Inspection Reports for The Addison of Logan Place
139 Craigdell Rd, Lower Burrell, PA 15068, United States, PA, 15068
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 37
Capacity: 47
Deficiencies: 0
Feb 9, 2024
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received by the Bureau of Human Service Licensing.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Complaint Details
The inspection was complaint-related with a partial, unannounced visit on 02/09/2024. The exit conference was held on 01/30/2024. No deficiencies were found.
Report Facts
Total Daily Staff: 41
Waking Staff: 31
Residents Served: 37
License Capacity: 47
Current Hospice Residents: 8
Residents Age 60 or Older: 37
Residents with Mobility Need: 4
Residents with Physical Disability: 4
Inspection Report
Follow-Up
Census: 40
Capacity: 47
Deficiencies: 3
Oct 10, 2023
Visit Reason
The inspection was conducted as a partial, unannounced incident review following multiple visits on 10/10/2023, 10/13/2023, 10/19/2023, and 10/31/2023 to verify that the submitted plan of correction was fully implemented.
Findings
The report found that the submitted plan of correction was fully implemented and compliance was maintained. Two specific violations were noted: one involving staff disrespect and inappropriate use of cell phones during resident care, and another involving incomplete resident assessments missing diagnoses. Both issues were addressed with corrective actions including staff termination, training, audits, and monitoring.
Deficiencies (3)
| Description |
|---|
| Staff person A and B failed to treat resident #1 with dignity and respect, including inappropriate language and failure to clean up after an incident. |
| Staff person C used a personal cell phone while providing care, violating the home's policy. |
| Resident #1's assessment did not include required diagnoses as indicated on the medical evaluation. |
Report Facts
License Capacity: 47
Residents Served: 40
Current Residents in Hospice: 7
Residents Age 60 or Older: 40
Residents with Mobility Need: 12
Residents with Physical Disability: 2
Total Daily Staff: 52
Waking Staff: 39
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Executive Director | Made aware of incidents, conducted in-service training, and discussed audit results at Quality Assurance Meeting |
| Health and Wellness Director | Health and Wellness Director | Added missing diagnoses to resident assessment and conducted audits |
| Staff Person A | Involved in disrespectful behavior and terminated after investigation | |
| Staff Person B | Involved in disrespectful behavior | |
| Staff Person C | Used personal cell phone during resident care and was suspended and later no longer employed | |
| Business Office Manager | Business Office Manager | Began investigation into incident |
Inspection Report
Follow-Up
Census: 36
Capacity: 47
Deficiencies: 5
Sep 6, 2023
Visit Reason
The visit was a partial, unannounced follow-up inspection triggered by a complaint and incident review to verify the submitted plan of correction was fully implemented.
Findings
The inspection found multiple violations including abuse and neglect of resident #1, improper medication administration involving a medication not prescribed to the resident, use of restraints, and inadequate bedside lighting. The facility implemented corrective actions including staff training, audits, and disciplinary actions against involved staff.
Complaint Details
The inspection was complaint-related, triggered by allegations of abuse and improper medication administration involving resident #1. The complaint was substantiated as violations were found.
Deficiencies (5)
| Description |
|---|
| Resident #1's emergency call pendant was removed and placed out of reach, causing inability to notify staff for assistance, constituting abuse and neglect. |
| Resident #1 was administered medication not prescribed to them, which belonged to another resident, used as chemical restraint. |
| Resident #1 was subjected to restraints by having emergency call pendant removed and inaccessible. |
| Bedside lamp and table were out of reach for resident #1, with no alternative operable lighting at bedside. |
| Medication administration records were not properly documented at the time of administration. |
Report Facts
License Capacity: 47
Residents Served: 36
Current Residents in Hospice: 8
Waking Staff: 33
Total Daily Staff: 44
Call bell usage: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Direct Care Staff Person A | Agency Licensed Practical Nurse | Named in medication error and abuse findings; LPN license reported to State Board of Nursing |
| Executive Director | Notified staffing agency, reported LPN license, conducted staff training and audits | |
| Health and Wellness Director | Responsible for auditing medication administration records and resident apartments |
Inspection Report
Plan of Correction
Deficiencies: 0
Nov 2, 2022
Visit Reason
The visit was conducted to review the submitted plan of correction for the facility following prior inspection findings.
