Inspection Reports for The Atrium of Allentown
5767 CETRONIA ROAD,, PA, 18106
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
12.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
162% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
28
21
14
7
0
Census
Latest occupancy rate
79% occupied
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 81
Capacity: 103
Deficiencies: 1
Jul 8, 2025
Visit Reason
The inspection was a partial, unannounced incident review conducted on 07/08/2025 to verify the implementation of a submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. A violation was noted regarding smoking area guidelines where cigarette butts were found outside a rear exit door, which was promptly addressed by the facility.
Deficiencies (1)
| Description |
|---|
| Two cigarette butts were observed lying in the mulch outside the rear exit door near room [redacted]. |
Report Facts
License Capacity: 103
Residents Served: 81
Secured Dementia Care Unit Capacity: 30
Secured Dementia Care Unit Residents Served: 25
Current Hospice Residents: 10
Residents Are 60 Years of Age or Older: 106
Residents Have Mobility Need: 30
Total Daily Staff: 111
Waking Staff: 83
Notice
Deficiencies: 0
May 15, 2025
Visit Reason
The document serves to notify The Atrium of Allentown that their request to waive specific Pennsylvania Code requirements regarding preadmission screening and medical evaluation forms has been granted.
Findings
The waiver allows the facility to use TabulaPro forms in lieu of Department-specified forms for preadmission screening and medical evaluations, subject to review during the annual inspection and compliance with conditions.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 103
Deficiencies: 0
Apr 23, 2025
Visit Reason
The inspection was conducted as a complaint investigation at THE ATRIUM OF ALLENTOWN facility on 04/23/2025.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was triggered by a complaint, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 103
Residents Served: 75
Secured Dementia Care Unit Capacity: 30
Secured Dementia Care Unit Residents Served: 22
Current Hospice Residents: 10
Resident Age 60 or Older: 97
Residents with Mobility Need: 27
Inspection Report
Follow-Up
Census: 80
Capacity: 103
Deficiencies: 3
Mar 26, 2025
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to complaints and incidents at the facility.
Findings
The facility was found to have fully implemented the submitted plan of correction. Deficiencies related to resident supervision, smoking area guidelines, and key-locking device signage were corrected with education and procedural changes.
Complaint Details
The inspection was complaint-related, triggered by incidents involving resident elopement and safety concerns. The plan of correction was accepted and fully implemented.
Deficiencies (3)
| Description |
|---|
| Failure to follow resident's plan of supervision in the home, resulting in resident eloping from the secured dementia care unit. |
| Smoking area had cigarette butts outside the designated area, indicating failure to maintain proper fire safety safeguards. |
| No codes were posted to operate the key locking devices at the doors exiting the secured dementia care unit. |
Report Facts
License Capacity: 103
Residents Served: 80
Residents in Secured Dementia Care Unit: 19
Current Hospice Residents: 9
Residents with Mobility Need: 24
Cigarette Butts Found: 15
Inspection Report
Follow-Up
Census: 71
Capacity: 103
Deficiencies: 3
Feb 25, 2025
Visit Reason
The inspection was an unannounced partial inspection conducted due to a complaint and incident.
Findings
The inspection found deficiencies related to incomplete annual medical evaluations, missing wound care documentation in resident assessments, and unsigned support plans. The facility submitted plans of correction which were determined to be fully implemented by the follow-up review.
Complaint Details
The inspection was triggered by a complaint and incident, as stated under Inspection Information on page 2.
Deficiencies (3)
| Description |
|---|
| The Annual Medical Evaluation for a resident did not include a medication list or the resident’s body temperature at the time they were evaluated. |
| The Annual Resident Assessment and Support Plan did not indicate the resident's need for wound care or the name of the agency providing the care. |
| The Annual Resident Assessment and Support Plan was not signed by the resident nor did it indicate why the resident did not sign it. |
Report Facts
License Capacity: 103
Residents Served: 71
Memory Care Capacity: 30
Memory Care Residents Served: 23
Current Hospice Residents: 8
Total Daily Staff: 103
Waking Staff: 77
Residents Age 60 or Older: 71
Residents with Mobility Need: 32
Inspection Report
Complaint Investigation
Census: 81
Capacity: 103
Deficiencies: 1
Oct 30, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation at THE ATRIUM OF ALLENTOWN.
