Inspection Reports for Spring Village at Pocono
329 EAST BROWN STREET,, EAST STROUDSBURG, PA, 19301
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
10.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
130% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
83% occupied
Based on a August 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 87
Capacity: 105
Deficiencies: 17
Date: Aug 12, 2025
Visit Reason
The inspection was conducted as a renewal inspection combined with a complaint investigation at Spring Village at Pocono.
Complaint Details
The inspection included a complaint investigation component, as indicated by the reason for inspection being 'Renewal, Complaint'. Specific substantiation status is not stated.
Findings
The inspection identified multiple deficiencies including issues with resident record confidentiality, contract signatures, fee schedules, staff qualifications, locking of poisonous materials, trash receptacles, room safety hazards, soap dispensers, fire extinguisher inspection, medical evaluations, medication storage and labeling, and preadmission screening. Plans of correction were accepted and implemented with follow-up dates scheduled.
Deficiencies (17)
Resident treatment sheets and refill order forms were left unattended and accessible, violating resident record confidentiality.
Resident-home contracts were not signed or dated by some residents.
Fee schedule did not specify actual amounts charged for individual personal need services for a resident.
Direct care staff person lacked a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Poisonous materials were unlocked and accessible to residents in the beauty shop and bathroom closet.
Uncovered trash can found in employee bathroom.
Tripping hazard due to cord extended from bed to wall outlet in a resident's bedroom.
Unlabeled used bar of soap found in shared resident bathroom.
Fire extinguisher in facility transport van expired and was not inspected.
Initial medical evaluations for several residents were incomplete or missing required information.
Annual medical evaluations for some residents were incomplete or missing required information.
Prescription medication (Ketoconazole shampoo) was unlocked and accessible in a resident's bathroom.
Prescription medications were stored improperly; opened insulin pens stored in refrigerator contrary to manufacturer instructions.
Resident medication lacked proper pharmacy labeling.
Over-the-counter medications and creams were not labeled with resident names.
Medication cards were opened and resealed with tape; some medications were missing from the medication cart.
Cognitive preadmission screening form for a resident was incomplete, missing date and transcriber information.
Report Facts
License Capacity: 105
Residents Served: 87
Secured Dementia Care Unit Capacity: 40
Secured Dementia Care Unit Residents Served: 39
Hospice Residents: 11
Residents 60 Years or Older: 87
Residents with Mobility Need: 56
Residents with Physical Disability: 7
Inspection Dates: 2
Total Daily Staff: 143
Waking Staff: 107
Inspection Report
Follow-Up
Census: 85
Capacity: 85
Deficiencies: 3
Date: Mar 4, 2025
Visit Reason
The inspection was conducted due to a change in legal entity and included a follow-up review of the submitted plan of correction to verify full implementation.
Findings
The submitted plan of correction was found to be fully implemented. Deficiencies related to locking poisonous materials, lighting in the Secure Dementia Care Unit stairwell, and emergency management agency submission were addressed with corrective actions completed by mid-April 2025.
Deficiencies (3)
Unlocked poisonous materials including Lysol wipes and sprays found accessible to residents in the memory care unit.
Lighting in the 3rd floor stairwell (Secure Dementia Care Unit) was unlit and could only be turned on from another floor.
Lack of verification that emergency procedures were reviewed annually and submitted to the local emergency management agency.
Report Facts
Residents Served: 85
Capacity: 85
Residents Served in Secured Dementia Care Unit: 38
Capacity of Secured Dementia Care Unit: 40
Current Hospice Residents: 10
Residents 60 Years or Older: 84
Residents Diagnosed with Mental Illness: 5
Residents with Mobility Need: 51
Residents with Physical Disability: 7
Inspection Report
Renewal
Census: 83
Capacity: 105
Deficiencies: 11
Date: Aug 6, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found multiple deficiencies including contract signature issues, missing annual staff training, sanitary condition violations, unsecured linen room, improper food labeling, fire drill and safety inspection deficiencies, incomplete resident support plans, and missing medical evaluations for secured dementia care residents. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (11)
Resident #2’s contract was not signed by the administrator or designee of the facility.
Staff Person “A” and Staff Person “B” did not receive the required annual training in Medication Self-Administration for the year 2023.
Blood stains were noted on Resident #1’s glucometer.
On the Secured Dementia floor, the linen room was found unlocked and the door propped open, posing a fall hazard due to an open laundry chute.
An unidentifiable container of food in the freezer on the 2nd floor had no label or date.
