Inspection Reports for Springfield Crossings

PA, 19064

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Deficiencies per Year

20 15 10 5 0
2021
2022
2023
2025
Severe High Moderate Low Unclassified

Census Over Time

54 63 72 81 90 Jun '21 Feb '22 Oct '22 Mar '23 Jul '25 Sep '25
Census Capacity
Inspection Report Follow-Up Census: 73 Capacity: 84 Deficiencies: 1 Sep 9, 2025
Visit Reason
The visit was a follow-up inspection to verify that the submitted plan of correction was fully implemented for previously identified deficiencies.
Findings
The plan of correction was determined to be fully implemented, with continued compliance required. The deficiency related to missing emergency telephone numbers in newly constructed rooms was corrected by placing emergency number frames on counters during inspection.
Deficiencies (1)
Description
No emergency telephone numbers for nearest hospital and fire department in newly constructed rooms.
Report Facts
License Capacity: 84 Residents Served: 73 Current Residents in Hospice: 3 Residents Age 60 or Older: 73 Residents with Supplemental Security Income: 1 Residents with Mobility Need: 8 Total Daily Staff: 81 Waking Staff: 61
Inspection Report Follow-Up Census: 73 Capacity: 84 Deficiencies: 5 Jul 24, 2025
Visit Reason
The inspection was an unannounced partial review conducted on 07/24/2025 due to an incident, focusing on verifying the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to multiple abuse and neglect incidents involving resident thefts and missing money, as well as issues with door locks. Staff training on abuse and neglect was ongoing, and corrective actions including internal investigations, police involvement, and equipment repairs were completed.
Complaint Details
The visit was triggered by complaints and incidents of resident theft, unauthorized debit card charges, and safety concerns related to door locks. Internal investigations were conducted, police were involved, and the Department of Human Services and AAA were notified. The resident's concerns were substantiated with multiple incidents confirmed.
Deficiencies (5)
Description
Resident experienced multiple unauthorized charges on their debit card and theft of money, with delayed police notification and internal investigation initiated.
Resident reported missing money from a secret hiding spot and inability to lock their door, raising safety concerns.
Resident reported missing money from wallet after a visit with a friend; internal investigation and reporting to authorities conducted.
Resident reported missing money and unauthorized online debit card charges; staff training and family notification implemented.
Door lock and doorknob in resident's room were not operating properly, preventing resident from securing their room; repairs and audits implemented.
Report Facts
Residents Served: 73 License Capacity: 84 Staffing Hours: 80 Waking Staff: 60 Current Hospice Residents: 3 Residents Age 60 or Older: 73 Residents with Mental Illness: 2 Residents with Mobility Need: 7
Inspection Report Complaint Investigation Census: 66 Capacity: 84 Deficiencies: 1 Jan 7, 2025
Visit Reason
The inspection was conducted as a complaint investigation with unannounced partial inspections on 01/07/2025, 01/09/2025, and 01/10/2025 to review compliance and the submitted plan of correction.
Findings
The submitted plan of correction was fully implemented and compliance was maintained. The report includes a deficiency related to annual medical evaluations, with corrective actions and monitoring plans described.
Complaint Details
The inspection was triggered by a complaint, and the submitted plan of correction was found to be fully implemented.
Deficiencies (1)
Description
Resident did not have a medical evaluation completed at least annually as required.
Report Facts
License Capacity: 84 Residents Served: 66 Current Hospice Residents: 5 Residents with Mobility Need: 8 Residents Diagnosed with Mental Illness: 1 Residents Age 60 or Older: 66 Total Daily Staff: 74 Waking Staff: 56 Resident Support Staff: 0 Medical Evaluations Reviewed: 5
Inspection Report Original Licensing Census: 62 Capacity: 84 Deficiencies: 1 Mar 8, 2023
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Services Licensing, to determine compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
The facility was found to be in compliance with applicable regulations, resulting in the issuance of a regular license. One deficiency was noted regarding incomplete documentation in a resident's support plan, which was subsequently corrected and verified through a plan of correction.
Deficiencies (1)
Description
The assessment for resident 1 did not indicate the level of degree for understanding directions and for short term memory, and the assessor's title was missing.
Report Facts
License Capacity: 84 Residents Served: 62 Current Hospice Residents: 7 Staffing Hours - Total Daily Staff: 79 Staffing Hours - Waking Staff: 59 Residents Age 60 or Older: 62 Residents with Mobility Need: 17
Inspection Report Monitoring Census: 64 Capacity: 84 Deficiencies: 9 Feb 1, 2023
Visit Reason
The inspection was a provisional, monitoring visit conducted on 02/01/2023 to review compliance with licensing requirements and the submitted plan of correction.
