Inspection Reports for The Hillside Senior Living Community
2725 FOUR MILE DRIVE,, MONTOURSVILLE, PA, 17754
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
12.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
172% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
73% occupied
Based on a October 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 44
Capacity: 60
Deficiencies: 0
Date: Oct 29, 2025
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection of THE HILLSIDE SENIOR LIVING COMMUNITY on 10/29/2025.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 60
Residents Served: 44
Secured Dementia Care Unit Capacity: 27
Secured Dementia Care Unit Residents Served: 22
Current Hospice Residents: 5
Total Daily Staff: 67
Waking Staff: 50
Residents Age 60 or Older: 41
Residents with Mobility Need: 23
Residents with Physical Disability: 2
Inspection Report
Census: 39
Capacity: 60
Deficiencies: 0
Date: Aug 13, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
License Capacity: 60
Residents Served: 39
Secured Dementia Care Unit Capacity: 27
Secured Dementia Care Unit Residents Served: 21
Hospice Current Residents: 5
Total Daily Staff: 60
Waking Staff: 45
Inspection Report
Plan of Correction
Census: 34
Capacity: 60
Deficiencies: 2
Date: Aug 8, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted on 08/08/2024 due to a complaint and incident at THE HILLSIDE SENIOR LIVING COMMUNITY.
Complaint Details
The inspection was complaint-related and included an incident. The plan of correction was reviewed and determined to be fully implemented.
Findings
The report found deficiencies related to incomplete cognitive preadmission screening forms and support plans that did not address residents' behaviors of aggression or agitation. The facility submitted a plan of correction which was fully implemented by 09/18/2024.
Deficiencies (2)
Resident prescreener did not have Part III or Part IV completed in the cognitive preadmission screening.
The support plan for a resident did not address behaviors of aggression or agitation towards other residents and staff.
Report Facts
License Capacity: 60
Residents Served: 34
Secured Dementia Care Unit Capacity: 27
Secured Dementia Care Unit Residents Served: 15
Hospice Current Residents: 2
Total Daily Staff: 51
Waking Staff: 38
Inspection Report
Complaint Investigation
Census: 33
Capacity: 60
Deficiencies: 2
Date: Jun 5, 2024
Visit Reason
The inspection was conducted as a complaint investigation due to an incident involving resident behavior and safety concerns at THE HILLSIDE SENIOR LIVING COMMUNITY.
Complaint Details
The complaint involved incidents on 5/15 and 5/20 where Resident #1 exhibited aggressive behavior towards other residents and staff. Resident #1 was sent to a Behavioral Unit and will not return to the facility due to inability to meet their needs. The facility enforces a zero tolerance policy for abuse and intimidation.
Findings
The investigation found that Resident #1 interfered with care by pushing another resident faster than they could ambulate, leading to a physical altercation involving multiple residents. Resident #1 was removed from the facility as the home could no longer meet their needs. The facility has a zero tolerance policy for resident intimidation or abuse.
Deficiencies (2)
Resident #1 interfered with resident care by insisting on assisting another resident with a rollator walker and pushing that resident faster than they could ambulate, risking a fall. Resident #1 shoved a direct care staff person when intervened.
Resident #1 was involved in a physical altercation with other residents near the TV lounge and a resident's room, resulting in pushing and agitation.
Report Facts
License Capacity: 60
Residents Served: 33
Secured Dementia Care Unit Capacity: 27
Secured Dementia Care Unit Residents Served: 15
Hospice Current Residents: 2
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 17
Residents with Physical Disability: 1
Total Daily Staff: 50
Waking Staff: 38
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Responsible for enforcement of the plan of correction and staff meeting |
Inspection Report
Follow-Up
Census: 34
Capacity: 60
Deficiencies: 1
Date: May 1, 2024
Visit Reason
The inspection was a follow-up review conducted on 05/01/2024 and 05/02/2024 to verify that the previously submitted plan of correction was fully implemented following a complaint and incident.
Complaint Details
The inspection was complaint-related, triggered by a complaint and incident. The plan of correction was accepted and implemented to address the issues raised.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. The plan addressed monitoring and assessment of a relationship between two residents in the Secure Dementia Care Unit, updating their support plans and staff responsibilities accordingly.
Deficiencies (1)
The home had not updated the resident support plans regarding a relationship between two residents in the Secure Dementia Care Unit or indicated staff responsibilities for continuous monitoring and intervention.
