Deficiencies per Year
12
9
6
3
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 71
Capacity: 100
Deficiencies: 2
Jun 3, 2025
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with regulatory requirements following a complaint.
Findings
Two medication-related deficiencies were identified: failure to initial the medication administration record at the time of administration, and failure to follow prescriber’s orders due to medication unavailability. Plans of correction were accepted and implemented.
Complaint Details
The visit was complaint-related as stated under Inspection Information with reason 'Complaint'.
Deficiencies (2)
| Description |
|---|
| The medication administration record (MAR) for a resident was not initialed by the staff person who administered the medications at 12:00 p.m. |
| A prescribed medication was not administered to a resident as it was not available in the residence. |
Report Facts
License Capacity: 100
Residents Served: 71
Current Hospice Residents: 10
Resident Age 60 or Older: 71
Residents with Mobility Need: 37
Residents with Physical Disability: 2
Residents Diagnosed with Mental Illness: 1
Inspection Report
Complaint Investigation
Census: 67
Capacity: 100
Deficiencies: 4
Apr 10, 2025
Visit Reason
The inspection was conducted as a complaint and incident investigation at Seneca Manor to review compliance with regulatory requirements.
Findings
The inspection identified multiple deficiencies including abuse/neglect of a resident by staff, failure to document medication administration times, incomplete support plans regarding oxygen use, and missing signatures on support plans. Plans of correction were accepted and implemented by June 18, 2025.
Complaint Details
The visit was complaint-related with substantiated findings of abuse/neglect and other regulatory violations.
Deficiencies (4)
| Description |
|---|
| Resident was verbally abused and neglected by staff who demanded to see the resident's phone, forced the resident to go to the medication room without prescribed oxygen, causing fear and physical distress. |
| Medication administration record (MAR) for a resident was not initialed by staff for multiple medications at 8:00 p.m. |
| Support plan did not address how to meet the resident's medical need for oxygen at 2 LPM via nasal cannula as ordered by the physician. |
| Initial assessment and support plan for a resident was not signed and dated by the staff person who completed the document, nor signed by the resident or indicated refusal to sign. |
Report Facts
License Capacity: 100
Residents Served: 67
Current Residents in Hospice: 9
Residents Age 60 or Older: 67
Residents with Mental Illness: 1
Residents with Mobility Need: 35
Inspection Report
Renewal
Census: 73
Capacity: 100
Deficiencies: 11
Feb 11, 2025
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements and verify the implementation of the submitted plan of correction.
Findings
Multiple deficiencies were identified including unlocked resident records, missing criminal background checks for staff, incomplete staff qualifications and training, missing immunization and tuberculosis testing documentation for residents, expired medications, improperly labeled medications, and incomplete resident assessments. All deficiencies had plans of correction accepted and were reported as implemented by May 9, 2025.
Deficiencies (11)
| Description |
|---|
| Multiple resident records and narcotic sheets were unlocked, unattended, and accessible in the first-floor nurse's station. |
| Two staff members did not have criminal history background checks completed prior to employment. |
| Direct care staff person did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry prior to employment. |
| Staff person did not receive orientation on general fire safety and emergency preparedness on first day of work. |
| Staff person received only 2 hours of dementia-specific training within 30 days of hire instead of the required 4 hours. |
| Medical evaluations for several residents did not include immunization history or indication of tuberculin skin test or chest x-ray within required timeframes. |
| Most recent annual medical evaluation for a resident was not completed timely. |
| Expired medications were found on medication carts for two residents. |
| Pharmacy label for a resident's insulin did not include required information such as resident's name, prescription date, dosage, and prescriber details. |
| Resident assessments did not include individual's ability to safely operate key-locking devices. |
| The home did not use the Department's standardized assessment and support plan (ASP) form, and ASPs lacked required elements for multiple residents. |
Report Facts
License Capacity: 100
Residents Served: 73
Current Hospice Residents: 11
Residents with Mobility Need: 34
Staffing Hours: 107
Waking Staff: 80
Inspection Report
Complaint Investigation
Census: 66
Capacity: 100
Deficiencies: 2
Oct 15, 2024
Visit Reason
The inspection was conducted as a partial, unannounced visit triggered by a complaint and incident review on 10/15/2024.
Findings
The inspection found deficiencies related to the failure to conduct timely quarterly reviews of resident support plans and failure to document biweekly psychiatric monitoring services in the resident support plan. Immediate corrective actions were taken and a plan of correction was accepted with ongoing audits and monitoring.
Complaint Details
The visit was complaint-related and incident-driven. The plan of correction was accepted and fully implemented as of 11/19/2024.
Deficiencies (2)
| Description |
|---|
| The most recent quarterly review of resident support plan was not conducted as required. |
| Resident's biweekly psychiatric monitoring services from a home health nurse were not indicated in the resident support plan. |
Report Facts
License Capacity: 100
Residents Served: 66
Current Hospice Residents: 6
Residents with Mobility Need: 24
Residents Age 60 or Older: 66
Total Daily Staff: 90
Waking Staff: 68
Inspection Report
Complaint Investigation
Census: 62
Capacity: 100
Deficiencies: 2
Jun 13, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation to review allegations of abuse/neglect and other related concerns at the facility.
Findings
The inspection found a substantiated abuse/neglect incident involving a resident left in soiled clothing and not assisted to dinner, and uncovered bedrails posing entrapment hazards. The facility implemented a plan of correction including staff re-education, resident interviews, and safety measures for bedrails.
Complaint Details
The complaint involved neglect and abuse allegations substantiated by the finding that Resident #1 was left in soiled clothing and not assisted to dinner. The incident was investigated by the Administrator, local AAA Protective services and DHS were informed, and the staff person involved no longer works at the facility.
Deficiencies (2)
| Description |
|---|
| Resident #1 was neglected when left sitting in a wheelchair soaked with urine and was not assisted to dinner as required. |
| Resident #1 and Resident #2 had bilateral half-length bedrails uncovered, posing an entrapment hazard. |
Report Facts
Residents served: 62
License capacity: 100
Staffing hours: 89
Waking staff: 67
Residents with mobility need: 27
Residents in hospice: 9
Siderails needing coverage: 14
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