Findings
The submitted plan of correction was found to be fully implemented following the inspection. A deficiency was noted regarding the resident preadmission screening form not including a determination that the resident's needs could be met by the facility, which was corrected immediately after the inspection.
Complaint Details
The inspection was complaint-related, with the reason stated as Complaint, Incident. The plan of correction was accepted on 11/27/2024 and fully implemented by 12/04/2024.
Deficiencies (1)
| Description |
|---|
| Resident preadmission screening form did not include a determination that the needs of the resident can be met by the services provided by the home. |
Report Facts
License Capacity: 103
Residents Served: 81
Secured Dementia Care Unit Capacity: 25
Secured Dementia Care Unit Residents Served: 25
Hospice Current Residents: 10
Total Daily Staff: 106
Waking Staff: 80
Inspection Report
Follow-Up
Census: 79
Capacity: 103
Deficiencies: 2
Oct 24, 2024
Visit Reason
The inspection was conducted as a partial, unannounced incident investigation to review the submitted plan of correction related to a resident-to-resident incident involving abuse and support plan revision.
Findings
The facility was found to have implemented the submitted plan of correction fully, including separating residents involved in an incident, conducting medication review, retraining staff on abuse and neglect, and updating the support plan to reflect behavioral changes and increased monitoring.
Deficiencies (2)
| Description |
|---|
| Resident was observed pulling the hair of another resident after a verbal confrontation, causing visible injuries. |
| The resident's support plan was not updated to reflect behaviors and increased monitoring after the incident. |
Report Facts
License Capacity: 103
Residents Served: 79
Secured Dementia Care Unit Capacity: 30
Secured Dementia Care Unit Residents Served: 25
Current Hospice Residents: 10
Residents with Mobility Need: 25
Residents 60 Years or Older: 79
Residents Diagnosed with Mental Illness: 1
Inspection Report
Plan of Correction
Census: 71
Capacity: 103
Deficiencies: 4
Aug 28, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted on 08/28/2024 due to an incident, with a focus on reviewing the submitted plan of correction.
Findings
The submitted plan of correction was found to be fully implemented. Deficiencies involved incomplete documentation on medical evaluation forms and support plans, including missing health status and cognitive functioning checks, unsigned support plans, and lack of indication for secure dementia care needs. Corrective actions included retraining staff, updating documentation, and audits to ensure compliance.
Deficiencies (4)
| Description |
|---|
| The Documentation of medication evaluation (DME) form did not have the information under Health Status and Cognitive Functioning checked off. |
| The support plan was not signed by the person who completed the support plan. |
| The support plan was not signed by the resident and there was no indication that the resident was unable to or refused to sign the support plan. |
| The DME form did not indicate the need for secure dementia care for a resident admitted to the secure dementia care unit. |
Report Facts
License Capacity: 103
Residents Served: 71
Secured Dementia Care Unit Capacity: 30
Residents Served in Secured Dementia Care Unit: 21
Hospice Residents: 10
Residents 60 Years or Older: 71
Residents with Intellectual Disability: 1
Residents with Mobility Need: 24
Total Daily Staff: 95
Waking Staff: 71
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Contacted provider to update DME forms and signed support plan after inspection; retrained on compliance requirements | |
| Executive Director | Met with Director of Nursing and Care Coordinator to provide retraining; conducted witnessed attempts for resident signature; reviewed care plans for compliance |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 80
Deficiencies: 2
Jun 5, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation during an unannounced partial inspection on 06/05/2024.
Findings
The facility was found to have failed to report an incident to the Department within 24 hours as required, and a privacy violation occurred when staff entered a resident's room without permission. Plans of correction were accepted and implemented by 08/01/2024.
Complaint Details
The inspection was complaint-related with substantiated violations including failure to timely report an incident and a privacy violation involving unauthorized room entry by staff.
Deficiencies (2)
| Description |
|---|
| Failure to report an incident to BHSL within 24 hours as required. |
| Staff entered a resident's room without permission to eat lunch while the resident was not in the building, violating resident privacy rights. |
Report Facts
License Capacity: 80
Residents Served: 63
Residents in Secured Dementia Care Unit: 21
Current Hospice Residents: 6
Residents with Mobility Need: 21
Residents Age 60 or Older: 63
Inspection Report
Complaint Investigation
Census: 59
Capacity: 80
Deficiencies: 0
Apr 30, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 04/30/2024.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and no follow-up was required.
