Inspection Report
Renewal
Census: 45
Capacity: 52
Deficiencies: 0
Mar 21, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
No regulatory citations or deficiencies were identified during this licensing inspection.
Report Facts
Residents Served: 45
License Capacity: 52
Current Residents in Hospice: 8
Residents Age 60 or Older: 45
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 10
Total Daily Staff: 55
Waking Staff: 41
Inspection Report
Renewal
Census: 41
Capacity: 52
Deficiencies: 0
Jan 11, 2024
Visit Reason
The inspection was conducted as a renewal licensing inspection of the Southwoods AL facility by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations or deficiencies were identified during the inspection conducted on 01/11/2024.
Report Facts
Residents Served: 41
License Capacity: 52
Current Hospice Residents: 3
Residents Age 60 or Older: 41
Residents with Mobility Need: 6
Resident Support Staff: 0
Total Daily Staff: 47
Waking Staff: 35
Inspection Report
Follow-Up
Census: 42
Capacity: 52
Deficiencies: 1
Nov 2, 2023
Visit Reason
The inspection visit on 11/02/2023 was a partial, unannounced follow-up inspection triggered by a complaint and incident to verify the implementation of a previously submitted plan of correction.
Findings
The submitted plan of correction related to a dignity and respect violation was found to be fully implemented. The facility demonstrated compliance with the requirement that residents be treated with dignity and respect, including staff retraining and ongoing monitoring plans.
Complaint Details
The visit was complaint-related, triggered by a complaint and incident. The plan of correction was submitted and accepted, with follow-up inspections to ensure compliance.
Deficiencies (1)
| Description |
|---|
| Violation of dignity and respect where staff member B pushed on a resident's injured leg causing pain and yelled at the resident, and later responded inappropriately to the resident's request for mail, causing distress. |
Report Facts
License Capacity: 52
Residents Served: 42
Total Daily Staff: 48
Waking Staff: 36
Inspection Report
Renewal
Census: 43
Capacity: 52
Deficiencies: 0
Mar 14, 2023
Visit Reason
The inspection was conducted as a renewal licensing inspection of the Southwoods AL facility on 03/14/2023, 03/15/2023, and 03/16/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this licensing inspection.
Report Facts
Residents served: 43
License capacity: 52
Current hospice residents: 3
Residents age 60 or older: 43
Residents with mobility need: 5
Total daily staff: 48
Waking staff: 36
Inspection Report
Original Licensing
Census: 43
Capacity: 52
Deficiencies: 0
Sep 15, 2022
Visit Reason
The inspection was conducted due to a change in the legal entity operating the assisted living facility, Southwoods Assisted Living, to assess compliance with licensing regulations.
Findings
The facility was found to be in substantial compliance with applicable regulations, but the licensing inspector was unable to complete a full inspection because this is a new legal entity operating the home. No deficiencies were found during this partial inspection.
Report Facts
Total Daily Staff: 51
Waking Staff: 38
Residents Served: 43
License Capacity: 52
Current Residents in Hospice: 6
Residents Age 60 or Older: 43
Residents with Mobility Need: 8
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