Inspection Reports for Serenity Care Mid Valley
65 STURGES ROAD,, PECKVILLE, PA, 18452
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
6.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
34% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
38% occupied
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 34
Capacity: 90
Deficiencies: 1
Date: May 28, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license on 05/28/2025.
Findings
The submitted plan of correction related to a food safety violation involving unlabeled and undated leftover food items was found to be fully implemented. Continued compliance is required.
Deficiencies (1)
Unlabeled and undated tube of meat, plastic bag of chicken, and plastic bag of tater tots found in the kitchen freezer.
Report Facts
License Capacity: 90
Residents Served: 34
Staffing Hours: 39
Waking Staff: 29
Residents Receiving Supplemental Security Income: 10
Residents Age 60 or Older: 34
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 5
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 35
Capacity: 90
Deficiencies: 1
Date: Feb 18, 2025
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with regulatory requirements at the facility.
Complaint Details
The inspection was complaint-related as stated under Inspection Information with reason 'Complaint'.
Findings
The facility was found to have a deficiency related to bedroom square footage for residents with mobility needs, where a room measured 193.95 square feet but required at least 200 square feet. The plan of correction was accepted and fully implemented.
Deficiencies (1)
Resident room housing residents with mobility needs measured only 193.95 square feet, less than the required minimum of 200 square feet.
Report Facts
License Capacity: 90
Residents Served: 35
Room Square Footage: 193.95
Required Minimum Square Footage: 200
Inspection Report
Complaint Investigation
Census: 35
Capacity: 90
Deficiencies: 0
Date: Jan 27, 2025
Visit Reason
The inspection was conducted as a complaint investigation at the facility on 01/27/2025.
Complaint Details
The inspection was complaint-related as explicitly stated under Inspection Information with reason 'Complaint'. No deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 90
Residents Served: 35
Secured Dementia Care Unit Capacity: 22
Secured Dementia Care Unit Residents Served: 0
Hospice Current Residents: 1
Inspection Report
Complaint Investigation
Census: 35
Capacity: 90
Deficiencies: 0
Date: Dec 6, 2024
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 12/06/2024.
Complaint Details
The inspection was complaint-driven, but no deficiencies or regulatory citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 90
Residents Served: 35
Secured Dementia Care Unit Capacity: 22
Residents Served in Dementia Unit: 0
Current Hospice Residents: 1
Residents Receiving Supplemental Security Income: 12
Residents Age 60 or Older: 34
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 6
Residents with Physical Disability: 1
Total Daily Staff: 41
Waking Staff: 31
Inspection Report
Complaint Investigation
Census: 40
Capacity: 90
Deficiencies: 2
Date: Sep 10, 2024
Visit Reason
The inspection was conducted as a complaint and interim review to assess compliance and follow up on the plan of correction submitted by the facility.
Complaint Details
The inspection was complaint-related and interim in nature. The submitted plan of correction was fully implemented as of 09/10/2024.
Findings
The facility was found to have two deficiencies: windows/screens were not yet delivered for the proposed unoccupied secured dementia care unit, and there was no evidence of annual furnace cleaning. Both issues were addressed with plans of correction and were implemented by 10/31/2024.
Deficiencies (2)
All of the windows in the home are new. The screens are special order and have not been delivered yet.
The home has no evidence of any annual furnace cleaning.
Report Facts
License Capacity: 90
Residents Served: 40
Current Hospice Residents: 1
Residents Receiving Supplemental Security Income: 12
Residents Age 60 or Older: 37
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 7
Residents with Physical Disability: 1
Total Daily Staff: 47
Waking Staff: 35
Inspection Report
Renewal
Census: 27
Capacity: 90
Deficiencies: 6
Date: Apr 18, 2024
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.
Findings
The facility had several deficiencies including safety hazards with resident equipment, missing emergency telephone numbers, combustible storage violations, incomplete medical evaluations, unauthorized medication administration, and incomplete resident support plans. All deficiencies were corrected or addressed with plans of correction.
Deficiencies (6)
The enabler bar attached to the bed in resident #1’s room was not covered as required by FDA guidelines to prevent entrapment.
The required emergency telephone numbers were not posted near the phone located in the activity room.
Combustible and flammable materials were found near heat sources including tissue and sock behind a dryer and spray paint cans near the furnace.
Medical evaluation forms for residents #2 and #3 contained information recorded after the physician signed the form.
Resident #4 received injections administered by a med tech who is not licensed to administer this injection.
Resident #1's support plan did not include required information about the enabler bar use and risks.
Report Facts
License Capacity: 90
Residents Served: 27
Current Hospice Residents: 2
Residents Receiving Supplemental Security Income: 4
Residents Age 60 or Older: 27
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 7
Residents with Physical Disability: 2
Total Daily Staff: 34
Waking Staff: 26
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diane Risse | RCD/LPN | Named in support plan deficiency and responsible for ensuring compliance |
| Joshua Black | Housekeeping Staff | Named in combustible storage deficiency plan of correction |
| John Cupelli | Housekeeping Staff | Named in combustible storage deficiency plan of correction |
Inspection Report
Renewal
Census: 28
Capacity: 90
Deficiencies: 12
Date: Apr 4, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found multiple deficiencies including issues with refunds to residents, incomplete annual staff training, missing fire safety inspections, inadequate fire drills, missing exit signs, untimely annual medical evaluations for residents, and medication labeling and administration errors. The facility submitted and implemented plans of correction for all deficiencies.