The refrigerator contained 2 bottles of condiments not labeled with open dates.
The most recent supervised fire drill was held on 8/6/24; the previous was on 7/1/2022, indicating a lapse in annual inspection.
Fire drill logs indicated a sleeping hour drill on 12/21/23 with 9 staff participating, but only 5 staff were scheduled, indicating inaccurate documentation.
A second sleeping hour fire drill was not conducted by 6/20/24 as required.
Residents’ support plans did not include risks and details associated with use of bed enabler bars observed in residents’ rooms.
Resident #6’s most recent medical evaluation did not document the need for secured dementia care.
Report Facts
License Capacity: 105
Residents Served: 83
Secured Dementia Care Unit Capacity: 40
Secured Dementia Care Unit Residents Served: 32
Current Hospice Residents: 14
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 59
Residents Aged 60 or Older: 83
Residents with Physical Disability: 3
Total Daily Staff: 142
Waking Staff: 107
Resident Files Audited: All resident files audited on August 28, 2024.
Fire Drill Staff Participants: 9
Fire Drill Staff Scheduled: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lorraine Howey | Director of Nursing | Responsible for retraining staff on medication self-administration and monitoring bed enabler audits. |
| Ryan Lohman | Administrator | Revised staff training topics and oversaw contract signature compliance. |
| Li Juan Zhou | Personal Care Coordinator | Monitors daily for unapproved food in refrigerator. |
| Unnamed Executive Director | Executive Director | Schedules fire drills and monitors compliance with fire drill logs. |
| Unnamed Director of Community Relations | Director of Community Relations | Obtained missing resident contract signatures. |
Inspection Report
Census: 83
Capacity: 105
Deficiencies: 0
Date: Jun 11, 2024
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility on 06/11/2024.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Total Daily Staff: 128
Waking Staff: 96
Residents Served: 83
License Capacity: 105
Secured Dementia Care Unit Capacity: 40
Secured Dementia Care Unit Residents Served: 33
Hospice Current Residents: 13
Residents Age 60 or Older: 83
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 45
Residents with Physical Disability: 1
Inspection Report
Census: 86
Capacity: 105
Deficiencies: 0
Date: Jan 18, 2024
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of the inspection conducted on 01/18/2024 and 01/29/2024.
Report Facts
License Capacity: 105
Residents Served: 86
Secured Dementia Care Unit Capacity: 37
Secured Dementia Care Unit Residents Served: 37
Hospice Current Residents: 12
Resident Support Staff: 1
Total Daily Staff: 136
Waking Staff: 102
Inspection Report
Renewal
Census: 81
Capacity: 105
Deficiencies: 5
Date: Jun 13, 2023
Visit Reason
The inspection was conducted as a full, unannounced visit for renewal and complaint reasons on June 13 and 14, 2023.
Findings
The submitted plan of correction was found to be fully implemented. Several deficiencies were identified related to staff training, resident access to bedrooms, fire drills during sleeping hours, and missing emergency exit codes on keypads, all of which have been addressed with corrective actions and oversight plans.
Deficiencies (5)
Direct care staff person “A” did not have proof of required annual training covering resident needs and personal care service needs for 2022.
Direct care staff person “B” did not have proof of annual training in Emergency Preparedness procedures for 2022.
Residents on the third floor secured dementia unit did not have immediate access to their bedrooms as doors were locked and residents had to ask staff to enter.
The home did not conduct a fire drill during sleeping hours in the past 12 months; the last was on 8/30/22 at 11:15 PM.
The third-floor secured unit keypads were missing posted codes for two emergency stair exits.
Report Facts
License Capacity: 105
Residents Served: 81
Secured Dementia Care Unit Capacity: 40
Secured Dementia Care Unit Residents Served: 37
Current Hospice Residents: 13
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 56
Residents with Physical Disability: 6
Residents Age 60 or Older: 81
Inspection Report
Renewal
Census: 77
Capacity: 105
Deficiencies: 10
Date: May 17, 2022
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements at Spring Village at Pocono.
Findings
The inspection identified multiple deficiencies including missing resident contract signatures, missing signed resident rights statements, unsecured window screens, outdated food in the kitchen, lack of annual fire safety inspection documentation, incomplete medical evaluations, missing posted menus in the secured dementia unit, incomplete resident support plans, missing no objection statements for secured dementia care unit transfers, and outdated resident photographs. Plans of correction were accepted and documented as implemented.
Deficiencies (10)
Residents #2, #3, and #5 did not sign their contracts and there was no notation indicating opportunity to sign.