Report Facts
License Capacity: 60
Residents Served: 34
Capacity of Secured Dementia Care Unit: 27
Residents Served in Secured Dementia Care Unit: 19
Current Hospice Residents: 2
Total Daily Staff: 55
Waking Staff: 41
Inspection Report
Renewal
Census: 33
Capacity: 60
Deficiencies: 8
Date: Mar 1, 2024
Visit Reason
The inspection was conducted for renewal, complaint, and incident reasons as part of a full unannounced review of the facility on 03/01/2024.
Findings
The inspection found multiple deficiencies including expired boiler certificate, direct care staff training issues, food labeling and storage violations, obstructed exit door, missing exit signage, and incomplete preadmission screening forms. Plans of correction were accepted and implemented with ongoing monitoring.
Deficiencies (8)
The home's boiler certificate had expired and no updated inspection certificate was provided.
Direct care staff person provided unsupervised care before completing required competency course.
Staff member did not receive required annual training in medication self-administration, RASP/DME use, and infection control in 2023.
Leftover food items in the kitchen freezer were not labeled or dated.
Food was stored in open containers without proper lids or sealed packaging.
Exit door near kitchen and rear basement steps did not open properly, preventing immediate egress.
No exit sign posted at the exterior door near kitchen and rear basement steps.
Resident #2's preadmission screening form did not verify that the applicant's needs could be met and lacked required cognitive screening details.
Report Facts
License Capacity: 60
Residents Served: 33
Secured Dementia Care Unit Capacity: 27
Secured Dementia Care Unit Residents Served: 15
Hospice Current Residents: 2
Total Daily Staff: 50
Waking Staff: 38
Inspection Report
Follow-Up
Census: 43
Capacity: 43
Deficiencies: 4
Date: Jul 19, 2023
Visit Reason
The inspection visit on 07/19/2023 was conducted as a follow-up to verify the implementation of a previously submitted plan of correction and due to an incident and change in legal entity.
Findings
The facility was found to have fully implemented the submitted plan of correction. Deficiencies related to contract signatures, signed statements acknowledging receipt of resident rights, hot water temperature, and prescription medication administration training were identified and addressed with corrective actions.
Deficiencies (4)
Resident #1’s contract was not signed by the individuals who created the contract or the resident and the payer, if different from the resident, and cosigned by the resident’s designated person if any.
Residents #1 and #2 did not sign a copy of the resident’s rights and complaint procedures to acknowledge receipt of these documents upon admission.
The water temperatures in room #101 was 130°F and room #106 had a temperature reading of 124°F, exceeding the allowable temperature of 120°F.
The home has not trained medication staff on the administration of oral; topical; eye, nose and ear drop prescription medications; insulin injections and epinephrine injections for insect bites or other allergies as required.
Report Facts
Residents Served: 43
Secured Dementia Care Unit Capacity: 27
Secured Dementia Care Unit Residents Served: 19
Residents Age 60 or Older: 42
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 21
Total Daily Staff: 64
Waking Staff: 48
Inspection Report
Complaint Investigation
Census: 40
Capacity: 60
Deficiencies: 1
Date: Jan 6, 2023
Visit Reason
The inspection visit occurred as a complaint investigation to review the facility's compliance with regulations.
Complaint Details
The visit was complaint-related, focusing on mail access for residents, especially those in the secure dementia unit. The plan of correction was accepted and fully implemented.
Findings
The submitted plan of correction related to mail access for residents, particularly those in the secure dementia unit, was found to be fully implemented. The facility corrected the issue of mail delivery to residents in the secure dementia unit by arranging for mail to be placed in a basket accessible to those residents.
Deficiencies (1)
Resident mail is delivered directly to locked mailboxes in the lobby, but residents in the secure dementia unit do not have access and mail is not delivered to them.
Report Facts
License Capacity: 60
Residents Served: 40
Secure Dementia Care Unit Capacity: 28
Secure Dementia Care Unit Residents Served: 13
Current Hospice Residents: 1
Total Daily Staff: 54
Waking Staff: 41
Inspection Report
Follow-Up
Census: 36
Capacity: 60
Deficiencies: 14
Date: Aug 30, 2022
Visit Reason
The inspection was conducted as a follow-up to verify the implementation of a previously submitted plan of correction, as well as for renewal and complaint reasons.
