Inspection Reports for The Addison of Uniontown

660 Cherry Tree Ln, Uniontown, PA 15401, United States, PA, 15401

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Deficiencies per Year

16 12 8 4 0
2021
2022
2023
2024
2025
Unclassified

Census Over Time

0 20 40 60 May '21 May '22 Jan '23 Dec '23 Jan '25 Aug '25
Census Capacity
Inspection Report Renewal Census: 37 Capacity: 47 Deficiencies: 4 Aug 19, 2025
Visit Reason
The inspection visit was conducted as a renewal inspection of the facility license.
Findings
The inspection found several deficiencies including improper placement of carbon monoxide detectors, unsigned resident contract, incomplete staff training, and medication labeling issues. Plans of correction were submitted and determined to be fully implemented.
Deficiencies (4)
Description
Carbon monoxide detector located approximately 8ft from the closest gas furnace, not meeting the required 15 feet distance.
Resident #1's resident-home contract was not signed by the resident.
Direct care staff person A did not receive required training on meeting resident needs and safe management techniques during the 2024 training year.
Resident #2's medication label did not include the '6 units subcutaneously as needed' portion of the order.
Report Facts
License Capacity: 47 Residents Served: 37 Total Daily Staff: 49 Waking Staff: 37 Current Hospice Residents: 5 Residents 60 Years or Older: 37 Residents with Mobility Need: 12 Staff Training Audit Frequency: 3 Medication Label Audits: 5
Employees Mentioned
NameTitleContext
Director of Plant OperationsPlaced carbon monoxide detector in compliant location and reviewed placement of all detectors.
Executive Director (ED)Educated staff on regulations, conducted audits, and oversaw plans of correction.
Lead Medication TechnicianReviewed medication labels for accuracy.
Business Office ManagerEducated on contract signature regulation.
Community Relations DirectorEducated on contract signature regulation.
Inspection Report Follow-Up Census: 36 Capacity: 47 Deficiencies: 2 Apr 14, 2025
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by a complaint and incident to review the submitted plan of correction for the facility.
Findings
The submitted plan of correction was determined to be fully implemented. Deficiencies related to resident abuse and fire drill scheduling were addressed with training, monitoring, and quality assurance reviews.
Complaint Details
The visit was complaint-related and incident-driven. The complaint involved resident to resident abuse which was substantiated by the findings.
Deficiencies (2)
Description
Resident to resident abuse involving inappropriate physical and verbal conduct causing embarrassment and fear.
Failure to conduct fire drills during the 10:00pm-6:00am shift with only two staff persons within the past year.
Report Facts
License Capacity: 47 Residents Served: 36 Current Hospice Residents: 7 Residents with Mobility Need: 19 Staff Total Daily: 55 Staff Waking: 41 Plan of Correction Directed Date: May 9, 2025 Plan of Correction Directed Completion Date: May 29, 2025 Plan of Correction Proposed Overall Completion Date: Jun 16, 2025 Fire Drill Conducted Date: Apr 21, 2025 Next Quality Assurance Review Date: May 29, 2025
Inspection Report Complaint Investigation Census: 37 Capacity: 47 Deficiencies: 0 Jan 30, 2025
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection of the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related as explicitly stated under Inspection Information with Reason: Complaint. No deficiencies or citations were found.
Report Facts
License Capacity: 47 Residents Served: 37 Current Hospice Residents: 7 Residents Diagnosed with Mental Illness: 1 Residents with Mobility Need: 15 Residents Age 60 or Older: 37 Resident Support Staff: 0 Total Daily Staff: 52 Waking Staff: 39
Inspection Report Follow-Up Census: 11 Capacity: 36 Deficiencies: 1 Apr 17, 2024
Visit Reason
The inspection was conducted as a follow-up to review the submitted plan of correction related to a change in legal entity at the facility.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. A deficiency was noted regarding fire extinguisher inspections, which had not been conducted annually as required, but a plan of correction was accepted and implemented.
Deficiencies (1)
Description
Fire extinguishers had not been inspected and approved annually by a fire safety expert; last inspection was February 2023.
Report Facts
License Capacity: 36 Residents Served: 36 Current Residents: 11 Total Daily Staff: 56 Waking Staff: 42 Residents with Mobility Need: 20
Inspection Report Renewal Census: 28 Capacity: 47 Deficiencies: 14 Dec 6, 2023
Visit Reason
The inspection was conducted as a renewal and complaint investigation visit to assess compliance with licensing regulations and to review the submitted plan of correction.
Findings
The inspection identified multiple deficiencies including failure to post the current license, breaches in record confidentiality, staff qualification issues, incomplete training, safety hazards, and documentation errors in resident support plans. All deficiencies had plans of correction accepted and were implemented by January 2024.
Deficiencies (14)
Description
The home's current license was not posted; the posted license was expired.
Privacy coding document with resident names was improperly posted, breaching confidentiality.
Direct care staff person A lacked a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Direct care staff person A did not complete the Department-approved direct care training course and competency test before providing unsupervised ADL services.
Staff person A did not receive required fire safety training during 2022.
Resident's bedside enabler was not securely attached to the bed and posed a hazard.
Dumpster lid was open with approximately 6 bags of trash exposed.
Emergency telephone numbers were not posted by the kitchen telephone with an outside line.
Combustible paper manuals were improperly stored near a furnace.
More than 6 months elapsed between the last two fire drills conducted during sleeping hours.
Menus were posted in the kitchen but not in a conspicuous and public place accessible to residents.