Findings
The facility was found to have multiple deficiencies related to staff training, sanitary conditions, first aid kit contents, lighting, soap dispensers, menu posting, medication storage procedures, and support plan signatures. Corrective actions were accepted and implemented by 02/22/2023 with ongoing monitoring plans in place.
Deficiencies (9)
Description
Direct care staff person A did not receive training in meeting the needs of residents as described in the preadmission screening form, assessment tool, medical evaluation and support plan during training year 2022.
Staff person A did not receive training in emergency preparedness procedures and recognition and response to crises and emergency situations during training year 2022.
The bathroom in room has no method of hand drying available.
The first aid kit in the 3rd floor medication room does not include disposable gloves.
Resident #1 does not have access to a source of light that can be turned on/off at bedside.
There is no soap in the bathroom in room.
The home did not have a weekly menu posted in a conspicuous and public place in the home.
Errors were found when comparing resident #2's glucometer readings to the medication administration record.
Resident #2's support plan dated /22 was not signed by the assessor.
Report Facts
License Capacity: 84 Residents Served: 64 Current Hospice Residents: 8 Residents 60 Years or Older: 64 Residents with Mobility Need: 24 Resident Support Staff: 102 Total Daily Staff: 190 Waking Staff: 143
Inspection Report Renewal Deficiencies: 0 Nov 17, 2022
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing licensing inspections on 11/17/2022 and 11/18/2022 for the facility.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report Monitoring Census: 66 Capacity: 84 Deficiencies: 3 Oct 12, 2022
Visit Reason
The inspection was a monitoring visit conducted on 10/11/2022 and 10/12/2022 to review compliance with licensing requirements at Springfield Crossings.
Findings
The inspection identified deficiencies including lack of criminal background checks for unsupervised construction workers, indoor temperature below the required minimum in a resident area, and bathrooms lacking operable windows or ventilation fans. Plans of correction were accepted with specified completion dates.
Deficiencies (3)
Description
The home does not have criminal background checks for the construction workers who were working unsupervised in the home on 10/12/22.
On 10/12/22 at 9:48 am, the temperature in the third floor TV room was 67 degrees Fahrenheit, below the required 70°F.
Bathrooms do not have operable windows or ventilation fans for proper ventilation.
Report Facts
License Capacity: 84 Residents Served: 66 Total Daily Staff: 73 Waking Staff: 55 Current Residents on Hospice: 7 Residents 60 Years or Older: 66 Residents with Mobility Need: 7
Inspection Report Plan of Correction Deficiencies: 0 Oct 11, 2022
Visit Reason
The document reports on the Pennsylvania Department of Human Services, Bureau of Human Service Licensing review conducted on 10/11/2022 and 10/12/2022 to determine if the submitted plan of correction was fully implemented.
Findings
The submitted plan of correction was determined to be fully implemented, and continued compliance must be maintained.
Inspection Report Complaint Investigation Census: 62 Capacity: 84 Deficiencies: 8 Jun 21, 2022
Visit Reason
The inspection was conducted as a complaint and monitoring visit to assess compliance with licensing regulations at Springfield Crossings.
Findings
Multiple violations were found including unsigned resident contracts, presence of black mold, unsanitary conditions, incomplete evacuation diagrams, incomplete medical evaluations, expired medications, improperly stored medications, and medication administration errors.
Complaint Details
The inspection was complaint-related and monitoring in nature, with violations substantiated as detailed in the Licensing Inspection Summary.
Deficiencies (8)
Description
Resident-home contracts for residents #1 and #2 were not signed by the residents, and POA did not have authority to sign binding contracts.
Black mold found along baseboard of resident room 115 and under wallpaper in nursing office.
Water stained ceiling tiles, rusted ceiling light fixture, frayed carpet causing tripping hazard, cobwebs on door handle, and dirt and water stains in resident room 313.
Emergency evacuation diagram did not include line of travel.
Resident #6's medical evaluation did not include dietary needs.
Expired medication (Geri-Lanta Sus) found in medication cart for resident #4.
Resident #5's eye drops were opened and not dated as required by manufacturer instructions.
Resident #3 was administered incorrect dosages of Seroquel and Alprazolam; resident #4's prescribed Ondansetron was not available for administration.
Report Facts
License Capacity: 84 Residents Served: 62 Staffing Hours: 77 Waking Staff: 58 Current Residents in Hospice: 6 Residents with Mental Illness: 2 Residents with Intellectual Disability: 1 Residents with Mobility Need: 15
Inspection Report Renewal Census: 62 Capacity: 84 Deficiencies: 17 Feb 23, 2022
Visit Reason