Complaint Details
The inspection included complaint investigation as part of the reason for the visit, but no substantiation status is explicitly stated in the report.
Findings
The facility was found to have implemented the submitted plan of correction fully. Several deficiencies were identified related to financial management, staff orientation, emergency preparedness, evacuation drills, medical evaluations, medication administration, and documentation, all of which had corrective action plans accepted and implemented.
Deficiencies (14)
The home did not obtain a written receipt from Resident #1 for cash disbursements at the time of disbursement.
The home has not given Resident #1 and Resident #2 an itemized account of financial transactions on a quarterly basis.
Dietary staff person A did not have a general orientation to specific job functions.
Administrator did not have a copy of the emergency preparedness plan for the municipality at time of inspection.
Not all residents evacuated the entire building during fire drills on 12/15/21 and 1/24/22.
Resident #2's medical evaluation was missing information regarding height, weight, pulse rate, temperature, blood pressure, and special health or dietary needs.
Resident #1's most recent medical evaluation exceeded the annual timeframe required.
Resident #2 was not assessed by a qualified professional regarding ability to self-administer medications and need for reminders.
Resident #3's medications were unlocked and stored on bedside table; resident does not lock bedroom door.
Resident #1's over-the-counter medications were not labeled with the resident's name.
Narcotic count policy was not followed; on 8/31/22, the first shift on-coming Med Tech did not sign the Controlled Substance log. Medications for Residents #4 and #5 were not available in the medication cart at inspection.
Resident #4's medication administration record did not indicate the medication's dose strength. Resident #6 missed a blood sugar reading on one occasion, but the MAR was erroneously documented.
Resident #5's blood pressure was not recorded as required on specified dates. Resident #7's medication was administered despite blood pressure readings indicating it should have been held.
Resident #8's support plan did not include documentation that the resident requires utilization of assistive devices for transfers.
Report Facts
License Capacity: 60
Residents Served: 36
Secured Dementia Care Unit Capacity: 28
Secured Dementia Care Unit Residents Served: 13
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 15
Residents 60 Years or Older: 36
Residents Diagnosed with Intellectual Disability: 0
Residents with Physical Disability: 0
Fire Drill Resident Counts: 42
Fire Drill Resident Evacuated: 38
Fire Drill Resident Counts: 44
Fire Drill Resident Evacuated: 43
Inspection Report
Follow-Up
Census: 36
Capacity: 60
Deficiencies: 5
Date: Aug 10, 2022
Visit Reason
The inspection was a follow-up visit to verify the implementation of a submitted plan of correction related to a complaint and incident at the facility.
Complaint Details
The visit was complaint-related, triggered by allegations of resident abuse involving staff. The complaint was substantiated as the investigation found multiple incidents of verbal and physical abuse by a staff person, delayed reporting, and failure to suspend the staff promptly.
Findings
The facility was found to have fully implemented the submitted plan of correction addressing multiple deficiencies related to resident abuse reporting, supervision of staff accused of abuse, timely incident reporting, treatment of residents with dignity and respect, and timely completion of admission support plans.
Deficiencies (5)
Failure to immediately report suspected abuse of a resident and delays in reporting to the Area Agency on Aging and Department regional office.
Failure to immediately suspend or implement a plan of supervision for a staff person involved in an alleged abuse incident, allowing the staff person to work unsupervised for several shifts.
Failure to report the incident or condition to the Department’s personal care home regional office or complaint hotline within 24 hours.
Resident was verbally and physically abused by staff, including yelling and pushing, violating resident dignity and respect.
Support plan for a resident admitted to the secured dementia care unit was not completed within 72 hours of admission.
Report Facts
License Capacity: 60
Residents Served: 36
Secured Dementia Care Unit Capacity: 28
Secured Dementia Care Unit Residents Served: 13
Current Hospice Residents: 1
Residents Age 60 or Older: 36
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 14
Staff Total Daily: 50
Staff Waking: 38
Inspection Report
Follow-Up
Census: 42
Capacity: 60
Deficiencies: 3
Date: May 20, 2022
Visit Reason
The inspection was a follow-up review conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 05/20/2022, 05/23/2022, and 05/25/2022 to determine if the submitted plan of correction was fully implemented following prior deficiencies.
Findings
The submitted plan of correction was found to be fully implemented, with continued compliance required. The report details deficiencies related to resident abuse reporting, failure to report incidents timely, and incomplete admission support plans, all of which have corrective actions and staff education implemented.