A bottle of Ibuprofen was found unsecured in the kitchen cabinet.
Resident support plan did not document intended use, risks, or safe use ability for a bed enabler device; also lacked indication of need for 2-person assistance for transfers.
Resident participated in support plan development but did not sign the plan, nor was refusal or inability to sign documented.
Report Facts
License Capacity: 47 Residents Served: 28 Total Daily Staff: 38 Waking Staff: 29 Trash Bags: 6 Bedside Enabler Dimensions: 10.5 Bedside Enabler Dimensions: 6 Phones Audited Weekly: 6
Inspection Report Complaint Investigation Census: 28 Capacity: 47 Deficiencies: 0 Feb 10, 2023
Visit Reason
The inspection was conducted as a complaint investigation at Marquis Gardens Place on 02/10/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
Resident census: 28 Total licensed capacity: 47 Current hospice residents: 8 Staffing hours: 36 Staffing hours: 27
Inspection Report Plan of Correction Census: 27 Capacity: 47 Deficiencies: 1 Jan 24, 2023
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility.
Findings
The facility submitted an incident report indicating a staff member was suspended pending investigation; however, the staff member was working under a plan of supervision during that time. The plan of correction included audits, re-education of staff, and updated reporting procedures to ensure compliance with incident reporting regulations.
Deficiencies (1)
Description
Failure to report the incident or condition to the Department within 24 hours as required, specifically regarding a staff person working under a plan of supervision while being reported as suspended.
Report Facts
License Capacity: 47 Residents Served: 27 Current Hospice Residents: 6 Total Daily Staff: 35 Waking Staff: 26
Inspection Report Follow-Up Census: 27 Capacity: 47 Deficiencies: 4 Jan 18, 2023
Visit Reason
The inspection visit was a partial, unannounced follow-up review triggered by an incident involving allegations of resident abuse and failure to report, to verify that the submitted plan of correction was fully implemented.
Findings
The facility was found to have failed to immediately report suspected resident abuse and failed to suspend or supervise involved staff promptly. There were verbal and physical abuse allegations against staff person B involving residents. The facility submitted a plan of correction which was accepted and fully implemented by the time of this follow-up inspection.
Complaint Details
The visit was complaint-related due to allegations of physical and verbal abuse by staff person B against residents #1 and #2. The allegations were substantiated by witness accounts and investigation findings.
Deficiencies (4)
Description
Failure to immediately report suspected abuse of residents to the Area Agency on Aging and Department within required timeframes.
Failure to immediately suspend or implement a plan of supervision for staff person involved in abuse allegations.
Failure to immediately notify the Department of staff suspension or plan of supervision.
Resident #2 was verbally and physically abused by staff person B, including use of profanity and throwing the resident's walker.
Report Facts
License Capacity: 47 Residents Served: 27 Current Residents in Hospice: 6 Staffing Hours - Total Daily Staff: 31 Staffing Hours - Waking Staff: 23 Residents Age 60 or Older: 27 Residents with Mobility Need: 4 Residents with Physical Disability: 1
Inspection Report Renewal Census: 23 Capacity: 47 Deficiencies: 4 May 18, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection identified several deficiencies including exterior hazards, lint accumulation in dryers, and medication management issues. Plans of correction were accepted and implemented with follow-up audits and staff education scheduled to ensure continued compliance.
Deficiencies (4)
Description
Hole in the ground along the inside corner of the rear sidewalk measuring approximately 10" long by 5" wide and 7" deep.
Thin layer of lint on lint filters in multiple dryers in the laundry room.
Discontinued medication found in resident #1's medication cart.
Discrepancy between blood glucose readings and documentation for resident #2.
Report Facts
License Capacity: 47 Residents Served: 23 Current Hospice Residents: 4 Residents with Mobility Need: 8 Staffing Hours: 31 Waking Staff: 23
Employees Mentioned
NameTitleContext
Care Service ManagerCSMNamed in medication destruction and medication audit findings.
Executive DirectorEDNamed in education of maintenance tech and staff regarding compliance and medication documentation.
Inspection Report Census: 20 Capacity: 47 Deficiencies: 0 Mar 17, 2022
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 during the inspection.
Report Facts
License Capacity: 47 Residents Served: 20 Current Hospice Residents: 2 Residents with Mobility Need: 7 Total Daily Staff: 27 Waking Staff: 20
Notice Capacity: 47 Deficiencies: 0 Jul 11, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Marquis Gardens 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 a license renewal notice and certificate of compliance.
Report Facts
Maximum licensed capacity: 47
Employees Mentioned
NameTitleContext
Jamie L. BuchenauerDeputy Secretary, Office of Long-term LivingSigned the renewal notification letter
Inspection Report Renewal Census: 26 Capacity: 47 Deficiencies: 4 May 25, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The facility was found to have deficiencies related to uncovered trash receptacles, menu posting, medication labeling, and medication administration record documentation. The submitted plan of correction was determined to be fully implemented.
Deficiencies (4)
Description
Two partially full, uncovered trash cans in the kitchen.
The menu posted in the home ended on 5/30/21 and was not posted one week in advance.
The pharmacy label for a prescribed medication did not include all physician orders and instructions.
Medication administration record was not initialed by staff who administered medications on 5/14/21.
Report Facts
License Capacity: 47 Residents Served: 26 Current Hospice Residents: 1 Total Daily Staff: 35 Waking Staff: 26

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