Report Facts
License Capacity: 80
Residents Served: 59
Secured Dementia Care Unit Capacity: 30
Secured Dementia Care Unit Residents Served: 21
Hospice Current Residents: 5
Residents Age 60 or Older: 58
Residents with Mobility Need: 21
Residents Diagnosed with Intellectual Disability: 1
Residents with Physical Disability: 1
Inspection Report
Follow-Up
Census: 57
Capacity: 80
Deficiencies: 5
Feb 15, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 02/15/2024 to review the implementation of a previously submitted plan of correction at THE ATRIUM OF ALLENTOWN.
Findings
The facility was found to have fully implemented the submitted plan of correction. Deficiencies related to outdated food, lint removal and duct cleaning, self-administration assessment, medication and syringes security, and following prescriber's orders were addressed with new procedures and ongoing compliance measures.
Deficiencies (5)
| Description |
|---|
| Outdated or spoiled food found in the kitchen walk-in refrigerator; green bell peppers were not labeled or dated and showed signs of mold. |
| Lint ducts on the outside of the building were not cleaned; lint was caked and sprayed on siding. |
| Resident had medication at bedside and was not evaluated to be able to self-administer medication. |
| Resident had unlocked and accessible medications and syringes in bedroom at time of inspection. |
| Resident's medication was held despite systolic blood pressure being above the prescribed threshold for holding medication. |
Report Facts
License Capacity: 80
Residents Served: 57
Secured Dementia Care Unit Capacity: 16
Residents Served in Dementia Unit: 16
Hospice Current Residents: 4
Residents 60 Years or Older: 57
Residents with Mobility Need: 19
Residents Diagnosed with Intellectual Disability: 1
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 57
Capacity: 80
Deficiencies: 1
Jan 17, 2024
Visit Reason
The inspection was conducted as a complaint investigation with unannounced partial inspections on 01/17/2024 and 01/25/2024, followed by an off-site review on 02/02/2024.
Findings
The submitted plan of correction was found to be fully implemented following the complaint investigation. The deficiency involved failure of staff to respond timely to a resident's call bell for assistance, which led the resident to call 911. Staff training was conducted to address call bell response expectations.
Complaint Details
The visit was complaint-related, with the complaint substantiated by findings of staff failing to respond timely to a resident's call bell, leading to emergency services being called.
Deficiencies (1)
| Description |
|---|
| Staff failed to respond and provide a resident with assistance in a timely manner after the resident used their call bell for bathroom assistance, resulting in the resident calling 911 for help. |
Report Facts
License Capacity: 80
Residents Served: 57
Secured Dementia Care Unit Capacity: 16
Secured Dementia Care Unit Residents Served: 16
Hospice Current Residents: 4
Resident Mobility Need: 19
Residents 60 Years or Older: 57
Residents Diagnosed with Intellectual Disability: 1
Residents with Physical Disability: 1
Total Daily Staff: 77
Waking Staff: 58
Resident Support Staff: 1
Inspection Report
Renewal
Census: 52
Capacity: 80
Deficiencies: 27
Dec 6, 2023
Visit Reason
The inspection was conducted for renewal, complaint, and incident reasons, including a full unannounced inspection on 12/06/2023 and a follow-up on 12/12/2023.
Findings
The inspection identified multiple deficiencies including unsecured resident records, expired boiler inspection, missing contract signatures and fee schedules, privacy concerns with voice-controlled devices, delayed criminal background checks, inadequate first aid/CPR trained staff, lighting and maintenance issues, fire safety concerns, medication administration errors, and incomplete resident assessments. Plans of correction were accepted and implemented with ongoing compliance responsibilities assigned.