Deficiencies (3)
Failure to immediately report suspected abuse of a resident as required by the Older Adult Protective Services Act and related regulations.
Resident abuse occurred when resident #1 touched resident #2 inappropriately; the incident was witnessed but not reported timely.
Failure to develop, implement, and document a support plan within 72 hours of admission to the secured dementia care unit.
Report Facts
License Capacity: 60
Residents Served: 42
Residents in Secured Dementia Care Unit Capacity: 28
Residents Served in Secured Dementia Care Unit: 16
Current Hospice Residents: 2
Total Daily Staff: 59
Waking Staff: 44
Residents Age 60 or Older: 41
Residents with Mobility Need: 17
Residents with Physical Disability: 1
Inspection Report
Routine
Deficiencies: 0
Date: May 4, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Follow-Up
Census: 43
Capacity: 60
Deficiencies: 5
Date: Feb 16, 2022
Visit Reason
The inspection was a follow-up visit to verify the implementation of a previously submitted plan of correction related to a complaint and incident at the facility.
Complaint Details
The inspection was complaint-related, triggered by a complaint and incident. The plan of correction was reviewed and found fully implemented.
Findings
The facility was found to have fully implemented the submitted plan of correction. Deficiencies previously identified included failure to report an incident, lack of activities for secured dementia residents, missing assessments after status changes, incomplete support plans for fall prevention, and missing no objection statements for admissions to the secured dementia care unit. Plans of correction were accepted and documented as implemented with ongoing monitoring assigned to the administrator and director of wellness.
Deficiencies (5)
Failure to report an incident involving Resident #1's fall and pelvic fracture to the department within 24 hours.
No activities were held for secured dementia residents from 12/24/21 to 2/13/22.
Resident #1 did not have a new assessment and support plan completed after a significant status change and hospice admission.
Resident #2's support plan did not include addendums to prevent future falls despite multiple falls.
Missing documentation that Resident #2 and their designated person did not object to admission to the secured dementia care unit.
Report Facts
License Capacity: 60
Residents Served: 43
Secured Dementia Care Unit Capacity: 28
Secured Dementia Care Unit Residents Served: 17
Hospice Residents: 1
Residents 60 Years or Older: 42
Residents with Mobility Need: 17
Total Daily Staff: 60
Waking Staff: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michele Moskalczyk | Human Services Licensing Supervisor | Signed the letter confirming full implementation of the plan of correction. |
Inspection Report
Routine
Deficiencies: 0
Date: Feb 7, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 02/07/2022 and 02/11/2022.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Renewal
Census: 43
Capacity: 60
Deficiencies: 4
Date: Nov 4, 2021
Visit Reason
The inspection was conducted as a renewal inspection with an incident review, including an unannounced full inspection on 11/04/2021 and an exit conference on 11/09/2021.
Findings
The facility had several deficiencies including uncovered trash receptacles in the men's restroom, lack of operable lamps at bedside in some resident rooms, unlabeled bar soap in the secured unit shower, and evidence of smoking in an undesignated area outside. Plans of correction were submitted and accepted with ongoing audits and staff training to ensure compliance.
Deficiencies (4)
The men's restroom located off the main dining room had a waste container that did not have a lid.
Resident bedrooms #100 and #105 did not have a source of lighting that could be turned on/off at bedside.
The shared shower room located on the secured unit had a bar soap in the shower with no soap container identifying the owner.
The home had evidence of smoking in an undesignated smoking area outside the emergency exit near room #115, with a planter filled with cigarette butts.
Report Facts
License Capacity: 60
Residents Served: 43
Secured Dementia Care Unit Capacity: 15
Secured Dementia Care Unit Residents Served: 13
Hospice Residents: 2
Total Daily Staff: 61
Waking Staff: 46
Inspection Report
Follow-Up
Census: 43
Capacity: 60
Deficiencies: 4
Date: Nov 2, 2021
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 11/02/2021 to review the submitted plan of correction related to an incident and monitoring.
Findings
The facility had deficiencies related to staffing hours not meeting required levels, incomplete resident support plans regarding medical/dental services, incomplete medical evaluations for secured dementia unit placement, and inadequate staffing during overnight shifts in the secured dementia unit. The submitted plans of correction were reviewed and determined to be fully implemented.
