Inspection Reports for The Heritage at St. Paul Homes
339 EAST JAMESTOWN ROAD,, PA, 16125
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
6.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
32% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
65% occupied
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 81
Capacity: 125
Deficiencies: 2
Jun 17, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The inspection found deficiencies related to support plan signatures and admission support plans, specifically missing resident signatures and undated support plans. The facility submitted and fully implemented a plan of correction.
Deficiencies (2)
| Description |
|---|
| Residents #2, #4 and #5 participated in the development of their undated support plans but did not sign them, and there was no notation that they were unable or unwilling to sign. |
| The initial support plans for residents #2 and #5 admitted to the Secure Dementia Care Unit were not dated, so timeliness could not be determined. |
Report Facts
License Capacity: 125
Residents Served: 81
Secured Dementia Care Unit Capacity: 49
Residents Served in SDCU: 39
Current Hospice Residents: 4
Total Daily Staff: 122
Waking Staff: 92
Inspection Report
Renewal
Census: 52
Capacity: 125
Deficiencies: 7
Jun 6, 2024
Visit Reason
The inspection was conducted as a renewal review of the facility's license by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 06/06/2024.
Findings
The inspection identified multiple deficiencies including unsecured resident personal equipment, improper food storage, outdated food, medication labeling errors, and medication storage and administration issues. Plans of correction were accepted and implemented with proposed completion dates ranging from November 6, 2024 to August 1, 2025.
Deficiencies (7)
| Description |
|---|
| Unsecured enabler attached to the bed in bedroom #427 with a gap and movement. |
| Unsealed plastic bag containing 5 hash browns and 9 cookies in the walk-in freezer. |
| Unlabeled and undated plastic bag containing 5 hash browns and 9 cookies in the walk-in freezer. |
| Resident medications were not stored with pharmacy labels attached; medication label instructions were inconsistent. |
| Resident #3’s glucometer was not calibrated to the correct date/time; discrepancies in blood glucose readings and medication administration records. |
| Medication record errors including incorrect medication strength and administration instructions for resident #4. |
| Failure to follow prescriber's orders for residents #1 and #4 with medication administration discrepancies. |
Report Facts
Residents Served: 52
License Capacity: 125
Secured Dementia Care Unit Capacity: 47
Secured Dementia Care Unit Residents Served: 30
Current Hospice Residents: 3
Residents 60 Years or Older: 52
Residents with Mobility Need: 33
Residents with Physical Disability: 1
Total Daily Staff: 85
Waking Staff: 64
Inspection Report
Complaint Investigation
Census: 51
Capacity: 125
Deficiencies: 0
Aug 10, 2023
Visit Reason
The inspection was conducted as a complaint investigation at THE HERITAGE AT ST. PAUL HOMES facility on 08/10/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this complaint inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or regulatory citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 125
Residents Served: 51
Secured Dementia Care Unit Capacity: 48
Secured Dementia Care Unit Residents Served: 18
Current Residents in Hospice: 5
Residents Age 60 or Older: 51
Residents with Mobility Need: 22
Residents with Physical Disability: 1
Resident Support Staff: 0
Total Daily Staff: 73
Waking Staff: 55
Inspection Report
Renewal
Census: 52
Capacity: 125
Deficiencies: 9
Apr 21, 2023
Visit Reason
The inspection was conducted as a renewal review of the facility's license to ensure compliance with regulatory requirements.
Findings
The inspection identified multiple deficiencies including issues with resident personal equipment, trash receptacles, lighting, refrigerator temperatures, rabies vaccination for a pet, medication administration documentation, medication labeling, storage procedures, and refusal of medication documentation. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (9)
| Description |
|---|
| Resident #1’s bedside cane could be moved approximately 4 inches from center to the left and 4 inches from center to the right, creating an impingement hazard. |
| A half-full, uncovered, unattended 40-gallon plastic garbage trash was partially under the kitchen’s stainless steel food prep table. |
| Resident #2 did not have access to a source of light that can be turned on/off at bedside. |
| The walk-in refrigerator immediately next to the kitchen’s exit had temperatures of 50°F and 48°F, exceeding the required maximum of 40°F. |
| A feline named Snowbelle was present at the home without a current certificate of rabies vaccination. |
| Resident #1 and Resident #3 received multiple medication administrations that were not documented at the time of administration. |
| Resident #3 and Resident #4 had medications with incorrect pharmacy labels. |
| Resident #1 had a blood glucose sugar reading indicated on the medication administration record that was inconsistent with the glucometer reading. |
| Resident #1 and Resident #5 refused scheduled medications but the home failed to notify the prescribing physician as required. |
Report Facts
License Capacity: 125
Residents Served: 52
Secured Dementia Care Unit Capacity: 47
Secured Dementia Care Unit Residents Served: 18
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 2
Residents Age 60 or Older: 52
Residents with Mobility Need: 26
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator | LPN | Named in medication administration and refusal findings and responsible for staff education and audits |
| Maintenance Supervisor | Named in correction of bedside cane deficiency | |
| Dining Manager | Named in correction of trash receptacle deficiency and staff education | |
| Assistant Dining Manager | Named in staff education related to trash receptacle deficiency | |
| Director of Facility Management | Named in monthly safety rounds for lighting deficiency | |
| Administrator | Named in monthly safety rounds for lighting deficiency and medication administration policy | |
| Maintenance Director | Named in education of dining supervisor on cooler temperature monitoring | |
| Resident Care Coordinator | LPN | Named in medication labeling correction and audits |
| PC Admin | Named in multiple plan of correction implementations and education | |
| Resident Care Coordinator | LPN | Named in medication refusal plan of correction and audits |
Inspection Report
Renewal
Census: 54
Capacity: 125
Deficiencies: 8
Jun 8, 2022
Visit Reason
The inspection was conducted as a renewal inspection of THE HERITAGE AT ST. PAUL HOMES facility to verify compliance with licensing requirements and to review the submitted plan of correction.