Deficiencies (27)
| Description |
|---|
| The door to the facility's Wellness Office containing confidential resident records was unlocked and unattended, allowing public access. |
| The batteries in the carbon monoxide detector in the kitchen were last changed over a year ago, violating annual replacement requirements. |
| The home's boiler inspection was expired and lacked an updated certificate. |
| Resident contracts for Resident #3 and Resident #6 were not signed by the residents. |
| Resident contracts for Resident #7 and Resident #8 did not include a fee schedule. |
| Resident #3 and Resident #6 did not sign a statement acknowledging receipt of residents' rights and complaint procedures. |
| The home used voice-controlled listening devices without a policy to maintain resident privacy. |
| Direct care and dietary staff did not have criminal background checks completed within 30 days of hire. |
| Insufficient staff trained in First Aid and CPR were present during certain hours and shifts. |
| Two ceiling lights in the 2nd floor laundry room did not work and one light was flickering. |
| The light covering in the kitchen near the stove and refrigerator was discolored and damaged. |
| The fire door next to Room #217 was propped open with a broken magnet; a basement door handle was broken and propped open. |
| No toilet paper was found in the women's restroom bathroom stalls in the lobby area. |
| Leftover food in the kitchen refrigerator was not labeled or dated. |
| The freezer section of a refrigerator lacked a thermometer. |
| Lint and combustible materials were found behind a dryer, posing a fire hazard. |
| Fire drill records were incomplete, missing the number of staff participating in a drill. |
| The home failed to conduct required fire drills during sleeping hours within the last 6 months. |
| Fire drills were not held on different days and times as required, with no drill conducted with only 3rd shift staff. |
| Residents #1, #2, and #3 were not assessed for ability to self-administer medications; medications were found unsecured in their rooms. |
| Medications and syringes were found unlocked and accessible in residents' bedrooms. |
| Resident #1's medication record was erroneously documented indicating medication was administered when it was not. |
| Resident #4 and Resident #5 had medication administration errors related to holding or administering medications per prescriber orders. |
| Residents #3 and #6 did not receive education on their right to question or refuse medications. |
| Resident #1's support plan lacked required documentation regarding use of a bed enabler device. |
| Resident #9's medical evaluation did not include a diagnosis of Alzheimer's disease or dementia as required for secured dementia care unit placement. |
| Key-locking devices at several exits did not have posted codes for operation. |
Report Facts
License Capacity: 80
Residents Served: 52
Secured Dementia Care Unit Capacity: 30
Secured Dementia Care Unit Residents Served: 13
Hospice Current Residents: 4
Residents Age 60 or Older: 52
Residents with Mobility Need: 18
Residents with Physical Disability: 1
Total Daily Staff: 70
Waking Staff: 53
Inspection Report
Complaint Investigation
Census: 40
Capacity: 80
Deficiencies: 0
May 3, 2023
Visit Reason
The inspection was conducted as a complaint investigation at THE ATRIUM OF ALLENTOWN facility on 05/03/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was a complaint investigation with a partial, unannounced visit. No deficiencies were found and no follow-up was required.
Report Facts
License Capacity: 80
Residents Served: 40
Secured Dementia Care Unit Capacity: 30
Secured Dementia Care Unit Residents Served: 12
Hospice Current Residents: 4
Residents with Mobility Need: 14
Residents Age 60 or Older: 40
Inspection Report
Complaint Investigation
Census: 39
Capacity: 80
Deficiencies: 0
Apr 18, 2023
Visit Reason
The inspection was conducted as a complaint investigation at THE ATRIUM OF ALLENTOWN facility on 04/18/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was triggered by a complaint; however, no deficiencies or citations were found.
Report Facts
License Capacity: 80
Residents Served: 39
Secured Dementia Care Unit Capacity: 30
Secured Dementia Care Unit Residents Served: 12
Residents with Mobility Need: 12
Residents Age 60 or Older: 39
Inspection Report
Plan of Correction
Deficiencies: 0
Sep 22, 2022
Visit Reason
The visit was conducted as a review of the submitted plan of correction for the facility following prior deficiencies.
Findings
The Pennsylvania Department of Human Services determined that the submitted plan of correction is fully implemented and that continued compliance must be maintained.
Inspection Report
Census: 2
Capacity: 80
Deficiencies: 0
Apr 27, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 04/27/2022.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 2
License Capacity: 80
Secured Dementia Care Unit Capacity: 30
Secured Dementia Care Unit Residents Served: 0
Hospice Current Residents: 0
Total Daily Staff: 2
Waking Staff: 2
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