times.
Resident was not educated on the right to refuse medication if a medication error is suspected.
Resident-home contract and signed statements were missing required resident signatures.
Report Facts
Residents served: 50
Secured Dementia Care Unit residents served: 10
Residents with mobility needs: 16
Residents 60 years or older: 49
Residents diagnosed with mental illness: 2
Residents diagnosed with intellectual disability: 1
Residents with physical disability: 3
Total daily staff: 66
Waking staff: 50
Direct care hours required: 66
Direct care hours provided: 61.5
Percentage of direct care hours during waking hours: 70
Inspection Report — Nov 15, 2023
Renewal
Date: Nov 15, 2023
Visit Reason
The inspection was conducted as a renewal review of the facility's compliance with applicable regulations and licensing requirements.
Findings
The inspection identified multiple deficiencies including missing influenza posters, issues with resident refunds after death, expired hospice licenses, missing resident rights and telephone number postings, equipment hazards, sanitary condition problems, emergency procedure omissions, fire safety documentation gaps, and medication documentation errors. Plans of correction were accepted and implemented with ongoing monitoring.
Citations (23)
No influenza poster posted in a conspicuous and public place throughout the home.
Failure to submit refunds for residents who passed away in a timely manner.
Hospice services provided by a vendor with an expired license.
Resident rights poster not posted in a conspicuous and public place in the Memory Care Unit or 2nd floor.
Telephone numbers for key agencies not posted in conspicuous places in Memory Care Unit and 2nd floor.
Bed enablers without covers in multiple resident rooms.
Rugs stained and strong cat odor in resident rooms.
Elevators lacked certificate of operation from 3/31/2023 until 11/15/2023.
Old broken pallets, black rug, and wet cardboard outside facility dumpsters.
No toilet paper accessible in bathroom 138 in Memory Care Unit.
Unlabeled and undated leftover food item found in main kitchen freezer.
Three dented cans of mandarin oranges found in emergency food storage.
Large accumulation of lint in lint trap of main laundry dryer.
Emergency procedures did not include contact information for each resident’s designated person.
No documentation of written notification to local fire department regarding home address, bedroom locations, and evacuation assistance.
Fire drill evacuation time exceeded the maximum safe evacuation time specified by fire safety expert.
Smoking area contained wood chairs and table, not meeting fire safety guidelines.
Menus for certain weeks not posted in a conspicuous and public place in the home or Memory Care Unit.
Glucometer reading for resident 7 was incorrectly documented.
Resident 8 participated in support plan development but did not sign the plan.
No notation of resident 8's refusal or inability to sign the support plan.
No objection statements documented for residents admitted to Secure Dementia Care Unit.
Directions for operating key-locking devices not conspicuously posted near Secure Dementia Care Unit exits.
Report Facts
Residents Served: 64
Memory Care Unit Residents Served: 14
Current Hospice Residents: 6
Residents Age 60 or Older: 62
Residents with Mobility Need: 20
Residents with Physical Disability: 3
Staff Total Daily: 84
Staff Waking: 63
Deficient Resident Refunds: 2
Dented Cans: 3
Evacuation Time: 563
Maximum Safe Evacuation Time: 435
Notice — Apr 12, 2023
Date: Apr 12, 2023
Visit Reason
This letter responds to a request from the facility to use the Safely You Falls Management Program to support fall detection and management for individuals with cognitive impairment.
Findings
The Department reviewed the submitted information and determined that the informed consent process includes voluntary participation, the right to discontinue use of cameras, and notification of residents' rights, satisfying regulatory privacy requirements.
Inspection Report — Mar 22, 2023
Complaint Investigation
Date: Mar 22, 2023
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 03/22/2023.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and the follow-up type was noted as not required.
