26 Reports
Inspection Report — Jun 8, 2026
Renewal
Date: Jun 8, 2026
Visit Reason
The inspection was conducted as a renewal review of the Philadelphia Protestant Home facility on June 8 and 9, 2026.
Findings
The inspection found multiple deficiencies including breaches of resident record confidentiality, incomplete annual staff training, unlocked poisonous materials accessible to residents, unsanitary conditions, lack of staff knowledge of first aid kit location, stained bedding, obstructed emergency egress doors, combustible storage near heat sources, improper medication storage and documentation, and failure to follow prescriber's orders. All deficiencies had plans of correction accepted and were implemented by July 13, 2026.
Citations (11)
Resident records confidentiality was breached when medication information was left unlocked and unattended on the third floor medication cart.
A staff person did not receive required annual training in fire safety, emergency preparedness, resident rights, Older Adult Protective Services Act, falls prevention, and new population groups during 2025.
Training records for two staff members lacked details including trainer, source, and length of orientation training.
Poisonous materials including toothpaste and hand sanitizer were unlocked and accessible to residents not assessed as safe to use them.
Resident #2's urinal was uncovered with urine present on the bathroom floor, compromising sanitary conditions.
Two staff members did not know the location of the first aid kit.
Resident #3's bed had a dried black stain on the mattress cover near the pillow.
Emergency exit doors were blocked due to a metal astragal preventing doors from opening on both sides.
Cardboard boxes were stored six inches from a hot water heater, posing a combustible storage hazard.
Medication storage procedures were not properly followed; narcotic administration documentation was incorrect for Resident #4.
Resident #5 was administered medication without documented blood pressure and heart rate as required by prescriber orders.
Report Facts
Residents Served: 85
Secured Dementia Care Unit Residents Served: 20
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 42
Residents 60 Years or Older: 85
Residents with Physical Disability: 1
Inspection Report — Jan 6, 2026
Complaint Investigation
Date: Jan 6, 2026
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received by the Pennsylvania Department of Human Services.
Complaint Details
The inspection was complaint-driven as indicated by the reason 'Complaint' and was unannounced. The submitted plan of correction was found fully implemented.
Findings
The inspection found multiple deficiencies including a repeat violation of resident record confidentiality, failure to post weekly menus in advance, missing additional resident assessments for eating, and incomplete documentation in resident support plans regarding special diet needs. Plans of correction were accepted and implemented.
Citations (4)
Resident record confidentiality was violated when a laptop was found unlocked and unattended displaying residents' information on the second-floor west wing. This was a repeat violation from a similar incident on 01/12/2025.
The home's menu for the upcoming week was not posted in the personal care dining hall as required. This was a repeat violation.
A resident assessment did not include an assessment for eating despite the resident requiring a mechanical soft chopped texture diet. The resident was referred for a diet and swallowing assessment.
The resident's support plan did not document how the need for a mechanical soft and chopped texture diet would be met, despite medical evaluation orders.
Report Facts
Residents Served: 89
Residents Served in Dementia Unit: 19
Resident Support Staff: 0
Total Daily Staff: 130
Waking Staff: 98
Residents Age 60 or Older: 89
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 41
Residents with Physical Disability: 2
Inspection Report — Sep 16, 2025
Follow-Up
Date: Sep 16, 2025
Visit Reason
The visit was a partial, unannounced follow-up inspection conducted on 09/16/2025 to review the submitted plan of correction related to an incident involving medication storage.
Findings
The submitted plan of correction was determined to be fully implemented. The deficiency involved a punctured blister pack on slot nine found in the medication cart, which was immediately addressed by wasting the exposed medication and re-educating staff. Weekly medication cart audits and staff education were initiated to ensure ongoing compliance.
Citations (1)
A blister pack had a puncture on slot nine and was observed on the medication cart during inspection.
