Inspection Reports for
Shenango Presbyterian Home
238 SOUTH MARKET STREET,, NEW WILMINGTON, PA, 16142
Back to Facility Profile22 Reports
Inspection Report — Jul 14, 2026
Date: Jul 14, 2026
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: 35
Secured Dementia Care Unit Residents Served: 9
Current Hospice Residents: 1
Notice — Apr 7, 2026
Date: Apr 7, 2026
Visit Reason
The document serves as a waiver approval granting Shenango Presbyterian Home permission to use preadmission screening and medical evaluation forms from Point, Click, Care instead of the Department's forms.
Findings
The waiver is granted under specified Pennsylvania Code sections with conditions that the facility use the alternative forms and that compliance will be reviewed during the annual inspection. Failure to comply may result in termination of the waiver or other licensing action.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Nov 13, 2025
Renewal
Date: Nov 13, 2025
Visit Reason
The inspection was conducted as a renewal visit with an incident review to assess compliance with licensing requirements and verify correction of previous deficiencies.
Findings
The inspection identified multiple deficiencies related to incident reporting, training documentation, first aid knowledge, fire drill records, medical evaluations, medication management, preadmission screening, and resident assessments. Plans of correction were accepted and implemented with ongoing compliance monitoring.
Citations (12)
2600.16c The home failed to submit an incident report to the Department within 24 hours after a resident fell and sustained a fracture.
2600.65i Staff persons A and B lacked documentation of annual 2024 fire safety training completed by a fire safety expert.
2600.96b Multiple staff, including staff person C, did not know the location of the first aid kit.
2600.132c Fire drill records did not include exit routes used, alarm operability, or problems encountered during drills.
2600.141a A resident's medical evaluation was completed late and had a blank body positioning and movement section.
2600.183d A discontinued medication was found in the medication cart for a resident.
2600.184a Medication labels did not match prescribed dosages for two residents, including a repeat violation.
2600.187a Medication administration records did not match prescribed dosages for a resident.
2600.224a A preadmission screening form did not indicate if the resident's needs could be met and was unsigned.
2600.225c Resident assessments lacked documentation of walker use, ability to avoid poisonous materials, and hospice contact information.
2600.227d A resident's support plan did not address hospice services or frequency of services provided.
2600.231c A written cognitive preadmission screening was not completed within 72 hours prior to admission to the secured dementia care unit.
Report Facts
Residents Served: 38
Secured Dementia Care Unit Residents Served: 13
Hospice Current Residents: 2
Staff Total Daily: 56
Staff Waking: 42
Inspection Report — May 12, 2025
Follow-Up
Date: May 12, 2025
Visit Reason
The inspection was an unannounced partial review conducted due to an incident, with follow-up reviews related to a submitted plan of correction.
Findings
The facility was found to have deficiencies related to resident abuse reporting, verbal abuse by staff, and failure to follow prescriber's medication orders. The submitted plan of correction was accepted and determined to be fully implemented as of the follow-up review.
Citations (3)
Failure to immediately report suspected abuse of a resident as required by regulations.
Resident was verbally abused by staff who yelled at the resident after an aggressive incident.
Medication prescribed to a resident was not administered due to unavailability in the home.
Report Facts
Residents Served: 39
Secured Dementia Care Unit Residents Served: 13
Current Hospice Residents: 2
Residents Age 60 or Older: 39
Residents with Mental Illness: 2
Residents with Mobility Need: 20
Inspection Report — Nov 18, 2024
Renewal
Date: Nov 18, 2024
Visit Reason
The inspection was a renewal review conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to assess compliance and verify the submitted plan of correction.
Findings
The inspection identified multiple deficiencies including unsecured heat sources accessible to residents, undated food items, outdated food in storage, medication labeling errors, and incorrect posted codes for key-locking devices. All deficiencies had corrective plans accepted and were implemented with ongoing monitoring scheduled.
Citations (5)
Steam table in an unsecured cabinet in the secured dementia care unit's kitchen with an outside temperature of approximately 164°F accessible to residents.
Multiple zip lock bags of vegetables and a container of peaches in the secured dementia care unit's refrigerator were not dated.
