Inspection Report
Census: 87
Capacity: 144
Deficiencies: 0
Apr 30, 2025
Visit Reason
The inspection was a partial, unannounced licensing inspection conducted due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 144
Residents Served: 87
Secured Dementia Care Unit Capacity: 59
Secured Dementia Care Unit Residents Served: 29
Residents with Mobility Need: 50
Residents Age 60 or Older: 87
Resident Support Staff Total Daily Staff: 137
Waking Staff: 103
Inspection Report
Renewal
Census: 86
Capacity: 144
Deficiencies: 7
Apr 9, 2025
Visit Reason
The inspection was conducted as a renewal licensing inspection of the Morningside House of Towamencin facility on April 9 and 10, 2025.
Findings
The facility was found to be in compliance with 55 Pa. Code Chapter 2600 relating to Personal Care Homes. Several deficiencies were identified related to smoke detector repair, medication records, medication storage, resident assessments, support plans, and key-locking device signage, all of which had plans of correction accepted and evidence of completion documented by June 3, 2025.
Deficiencies (7)
| Description |
|---|
| Smoke detector or fire alarm was inoperative with error code showing since 4/5/25. |
| Resident #1's medication record did not include a current list of medications including Pepcid AC. |
| Resident #2 had discontinued Earwax treatment medication still present in medication cart. |
| Medication cards for Residents #3, #4, #5, and #6 had punctured blister foil with medication still present. |
| Resident #7's initial assessment and support plan did not indicate degree of assistance needed with laundry. |
| Resident #8's assessment did not specify how total physical assistance with transportation need would be met. |
| Directions for operating locking mechanism on gate in Opal Unit courtyard were not conspicuously posted. |
Report Facts
License Capacity: 144
Residents Served: 86
Secured Dementia Care Unit Capacity: 59
Residents Served in Secure Dementia Care Unit: 27
Hospice Residents: 6
Residents with Mobility Need: 48
Total Daily Staff: 134
Waking Staff: 101
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed the licensing letter and certificate of compliance. |
| Oliver Fire Protection and Security | Contacted for smoke detector repair and replacement. | |
| Director of Health and Wellness | Named in multiple findings related to medication records, medication storage, resident assessments, and support plans; responsible for audits and training. | |
| Executive Director | Conducted training for staff on medication regulations and other compliance areas. | |
| Regional Director of Operations | Completed audits of resident assessments and support plans. | |
| Regional Director of Health & Wellness | Completed audits of resident assessments and support plans. | |
| Maintenance Director | Trained on key-locking device regulation and responsible for monthly audits. |
Inspection Report
Monitoring
Census: 91
Capacity: 144
Deficiencies: 3
Jan 16, 2025
Visit Reason
The inspection was a provisional monitoring visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing to review the facility's compliance and plan of correction implementation.
Findings
The facility was found to have repeat violations related to resident personal equipment safety, medication administration documentation, and support plan documentation. The submitted plan of correction was determined to be fully implemented as of the inspection date.
Deficiencies (3)
| Description |
|---|
| Resident bedside mobility devices had openings creating entrapment hazards and were not properly secured to bedframes. |
| Medication administration records for January 2025 lacked staff initials at the time medications were administered. |
| Resident support plans did not document the use of bedside mobility devices for transferring and positioning needs. |
Report Facts
License Capacity: 144
Residents Served: 91
Secured Dementia Care Unit Capacity: 59
Secured Dementia Care Unit Residents Served: 30
Hospice Current Residents: 4
Residents Age 60 or Older: 91
Residents with Mobility Need: 50
Total Daily Staff: 141
Waking Staff: 106
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Executive Director | Conducted training on bed enabler DHS policy and regulation 81.b on 01/30/2025 |
| Wellness Director | Wellness Director | Conducted medication administration record audits and training on regulation 187b |
| Maintenance Director | Maintenance Director | Participated in auditing bed enablers for safety and compliance |
| Memory Care Director | Memory Care Director | Participated in auditing bed enablers and resident support plans |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 144
Deficiencies: 12
Apr 3, 2024
Visit Reason
The inspection was conducted due to a complaint, provisional status, incident, and monitoring at the facility.