Deficiencies (4)
The home did not meet required staffing hours on 10/22/2021, completing only 62.5 hours instead of the required 64 hours for residents with mobility needs.
Resident Assessment and Support Plan for Resident 2 did not indicate current PT/OT services ordered.
Documentation of Medical Evaluation for a resident did not assess them for placement in the Secured Dementia Unit where they have resided since admission.
Staff schedule for 10/22/2021 and 10/24/2021 showed only 2 direct care staff workers on duty from 11pm to 7am, leaving the secured dementia unit unattended in case of emergency.
Report Facts
License Capacity: 60
Residents Served: 43
Residents with Mobility Needs: 21
Staffing Hours Required: 64
Staffing Hours Completed: 62.5
Residents in Secured Dementia Unit: 17
Total Daily Staff: 64
Waking Staff: 48
Inspection Report
Complaint Investigation
Census: 44
Capacity: 60
Deficiencies: 5
Date: Oct 18, 2021
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received about the facility.
Complaint Details
The visit was complaint-related, triggered by concerns about resident care and privacy violations. The complaint was substantiated as deficiencies were found.
Findings
The inspection identified multiple deficiencies related to resident care including failure to timely change briefs, unauthorized photography of residents, incomplete medical evaluations for secured dementia care, delayed support plan completion, and failure to update support plans reflecting changes in resident condition.
Deficiencies (5)
Resident #1's brief was not changed timely on 3rd shift, resulting in the resident lying in urine soaked sheets.
Staff took unauthorized pictures of residents #1, #2, and #3 with a cell phone, violating privacy regulations.
Medical Evaluation forms for residents #2, #4, and #5 did not indicate the need for secure dementia care.
Support plans for residents #1 and #3 were not completed within 72 hours of admission to the secured dementia care unit.
Support plans for residents #1 and #2 were not updated to reflect changes in care needs, including bladder management and frequent falls with bruising.
Report Facts
License Capacity: 60
Residents Served: 44
Secured Dementia Care Unit Capacity: 28
Residents Served in Dementia Unit: 18
Hospice Residents: 3
Residents with Mobility Need: 21
Residents 60 Years or Older: 44
Total Daily Staff: 65
Waking Staff: 49
Documented Falls for Resident #2: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michele Moskalczyk | Signed the letter confirming plan of correction implementation. | |
| Administrator | Responsible for monitoring compliance with potty check policy and cell phone use; involved in support plan updates. | |
| Director of Wellness | Responsible for monitoring compliance with potty check policy and cell phone use; involved in support plan updates. | |
| Staff person A | Involved in unauthorized photography of residents. |
Notice
Capacity: 60
Deficiencies: 0
Date: Aug 31, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for The Hillside Senior Living Community 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 a license renewal notice and certificate of compliance confirming the facility's authorized capacity and service type.
Report Facts
Maximum capacity: 60
Secure Dementia Care Unit capacity: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report
Follow-Up
Census: 35
Capacity: 60
Deficiencies: 6
Date: Jul 29, 2021
Visit Reason
The inspection visit was conducted as a complaint investigation with a follow-up plan of correction submission to verify correction of previous deficiencies.
Complaint Details
The inspection was complaint-related, with a follow-up to verify the submitted plan of correction was fully implemented.
Findings
The facility had multiple deficiencies related to resident care including delays in call bell response, inadequate staffing for resident needs, incomplete medical evaluations, missing support plans, and incomplete resident records. All deficiencies were addressed with plans of correction implemented by September 23, 2021.
Deficiencies (6)
Residents experienced delays of 20 to 45 minutes for call bell response to assist with bathroom needs.
Staffing was insufficient during the 11pm to 7am shift, leaving residents in the Secured Dementia Unit unattended in emergencies.
Resident medical evaluations were incomplete, missing body positioning and medication self-administration information.
Resident support plans were not completed within 30 days of admission.
Resident records lacked required identifying marks information.
Initial resident assessments were not completed within 15 days of admission, including repeat violations.
Report Facts
License Capacity: 60
Residents Served: 35
Secured Dementia Unit Capacity: 28
Secured Dementia Unit Residents Served: 13
Hospice Residents: 2
Staff Total Daily: 50
Staff Waking: 38
Direct Care Staff on Night Shift: 2
Residents in Secured Dementia Unit: 13
PCH Residents on 2nd Floor: 22
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