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: 67
Secured Dementia Care Unit Residents Served: 13
Hospice Current Residents: 3
Residents Age 60 or Older: 63
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 13
Residents with Physical Disability: 1
Inspection Report — Oct 6, 2022
Date: Oct 6, 2022
Visit Reason
The inspection was a partial, unannounced visit conducted 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: 67
Secured Dementia Care Unit Residents Served: 13
Hospice Residents: 4
Residents Age 60 or Older: 64
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 13
Inspection Report — Jun 27, 2022
Renewal
Date: Jun 27, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection identified multiple deficiencies including failure to post current license documents, missing emergency telephone numbers, unlabeled and outdated food items, failure to evacuate residents to a designated meeting place during a fire drill, unsecured medications in resident rooms, incorrect medication labeling, illegible record entries, and lack of thermometer in the freezer. Plans of correction were accepted or directed with education and audits planned.
Citations (9)
The home's current license inspection summary and related documents were not posted in a conspicuous and public place.
No emergency telephone numbers including nearest hospital and fire department were posted by telephones in hallway Gen 2 and resident room 109.
Unlabeled and undated cup of juice found in the homestead ridge refrigerator.
Outdated food items including turkey dated 6/4/22-6/27/22 and dinner rolls expired 6/20/22 found in refrigerator.
During fire drill on 1/15/22, residents did not evacuate to a designated meeting place away from the building or within the fire-safe area.
Resident #2 self-administers medications but does not lock medications or room door when leaving the room.
Medication label for Resident #1 incorrectly states dosage as 'give 2 tablets by mouth every day' instead of twice a day.
Correction fluid was used on resident #3's documentation (DME), making entries illegible.
No thermometer was present in the freezer in the Carrington kitchen.
Report Facts
Residents Served: 69
Staffing Hours: 83
Waking Staff: 62
Secured Dementia Care Unit Residents Served: 14
Hospice Residents: 7
Residents 60 Years or Older: 67
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 14
Inspection Report — Jul 12, 2021
Renewal
Date: Jul 12, 2021
Visit Reason
The inspection was a renewal inspection conducted on 07/12/2021 and 07/13/2021 to review the facility's compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including delays in resident refund processing, incomplete criminal background checks, inadequate staff orientation on fire safety and resident rights, unsecured poisonous materials, ventilation issues in a bathroom, lack of operable bedside lighting, stained bathroom surfaces, improper food storage, incorrect refrigerator/freezer temperatures, obstructed egress routes, medication administration record errors, and delayed admission support plans. Plans of correction were accepted and are in progress or implemented.
Citations (13)
Resident 1 was discharged but the home did not send the refund check within the required 30 days.
Criminal background check for staff person A was not documented on the PA State Police Request for Criminal Record Check form or via the e-patch system.
Staff person B did not receive orientation on fire safety topics including evacuation procedures, fire drills, designated meeting place, smoking safety, fire extinguisher use, smoke detectors, fire alarms, and emergency notification.
Staff person B did not complete training within 40 scheduled hours on resident rights, emergency medical plan, mandatory abuse reporting, and reporting of incidents.
Poisonous material (toothpaste) was unlocked and accessible to resident 2 who was not assessed capable of safely using poisons.
Bathroom in resident room 130 lacked operable window or ventilation fan; ventilation fan was inoperable.
Resident 3 did not have access to a source of light that can be turned on/off at bedside.
Shower floor in bedroom 130 had a yellow stain from coating; ceiling had a brown water stain.
Boxes of water and juice were stored on the floor in basement storage.
Freezer temperature was 14°F, above the required 0°F for frozen food.
Two decorative plants blocked the 2nd floor exit from the home.
Medication administration record for resident 5's glucometer check was not signed by the staff person who performed the check.
Resident 4's initial support plan was completed late after admission to the Secure Dementia Care Unit.
