Inspection Reports for
The Heritage at St. Paul Homes
339 EAST JAMESTOWN ROAD,, GREENVILLE, PA, 16125
Back to Facility Profile20 Reports
Inspection Report — Feb 3, 2026
Complaint Investigation
Date: Feb 3, 2026
Visit Reason
The inspection was conducted as a complaint investigation with a partial, unannounced visit on 02/03/2026, including off-site reviews on 02/18/2026 and 02/20/2026.
Complaint Details
The inspection was complaint-related as indicated by the reason 'Complaint' and was unannounced. No deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 95
Secured Dementia Care Unit Residents Served: 39
Hospice Current Residents: 5
Inspection Report — Jun 17, 2025
Renewal
Date: 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.
Citations (2)
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
Residents Served: 81
Residents Served in SDCU: 39
Current Hospice Residents: 4
Total Daily Staff: 122
Waking Staff: 92
Inspection Report — Jun 6, 2024
Renewal
Date: 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The inspection identified multiple deficiencies including unsecured resident personal equipment, improper food storage, outdated food, medication labeling errors, and medication storage and administration issues.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.
Citations (7)
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
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 — Aug 10, 2023
Complaint Investigation
Date: 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.
Complaint Details
The inspection was complaint-related, but no deficiencies or regulatory citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified as a result of this complaint inspection.
Report Facts
Residents Served: 51
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 — Apr 21, 2023
Renewal
Date: 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.
Citations (9)
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
Residents Served: 52
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 — Jun 8, 2022
Renewal
Date: 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.
Citations (8)
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
Residents Served: 54
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 — Jun 22, 2021
Date: 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
Inspection Report — Jun 8, 2021
Renewal
Date: 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.
Citations (5)
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
Residents Served: 61
Secured Dementia Care Unit Residents Served: 31
Total Daily Staff: 93
Waking Staff: 70
Inspection Report — Dec 18, 2020
Follow-Up
Date: Dec 18, 2020
Visit Reason
The visit was a follow-up review to verify the implementation of a previously submitted plan of correction related to an incident of alleged resident abuse.
Findings
The submitted plan of correction was determined to be fully implemented. The facility addressed the abuse allegation involving staff and resident #1, including staff training and administrative actions. Continued compliance must be maintained.
Citations (4)
2600.15b: The home failed to immediately suspend staff person A involved in an alleged abuse incident on 12/13/20 and did not timely report the allegation to the Department until 12/14/20 at 4:00 PM.
2600.15c: The home failed to immediately submit a plan of supervision or notice of suspension of the affected staff person to the Department following the abuse allegation.
2600.16c: The home failed to report the abuse incident to the Department within 24 hours as required by regulation.
2600.42c: Resident #1 was not treated with dignity and respect when staff person A pinched the resident and threw blankets over the resident's head during care.
Report Facts
Residents Served: 87
Secured Dementia Care Unit Residents Served: 41
Current Hospice Residents: 5
Notice — May 5, 2020
Date: May 5, 2020
Visit Reason
The document serves as a renewal notification and license issuance for The Heritage at St. Paul Homes 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
Inspection Report — Apr 16, 2019
Renewal
Date: Apr 16, 2019
Visit Reason
The inspection was conducted as a renewal inspection of The Heritage at St. Paul Homes to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
The inspection identified multiple violations related to resident bedroom furnishings, initial and additional assessments, and admission documentation for non-dementia residents. Plans of correction were submitted with partial implementation status as of August 14, 2019.
Citations (4)
2600.101j - There is no bedside table or shelf next to resident #1's bed in room 401.
2600.225a - Resident #1's and #3's initial assessments do not include all required diagnoses as indicated on medical evaluations.
2600.225c - Residents #2, #4, #5, and #6 have additional assessments missing multiple diagnoses as indicated on their medical evaluations.
2600.231g - Resident #7, admitted 10/6/18, lacks a primary diagnosis of Alzheimer's or dementia and does not have a required medical evaluation by a qualified professional.
Report Facts
Residents Served: 75
Secured Dementia Care Unit Residents Served: 38
Hospice Current Residents: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mickie Chapman | Administrator | Named in multiple findings and plans of correction |
Inspection Report — Mar 28, 2019
Renewal
Date: Mar 28, 2019
Visit Reason
This document is a renewal notification and license issuance for The Heritage at St. Paul Homes Personal Care Home. It informs the facility of the renewal application received and the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future inspection requirements.
Report Facts
Notice — Oct 9, 2018
Date: Oct 9, 2018
Visit Reason
Issuance of a revised license due to recent adjustment of the use of physical space at the facility.
Findings
The document confirms a revision of the facility's licensed capacity with no change to the license expiration date.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the license revision notice letter. |
Notice — Apr 9, 2018
Date: Apr 9, 2018
Visit Reason
The document serves as a renewal notification and license issuance for The Heritage at St. Paul Homes, 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 licensing and renewal notification letter with an enclosed certificate of compliance.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the renewal notification letter. |
Inspection Report — Mar 21, 2018
Renewal
Date: Mar 21, 2018
Visit Reason
The inspection was conducted as a renewal licensing inspection of The Heritage at St. Paul Homes on March 21 and 22, 2018.
Findings
Multiple violations of 55 Pa. Code Chapter 2600 were found, including incomplete annual fire safety training, improper fire drill execution, medication labeling errors, incomplete resident assessments, and missing secure dementia unit exit door code signage. Plans of correction were submitted with partial implementation progress noted.
Citations (5)
55 Pa.Code 2600.65(g) - Direct care staff did not complete annual fire safety training during the 2017 training year.
55 Pa.Code 2600.132(d) - The home conducted a fire drill on 12/15/17 but staff stopped the drill early and did not evacuate residents properly.
