Inspection Reports for The Community at Rockhill
3250 STATE ROAD,, PA, 18960
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
10 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
113% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
58% occupied
Based on a January 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Monitoring
Census: 43
Capacity: 74
Deficiencies: 2
Jan 28, 2025
Visit Reason
The visit was a monitoring inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to review compliance with licensing requirements and verify the submitted plan of correction.
Findings
The facility was found to have medication storage deficiencies, including expired eye drops and punctured blister packs exposing medication to contamination. A plan of correction was submitted and fully implemented by the facility, including staff training and pharmacy consultation to prevent future violations.
Deficiencies (2)
| Description |
|---|
| Medication drops were kept beyond the 90-day discard period after opening. |
| Medication blister packs were punctured, exposing medication to contamination or improper sanitation. |
Report Facts
License Capacity: 74
Residents Served: 43
Total Daily Staff: 43
Waking Staff: 32
Inspection Report
Renewal
Census: 47
Capacity: 74
Deficiencies: 12
Nov 13, 2023
Visit Reason
The inspection was an unannounced renewal inspection conducted on 11/13/2023 to assess compliance with licensing requirements and verify correction of previous deficiencies.
Findings
The facility was found to have multiple deficiencies including unlocked nurse's station with unattended resident charts, missing or incomplete medical evaluations, medication management issues such as discontinued medications remaining in carts, incorrect medication labeling, failure to follow prescriber's orders, incomplete preadmission screening forms, incomplete support plans, and unsigned support plans by residents. Plans of correction were submitted and deemed fully implemented by 01/17/2024.
Deficiencies (12)
| Description |
|---|
| Nurse's station on the 1st floor was unlocked with residents' charts unattended and accessible to anybody. |
| Resident medical evaluation was not completed within 60 days prior to admission or within 30 days after admission. |
| Resident medical evaluation did not include special health or dietary needs and immunization history. |
| Resident annual medical evaluations were not on file. |
| Discontinued medication was found in the home's medication cart. |
| Pharmacy label for medication did not match prescribed dosage and instructions. |
| Controlled substance log was incomplete for medication after resident's death. |
| Medication administration record did not include initials of staff who administered medication. |
| Resident was administered medication twice in one day contrary to prescriber's orders. |
| Resident preadmission screening form did not include determination that the needs of the resident can be met by the home. |
| Resident support plans did not indicate need for dental, vision, hearing, mental health or other behavioral care services. |
| Residents participated in support plan development but did not sign the support plan. |
Report Facts
License Capacity: 74
Residents Served: 47
Staffing Hours - Resident Support Staff: 42
Staffing Hours - Total Daily Staff: 89
Staffing Hours - Waking Staff: 67
Inspection Report
Complaint Investigation
Census: 44
Capacity: 74
Deficiencies: 0
Apr 13, 2023
Visit Reason
The inspection was conducted as a complaint investigation with unannounced partial inspections on 04/13/2023, 04/14/2023, and 04/17/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related as indicated by the reason 'Complaint' in the inspection information. No deficiencies or citations were found.
Report Facts
Total Daily Staff: 44
Waking Staff: 33
Residents Served: 44
License Capacity: 74
Residents Diagnosed with Mental Illness: 1
Residents Aged 60 or Older: 44
Residents Receiving Supplemental Security Income: 0
Residents Diagnosed with Intellectual Disability: 0
Residents with Mobility Need: 0
Residents with Physical Disability: 0
Inspection Report
Complaint Investigation
Census: 45
Capacity: 74
Deficiencies: 7
Mar 17, 2023
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial review of the facility on 03/14/2023, 03/16/2023, and 03/17/2023.
Findings
The inspection found multiple deficiencies including failure to review and sign resident-home contracts, missing signed statements acknowledging receipt of resident rights, malfunctioning wander guard alarm system leading to a resident wandering off, lack of resident education on the right to refuse medication, incomplete preadmission screening forms, and failure to document refusal or inability to sign support plans. A plan of correction was submitted and fully implemented by 04/11/2023.
Complaint Details
The visit was complaint-related as indicated by the inspection reason. The submitted plan of correction was determined to be fully implemented.
Deficiencies (7)
| Description |
|---|
| Resident #1 did not review the resident-home contract dated [redacted]. |
| Resident-home contract for resident #1 was not signed by the resident. |
| Resident #1's record did not contain a signed statement acknowledging receipt of resident rights and complaint procedures. |
| Resident #1, with a history of wandering, was missing for 20 minutes due to a malfunctioning wander guard alarm system. |
| Resident #1 has not been educated on the right to refuse medication if a medication error is suspected. |
| Resident #1’s preadmission screening form did not include a determination that the resident's needs can be met by the home. |
| Resident #1 did not sign the support plan and the home did not document refusal or inability to sign. |
Report Facts
Residents Served: 45
License Capacity: 74
Total Daily Staff: 45
Waking Staff: 34
Duration Resident Missing: 20
Inspection Report
Renewal
Census: 36
Capacity: 74
Deficiencies: 11
Jun 22, 2022
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 06/22/2022 and 06/23/2022 to assess compliance with licensing requirements for THE COMMUNITY AT ROCKHILL.