Report Facts
Residents Served: 59
Memory Care Residents Served: 13
Hospice Residents: 8
Residents Age 60 or Older: 57
Residents with Mental Illness: 2
Residents with Mobility Need: 14
Residents with Physical Disability: 1
Total Daily Staff: 73
Waking Staff: 55
Notice — Jun 15, 2021
Date: Jun 15, 2021
Visit Reason
The document serves as a license renewal approval for the Personal Care Home 'Sanatoga Court' following receipt of the renewal application dated March 4, 2021, and advises that an onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document; it confirms issuance of a regular license and notifies the facility of the upcoming annual inspection requirement.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal approval letter |
Inspection Report — May 12, 2021
Follow-Up
Date: May 12, 2021
Visit Reason
The inspection was a follow-up visit to verify the implementation of a previously submitted plan of correction related to an incident involving an allegation of abuse by a staff person.
Complaint Details
The visit was related to an incident where resident #1 alleged that staff person A assaulted them on 05/07/2021. The facility initially failed to suspend the staff person or submit a plan of supervision but subsequently implemented corrective actions.
Findings
The submitted plan of correction was determined to be fully implemented. The facility demonstrated compliance with requirements to suspend the staff person involved in the alleged abuse and to submit a plan of supervision to the Department.
Citations (2)
Failure to immediately suspend staff person A or develop and implement a plan of supervision approved by the Department following an allegation of abuse by resident #1.
Failure to immediately submit to the Department’s regional office a plan of supervision or notice of suspension of the affected staff person.
Report Facts
Residents Served: 60
Residents Served in Secured Dementia Care Unit: 13
Residents Age 60 or Older: 57
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 17
Residents with Physical Disability: 1
Inspection Report — Jul 26, 2019
Complaint Investigation
Date: Jul 26, 2019
Visit Reason
The inspection was conducted as a result of an incident complaint involving suspected resident abuse at the facility.
Complaint Details
The complaint involved an incident on 06/28/19 where resident #1 contacted local police alleging abuse from resident #2, but the home failed to notify the local Area Agency on Aging of the abuse.
Findings
Violations of 55 Pa. Code Ch. 2600 related to personal care home regulations were found, including failure to immediately report suspected resident abuse to the local Area Agency on Aging.
Citations (1)
15a - The home failed to immediately report suspected abuse of a resident served in the home to the local Area Agency on Aging as required by the Older Adult Protective Services Act and 6 Pa. Code.
Report Facts
Residents Served: 60
Secured Dementia Care Unit Residents Served: 28
Current Hospice Residents: 7
Residents 60 Years or Older: 57
Residents with Mobility Need: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rosemarie Cockill | Regional Executive Director | Administrator named in the report |
| Mia Johnson | Human Services Licensing Supervisor | Inspection report author and supervisor |
| Tahesia Thomas | On-site Department Representative during inspection |
Inspection Report — Jun 10, 2019
Annual Inspection
Date: Jun 10, 2019
Visit Reason
The inspection was an annual licensing inspection conducted on June 10th and 11th, 2019, to assess compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes.
Findings
Violations of the Pennsylvania Personal Care Homes regulations were found during the inspection. The report details deficiencies related to medical evaluations, medication records, following prescriber's orders, and admission support plans, with corrective actions planned.
Citations (4)
2600 141a. A resident's medical evaluation was not completed within 60 days prior to admission or within 30 days after admission as required.
2600 187a. Medication administration records for multiple residents did not include the initials of the staff person administering the medication.
2600 187d. A prescribed medication was not administered to a resident because it was not available in the home.
2600 234a. A resident's admission support plan was not completed within 72 hours of admission to the secured dementia care unit as required.
Report Facts
Residents Served: 63
Secured Dementia Care Unit Residents Served: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rosemarie Cockill | Regional Executive Director | Named as Administrator and Legal Entity Representative signing plans of correction |
Notice — Mar 6, 2019
Date: Mar 6, 2019
Visit Reason
This document serves as a renewal approval for the Personal Care Home license and notifies the facility of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license renewal based on the application submitted.