Report Facts
Residents Served: 94
Secured Dementia Care Unit Residents Served: 18
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 43
Residents 60 Years of Age or Older: 94
Residents with Physical Disability: 1
Total Daily Staff: 137
Waking Staff: 103
Inspection Report — Jun 27, 2025
Complaint Investigation
Date: Jun 27, 2025
Visit Reason
The inspection was conducted based on complaints and concerns regarding resident rights violations, grievance accessibility, care plan accuracy, safety hazards, and staff training compliance at Philadelphia Protestant Home.
Complaint Details
The complaint investigation revealed that staff forcibly put a resident to bed without permission, violating resident rights. Bruising was noted on the resident's arms. The grievance process was found inaccessible to residents. Care plans were not updated to address inappropriate resident behavior. Unsafe medication storage and incomplete staff training were also identified.
Findings
The facility was found to have multiple deficiencies including failure to honor resident self-determination rights, lack of accessible grievance forms on nursing units, failure to revise care plans for inappropriate resident behavior, unsafe medication storage practices, and incomplete annual training for nurse aides.
Citations (5)
Failed to ensure one resident exercised the right to go to bed at the time of their choosing; resident was forcibly put to bed without permission resulting in bruising.
Failed to ensure grievance forms were available and accessible to residents on three nursing units.
Failed to revise a resident's care plan related to inappropriate sexual behavior.
Failed to provide a safe environment; medication capsule found unsecured in pantry area near resident tables.
Failed to ensure two nurse aides completed required annual 12-hour in-service training.
Report Facts
Residents reviewed: 23
Grievances logged: 1
Nurse aides missing training: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee E7 | Licensed Nurse | Named in resident rights violation for transferring resident without permission |
| Employee E8 | Nurse Aide | Named in resident rights violation for transferring resident without permission |
| Employee E3 | Licensed Nurse | Verified medication capsule found unsecured in pantry area |
| Employee E4 | Social Worker | Conducted facility tour revealing lack of accessible grievance forms |
| Employee E5 | Director of Social Services | Interviewed regarding grievance process and form accessibility |
| Employee E9 | Nurse Aide | Did not complete required annual 12-hour in-service training |
| Employee E10 | Nurse Aide | Did not complete required annual 12-hour in-service training |
Inspection Report — May 28, 2025
Renewal
Date: May 28, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the Philadelphia Protestant Home facility to review compliance with licensing requirements.
Findings
The inspection found multiple deficiencies including failure to report suspected resident abuse incidents timely, breaches in record confidentiality, improper sanitary conditions during medication administration, improper food storage, and failure to post menus as required. The facility submitted and implemented a plan of correction addressing these issues.
Citations (6)
Failure to immediately report suspected abuse of a resident on 10/29/2024 and other incidents to the Department as required.
Resident records were unlocked, unattended, and accessible in the memory care nurse station on 5/28/2025.
Two treatment carts were left open and unattended in the hallway near the personal care dining room on 5/28/2025.
Staff person was observed using bare, ungloved fingers to remove medication from blister cards during medication pass on 5/29/2025.
Food items in the walk-in freezer were opened and unsealed on 5/28/2025, including roasted garlic loaf, frozen waffles, and sausage links.
Menus for the week of May 25, 2025, and the upcoming week were not posted in memory care and personal care dining hall.
Report Facts
Residents Served: 97
Secured Dementia Care Unit Residents Served: 18
Staffing Hours - Total Daily Staff: 144
Staffing Hours - Waking Staff: 108
Residents with Mobility Need: 47
Residents 60 Years or Older: 97
Residents Diagnosed with Mental Illness: 1
Inspection Report — Mar 13, 2025
Date: Mar 13, 2025
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 103
Residents Served in Secured Dementia Care Unit: 18
Resident Support Staff: 0
Total Daily Staff: 150
Waking Staff: 113
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 0
Residents with Mobility Need: 47
Residents with Physical Disability: 3
Residents Age 60 or Older: 103
Inspection Report — Sep 19, 2024
Complaint Investigation
Date: Sep 19, 2024
Visit Reason
The inspection was conducted to investigate complaints related to inadequate supervision and failure to use assistive devices to prevent elopement for Resident R108, improper use of psychotropic medication orders for Resident R21, and failure to ensure binding arbitration agreements contained required regulatory language for residents.