Findings
The inspection identified multiple deficiencies including failure to post the current license inspection summary, unsecured enabler bars posing entrapment hazards, lack of operable bedside lighting for a resident, inoperable emergency exit door, absence of fireproof receptacles and fire resistant furniture in the smoking area, missing prescribed medication for a resident, incomplete initial assessments, and incomplete medical evaluations. Plans of correction were submitted and accepted with implementation dates provided.
Deficiencies (8)
| Description |
|---|
| The home's license inspection summary, dated 6/8/21, was not posted in a conspicuous and public place in the home. |
| Enabler bars attached to residents' beds were uncovered or not securely attached, posing potential entrapment and fall hazards. |
| Resident #9 did not have access to a source of light that could be turned on/off at bedside. |
| The right side of the 1st floor emergency exit double door near bedroom was inoperable. |
| The home's exterior designated smoking area did not have a fireproof receptacle or ashtrays, or fire resistant furniture. |
| Resident #6's prescribed medication was not available in the home. |
| An enabler bar was attached to resident #5's bed without documented assessment of use or need, and the resident was not assessed to benefit from the device. |
| Resident #5's medical evaluation did not include a diagnosis of Alzheimer's disease or other dementia as required for the secured dementia care unit. |
Report Facts
License Capacity: 125
Residents Served: 54
Secured Dementia Care Unit Capacity: 49
Secured Dementia Care Unit Residents Served: 19
Residents Diagnosed with Mental Illness: 20
Residents with Mobility Need: 21
Residents 60 Years or Older: 54
Residents with Physical Disability: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Named in relation to posting license inspection summary and plan of correction implementation | |
| Maintenance Supervisor | Named in relation to correction of lighting and emergency door deficiencies | |
| Director of Facilities Management | Responsible for monthly safety rounds monitoring various corrections |
Notice
Capacity: 125
Deficiencies: 0
Jun 22, 2021
Visit Reason
The document serves as a response to the renewal application submitted on March 18, 2021, for The Heritage at St. Paul Homes Personal Care Home and notifies that a regular license is being issued. It also informs that an onsite annual inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It is an administrative notice confirming license renewal and outlining future inspection requirements.
Report Facts
Maximum licensed capacity: 125
Secure Dementia Care Unit capacity: 49
Inspection Report
Renewal
Census: 61
Capacity: 125
Deficiencies: 5
Jun 8, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection of THE HERITAGE AT ST. PAUL HOMES on 06/08/2021 and 06/09/2021.
Findings
Several deficiencies were cited including inoperable exhaust fans in bathrooms, incomplete annual medical evaluations, expired medications, failure to report medication refusals, and missing instructions for key-locking devices. Plans of correction were accepted and implemented with specified completion dates.
Deficiencies (5)
| Description |
|---|
| Bathrooms had inoperable exhaust fans on 6/8/2021 in multiple locations. |
| Annual medical evaluation for resident #1 was incomplete in several vital areas. |
| Expired ophthalmic medications for resident #2 were not discarded according to manufacturer instructions. |
| Medication refusals for resident #2 on 6/3/21 were not reported to the physician as required. |
| No instructions were posted for operating the locking mechanism for the exit door from Jones Serenity Circle SDCU near a bedroom. |
Report Facts
License Capacity: 125
Residents Served: 61
Secured Dementia Care Unit Capacity: 49
Secured Dementia Care Unit Residents Served: 31
Total Daily Staff: 93
Waking Staff: 70
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