Report Facts
Inspection Report — May 2, 2018
Renewal
Date: May 2, 2018
Visit Reason
The inspection was a renewal inspection conducted by the Pennsylvania Department of Human Services Bureau of Human Services Licensing on May 2, 2018, to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.
Findings
The inspection found multiple violations related to staff orientation, training documentation, emergency preparedness, medication availability, and dementia care training. Plans of correction were submitted and partially or fully implemented to address these issues.
Citations (9)
2600.65(a) - Staff person A's orientation on fire drills and emergency evacuation was not verified as the orientation was not dated.
2600.65(b) - Staff person A's orientation on resident rights and emergency preparedness could not be verified due to lack of documentation.
2600.85(i) - The home's record of direct care staff dementia training did not include the length of the course.
2600.86(b) - The home's staff training plan did not include the location of the training sessions.
2600.95 - The lampshade in room 111 near the bathroom was in disrepair and was replaced during the inspection.
2600.107(b) - The home's emergency procedures did not ensure confidentiality of residents' emergency medical information.
2600.187(d) - Resident #1's prescribed medications were not available for administration because they were not in the home.
2600.190(c) - Staff person B's medication administration training record lacked a second MAR review or Med Pass Observation.
2600.236 - Direct care staff person D had not completed the required 8 hours of dementia training for secured dementia care unit staff in 2017.
Report Facts
Number of Current Hospice Residents: 10
Number of Hospice Residents in past year: 24
Number of Residents Served in Secured Dementia Care Unit: 24
Residents Age 60 or Older: 57
Residents with Intellectual Disability: 1
Residents with Mobility Need: 29
Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rosemarie Cockill | Administrator | Named as administrator and legal entity representative signing plans of correction. |
| Sandra Woolers | Department representative conducting the inspection. | |
| Youn Hie Chung | Department representative conducting the inspection. |
Inspection Report — Apr 6, 2018
Renewal
Date: Apr 6, 2018
Visit Reason
The document is a renewal notification and license issuance for the Personal Care Home 'Sanatoga Court' following a renewal application submitted on March 5, 2018. The Department advises that an annual onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future annual inspection requirements.
Report Facts
Inspection Report — Sep 20, 2017
Date: Sep 20, 2017
Visit Reason
The inspection was conducted as a licensing inspection triggered by an incident at the facility.
Findings
The inspection found violations related to medication administration records and failure to follow prescriber directions. Specific residents had medications ordered but not administered by a staff member.
Citations (2)
55 Pa.Code §2600: Medication administration records lacked required details and medications were not administered by staff member A to multiple residents as ordered.
55 Pa.Code §2600: The home failed to follow the directions of the prescriber, resulting in medications not administered as ordered to several residents.
Report Facts
Residents with medication not administered: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rosemarie Cockill | ED, NHA | Signed the plan of correction for the medication administration violations. |
Inspection Report — Sep 13, 2017
Complaint Investigation
Date: Sep 13, 2017
Visit Reason
The inspection was conducted as a complaint investigation at Sanatoga Court to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.
Complaint Details
The inspection was triggered by a complaint. Specific substantiation status is not stated.
Findings
Violations related to the development, implementation, and documentation of resident support plans were found. A plan of correction was submitted addressing support plan development within 72 hours of admission to the secured dementia care unit.
Citations (1)
Regulation 65 Pa.Code §2800: Within 72 hours of admission or prior to admission to the secured dementia care unit, a support plan must be developed, implemented, and documented in the resident record. Resident #1's initial support plan was not developed within the required timeframe.
Report Facts
Number of Residents Served: 65
Number of Current Hospice Residents: 8
Number of Hospice Residents in Past Year: 19
Number of Residents Age 60 or Older: 56
Number of Residents with Intellectual Disability: 1
Number of Residents with Mobility Needs: 26
Number of Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rosemarie Cockill | Administrator | Named as Administrator on the violation report and signed plan of correction. |
| Kenneth L. Wilson | Regional Licensing Supervisor | Signed the cover letter transmitting the inspection results. |
Inspection Report — Mar 10, 2017
Renewal
Date: Mar 10, 2017
Visit Reason
This document is a renewal license issued to Sanatoga Court to operate a Personal Care Home. The Department will conduct an onsite inspection within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It primarily serves as a license renewal notification and outlines the Department's intent to conduct a future inspection.
