Inspection Reports for Sayre Memory Care Residence

1001 NORTH ELMER STREET,, SAYRE, PA, 18840

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 5.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

13% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year

Deficiencies per year

16 12 8 4 0
2023
2024
2025

Census

Latest occupancy rate 74% occupied

Based on a June 2025 inspection.

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

Census over time

0 20 40 60 Jan 2023 Feb 2024 Nov 2024 Jun 2025

Inspection Report

Complaint Investigation
Census: 34 Capacity: 46 Deficiencies: 0 Date: Jun 4, 2025

Visit Reason
The inspection was conducted as a complaint investigation at Sayre Memory Care Residence on June 4, 2025.

Complaint Details
The inspection was triggered by a complaint, but no deficiencies or citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified during this unannounced partial inspection.

Report Facts
License Capacity: 46 Residents Served: 34 Current Hospice Residents: 2 Total Daily Staff: 68 Waking Staff: 51

Inspection Report

Complaint Investigation
Census: 31 Capacity: 46 Deficiencies: 1 Date: Dec 17, 2024

Visit Reason
The inspection was conducted as a complaint investigation at Sayre Memory Care Residence on 12/17/2024.

Complaint Details
The visit was complaint-related with the reason stated as 'Complaint'. The plan of correction was accepted and fully implemented as of 02/11/2025.
Findings
The facility was found to have a deficiency related to not following prescriber's orders, specifically a delay in applying compression stockings to a resident. The submitted plan of correction was accepted and fully implemented.

Deficiencies (1)
Resident had an order for compression stockings to be placed daily at 8 am, but stockings were placed several hours later when the resident was noted as not wearing them.
Report Facts
License Capacity: 46 Residents Served: 31 Current Residents in Hospice: 2 Total Daily Staff: 62 Waking Staff: 47

Inspection Report

Plan of Correction
Census: 27 Capacity: 46 Deficiencies: 1 Date: Nov 20, 2024

Visit Reason
The inspection was conducted as a partial, unannounced incident investigation on 11/20/2024 following an incident involving a resident.

Complaint Details
The visit was incident-related, triggered by a complaint or allegation of resident abuse involving manual restraint. The plan of correction was accepted and fully implemented.
Findings
The facility was found to have violated prohibition regulations by using a manual restraint on a resident, which is prohibited. The facility submitted a plan of correction which was accepted and fully implemented by 01/17/2025.

Deficiencies (1)
Use of a manual restraint by staff member A on a resident, restricting the resident's movement.
Report Facts
License Capacity: 46 Residents Served: 27 Staffing Hours - Total Daily Staff: 54 Staffing Hours - Waking Staff: 41

Inspection Report

Plan of Correction
Census: 22 Capacity: 46 Deficiencies: 1 Date: Mar 20, 2024

Visit Reason
The inspection was a follow-up review of the submitted plan of correction related to an incident at the facility.

Findings
The submitted plan of correction was determined to be fully implemented as of the review date. The deficiency involved failure to update a resident's support plan to reflect increased depression and suicidal ideation, with corrective actions including staff education and monitoring.

Deficiencies (1)
The support plan for a resident did not include updates indicating increased depression, placement on a 15-minute watch, or expressed suicidal ideation.
Report Facts
License Capacity: 46 Residents Served: 22 Staffing Hours: 44 Waking Staff: 33 Hospice Residents: 1

Employees mentioned
NameTitleContext
C. ChilsonStaff member who made the phone call during the immediate correction for the resident

Inspection Report

Renewal
Census: 22 Capacity: 46 Deficiencies: 13 Date: Feb 1, 2024

Visit Reason
The inspection was conducted as a renewal inspection of the Sayre Memory Care Residence facility on 02/01/2024.

Findings
The inspection found multiple deficiencies including issues with record confidentiality, compliance with laws, refund policy documentation, administrator training hours, locking of poisonous materials, lint removal from dryer, unobstructed egress, exit door functionality, kitchen fire extinguisher operability, smoking area safety, medication labeling, following prescriber's orders, and posting directions for key-locking devices. All deficiencies had plans of correction accepted and were implemented by mid-March 2024.

Deficiencies (13)
Resident records were left accessible due to the nurse's station door being left open.
Required influenza information was not posted in the home.
Resident #1's contract was missing the refund policy page.
Administrator did not have the required 24 hours of annual training; only 11.25 hours were verified.
Poisonous materials were found unlocked and accessible to residents incapable of recognizing poisons safely.
Dryer's lint hose was obstructed due to the dryer pressing on the hose where it attaches to the wall.
Egress routes were blocked by garbage bags and a laundry cart.
Exit door at loading dock required excessive force to open, preventing immediate egress.
Kitchen fire extinguisher pressure gauge indicated it was outside the operable range.
Wooden bench in smoking area surrounded by fallen leaves; no fire extinguisher found nearby.
Resident #2's medication label instructions conflicted with the Medication Administration Record.
Resident #2 and #3 did not receive medications as prescribed due to medication unavailability.
Keypad codes for secured dementia unit gates and 200 hallway were not posted near the devices.
Report Facts
License Capacity: 46 Residents Served: 22 Current Hospice Residents: 2 Total Daily Staff: 44 Waking Staff: 33 Administrator Training Hours Verified: 11.25

Inspection Report

Complaint Investigation
Census: 9 Capacity: 46 Deficiencies: 0 Date: Sep 21, 2023

Visit Reason
The inspection was conducted as a complaint and incident investigation at Sayre Memory Care Residence.

Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.

Report Facts
License Capacity: 46 Residents Served: 9 Current Hospice Residents: 1 Total Daily Staff: 18 Waking Staff: 14

Inspection Report

Original Licensing
Capacity: 46 Deficiencies: 0 Date: Jan 19, 2023

Visit Reason
The inspection was conducted as a new licensing inspection of Sayre Memory Care Residence by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 01/19/2023.

Findings
No regulatory citations or deficiencies were identified during this licensing inspection.

Report Facts
License Capacity: 46 Residents Present: 0

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