Multiple undated food items including cookie pucks, mixed vegetables, and diced peppers located in the main kitchen's walk-in freezer.
Prescription medications had labels inconsistent with prescribed dosages, including one medication labeled for two soft gel tablets daily when prescribed one capsule daily.
Magnetically locked exit had an incorrect posted magnetic lock code that could not be used to operate the locking mechanism.
Report Facts
Residents Served: 36
Secured Dementia Care Unit Residents Served: 10
Current Hospice Residents: 2
Resident with Mobility Need: 20
Resident Age 60 or Older: 36
Total Daily Staff: 56
Waking Staff: 42
Inspection Report — Jul 30, 2024
Complaint Investigation
Date: Jul 30, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation following allegations of resident abuse and other regulatory concerns.
Complaint Details
The visit was complaint-related, triggered by allegations of resident abuse involving staff. The complaint was substantiated with findings of delayed reporting and inadequate supervision of the alleged perpetrator.
Findings
The inspection found multiple violations including delayed reporting of suspected resident abuse, failure to suspend or supervise the alleged perpetrator, incomplete medical evaluations, outdated resident assessments, and unsigned resident support plans. The facility submitted plans of correction which were accepted and later fully implemented.
Citations (7)
Failure to immediately report suspected abuse of a resident to the local Area Agency on Aging.
Failure to submit a plan of supervision or notice of suspension for the affected staff person after abuse allegation.
Failure to report the incident or condition to the Department within 24 hours as required.
Direct care staff provided unsupervised ADL services without completing Department-approved training and competency test.
Medical evaluation not documented on a Department-specified form within required timeframe.
Resident assessment not updated to reflect significant changes in condition.
Resident support plan was not signed by the resident nor documented reasons for lack of signature.
Report Facts
Residents Served: 34
Staff Working Hours: 44
Waking Staff Hours: 33
Residents in Secured Dementia Care Unit: 10
Residents Age 60 or Older: 34
Residents Diagnosed with Mental Illness: 19
Residents with Mobility Need: 10
Dates Staff Person B Worked Post-Allegation: 10
Inspection Report — Jan 23, 2024
Follow-Up
Date: Jan 23, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit to review the submitted plan of correction for the facility.
Findings
The submitted plan of correction was determined to be fully implemented as of the inspection dates. Deficiencies related to staff training records, medication administration documentation, additional resident assessments, and support plan signatures were corrected with ongoing monitoring and education planned.
Citations (4)
The home's record of staff training did not include the date and length of training for staff trainings completed between 11/1/23 and 12/31/23.
Resident medication administration record did not include the initials of the staff person who administered the medication at the prescribed time.
Resident's most recent assessment of care needs on record was incomplete or had incorrect dates.
Resident's most recent support plan was completed but signatures by the resident and assessor were delayed.
Report Facts
Residents Served: 40
Residents Served in Dementia Unit: 14
Hospice Residents: 3
Staffing Hours: 60
Waking Staff: 45
Inspection Report — Oct 19, 2023
Renewal
Date: Oct 19, 2023
Visit Reason
The inspection was conducted as a renewal and incident review of Shenango Presbyterian Home on 10/19/2023, 10/20/2023, and 10/27/2023 to verify compliance and implementation of the submitted plan of correction.
Findings
The inspection identified multiple deficiencies related to staff training, safety protocols, medication administration, and documentation. The facility submitted plans of correction for all violations, which were accepted and later determined to be fully implemented by the report date.
Citations (15)
Staff person A did not receive training in medication self-administration or instruction on meeting residents' needs during training year 1/1/22 - 12/31/22.
Staff persons A and B did not receive required annual training in fire safety, emergency preparedness, resident rights, and the Older Adult Protective Services Act during training year 1/1/22 to 12/31/22.
The home's record of staff training for staff persons A and B did not include source, content, or length for training year 1/1/22 - 1/31/22.
Poisonous materials were found unlocked and accessible to residents in the secured dementia care unit kitchenette.
Trash receptacles in kitchens and bathrooms were uncovered or had holes in lids, allowing penetration of insects and rodents.
Emergency telephone numbers were not posted by telephones in the pantry kitchenette and ground floor staff dining room.
A used and unlabeled bar of soap was found in the 2nd floor spa room.
