Inspection Reports for The Pathways at Warrington
2900 STREET ROAD,, WARRINGTON, PA, 18976
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
7.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
55% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
57% occupied
Based on a April 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 62
Capacity: 108
Deficiencies: 13
Apr 14, 2025
Visit Reason
The inspection was conducted as a renewal inspection of THE PATHWAYS AT WARRINGTON facility on 04/14/2025 and 04/15/2025.
Findings
The inspection found multiple deficiencies including failure to post required documents, unsecured resident records and poisonous materials, hot water temperature exceeding limits, inadequate lighting, missing emergency procedures postings, unposted menus, medication storage and labeling issues, missing medication, incomplete preadmission screening, and missing directions for key-locking devices. All deficiencies had plans of correction accepted and were implemented by 05/20/2025.
Deficiencies (13)
| Description |
|---|
| The home's copy of 55 Pa.Code Chapter 2600 was not posted in a conspicuous and public place in the personal care unit. |
| Resident narcotics log book and resident sign-out list were unlocked, unattended, and accessible to residents and visitors. |
| Laptop containing resident information and medication order book were unlocked, unattended, and accessible to residents and guests. |
| Poisonous materials including hand sanitizer, disinfectant spray, and personal care items were unlocked, unattended, and accessible to residents not assessed as capable of safely using poisons. |
| Hot water temperature in memory care west unit room 107 measured 123.4°F and 121.6°F, exceeding the 120°F limit. |
| Resident 1 did not have access to a source of light that can be turned on/off at bedside. |
| Emergency procedures were not posted in a conspicuous and public place in the home. |
| The home's menu for the week of 4/13/2025 to 4/19/2025 was not posted; no posting for the following week; posted menus were outdated. |
| Seven loose pills and four medication cups with loose pills were observed in the West Memory Care Unit medication cart; Lorazepam with expired date 3/19/2025 was found in refrigerator. |
| Two bags of Morphine 5 mg syringes were missing pharmacy labels including date issued, dosage, instructions, and prescriber information. |
| Resident 4's prescribed lidocaine external patch 4% was not available in the home. |
| Resident 5's preadmission screening form did not include a determination that the resident's needs can be met by the home. |
| Directions for operating the home's locking mechanism were not conspicuously posted near the back exit door on the East Secure Dementia Care Unit. |
Report Facts
License Capacity: 108
Residents Served: 62
Memory Care Unit Capacity: 42
Memory Care Unit Residents Served: 38
Hospice Residents: 9
Residents with Mobility Need: 45
Hot Water Temperature: 123.4
Hot Water Temperature: 121.6
Medication Expiration Date: Mar 19, 2025
Loose Pills Count: 7
Medication Cups with Loose Pills: 4
Inspection Report
Follow-Up
Census: 27
Capacity: 108
Deficiencies: 8
Sep 28, 2022
Visit Reason
The inspection was a partial, unannounced visit conducted on 09/28/2022 due to an incident.
Findings
The facility was found to have fully implemented the submitted plan of correction related to abuse allegations, incident reporting, training, and behavioral interventions. Continued compliance must be maintained.
Deficiencies (8)
| Description |
|---|
| Staff person B verbally abused and held the arms of resident #1 due to an unwarranted entrance into the nurse's station; the allegation was inconsistently reported. |
| The home failed to report the incident of abuse to the Department in a timely manner. |
| The home's staff training plan did not include training on Traumatic Brain Injury and challenging behaviors. |
| Resident #1 displayed challenging behaviors including verbal aggression, refusal of medication, punching staff, and clenching fists. |
| The home failed to implement positive interventions to modify or eliminate resident #1's challenging behaviors. |
| The home's current written description of services does not include specific services for residents with Traumatic Brain Injury. |
| Resident #1's most recent assessment failed to address agitation, aggression, and refusal to receive medication; no additional assessment was done. |
| The support plan for resident #1 does not address behavioral intervention needs related to aggression, agitation, and irritability. |
Report Facts
License Capacity: 108
Residents Served: 27
Secured Dementia Care Unit Capacity: 42
Residents Served in Dementia Care Unit: 13
Resident Support Staff: 0
Total Daily Staff: 42
Waking Staff: 32
Residents Age 60 or Older: 27
Residents with Mobility Need: 15
Notice
Capacity: 108
Deficiencies: 0
Oct 22, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for The Pathways at Warrington 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 notice confirming license renewal and outlining future inspection requirements.
Report Facts
Maximum capacity: 108
Secure Dementia Care Unit capacity: 42
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report
Renewal
Census: 17
Capacity: 108
Deficiencies: 3
Sep 14, 2021
Visit Reason
The inspection was conducted as a renewal inspection of THE PATHWAYS AT WARRINGTON facility to assess compliance with licensing requirements.
Findings
The inspection identified multiple food safety violations related to improper food storage, including unsealed bags and undated leftover food items. The facility submitted a plan of correction which was accepted and fully implemented by the time of the follow-up.
Deficiencies (3)
| Description |
|---|
| Bag of breadcrumbs not sealed in dry storage area. |
| Bags of stuffing mix sitting in a cardboard box with spilled stuffing mix in the bottom. |
| Multiple bags of food items in dry storage, walk-in refrigerator, walk-in freezer, and kitchen prep area not dated. |
Report Facts
License Capacity: 108
Residents Served: 17
Memory Care Capacity: 42
Memory Care Residents Served: 4
Hospice Residents: 1
Total Daily Staff: 24
Waking Staff: 18
Residents with Mobility Need: 7
Residents 60 Years or Older: 17
Inspection Report
Monitoring
Census: 5
Capacity: 108
Deficiencies: 5
Mar 8, 2021
Visit Reason
The visit was a monitoring inspection conducted on 03/08/2021 to review the facility's compliance with regulations and the implementation of a previously submitted plan of correction.
Findings
The inspection found violations related to resident privacy due to cameras pointing towards resident rooms and deficiencies in medication storage, documentation, and administration procedures. The submitted plan of correction was reviewed and determined to be fully implemented with ongoing compliance required.
Deficiencies (5)
| Description |
|---|
| Cameras pointing towards resident's rooms were observed on the first-floor wing and second floor wing, violating resident privacy. |
| Resident #1's prescribed medication was not available in the home on the day of inspection. |
| Resident #1's medication administration record did not indicate the route of administration. |
| Resident #1's medication administration record did not indicate the frequency of administration. |
| Resident #1's medication administration record did not include the initials of the staff person who administered the medication. |
Report Facts
License Capacity: 108
Residents Served: 5
Secured Dementia Care Unit Capacity: 21
Residents Served in Dementia Unit: 2
Current Hospice Residents: 0
Residents with Mobility Need: 3
Residents Age 60 or Older: 5
Inspection Report
Original Licensing
Capacity: 108
Deficiencies: 0
Dec 15, 2020
Visit Reason
The inspection was conducted as a licensing inspection for a newly licensed personal care home facility that was not yet serving four or more residents.
Findings
The facility was found to be in substantial compliance with applicable regulations, but the inspection was partial because the home was new and had no residents at the time of inspection. No deficiencies were identified.
Report Facts
License Capacity: 108
Capacity of Secure Dementia Care Unit: 42
Residents Served: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michele DiVincenzo | Director of Health Services | Administrator of the facility |
| Jennie Heinberg | Lead Inspector | Lead inspector conducting the licensing inspection |
| Jamie Buchenauer | Deputy Secretary | Signed the licensing letter and certificate |
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