11 Reports
Inspection Report — Jun 11, 2026
Complaint Investigation
Date: Jun 11, 2026
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection of the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Current Hospice Residents: 7
Residents Aged 60 or Older: 76
Residents with Mobility Need: 46
Residents with Physical Disability: 1
Inspection Report — May 8, 2026
Complaint Investigation
Date: May 8, 2026
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with medication administration and prescriber order regulations at Seneca Manor.
Complaint Details
The visit was complaint-driven as indicated by the inspection information on page 2. The complaint involved medication administration issues which were substantiated by findings of missing documentation, failure to follow prescriber orders, and unqualified staff administering medications.
Findings
The inspection found multiple medication administration violations including missing staff initials on medication records, failure to follow prescriber orders, and administration by unqualified staff. A plan of correction was submitted and fully implemented with ongoing monitoring and staff re-education.
Citations (3)
187b Date/time of med admin: The April 2026 medication administration record did not include the initials of staff who administered medications on specified dates and times.
187d Follow prescriber’s orders: A resident was prescribed capsules to be given once daily in the afternoon, but the medication was not administered due to unavailability at the residence.
190a Completion of course–meds: Staff Person A administered medications without successfully completing the required Department-approved medication administration course and competency test.
Report Facts
Residents Served: 71
Current Residents Hospice: 6
Total Daily Staff: 117
Waking Staff: 88
Inspection Report — Apr 1, 2026
Complaint Investigation
Date: Apr 1, 2026
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 04/01/2026.
Complaint Details
The inspection was complaint-driven and identified deficiencies related to resident medical evaluations, assessments, and support plans. The facility's plan of correction was accepted and fully implemented by June 17, 2026.
Findings
The inspection identified multiple deficiencies related to incomplete or missing initial medical evaluations, initial assessments, preliminary support plans, and quarterly support plan reviews for residents. The facility submitted plans of correction which were accepted and implemented.
Citations (4)
141a Medical evaluation: A resident admitted does not have a completed initial medical evaluation as required within 60 days prior to or 30 days after admission.
224a2 30 days prior to admission: A resident was admitted without a written initial assessment completed within 30 days prior to admission.
224c1 Initial SP-30 days prior/adm: A resident was admitted without a written preliminary support plan completed within 30 days prior to admission.
227c Final support plan - revision: A resident's final support plan has not been reviewed and updated on a quarterly basis as required.
Report Facts
Residents Served: 77
Current Hospice Residents: 7
Residents Age 60 or Older: 76
Residents with Mobility Need: 46
Residents with Physical Disability: 1
Inspection Report — Mar 2, 2026
Renewal
Date: Mar 2, 2026
Visit Reason
The inspection was conducted as a renewal, complaint, and incident review of the assisted living residence to assess compliance with regulatory requirements.
Findings
The inspection identified multiple deficiencies including failure to post required documents, incident reporting failures, medication management issues, staffing inadequacies, incomplete resident assessments and support plans, and fire safety documentation concerns. Corrective actions and systemic changes were implemented with ongoing monitoring.
Citations (32)
2800.3.d. The assisted living residence did not post the current license, license inspection summary, and Chapter 2800 regulations in a conspicuous public place on 3/2/2026.
2800.16.c. Incidents involving police escort of staff and destruction of narcotic medications by former administrator were not reported to the Department as required.
2800.42.x. Former administrator removed and destroyed narcotic medications belonging to residents without authorization on 1/8/2026.
2800.53.a. The former administrator did not meet required qualifications and had suspended RN license during employment.
2800.57.c. On 2/22/2026 and 3/2/2026, direct care staffing hours were insufficient to meet minimum required hours for residents with mobility needs.
2800.57.d. Direct care staffing during waking hours was below the required 75% on multiple dates in February and March 2026.
2800.60.a. Overnight staffing was inadequate on 3/2/2026 to safely evacuate all residents in an emergency.
2800.63.a. On 2/22/2026, insufficient staff trained in first aid and CPR were present during shifts to meet resident needs.
2800.64.a. The former administrator lacked documentation of completion of Department-approved orientation program.
2800.65.j. Staff person F did not receive required annual fire safety training completed by a qualified individual in 2025.
2800.81.b. Bedside mobility devices for residents #3 and #10 were not securely attached to beds on 3/2/2026.
2800.92. The window screen in resident #7's living unit was torn, leaving an 18" x 4" area without screen on 3/2/2026.
2800.95. Resident #4's handheld shower head had a broken handle with a sharp edge on 3/2/2026.
2800.103.c. Uncovered food items were stored in the walk-in refrigerator on 3/2/2026, risking contamination.
2800.132.b. The residence lacked documentation of the 2024 fire safety inspection and fire drill by a fire safety expert.
2800.132.c. Fire drill record from 5/19/2025 did not include number of residents evacuated.
2800.132.g. Fire drills were routinely scheduled during low staffing shifts and only 4 staff participated in the past year.
2800.141.a. Resident #8's medical evaluation lacked attached medication list/regimen.
2800.141.b. Residents #4 and #5 had overdue annual medical evaluations as of the inspection date.
2800.183.b. Medications and syringes were found unsecured in resident #6's living unit and medication cart on 3/4/2026.
2800.183.e. Expired medication was found in resident #6's living unit on 3/4/2026.