Findings
The inspection identified multiple deficiencies including missing signatures on resident contracts, lack of resident notification about video surveillance, incomplete staff training records, medication administration errors, obstructed egress routes, and incomplete resident records. Plans of correction were accepted and documented for all deficiencies with follow-up submissions completed.
Deficiencies (11)
| Description |
|---|
| Resident-home contract for resident #1 was not signed by the administrator or a designee. |
| Residents 1, 2, 3, and 4 were not informed at admission about video recording devices at entrances and exits. |
| Staff persons A and B did not complete required training on emergency medical plan and reporting of incidents within 40 scheduled work hours. |
| Training records for staff members C and D did not include any training after orientation. |
| Window screen in room 124 was popped out and leaning against the outside wall. |
| Expandable net blocked stairway egress from Garden View and Sky View to fitness center and fire exit. |
| Medication error: Resident #2 received 2 units of insulin instead of 1 unit due to incorrect glucometer reading recorded in MAR. |
| Staff person C administered insulin without current Department-approved diabetes education certification. |
| Medication administration training record for staff person C lacked documentation of successful diabetes education completion. |
| Resident #2's preadmission screening form was not completed. |
| Resident #2's record did not include the preadmission screening. |
Report Facts
License Capacity: 74
Residents Served: 36
Staffing Hours: 36
Waking Staff: 27
Hospice Residents: 1
Deficiency Repeat Violation Date: Apr 5, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Keller | Administrator | Named as facility administrator. |
| Staff person A | Named in training deficiency for incomplete emergency medical plan and incident reporting training. | |
| Staff person B | Named in training deficiency for incomplete emergency medical plan and incident reporting training. | |
| Staff member C | Named in medication administration and training record deficiencies related to diabetes education. | |
| Staff member D | Named in training record deficiency for lack of training after orientation. |
Inspection Report
Follow-Up
Census: 40
Capacity: 74
Deficiencies: 3
Mar 15, 2022
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to review the submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to staffing and resident safety issues, including call bell response times, bed safety, and resident assessments. Continued compliance was required.
Deficiencies (3)
| Description |
|---|
| Resident #1 was left on the floor after a fall until staff assistance was available, not meeting the resident's assessment and support plan requirements. |
| The facility failed to ensure the safety of resident #1's hospital bed, specifically that the wheels were locked, leading to a fall during transfer. |
| Resident #2's assessment was not updated to reflect the use of a walker after a significant change in mobility. |
Report Facts
License Capacity: 74
Residents Served: 40
Current Hospice Residents: 3
Total Daily Staff: 40
Waking Staff: 30
Inspection Report
Complaint Investigation
Census: 42
Capacity: 74
Deficiencies: 0
Sep 17, 2021
Visit Reason
The inspection was conducted as a complaint investigation at THE COMMUNITY AT ROCKHILL on 09/17/2021.
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 substantiated.
Report Facts
License Capacity: 74
Residents Served: 42
Total Daily Staff: 43
Waking Staff: 32
Residents Age 60 or Older: 42
Residents with Mobility Need: 1
Residents with Physical Disability: 1
Inspection Report
Renewal
Census: 38
Capacity: 74
Deficiencies: 5
Apr 5, 2021
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for THE COMMUNITY AT ROCKHILL.
Findings
The inspection found several deficiencies including delayed refund processing after a resident's death, sanitary condition issues with ice machines and refrigerators, uncovered trash receptacles, and medication documentation errors. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (5)
| Description |
|---|
| Refund to resident's estate after death was completed more than 30 days late. |
| Sanitary conditions not maintained: white residue and mold found on ice machines, refrigerators, and water fountains in serving kitchen areas. |
| Uncovered, unattended trash can found in dining room serving kitchen. |
| Medication administration record discrepancy: glucometer reading 470 vs documented 460. |
| Medication administration date/time not recorded at time of administration on narcotics log. |
Report Facts
License Capacity: 74
Residents Served: 38
Current Hospice Residents: 1
Medication Glucometer Reading: 470
Medication Documentation Reading: 460
Medication Administration Time Recorded: 1015
Notice
Capacity: 74
Deficiencies: 0
Apr 2, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for The Community at Rockhill 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 confirms the issuance of a regular license following the renewal application and outlines the Department's obligation to conduct an annual inspection.
Report Facts
Maximum capacity: 74
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Loading inspection reports...