Findings
The Pennsylvania Department of Human Services determined that the submitted plan of correction was fully implemented and compliance must be maintained.
Report Facts
Inspection review dates: Review conducted on 11/02/2022 and 11/03/2022
Inspection Report
Follow-Up
Census: 34
Capacity: 47
Deficiencies: 2
Jun 1, 2022
Visit Reason
The inspection was a follow-up review of the submitted plan of correction related to an incident involving missing resident property and staff misconduct.
Findings
The plan of correction was determined to be fully implemented following the incident where a staff member stole cash and bank cards from a resident. The facility has taken corrective actions including staff termination, reimbursement to the resident, staff in-service training, and implementation of safeguards for resident valuables.
Complaint Details
The visit was incident-related following a report of missing resident property and theft by a staff member. Staff person A was suspended and terminated. The complaint was substantiated through a police investigation.
Deficiencies (2)
| Description |
|---|
| Resident #1 was missing cash, a bank card, and several store and restaurant gift cards, which were stolen by staff person A. |
| The facility did not provide a system to safeguard residents' money and property, lacking secured storage and allowing staff master key access to resident apartments. |
Report Facts
Inspection dates: 3
Residents served: 34
License capacity: 47
Staff total daily: 47
Waking staff: 35
Number of transactions: 5
Inspection Report
Renewal
Census: 36
Capacity: 47
Deficiencies: 10
Nov 22, 2021
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on 11/22/2021 and 11/23/2021 to assess compliance with licensing regulations.
Findings
The inspection identified multiple deficiencies including unsigned resident contracts, missing signed statements acknowledging resident rights, sanitary condition issues, physical site maintenance problems such as fire door and sink issues, lack of bedside lighting for a resident, missing fire extinguisher in the kitchen, incomplete resident education documentation, undated preadmission screening, and incomplete support plan addressing fall risk. Plans of correction were submitted and implemented with follow-up audits and staff in-service trainings scheduled.
Deficiencies (10)
| Description |
|---|
| Resident #1 and #2 resident-home contracts were not signed by the residents. |
| Resident #1 and #2 resident-home contracts did not include a signed statement acknowledging receipt of resident rights and complaint procedures. |
| No paper towels or other safe hand drying means in shared bathroom of residents #3 and #4; strong urine odor in resident #1’s bedroom; used face mask and tissues in resident #5’s bathroom sink. |
| Two fire-safe doors near bedroom #111 did not close securely and rubbed the door frame. |
| Resident #5’s bathroom sink was clogged and not draining properly. |
| Resident #5 did not have an operable lamp or other source of lighting at bedside. |
| No fire extinguisher present in the activity room kitchen containing an operable electric stove. |
| Resident #1 and #2's contracts lacked documentation of education on the right to question or refuse medication. |
| Preadmission screening for resident #2 was undated, making it unclear if completed within 30 days prior to admission. |
| Resident #1’s support plan did not address fall history or plan to address fall risk despite multiple falls. |
Report Facts
License Capacity: 47
Residents Served: 36
Current Hospice Residents: 4
Total Daily Staff: 41
Waking Staff: 31
Residents with Mobility Need: 5
Residents with Physical Disability: 1
Residents 60 Years or Older: 36
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director (ED) | Named in multiple findings related to auditing, in-service training, and plan of correction implementation. | |
| Administrative Coordinator (AC) | Involved in in-service training and auditing related to plan of correction. | |
| Care Services Manager (CSM) | Involved in correcting sanitary conditions and updating resident support plans. | |
| Maintenance Technician (MT) | Performed physical site corrections including cleaning, repairs, and installation of equipment. | |
| Regional Director of Care Services (RDCS) | Provided in-service training to staff on regulations. | |
| Licensed Practical Nurse (LPN) | Documented admission date on preadmission screening as a late entry. |
Notice
Capacity: 47
Deficiencies: 0
Sep 14, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Logan Place Personal Care 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 in this document; it is an administrative notice confirming license renewal and outlining future inspection requirements.
Report Facts
Total licensed capacity: 47
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
Inspection Report
Renewal
Deficiencies: 0
Feb 8, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 02/08/2021.
Findings
No regulatory citations were identified as a result of this inspection.
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