Inspection Report — Jul 29, 2016
Complaint Investigation
Date: Jul 29, 2016
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident at the facility.
Complaint Details
The visit was complaint-related due to an incident involving medication administration errors. The report does not explicitly state substantiation status.
Findings
The inspection found multiple medication administration violations involving failure to administer prescribed medications correctly to residents. A plan of correction was submitted, including removal and termination of the responsible medication technician and monitoring of medication administration.
Citations (2)
Regulation 55 Pa.Code §2600.182(c): The home did not administer prescribed medications correctly to residents #1, #2, #3, and #4 on 3/8/16, including incorrect dosages and missed administrations.
Regulation 55 Pa.Code §2600.187(d): The home failed to follow the directions of the prescriber for residents #1, #2, #3, and #4 regarding medication administration on 3/8/16.
Report Facts
Number of Residents Served: 64
Number of Residents Served in Secured Dementia Care Unit: 28
Number of Current Hospice Residents: 1
Number of Hospice Residents in past year: 4
Number of Residents 60 Years or Older: 64
Number of Residents with Mental Illness: 2
Number of Residents with Mobility Need: 28
Number of Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Holly Moylan | Executive Director | Named as administrator and signer of the plan of correction. |
| Dean Gray | Inspector conducting the violation report. |
Inspection Report — Jul 5, 2016
Date: Jul 5, 2016
Visit Reason
The inspection was a licensing inspection conducted by the Department of Human Services on July 5, 2016, to assess compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.
Findings
Violations of 55 Pa.Code Chapter 2600 were found, including a failure to submit an incident report within 24 hours after a resident's fall and injury. The facility completed a plan of correction involving staff training and timely notification procedures.
Citations (1)
55 Pa.Code §2600 requires the home to report incidents to the Department's personal care home complaint hotline within 24 hours. The facility failed to submit an incident report until two days after a resident fell and was admitted with a hip injury.
Report Facts
Number of Residents Served: 60
Total Daily Staff: 88
Waking Staff: 66
Number of Current Hospice Residents: 2
Number of Hospice Residents in Past Year: 5
Number of Residents Served in Secured Dementia Care Unit: 26
Number of Residents Age 60 or Older: 58
Number of Residents with Mental Illness: 2
Number of Residents with Mobility Need: 28
Notice — Apr 14, 2016
Date: Apr 14, 2016
Visit Reason
The document serves as a license renewal approval for Sanatoga Court Personal Care Home and informs the facility of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Matthew J. Jones | Director | Signed the renewal approval letter. |
| Robert E. Robinson | Issuing Officer | Signed the certificate of compliance. |
Inspection Report — Jan 11, 2016
Renewal
Date: Jan 11, 2016
Visit Reason
The inspection was conducted as an annual licensing renewal inspection of the Personal Care Home facility Sanatoga Court.
Findings
The facility was found to be in compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes during the inspection.
Report Facts
Number of Residents: 64
Number of Residents Served in Secured Dementia Care Unit: 28
Number of Current Hospice Residents: 1
Number of Hospice Residents in Past Year: 4
Total Daily Staff: 53
Waking Staff: 40
Residents Age 60 or Older: 64
Residents with Mental Illness: 2
Residents with Mobility Need: 25
Residents with Physical Disability: 1
Inspection Report — March 3, 2020
Renewal
Date: March 3, 2020
Visit Reason
The document is a renewal application and license issuance for Sanatoga Court Personal Care Home. The Department advises that an onsite annual inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It primarily communicates the license renewal and the requirement for a future annual inspection.
Report Facts
Report — April 10, 2017
April 10, 2017
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