Resident #4 and Resident #2 did not sign their residents' rights.
Window in the 2nd floor common area was open without a screen.
Outdated food found in kitchen walk-in refrigerator including expired coleslaw.
Last documented fire safety inspection was completed on 09/09/2016; no other documentation available.
Resident #2's medical evaluation did not contain resident's height.
Menus were not posted in a public and conspicuous area on the secured dementia unit.
Resident #5's support plan did not accurately reflect mobility status.
Resident #7 and Resident #2 did not have documentation of no objection to transfer to secured dementia care unit.
Resident #7's photograph in record was more than 2 years old.
Report Facts
License Capacity: 105
Residents Served: 77
Secured Dementia Care Unit Capacity: 40
Secured Dementia Care Unit Residents Served: 39
Hospice Current Residents: 11
Total Daily Staff: 126
Waking Staff: 95
Inspection Report
Routine
Deficiencies: 0
Date: Apr 19, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 04/19/2022.
Findings
No regulatory citations or deficiencies 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
Routine
Deficiencies: 0
Date: Apr 14, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
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
Complaint Investigation
Census: 83
Capacity: 105
Deficiencies: 1
Date: Feb 24, 2022
Visit Reason
The inspection was conducted as a complaint investigation to review the facility's compliance with regulations.
Complaint Details
The visit was complaint-related and the submitted plan of correction was fully implemented as of 02/24/2022.
Findings
The inspection found a violation related to obstructed emergency egress in the first floor dining room, where chairs and patio furniture blocked exit routes. The facility submitted a plan of correction which was determined to be fully implemented.
Deficiencies (1)
The facility’s first floor dining room had an emergency egress that was blocked by chairs and stacked patio furniture, obstructing exit from the home.
Report Facts
License Capacity: 105
Residents Served: 83
Secured Dementia Care Unit Capacity: 40
Secured Dementia Care Unit Residents Served: 33
Hospice Current Residents: 7
Residents with Mobility Need: 28
Residents 60 Years or Older: 83
Total Daily Staff: 111
Waking Staff: 83
Inspection Report
Routine
Deficiencies: 0
Date: Jan 20, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 01/20/2022.
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. |
Notice
Capacity: 105
Deficiencies: 0
Date: Jun 15, 2021
Visit Reason
The document serves as a license renewal approval and notification that the Department will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
The Department issued a regular license in response to the renewal application and advised that an annual inspection will be conducted within the next year to ensure compliance with applicable regulations.
Report Facts
Maximum capacity: 105
Secure Dementia Care Unit capacity: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal approval letter |
| Eric Francescangeli | Executive Director | Recipient of the renewal approval letter |
Inspection Report
Renewal
Census: 64
Capacity: 105
Deficiencies: 7
Date: Apr 20, 2021
Visit Reason
The inspection was conducted as a renewal review of the facility Spring Village at Pocono on 04/20/2021 through 04/22/2021 to assess compliance with licensing requirements.
Findings
The facility was found to have multiple deficiencies including failure to post the current licensing inspection summary, lack of a carbon monoxide detector near gas dryers, uncovered trash receptacle in the kitchen, missing thermometer in a refrigerator, lint accumulation in dryer lint trap, incomplete medication documentation, and unsigned resident support plans. All deficiencies had plans of correction accepted and were reported as implemented.
Deficiencies (7)
The current Licensing Inspection Summary dated 3/13/2020 was not displayed in a public place.
No carbon monoxide detector located near the laundry room with gas dryers.
One garbage can in the kitchen was not covered and not actively used by staff.
One refrigerator in the kitchen did not have a thermometer to determine proper food storage temperature.
About ¼ inch of lint found in the lint trap of an empty dryer in the 1st floor laundry room.
Glucometer readings for Resident 1 were not fully documented; only one of two blood sugar readings was recorded in the MAR.
Resident Assessment and Support Plan for Resident 2 was not signed by the resident and refusal or inability to sign was not documented.
Report Facts
Inspection dates: 3
Total daily staff: 107
Waking staff: 80
Licensed capacity: 105
Residents served: 64
Secured Dementia Care Unit capacity: 40
Secured Dementia Care Unit residents served: 33
Hospice current residents: 10
Residents with mobility need: 43
Residents 60 years or older: 64
Residents diagnosed with mental illness: 2
Residents with physical disability: 1
Inspection Report
Routine
Deficiencies: 0
Date: Mar 18, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Viewing
Loading inspection reports...