No thermometer was present in the refrigerator section of the 2nd floor kitchenette refrigerator.
Fire extinguishers in multiple locations had not been inspected by a fire safety expert since June 2022.
Resident #2's medication label did not include the correct prescribed dosage instructions.
Staff person C was found with 11 resident medication packets and loose pills in their car, off the facility's property, and had signed medication administration records falsely indicating administration.
Staff person D administered medication prescribed for resident #11 to resident #10.
Resident #12's preadmission screening form did not include a determination that the resident's needs could be met by the home.
Resident #2's support plan was not signed by the assessor or resident, nor did it indicate the resident was unable or declined to sign.
Staff person C completed a modified medication administration training course but did not complete the standard course prior to 7/31/23.
Report Facts
Inspection dates: 3
Residents served: 38
Staff training hours: 61
Waking staff hours: 46
Secured dementia care unit residents served: 13
Hospice residents: 2
Residents with mental illness: 5
Residents with mobility need: 23
Residents aged 60 or older: 38
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in deficiencies related to lack of training and incomplete training records | |
| Staff person B | Named in deficiencies related to lack of training and incomplete training records | |
| Staff person C | Named in medication administration violations including medication packets found offsite and falsified records; also noted for incomplete medication training | |
| Staff person D | Named in medication administration error administering medication to wrong resident | |
| Director of Personal Care | Responsible for audits and reporting findings at quarterly QAPI meetings | |
| Director of Environmental Services | Responsible for correcting environmental safety issues such as poisonous materials and trash receptacles | |
| Director of Dining Services | Responsible for ensuring refrigerator thermometers and temperature audits | |
| Personal Care Home Administrator | Responsible for education, audits, and oversight of compliance with regulations |
Inspection Report — Aug 23, 2022
Plan of Correction
Date: Aug 23, 2022
Visit Reason
The document confirms that the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, reviewed the facility's submitted plan of correction on 08/23/2022 and 08/24/2022.
Findings
The submitted plan of correction was determined to be fully implemented, and continued compliance must be maintained.
Notice — Sep 7, 2021
Date: Sep 7, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Shenango Presbyterian Home, confirming receipt of the renewal application and advising of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported; the document confirms issuance of a regular license and advises that enforcement action will be taken if noncompliance is found during future inspections.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report — Aug 10, 2021
Renewal
Date: Aug 10, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the Shenango Presbyterian Home to assess compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including lack of carbon monoxide alarms near gas dryers, improper refrigerator/freezer temperatures, unsealed food storage, improperly stored medications, and inadequate posting of key-locking device operation instructions. All deficiencies had plans of correction accepted and were addressed either on-site or through follow-up submissions.
Citations (5)
No carbon monoxide alarms near the 2 commercial gas dryers in the laundry room.
Refrigerator/freezer temperatures were above required levels and missing thermometers in some freezers and refrigerators.
Food items were opened and unsealed in various storage locations including freezer and pantry.
Resident #1's medication was opened but not marked with the date it was opened, violating manufacturer instructions.
Directions for operating the Secure Dementia Care Unit locking mechanism were not conspicuously posted near the door.
Report Facts
Residents Served: 34
Secured Dementia Care Unit Residents Served: 13
Hospice Residents: 4
Total Daily Staff: 57
Waking Staff: 43
Residents with Mobility Need: 23
Inspection Report — Oct 6, 2020
Complaint Investigation
Date: Oct 6, 2020
Visit Reason
The inspection was conducted as a complaint investigation following an unannounced partial inspection.
Complaint Details
The inspection was triggered by a complaint and included a follow-up plan of correction submission.
Findings
The inspection identified deficiencies related to fire drill staffing during sleeping hours and incomplete medical evaluations for residents admitted to the Secure Dementia Care Unit. A plan of correction was directed to assign a first responder during midnight shifts and ensure timely medical evaluations.
Citations (2)
132g - Fire drills were conducted during sleeping hours with four staff participating, but only two personal care home staff were scheduled, raising concerns about adequate emergency staffing.
231b - A resident admitted to the Secure Dementia Care Unit did not have a medical evaluation completed within 60 days prior to admission as required.