Findings
Multiple deficiencies were found including failure to immediately report suspected resident abuse, inadequate supervision leading to resident abuse, confidentiality breaches, improper staff qualifications, and medication administration errors. The facility was issued a second provisional license and required to submit plans of correction.
Complaint Details
The complaint involved allegations of resident abuse where resident #1 was inappropriately touched by resident #2, delayed reporting of the abuse, and inadequate supervision on the secured dementia care unit.
Deficiencies (12)
| Description |
|---|
| Failure to immediately report suspected abuse of resident #1 by resident #2. |
| Failure to report incident to the Department within 24 hours regarding abuse allegation. |
| Resident records were left unlocked and accessible to unauthorized persons. |
| Resident #1 was left unsupervised and was inappropriately touched by another resident. |
| Resident #1 was physically abused by resident #2 in the common area. |
| Direct care staff person B lacked required high school diploma, GED, or active registry status. |
| Inadequate staffing and supervision on the secured dementia care unit leading to resident abuse. |
| Staff person C did not receive orientation in fire safety and emergency preparedness on first day. |
| Poisonous materials (toothpaste) were unlocked and accessible to residents not assessed to use safely. |
| Annual fire safety inspection and drill were overdue; last completed 01/30/2023. |
| Resident #3's preadmission screening form lacked documentation of supervision level needed. |
| Resident #2's support plan was not updated accurately to reflect supervision and judgment needs. |
Report Facts
License Capacity: 144
Residents Served: 69
Capacity of Secure Dementia Care Unit: 59
Residents Served in Secure Dementia Care Unit: 27
Total Daily Staff: 102
Waking Staff: 77
Deficiency Count: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed the letter issuing the second provisional license. |
| Regional Director of Operations | Conducted training and implemented corrective actions related to abuse reporting, supervision, confidentiality, and staff qualifications. | |
| Director of Health and Wellness | Involved in training and corrective actions related to abuse reporting, confidentiality, medication administration, and poisonous materials. | |
| Director of Memory Care | Involved in training and corrective actions related to abuse reporting, supervision, confidentiality, and medication administration. | |
| Executive Director | Responsible for monitoring compliance, conducting audits, and reviewing incidents during QAPI meetings. |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 144
Deficiencies: 10
Apr 3, 2024
Visit Reason
The inspection was conducted due to a complaint, provisional license review, incident, and monitoring at the facility.
Findings
Multiple violations were found including delayed reporting of resident abuse, lack of proper supervision, confidentiality breaches, staff qualification issues, and safety concerns. Plans of correction were proposed but many were not implemented by the follow-up dates.
Complaint Details
The complaint involved allegations of resident abuse where resident #1 was inappropriately touched by resident #2. The abuse was not reported timely to the local area agency on aging or the Department. The investigation confirmed lack of supervision and delayed reporting.
Deficiencies (10)
| Description |
|---|
| Delayed reporting of suspected resident abuse to the local area agency on aging and the Department. |
| Resident was left unsupervised leading to inappropriate touching by another resident. |
| Confidential resident records and controlled substance logs were left unlocked and accessible. |
| Direct care staff person lacked required high school diploma, GED, or active registry status. |
| Inadequate staffing and supervision on the secured dementia care unit. |
| Staff did not receive proper fire safety and emergency preparedness orientation on first day. |
| Poisonous materials were left unlocked and accessible to residents not assessed as safe to use them. |
| Annual fire safety inspection and fire drill were overdue. |
| Preadmission screening form incomplete, missing level of supervision needed. |
| Support plan not revised timely to reflect resident's condition changes and supervision needs. |
Report Facts
License Capacity: 144
Current Residents Served: 69
Secured Dementia Care Unit Capacity: 59
Residents Served in Dementia Unit: 27
Total Daily Staff: 102
Waking Staff: 77
Number of Deficiencies: 10
Inspection Report
Follow-Up
Census: 67
Capacity: 67
Deficiencies: 2
Jan 25, 2024
Visit Reason
The inspection visit was a complaint and incident investigation conducted as a partial, unannounced review to verify the implementation of a previously submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented. Two deficiencies were identified related to unsafe storage of poisonous materials and hazardous items accessible to residents, both of which were corrected with staff training and secured storage.