55 Pa.Code 2600.184(a) - Prescription medication label for Resident #5 indicated 'as needed' instead of the ordered daily schedule.
55 Pa.Code 2600.225(c) - Resident assessments for four residents did not include evaluations related to specified medical diagnoses.
55 Pa.Code 2600.233(c) - The secure dementia care unit code to release the North Hall exit door was not posted on or near the door.
Report Facts
Number of Residents Served: 70
Number of Residents Served in Secured Dementia Care Unit: 23
Number of Current Hospice Residents: 3
Number of Hospice Residents in Past Year: 16
Number of Residents Age 60 or Older: 70
Number of Residents with Mobility Need: 25
Number of Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mickie Chapman | Administrator | Named as legal entity representative and administrator signing plans of correction. |
Inspection Report — Mar 29, 2017
Annual Inspection
Date: Mar 29, 2017
Visit Reason
The visit was an annual licensing inspection of The Heritage at St. Paul Homes facility conducted by the Pennsylvania Department of Human Services on March 29, 2017.
Findings
The inspection identified violations related to emergency preparedness procedures, menu posting in the secured dementia care unit, medication labeling and administration, and adherence to prescribed medication directions. Plans of correction were submitted and partially implemented as of May 15, 2017.
Citations (4)
55 Pa.Code §2600 2600.123(b) - The home's emergency procedures were not posted in a conspicuous and public place in the home.
55 Pa.Code §2600 2600.162(c) - The weekly menu for 4/2/17 through 4/8/17 was not posted in the secured dementia care unit.
55 Pa.Code §2600 2600.184(a) - Medication labeling did not match the prescribed dosage; Levemir Flex Touch was prescribed for 7 units but labeled for 5 units.
55 Pa.Code §2600 2600.187(d) - Medication administration records showed a resident received 10 units of Novolog instead of the prescribed 12 units based on blood glucose readings.
Report Facts
Staffing Hours: 124
Waking Staff: 93
Number of Residents in Secured Dementia Care Unit: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mickie Chapman | Administrator | Named as legal entity representative and administrator responsible for plans of correction. |
| Karen Georgoulis | On-site inspector conducting the inspection. | |
| Jah Cutter | On-site inspector conducting the inspection. | |
| Cindy Mulick | On-site inspector conducting the inspection. |
Inspection Report — Mar 21, 2017
Renewal
Date: Mar 21, 2017
Visit Reason
The document is a renewal application and license issuance for The Heritage at St. Paul Homes Personal Care Home. The Department advises 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 serves as a license renewal notification and certificate of compliance.
Report Facts
Inspection Report — Nov 17, 2016
Complaint Investigation
Date: Nov 17, 2016
Visit Reason
The inspection was conducted due to a complaint and incident at The Heritage at St. Paul Homes.
Complaint Details
The inspection was triggered by a complaint and incident. The violation involved a medication error with morphine administration. The plan of correction included policy updates, staff training, reprimand of staff member A, and review of medication error policy.
Findings
The facility was found to have violations related to medication administration, specifically a medication error involving morphine concentrate. A plan of correction was submitted and approved to address the issues.
Citations (1)
REGULATION 55 Pa.Code §2600 2600.187(d) - The home did not follow the directions of the prescriber when staff administered 2.5 ml/50 mg morphine concentrate instead of the prescribed 0.25 ml/5 mg under the tongue as needed.
Report Facts
Number of Residents Served: 72
Number of Residents 60 Years or Older: 72
Number of Residents with Mobility Need: 26
Number of Residents with Physical Disability: 1
Number of Current Hospice Residents: 1
Number of Hospice Residents in Past Year: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mickie Chapman | Administrator | Named as legal entity representative and administrator on plan of correction |
| Staff member A | Reprimanded for medication error and involved in medication error policy review |
Inspection Report — May 12, 2016
Renewal
Date: May 12, 2016
Visit Reason
The document is a renewal inspection notification and license issuance for The Heritage at St. Paul Homes Personal Care Home, confirming the renewal application and advising of an upcoming annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of the requirement for an annual inspection.
Report Facts
Secure Dementia Care Unit Licensed Beds: 55
Inspection Report — May 10, 2016
Renewal
Date: May 10, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections on May 10 and May 11, 2016, for renewal of the facility license.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found related to resident privacy, safety around water features, fire safety designations, smoking area policies, and medication labeling. Plans of correction were submitted and partially implemented with adequate progress noted.
Citations (5)
55 Pa.Code 2600.42(s) - Resident privacy was violated by video recording in hallways without proper resident consent and signage. Cameras monitoring interior corridors were disabled from recording and only monitor until policy clarification.
55 Pa.Code 2600.100(a) - The courtyard fountain accessible to residents was not assessed for safety around water features. Residents were evaluated and risk assessments updated to ensure safety.
55 Pa.Code 2600.132(d) - Fire safe areas were not designated by a fire safety expert despite residents being evacuated during fire drills. The fire letter was updated to include all fire safe areas and will be reviewed yearly.
55 Pa.Code 2600.144(b) - The home permitted smoking for staff in designated areas but did not permit smoking by residents or visitors. Home guidelines and policies were updated and residents notified of changes.
55 Pa.Code 2600.184(a) - Prescription medication containers lacked proper pharmacy labels including dosage instructions. Medication labels were corrected and policies updated with staff training planned.
Report Facts
Number of Residents Served: 76
Number of Residents Served in Secured Dementia Care Unit: 23
Number of Current Hospice Residents: 1
Number of Hospice Residents in Past Year: 6
Number of Residents 60 Years or Older: 76
Number of Residents with Intellectual Disability: 1
Number of Residents with Mobility Need: 24
Number of Residents with Physical Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mickie Chapman | Administrator | Named as legal entity representative signing plans of correction on multiple violation report pages. |
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