Report Facts
Residents Served: 39
Residents Served in SDCU: 14
Staff Participating in Fire Drills: 4
Scheduled PCH Staff: 2
Notice — Oct 2, 2020
Date: Oct 2, 2020
Visit Reason
The document serves as a license renewal approval for Shenango Presbyterian Home and notifies the facility 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 confirms the issuance of a regular license following the renewal application.
Report Facts
Inspection Report — Aug 14, 2019
Renewal
Date: Aug 14, 2019
Visit Reason
The document is a renewal application and license issuance for Shenango Presbyterian Home to operate as a Personal Care Home. The Department will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and confirmation of the facility's authorized capacity.
Report Facts
Inspection Report — May 17, 2019
Annual Inspection
Date: May 17, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an annual inspection of Shenango Presbyterian Home on May 17, 2019, to assess compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes.
Findings
Violations of 55 Pa. Code Chapter 2600 were found during the inspection. The facility was cited for incomplete resident contracts, missing signed resident rights acknowledgments, incomplete background checks, incomplete medical evaluations, and lack of documentation for secured dementia care admission.
Citations (5)
Resident #1's and #2's contracts did not indicate the party responsible for payment.
Resident #1's record lacked a signed statement acknowledging receipt of resident rights and complaint procedures.
The criminal background check for staff person A, hired 4/1/19, was requested on 3/20/19 but was under review and not completed at inspection.
Resident #3's medical evaluation dated 9/5/18 was incomplete, missing pulse rate, blood pressure, and temperature.
Resident #1 was transferred to the Secure Dementia Care Unit on 4/29/19 without documentation that the resident did not object to the admission.
Report Facts
Residents Served: 37
Secured Dementia Care Unit Residents Served: 11
Hospice Current Residents: 5
Residents with Mobility Need: 15
Residents Age 60 or Older: 37
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shawna M. Bostaph | PCHA | Signed plan of correction documents related to multiple deficiencies |
Notice — Jul 26, 2018
Date: Jul 26, 2018
Visit Reason
The document serves as a renewal notification and license issuance for Shenango Presbyterian Home to operate as a Personal Care Home under Pennsylvania regulations.
Findings
No inspection findings are reported. The letter states that an onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the renewal notification letter. |
Inspection Report — May 9, 2018
Renewal
Date: May 9, 2018
Visit Reason
The inspection was conducted as a renewal inspection of Shenango Presbyterian Home to assess compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes.
Findings
Multiple violations were found including incomplete staff training documentation, lack of soap in a resident bathroom, improper freezer temperatures, combustible materials near heat sources, fire drill deficiencies, missing exit signs, medication labeling errors, use of an unapproved magnetic locking system, and incomplete resident support plans.
Citations (10)
Regulation 55 Pa.Code §2600.65(i): The home's 2017 staff training documentation did not include the date or length of each course for staff persons A, B, and C.
Regulation 55 Pa.Code §2600.102(f): No soap was available in the private bathroom of resident room #124 during the inspection.
Regulation 55 Pa.Code §2600.103(f): Freezer #6 in the kitchen measured 8 degrees Fahrenheit, exceeding the required maximum of 0°F.
Regulation 55 Pa.Code §2600.125(a): A white rag was found on top of domestic water heater #5 in the boiler room, posing a combustible hazard.
Regulation 55 Pa.Code §2600.132(e): The most recent fire drill during sleeping hours was conducted on 9/21/17 at 1:58 a.m., exceeding the required frequency of every 6 months.
Regulation 55 Pa.Code §2600.132(f): The home's fire drill records showed the courtyard was the only exit used for evacuating residents from the secured dementia care unit during drills from 5/30/17 to 4/30/18.
Regulation 55 Pa.Code §2600.133(a)(1): The exit door from the secured dementia care unit dining room to the courtyard lacked an exit sign above the door.
Regulation 55 Pa.Code §2600.184(a): Prescription medication containers lacked pharmacy labels matching the medication orders for residents #10 and #11.
Regulation 55 Pa.Code §2600.233(a): The home used a magnetic locking system without written approval from the Department of Labor and Industry, Department of Health, or local building authority.