2800.184.a. Insulin pens for residents #1 and #6 lacked pharmacy labels on 3/4/2026.
2800.185.a. Medications ordered for residents #1 and #9 were not available in the residence on 3/4/2026; former administrator removed controlled substances without authorization.
2800.187.a. Resident #1's medication administration record did not indicate medication strength for Tacrolimus.
2800.187.d. Resident #1 did not receive prescribed Lidocaine patch on multiple dates due to medication unavailability; resident #2 did not receive prescribed PRN medications due to destruction by former administrator.
2800.224.a.2. Resident #1 lacked a written initial assessment completed within 30 days prior to admission.
2800.224.a.5. Resident #1's initial assessment was incomplete and missing key information including ability to self-administer medications.
2800.224.c.1. Residents #1 and #8 lacked timely preliminary support plans developed within 30 days prior to admission.
2800.225.a.1. Residents #3, #4, #5, and #7 had overdue annual assessments as of the inspection date.
2800.227.a. Resident #1's final support plan was incomplete and undated; resident #3's support plan did not include bedside mobility device details.
2800.227.c. Residents #1, #2, #4, and #5 had incomplete or overdue quarterly reviews of support plans.
2800.227.g. Residents #1 and #11 had support plans missing required signatures and dates.
Report Facts
Residents served: 76
Current Residents Hospice: 9
Residents with mobility needs: 46
Direct care hours required: 120
Direct care hours provided: 81.55
Direct care hours required: 119
Direct care hours provided: 94.48
Direct care waking hours required: 90
Direct care waking hours provided: 50.58
Direct care waking hours required: 89.25
Direct care waking hours provided: 69.98
Staff trained in first aid and CPR required: 3
Staff trained in first aid and CPR present: 2
Staff trained in first aid and CPR present: 1
Medication counts destroyed: 1
Medication counts destroyed: 24
Medication counts destroyed: 15
Inspection Report — Oct 28, 2025
Complaint Investigation
Date: Oct 28, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial review of the facility.
Complaint Details
The inspection was triggered by a complaint and was unannounced. The obstruction was substantiated and corrected promptly with a plan of correction fully implemented.
Findings
The inspection found an obstruction at an emergency exit door caused by a mechanical lift and a sign indicating 'Not an Exit'. The obstruction was promptly removed and staff were educated on maintaining unobstructed egress routes.
Citations (1)
Regulation 2800.121.a requires stairways, hallways, doorways, passageways, and egress routes to be unlocked and unobstructed. An emergency exit door in the first-floor east hallway was obstructed by a mechanical lift and a 'Not an Exit' sign.
Report Facts
Residents Served: 79
Current Hospice Residents: 6
Residents Age 60 or Older: 79
Residents with Mobility Need: 30
Residents with Physical Disability: 2
Inspection Report — Jun 3, 2025
Complaint Investigation
Date: Jun 3, 2025
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with regulatory requirements following a complaint.
Complaint Details
The visit was complaint-related as stated under Inspection Information with reason '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.
Citations (2)
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
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 — Apr 10, 2025
Complaint Investigation
Date: Apr 10, 2025
Visit Reason
The inspection was conducted as a complaint and incident investigation at Seneca Manor to review compliance with regulatory requirements.
Complaint Details
The visit was complaint-related with substantiated findings of abuse/neglect and other regulatory violations.
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.
Citations (4)
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
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 — Feb 11, 2025
Renewal
Date: 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.
Citations (11)
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
Residents Served: 73
Current Hospice Residents: 11
Residents with Mobility Need: 34
Staffing Hours: 107
Waking Staff: 80
Inspection Report — Oct 15, 2024
Complaint Investigation
Date: 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.
Complaint Details
The visit was complaint-related and incident-driven. The plan of correction was accepted and fully implemented as of 11/19/2024.
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.
Citations (2)
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
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 — Jun 13, 2024
Complaint Investigation
Date: 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.
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.
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.
Citations (2)
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
Staffing hours: 89
Waking staff: 67
Residents with mobility need: 27
Residents in hospice: 9
Siderails needing coverage: 14
Inspection Report — Mar 21, 2024
Re-Inspection
Date: Mar 21, 2024
Visit Reason
The inspection was conducted due to a change in legal entity operating the assisted living facility and as a re-inspection within 3 months of the effective date of the new license.
Findings
The facility was found to be in substantial compliance with applicable regulations at the time of inspection. Several deficiencies were identified related to confidentiality of resident records, carbon monoxide alarm placement, and posting of emergency telephone numbers, all of which had corrective plans accepted and implemented.
Citations (3)
2800.17 Confidentiality of Records - Resident diabetic log sheets were unlocked, unattended, and accessible in the charting room on the second floor.
2800.18 Applicable Health and Safety Laws - Carbon monoxide detectors in the first and third floor resident laundry rooms were installed within 8 feet of gas dryers, less than the required 15 feet.
91 Emergency Telephone Numbers - Emergency telephone numbers were not posted by telephones in the first, second, and third floor chart rooms.
Report Facts
Residents Served: 62
Current Residents in Hospice: 6
Residents Age 60 or Older: 62
Residents with Mobility Need: 12
Total Daily Staff: 74
Waking Staff: 56
Viewing
Loading inspection reports...