Complaint Details
The inspection was complaint-related and included an incident investigation. The plan of correction was submitted and fully implemented as verified on 01/25/2024.
Deficiencies (2)
| Description |
|---|
| Colgate Total toothpaste with a poison control label was unlocked and accessible to a resident not assessed as capable of safely using poisonous materials. |
| A pair of scissors was found in an unlocked office in the Secure Dementia Care Unit, posing a hazard to residents. |
Report Facts
License Capacity: 67
Residents Served: 67
Residents in Secured Dementia Care Unit Capacity: 59
Residents in Secured Dementia Care Unit Served: 25
Current Hospice Residents: 3
Residents Age 60 or Older: 67
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 40
Residents with Physical Disability: 1
Total Daily Staff: 107
Waking Staff: 80
Inspection Report
Follow-Up
Census: 68
Capacity: 144
Deficiencies: 4
Aug 24, 2023
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident at the facility to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have multiple deficiencies related to resident abuse, prohibited procedures, additional assessments, and support plan needs. The plan of correction was determined to be fully implemented as of the follow-up date.
Deficiencies (4)
| Description |
|---|
| Resident #1 violated Resident #3’s rights to be free from abuse and mistreatment, resulting in physical injury to Resident #3. |
| A hospice aide was observed using a prohibited manual restraint on Resident #4, which did not meet facility regulatory requirements. |
| Resident #1’s support plan was not updated timely following escalation in behaviors and resident-to-resident physical contact. |
| The support plan for Resident #1 did not adequately address specific concerns related to aggressive behaviors. |
Report Facts
License Capacity: 144
Residents Served: 68
Secured Dementia Care Unit Capacity: 59
Residents Served in Dementia Unit: 32
Current Hospice Residents: 4
Residents Age 60 or Older: 68
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 39
Residents with Physical Disability: 1
Total Daily Staff: 107
Waking Staff: 80
Inspection Report
Complaint Investigation
Census: 66
Capacity: 144
Deficiencies: 1
May 17, 2023
Visit Reason
The inspection visit on 05/17/2023 was conducted as a complaint and incident investigation at THE LANDING AT TOWAMENCIN facility.
Findings
The facility was found to have failed in providing a system to safeguard a resident's property, specifically a missing necklace belonging to resident 1. The submitted plan of correction was accepted and later fully implemented.
Complaint Details
The visit was complaint-related due to an incident involving a missing necklace of resident 1. The complaint was addressed with a plan of correction that included installing locks on bathroom cabinets and amending the Resident Agreement Form to offer safeguarding options.
Deficiencies (1)
| Description |
|---|
| The home failed to provide a system for safeguarding the resident's property, resulting in a missing necklace. |
Report Facts
License Capacity: 144
Residents Served: 66
Secured Dementia Care Unit Capacity: 59
Secured Dementia Care Unit Residents Served: 32
Hospice Current Residents: 5
Residents Age 60 or Older: 66
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 39
Residents with Physical Disability: 1
Inspection Report
Census: 71
Capacity: 144
Deficiencies: 0
Feb 22, 2023
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility on 02/22/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 144
Residents Served: 71
Secured Dementia Care Unit Capacity: 59
Secured Dementia Care Unit Residents Served: 30
Hospice Current Residents: 10
Resident Support Staff: 0
Total Daily Staff: 109
Waking Staff: 82
Residents Age 60 or Older: 71
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 0
Residents with Mobility Need: 38
Residents with Physical Disability: 1
Inspection Report
Follow-Up
Census: 71
Capacity: 144
Deficiencies: 6
Feb 9, 2023
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
The inspection found multiple deficiencies related to resident abuse reporting, incident policies, additional resident assessments, and support plan signatures. The facility had not reported alleged abuse to the local area agency on aging, failed to complete investigations following incidents, and had incomplete resident support plan signatures. Plans of correction were accepted and implemented by May 1, 2023.
