Inspection Reports for
The Glen at Willow Valley
675 WILLOW VALLEY SQUARE,, LANCASTER, PA, 17602
Back to Facility Profile15 Reports
Notice — Jul 7, 2026
Date: Jul 7, 2026
Visit Reason
The document serves to grant a waiver allowing The Glen at Willow Valley to provide advanced notice of planned fire drills, which normally must be unannounced under 55 Pa.Code § 2600.132(a).
Findings
The waiver is granted under conditions that advanced notice may be given only with a reminder not to share the notice with other residents. The Department will review compliance with this waiver during the annual inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Director, Human Services Licensing | Signed the waiver approval notice. |
Inspection Report — Apr 16, 2026
Renewal
Date: Apr 16, 2026
Visit Reason
The inspection was conducted as a renewal and complaint investigation of THE GLEN AT WILLOW VALLEY facility, including a full unannounced inspection on 04/16/2026 and 04/17/2026.
Findings
The inspection identified multiple licensing violations including failure to report incidents timely, expired boiler certificate, unauthorized locking devices on egress doors, medication labeling discrepancies, and lack of medication availability. Plans of correction were accepted and implemented with education and audits scheduled.
Citations (5)
2600.16c. The home failed to report two resident falls to the Department within 24 hours as required by regulation.
2600.18. The certificate of operation for the home's boiler expired on 10/13/2023 and was not renewed timely.
2600.121b. Stairwell doors on the 3rd floor were equipped with an electronic fob-operated locking system without required written approval or variance.
2600.184a. Prescription medication containers were not labeled with pharmacy labels matching prescribed dosages and instructions for three residents.
2600.185a. The home failed to have Novolog FlexPen medication available for Resident #3 as prescribed on 04/16/2026.
Report Facts
Residents Served: 50
Staff: 50
Waking Staff: 38
Current Hospice Residents: 1
Inspection Report — Sep 24, 2024
Renewal
Date: Sep 24, 2024
Visit Reason
The inspection was conducted as a renewal licensing inspection of THE GLEN AT WILLOW VALLEY facility on 09/24/2024 and 09/25/2024.
Findings
No regulatory citations or deficiencies were identified during this unannounced full renewal inspection.
Report Facts
Total Daily Staff: 59
Waking Staff: 44
Residents Served: 59
Residents Age 60 or Older: 59
Residents with Physical Disability: 1
Inspection Report — Aug 1, 2023
Renewal
Date: Aug 1, 2023
Visit Reason
The inspection was conducted as a renewal licensing inspection of THE GLEN AT WILLOW VALLEY facility on 08/01/2023 and 08/02/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 48
Current Hospice Residents: 1
Total Daily Staff: 48
Waking Staff: 36
Inspection Report — Jun 8, 2022
Renewal
Date: Jun 8, 2022
Visit Reason
The inspection was conducted as a renewal inspection of THE GLEN AT WILLOW VALLEY facility on 06/08/2022 to assess compliance with licensing requirements.
Findings
The inspection identified deficiencies related to unlabeled and undated leftover food in refrigerators, lint accumulation in dryer lint traps, and incomplete medication records for a resident self-administering medication. Plans of correction were accepted and implemented with ongoing education and monitoring.
Citations (3)
Unlabeled and undated food items found in refrigerators including a half-eaten sandwich and opened juice bottle.
Layer of lint found in the lint trap of a dryer, posing a fire hazard risk.
Medication not documented on the Resident’s Order Summary Report/Medication list for a resident self-administering medication.
Report Facts
Total Daily Staff: 44
Waking Staff: 33
Residents Served: 44
Notice — Jan 22, 2021
Date: Jan 22, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for The Glen at Willow Valley 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 license renewal notice and certificate of compliance.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
Inspection Report — Nov 12, 2019
Renewal
Date: Nov 12, 2019
Visit Reason
The inspection was a renewal visit conducted on November 12, 2019, to review compliance and approve a plan of correction for The Glen at Willow Valley Personal Care Home.
Findings
The facility was found to be in compliance with the submitted plan of correction, which was fully implemented. The licensed capacity was revised downward from 106 to 76 beds. Several audits and re-education efforts were completed related to glucometer use, medical evaluations, admission support plans, and documentation.
Citations (3)
2600 85a. Sanitary conditions shall be maintained. Resident #2's glucometer was used to test Resident #3's blood sugar on 11/9/19 at 12:07 pm.
2600 141a. Resident #1's medical evaluation dated 5/6/19 did not include body positioning or health status.
2600 234a. Resident #1's initial support plan for Secure Dementia Care Unit was completed on 5/10/19, outside the required 72-hour timeframe.