Deficiencies (12)
Resident refund was not issued for the full required period after discharge.
Staff person A had only 11 of the required 12 hours of annual staff training for 2022.
Staff person A was not trained in the required annual training topic of medication self-administration for 2022.
Staff persons A and B did not receive fire safety training by a fire safety expert for 2022; staff person B lacked training in resident rights, fall prevention, and the Older Adult Protective Services Act.
Resident room did not have an operable lamp or other form of lighting that could be turned on at bedside.
The home did not have a fire safety inspection by a fire safety expert completed by December 2022.
The home failed to conduct a required sleeping hour fire drill in February 2023.
The home did not evacuate all residents during several fire drills in 2022.
Two sets of double glass doors leading to the exterior were not labeled with exit signs at the time of inspection.
Resident #2 did not have a timely annual medical evaluation completed in 2022.
Medication label for resident #3 did not match the physician's order or medication administration record.
Resident #3's sliding scale insulin was not administered correctly on specified dates.
Report Facts
License Capacity: 90
Residents Served: 28
Total Daily Staff: 37
Waking Staff: 28
Residents Receiving SSI: 4
Residents 60 or Older: 27
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 9
Residents with Physical Disability: 1
Hospice Residents: 1
Inspection Report
Complaint Investigation
Census: 34
Capacity: 90
Deficiencies: 1
Date: Feb 28, 2023
Visit Reason
The inspection was conducted as a partial, unannounced incident investigation on 02/28/2023 following a complaint or incident involving resident neglect.
Complaint Details
The complaint investigation substantiated neglect of resident #1 who was found on the bathroom floor soiled and unattended overnight due to failure of staff to perform hourly checks as required.
Findings
The investigation found that staff neglected to perform hourly checks on resident #1, who was found lying on the bathroom floor all night after a fall. The facility implemented a plan of correction including staff retraining, revised check policies, and supervision plans to prevent recurrence.
Deficiencies (1)
Staff neglected to check on resident #1 from evening to morning, resulting in the resident falling and lying on the floor all night.
Report Facts
License Capacity: 90
Residents Served: 34
Resident Support Staff: 34
Total Daily Staff: 79
Waking Staff: 59
Current Residents in Hospice: 1
Residents Receiving Supplemental Security Income: 4
Residents Age 60 or Older: 28
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 11
Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Regional Director | Named as responsible for fixing the problem in the plan of correction | |
| Serenity Care Kingston Administrator | Named as responsible for fixing the problem in the plan of correction | |
| Serenity Care Scranton Administrator | Named as responsible for fixing the problem in the plan of correction | |
| RCD at Serenity Care Mid Valley | Responsible for fixing the problem, providing education, and monitoring compliance | |
| Assigned Lead Med Tech | Assigned to orient and observe retraining of staff member involved in neglect incident | |
| Administrator | Responsible for ensuring monthly in-services and ongoing compliance | |
| Director of Adult Protective Services at Lackawanna County AAA | Scheduled to provide Abuse/Neglect in-service training |
Inspection Report
Renewal
Deficiencies: 0
Date: Jul 12, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 07/12/2022 and 07/15/2022 for Serenity Care Mid Valley.
Findings
No regulatory citations were identified as a result of this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michele Moskalczyk | Human Services Licensing Supervisor | Signed the inspection report letter. |
Inspection Report
Renewal
Deficiencies: 0
Date: Jun 8, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 06/08/2022.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Complaint Investigation
Census: 38
Capacity: 90
Deficiencies: 2
Date: Feb 16, 2022
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 02/16/2022.
Complaint Details
The inspection was complaint-driven, with the reason for the visit explicitly stated as 'Complaint'. The submitted plan of correction was accepted and fully implemented.
Findings
The facility was found to have deficiencies related to medication administration, specifically a medication (melatonin 3mg) not administered to Resident #1 on 02/06/2022, although the medication administration record erroneously indicated it was given. The facility submitted a plan of correction which was accepted and fully implemented by 02/24/2023.
Deficiencies (2)
Resident #1 was prescribed melatonin 3mg once daily, but on 2/6/22, the medication was not administered though the medication administration record indicated it was given.
The home failed to follow the prescriber's orders by not administering the prescribed medication to Resident #1 on 2/6/22.
Report Facts
Licensed Capacity: 90
Residents Served (Census): 38
Resident Support Staff: 17
Total Daily Staff: 72
Waking Staff: 54
Residents Receiving Supplemental Security Income: 6
Residents Age 60 or Older: 34
Residents Diagnosed with Mental Illness: 7
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 17
Residents with Physical Disability: 1
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