Regulation 55 Pa.Code §2600.234(a): Resident #9's initial support plan was not completed until 4 days after admission to the secured dementia care unit.
Report Facts
Number of Residents Served: 34
Total Daily Staff: 43
Walking Staff: 32
Number of Current Hospice Residents: 1
Number of Hospice Residents in Past Year: 4
Residents Age 60 or Older: 34
Residents with Mobility Need: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shawna M Bostaph | Administrator | Named as legal entity representative signing plans of correction on multiple pages. |
Notice — Nov 29, 2017
Date: Nov 29, 2017
Visit Reason
This document serves as a notice of a revised license capacity for Shenango Presbyterian Home due to a recent adjustment in the use of physical space.
Findings
The revised license reduces the maximum capacity to 46 persons or the maximum capacity permitted by the Certificate of Occupancy, whichever is smaller. The expiration date of the license remains unchanged.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the notice letter regarding the revised license capacity. |
Inspection Report — Jul 18, 2017
Renewal
Date: Jul 18, 2017
Visit Reason
The document is a renewal application and license issuance for Shenango Presbyterian Home to operate as a Personal Care Home. The Department will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
This document does not report inspection findings but confirms the issuance of a regular license following the renewal application. It notes that an annual inspection will be conducted within the next year.
Inspection Report — May 10, 2017
Renewal
Date: May 10, 2017
Visit Reason
The inspection was a renewal licensing inspection conducted by the Pennsylvania Department of Human Services on May 10, 2017, for Shenango Presbyterian Home.
Findings
Violations of 55 Pa.Code Chapter 2600 related to Personal Care Homes were found and specified in the enclosed License Inspection Summary. A plan of correction was submitted to address the failure of a direct care staff person to complete required training and competency testing.
Citations (1)
Regulation 55 Pa.Code §2600.85(d) requires direct care staff hired after April 24, 2008 to complete Department-approved direct care training and pass a competency test. Direct care staff person A began providing unsupervised ADL services in November 2016 but did not complete the required training and competency test until December 16, 2016.
Report Facts
Number of Residents Served: 38
Number of Residents Served in Secured Dementia Care Unit: 13
Number of Current Hospice Residents: 2
Number of Hospice Residents in Past Year: 4
Number of Residents Age 60 or Older: 38
Number of Residents with a Mobility Need: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shawna M. Bostaph | Administrator | Named as Administrator and signed plan of correction. |
Notice — Jul 22, 2016
Date: Jul 22, 2016
Visit Reason
The document serves as a renewal notification and license approval for Shenango Presbyterian Home to operate as a Personal Care Home. It also 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 is a licensing certificate and renewal letter confirming the facility's authorized capacity and renewal status.
Report Facts
Inspection Report — Jun 30, 2016
Renewal
Date: Jun 30, 2016
Visit Reason
The inspection was conducted as an annual licensing renewal inspection of Shenango Presbyterian Home to identify any violations of 55 Pa.Code Ch. 2600 relating to Personal Care Homes.
Findings
Violations were found as specified in the enclosed License Inspection Summary. Plans of correction were submitted to address issues such as unsecured laundry detergent and missing emergency phone numbers in the beauty shop.
Citations (4)
A bottle of Tide laundry detergent was found unsecured in the laundry room during the survey on June 30, 2016. It was immediately removed and locked, and staff were educated on keeping detergents locked and supervised.
Emergency phone numbers were missing from the beauty shop phone during the survey on June 30, 2016. A phone tag with emergency numbers was immediately placed and monitoring was planned to ensure availability.
Resident #6's support plan was updated on July 7, 2016, to specify services provided by hospice. Monitoring and updating of Resident Assessment Service Plans (RASP) to include hospice services were planned.
Resident #3 signed a contract on July 15, 2016, and staff education regarding BHSL regulation and RASP completion was scheduled for July 27, 2016. Monitoring of RASP compliance was planned.
Report Facts
Number of Residents Served: 46
Number of Residents Served in Secured Dementia Care Unit: 12
Number of Current Hospice Residents: 1
Number of Hospice Residents in Past Year: 9
Number of Residents 60 Years or Older: 46
Number of Residents with a Mobility Need: 19
Total Daily Staff: 65
Walking Staff: 49
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