Report Facts
Residents Served: 50
Secured Dementia Care Unit Residents Served: 15
Audit Completion Date: 66
Audit Completion Date: 37.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lenore Hutchinson | Personal Care Home Administrator | Named in relation to plan of correction and audits |
Inspection Report — Oct 16, 2019
Complaint Investigation
Date: Oct 16, 2019
Visit Reason
The inspection was conducted as a complaint investigation at The Glen at Willow Valley facility on October 16, 2019.
Complaint Details
The inspection was triggered by a complaint and was a partial, unannounced inspection conducted on 10/16/2019 by Jason McCloskey.
Findings
The secure dementia care unit had obstructed emergency exits due to magnetic locking systems and limited staff access to visitor fobs. The submitted plan of correction was fully implemented and found to be in compliance.
Citations (1)
Regulation 121.a requires stairways, hallways, doorways, passageways, and egress routes to be unlocked and unobstructed. The secure dementia care unit's emergency exits were obstructed because the magnetic locking system could not be disengaged using visitor fobs, and staff only unlocked one of two hallway doors.
Report Facts
Residents Served: 53
Secured Dementia Care Unit Residents Served: 17
Have Mobility Need: 17
Inspection Report — Jan 22, 2019
Annual Inspection
Date: Jan 22, 2019
Visit Reason
The Department's Bureau of Human Services Licensing conducted an annual inspection of The Glen at Willow Valley on January 22 and 23, 2019 to assess compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes.
Findings
The facility was found to be in compliance with the applicable regulations during the annual inspection.
Notice — Nov 5, 2018
Date: Nov 5, 2018
Visit Reason
This document serves as a renewal notification and license issuance for The Glen at Willow Valley Personal Care Home following receipt of the renewal application dated November 5, 2018.
Findings
The Department of Human Services confirms issuance of a regular license for the facility and advises that an onsite annual inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Inspection Report — Jan 3, 2018
Annual Inspection
Date: Jan 3, 2018
Visit Reason
The inspection was conducted as the Department of Human Services' annual licensing inspection for The Glen at Willow Valley Personal Care Home.
Findings
A violation related to documentation for resident admissions or transfers to the secured dementia care unit was found. The facility was required to correct the violation and maintain compliance with 55 Pa.Code Chapter 2600.
Citations (1)
55 Pa.Code 2600.231(e) requires documentation that the resident and their designated person did not object to admission or transfer to the secured dementia care unit. Two residents admitted to the secured dementia care unit lacked this documentation.
Report Facts
Number of Residents Served: 55
Number of Residents Served in Secured Dementia Care Unit: 22
Number of Current Hospice Residents: 1
Number of Hospice Residents in past year: 3
Number of Residents 60 Years of Age or Older: 55
Number of Residents with Mental Illness: 1
Number of Residents with Mobility Need: 22
Notice — Nov 8, 2017
Date: Nov 8, 2017
Visit Reason
The document serves as a renewal notification and license issuance for The Glen at Willow Valley Personal Care Home. It informs the administrator that a regular license is issued following the renewal application and advises that an annual onsite inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document. It is an administrative letter confirming license renewal and outlining future inspection requirements.
Report Facts
Inspection Report — Jan 9, 2017
Renewal
Date: Jan 9, 2017
Visit Reason
The inspection was a renewal licensing inspection conducted by the Pennsylvania Department of Human Services on January 9, 2017, for The Glen at Willow Valley facility.
Findings
The inspection identified violations related to staff qualifications, expired medication management, and resident record documentation. Plans of correction were submitted and partially implemented as of January 26, 2017.
Citations (3)
55 Pa.Code §2600.54(a) - A direct care staff person lacked a valid high school diploma, GED diploma, or active Pennsylvania nurse aide registry status.
55 Pa.Code §2600.183(d) - An expired medication (Nitrostat) was found in a medication drawer and was disposed of immediately with a new prescription ordered.
55 Pa.Code §2600.252 - Resident records included photographs older than two years without updated photos taken within the past two years.
Report Facts
Number of Residents Served: 72
Total Daily Staff: 106
Waking Staff: 80
Inspection Report — Nov 7, 2016
Renewal
Date: Nov 7, 2016
Visit Reason
The document is a renewal application and license for The Glen at Willow Valley Personal Care Home. The Department notifies that an onsite inspection will be conducted within the next twelve months as part of the annual inspection requirement.
Findings
No inspection findings are reported in this document. It primarily serves as a license renewal notification and certification of compliance.
Report Facts
Notice — June 16, 2020
Date: June 16, 2020
Visit Reason
The document serves as a renewal notification and license issuance for The Glen at Willow Valley Personal Care Home. It informs the facility that an annual onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.
Report Facts
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