Deficiencies (6)
| Description |
|---|
| Failure to report alleged resident abuse to the local area agency on aging. |
| The home's written policy on reportable incidents did not address prevention, reporting, notification, investigation, and management of reportable incidents. |
| Failure to complete an investigation following the reported incident. |
| Resident #2 hit resident #1 four times on the left arm; the home neglected to separate the residents for safety. |
| Resident #1 and #2 had incomplete or outdated assessments; Resident #2's assessment did not address agitation and aggressive behaviors. |
| Residents #1 and #2 participated in support plan development but did not sign the support plans. |
Report Facts
License Capacity: 144
Residents Served: 71
Secured Dementia Care Unit Capacity: 59
Residents Served in Dementia Care Unit: 30
Current Hospice Residents: 7
Staffing Hours - Total Daily Staff: 112
Staffing Hours - Waking Staff: 84
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 41
Residents 60 Years or Older: 71
Residents with Physical Disability: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| General Manager | Named in relation to failure to report abuse, incident investigation, and training responsibilities. | |
| Corporate Compliance Director | Provided training and reviewed policies related to abuse reporting and incident investigations. | |
| Health and Wellness Director | Involved in monitoring incident reporting and compliance with plans of correction. |
Inspection Report
Follow-Up
Census: 78
Capacity: 144
Deficiencies: 8
May 26, 2022
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility, with follow-up on a submitted plan of correction.
Findings
The report details multiple deficiencies including verbal abuse of a resident by staff, failure to safeguard resident property, missing criminal background checks for staff, inadequate staff qualifications and orientation, incomplete resident assessments, and unsigned resident support plans. Corrective actions and training plans were implemented and monitored.
Deficiencies (8)
| Description |
|---|
| Verbal abuse of Resident #1 by Staff Member A during a combative incident. |
| Failure to provide a system to safeguard Resident #2's personal property (missing hearing aids). |
| Staff member A and staff member B did not have criminal background checks on file. |
| Direct care staff person A lacked required high school diploma, GED, or active registry status. |
| Staff member B did not receive required first day orientation on fire safety and emergency preparedness topics. |
| Staff member B did not complete required training within 40 scheduled work hours on resident rights, emergency medical plan, mandatory abuse reporting, and reportable incidents. |
| Resident #1's assessment did not include recent development of combative behavior and agitation episodes. |
| Resident #1 participated in support plan development but did not sign the support plan. |
Report Facts
License Capacity: 144
Residents Served: 78
Secured Dementia Care Unit Capacity: 59
Secured Dementia Care Unit Residents Served: 34
Current Hospice Residents: 8
Residents Age 60 or Older: 77
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 38
Residents with Physical Disability: 2
Deficiencies Cited: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff Member A | Named in verbal abuse of Resident #1 and lack of criminal background check. | |
| Staff Member B | Reported abuse by Staff Member A, lacked criminal background check, lacked required orientation and training within 40 hours. | |
| Staff Member C | Mentioned in relation to Resident #1 incident but not present during abuse. | |
| General Manager | Responsible for training, monitoring, audits, and corrective action implementation. | |
| Health and Wellness Director | Responsible for resident assessments, incident investigations, and staff credential monitoring. | |
| Opal Manager | Involved in staff hiring and credential verification. |
Inspection Report
Follow-Up
Census: 72
Capacity: 144
Deficiencies: 5
Feb 9, 2022
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 02/09/2022 to review the implementation of a previously submitted plan of correction related to an incident.
Findings
The facility was found to have fully implemented the submitted plan of correction addressing multiple deficiencies including abuse, refusal of medication documentation, positive interventions, additional assessments, and resident record content. Continued compliance must be maintained.