The inspection was a renewal licensing inspection conducted on February 23, 2022, to assess compliance with Pennsylvania Department of Human Services regulations for Personal Care Homes.
Findings
The inspection identified multiple violations including failure to post current licensing documents, delayed incident reporting, inadequate personal hygiene assistance, lack of resident participation in support plan development, ventilation and HVAC issues, missing emergency telephone numbers, incomplete medical evaluations and assessments, medication administration errors, and deficiencies in resident records and contracts. A provisional license was issued based on an acceptable plan of correction.
Deficiencies (17)
Description
The home's most recent Licensing Inspection Summary was not posted in a conspicuous and public place.
Incident of missing oxycodone pills was not reported to the Department within 24 hours as required.
Resident #2 did not receive shower assistance as scheduled during multiple weeks.
Residents #2 and #3 were not offered the opportunity to participate in the development of their support plans.
Resident rooms lacked operable ventilation in bathrooms; HVAC unit inoperable since 10/13/2021.
Emergency telephone numbers were not posted by telephones in certain resident rooms.
Medical evaluations for several residents were missing or incomplete.
Staff person administered medications without current certification.
Discontinued medications were found in the medication cart.
Resident #10 was missing prescribed medications at time of inspection.
Resident preadmission screening forms and assessments were missing or incomplete for several residents.
Support plans were incomplete, unsigned, or residents refused to sign without notation.
Resident abuse incident involving missing oxycodone was not reported to the Department of Aging.
Resident contracts were not signed by residents who were capable of signing.
Second floor stairwell door was locked with keypad blocking egress without directions or approval.
Portable space heaters were used in common areas despite prohibition.
Emergency procedures were not posted in a conspicuous and public place.
Report Facts
License Capacity: 84 Residents Served: 62 Resident Support Staff Hours: 87 Total Daily Staff Hours: 161 Waking Staff Hours: 121 Number of Residents with Mobility Need: 12 Number of Residents with Physical Disability: 2 Number of Residents Age 60 or Older: 62 Number of Current Hospice Residents: 2
Notice Capacity: 84 Deficiencies: 0 Sep 7, 2021
Visit Reason
This document serves as a renewal notification and issuance of a regular license for Springfield Crossings Personal Care Home, confirming receipt of the renewal application and advising of the requirement for an annual inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it is a licensing and renewal notification letter accompanied by a certificate of compliance.
Report Facts
Maximum licensed capacity: 84
Employees Mentioned
NameTitleContext
Jamie L. BuchenauerDeputy Secretary, Office of Long-term LivingSigned the renewal notification letter.
Inspection Report Follow-Up Census: 62 Capacity: 84 Deficiencies: 2 Jul 19, 2021
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a submitted plan of correction related to previous citations found during the licensing inspection on 07/19/2021.
Findings
The submitted plan of correction was determined to be fully implemented and acceptable. Two deficiencies were cited: failure to immediately report suspected resident abuse to the local area agency on aging, and incomplete documentation in a resident's support plan regarding medical/dental care needs related to transferring assistance.
Deficiencies (2)
Description
Failure to immediately report suspected abuse of a resident to the local area agency on aging.
Resident support plan did not document how increased assistance needs for transferring would be met.
Report Facts
Residents Served: 62 License Capacity: 84 Number of Residents with Mobility Need: 5 Number of Residents Age 60 or Older: 62
Inspection Report Monitoring Census: 60 Capacity: 84 Deficiencies: 3 Jun 17, 2021
Visit Reason
The visit was a partial, unannounced monitoring inspection conducted on 06/17/2021 to review compliance and the implementation of the submitted plan of correction.
Findings
The facility was found to have deficiencies related to contract signatures, signed statements acknowledging receipt of resident rights and complaint procedures, and resident education on the right to refuse medication. The submitted plan of correction was determined to be fully implemented.
Deficiencies (3)
Description
Resident #1 did not sign their contract, nor was there documentation that they were unable or refused to sign.
Resident #1's record did not contain a statement signed by the resident acknowledging receipt of a copy of the resident rights and complaint procedures.
Resident #1 has not been educated on the right to refuse medication if the resident believes there may be a medication error.
Report Facts
License Capacity: 84 Residents Served: 60 Total Daily Staff: 64 Waking Staff: 48
Employees Mentioned
NameTitleContext
Executive DirectorVisited Resident #1 in Skilled Rehab and involved in plan of correction implementation

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