Deficiencies (5)
| Description |
|---|
| Resident #1 was physically aggressive, assaulted another resident, and had a history of aggressive behavior. The facility failed to prevent abuse and intimidation. |
| The facility did not report resident #1's refusal to take prescribed medication to the prescriber within 24 hours as required. |
| The facility failed to implement positive interventions to modify or eliminate resident #1's aggressive behavior. |
| Resident #1's assessment was not updated to include aggressive behavior or cognitive needs as required. |
| Resident #1's record did not include a photograph of the resident as required. |
Report Facts
License Capacity: 144
Residents Served: 72
Secured Dementia Care Unit Capacity: 59
Secured Dementia Care Unit Residents Served: 30
Resident with Mobility Need: 38
Residents 60 Years or Older: 72
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Resident Refusal Incidents: 1
Documented Aggressive Behavior Incidents: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shawn Parker | Signed the letter confirming plan of correction implementation | |
| Staff Person A | Staff assaulted by resident #1 during an incident | |
| General Manager | Administrator | Named in training and monitoring related to abuse investigations and positive interventions |
| Health and Wellness Director | Named in training and monitoring related to abuse investigations, medication refusals, and positive interventions |
Notice
Capacity: 144
Deficiencies: 0
Oct 13, 2021
Visit Reason
This document serves as a renewal notification and issuance of a regular license for The Landing at Towamencin 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.
Report Facts
Maximum capacity: 144
Secure Dementia Care Unit capacity: 59
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 65
Capacity: 144
Deficiencies: 24
Sep 21, 2021
Visit Reason
The inspection was conducted as a renewal visit for the facility license.
Findings
The inspection identified multiple deficiencies related to resident contracts, staff qualifications, medication management, emergency procedures, resident assessments, and environmental safety. Plans of correction were accepted and implemented for all cited violations.
Deficiencies (24)
| Description |
|---|
| Resident #1 did not have a resident-home contract completed until after admission. |
| Resident #2's resident-home contract was not signed by the resident. |
| Resident #2's record did not contain a signed statement acknowledging receipt of resident rights and complaint procedures. |
| Direct care staff persons A, B, C, D, and E lacked required qualifications such as high school diploma, GED, or active nurse aide registry status. |
| Direct care staff persons A, B, C, D, and E did not receive required fire safety orientation on their first day. |
| Resident #3 did not have access to a source of light that can be turned on/off at bedside. |
| Opened and unsealed food items were found in the walk-in freezer. |
| Unlabeled, undated plastic containers of dry cereals were found in dry food storage. |
| The home's written emergency procedures had not been submitted to the local emergency management agency since 07/21/2020. |
| Resident #4's medical evaluation did not include the ability to self-administer medications. |
| Resident #2's assessment and service planning documents were inconsistent with medical evaluation regarding self-administration of medications. |
| Resident #2 did not store medications in a locked, safe, and secure location. |
| Resident #2's record did not include a current list of medications. |
| Resident #5 had medication on the medication cart without a current order. |
| Loose pills were found in medication carts for residents 3, 6, and Opal Unit. |
| Medication meters for Residents #5, 6, and 7 were not calibrated to the correct date and time. |
| Prescribed medication tasks for Residents #5, 6, and 7 were not consistently followed. |
| Resident #2 was not educated on the right to refuse medication if a medication error is suspected. |
| Resident #1's initial assessment was not completed within 15 days of admission. |
| Resident #2's most recent assessment was incomplete; the Resident Assessment-Support Plan (RASP) was not completed. |
| Resident #2's support plan was inconsistent with medical evaluation regarding medication assistance. |
| Resident #8's medical evaluation was not completed within 60 days prior to admission. |
| Directions for operating key-locking devices were not conspicuously posted near doors or gates to the Secure Dementia Care Unit. |
| Correction fluid or a cut and paste of the resident's signature was used on Resident #1's contract. |
Report Facts
License Capacity: 144
Residents Served: 65
Secured Dementia Care Unit Capacity: 59
Residents Served in Secured Dementia Care Unit: 31
Hospice Residents: 5
Total Daily Staff: 102
Waking Staff: 77
Residents with Mobility Need: 37
Residents 60 Years or Older: 64
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