Complaint Details
The complaint investigation focused on Resident R108's elopement incident on May 18, 2024, where the resident exited the facility without a wander-guard device and was found outside the building. The investigation also included review of PRN psychotropic medication orders for Resident R21 and the facility's binding arbitration agreements for residents.
Findings
The facility failed to adequately supervise Resident R108 who eloped from the nursing unit without an alarm device, failed to limit PRN psychotropic medication orders to 14 days with documented rationale for Resident R21, and failed to include required regulatory language in binding arbitration agreements for 102 residents.
Citations (3)
Failed to adequately supervise one resident and use assistive devices to prevent elopement (Resident R108).
Failed to ensure PRN orders for psychotropic drugs are limited to 14 days without documented rationale (Resident R21).
Failed to ensure binding arbitration agreements contained required regulatory language for 102 residents.
Report Facts
Residents reviewed for elopement: 23
Residents reviewed for medication regimen: 5
Residents signed arbitration agreement: 102
Residents refused arbitration agreement: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee E1 | Nursing Home Administrator | Interviewed regarding elopement incident and arbitration agreement deficiencies |
| Employee E2 | Director of Nursing | Interviewed regarding elopement incident and wander-guard device usage |
Inspection Report — Nov 3, 2023
Complaint Investigation
Date: Nov 3, 2023
Visit Reason
The inspection was conducted to investigate complaints and allegations related to resident care, medication errors, infection control, emergency transfers, rehabilitation services, food safety, and immunization practices at Philadelphia Protestant Home.
Complaint Details
The visit was complaint-related, triggered by allegations of inadequate investigation of resident injury, failure to notify ombudsman of emergency transfers, medication errors, improper food storage, lack of rehabilitation services assessment, infection control deficiencies, antibiotic stewardship failures, and immunization lapses.
Findings
The facility was found deficient in multiple areas including failure to conduct thorough investigations of resident injuries, failure to notify the State Long-Term Care Ombudsman of emergency transfers, medication error rates exceeding 5%, improper food storage, failure to assess need for specialized rehabilitation services, inadequate infection prevention and control program, ineffective antibiotic stewardship program, and failure to ensure residents received pneumococcal vaccinations.
Citations (8)
Failed to conduct a complete and thorough investigation of a resident injury sustained during transfer.
Failed to notify the Office of the State Long-Term Care Ombudsman of facility-initiated emergency transfers and discharges for three residents.
Medication error rate was 8%, exceeding the 5% threshold, including errors in medication preparation and patch application.
Food was stored improperly with opened, unlabeled items and expired products in the walk-in refrigerator and freezer.
Failed to assess the need for specialized occupational therapy services for a resident with severe shaking affecting eating.
Failed to implement appropriate tracking and surveillance of infections for seven months.
Failed to maintain an effective antibiotic stewardship program including monitoring antibiotic usage for seven months.
Failed to ensure residents received pneumococcal immunizations or documented evidence of vaccination or refusal for three residents.
Report Facts
Medication administration opportunities observed: 25
Residents reviewed for emergency transfers: 22
Residents reviewed for immunization concerns: 5
Months of infection control and antibiotic stewardship data reviewed: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee E7 | Nursing Aide | Named in resident injury transfer investigation. |
| Employee E2 | Director of Nursing | Confirmed lack of statements and investigation details; confirmed lack of infection surveillance and antibiotic stewardship program. |
| Employee E8 | Licensed Practical Nurse | Observed medication errors during administration. |
| Employee E4 | Director of Dining | Confirmed food storage deficiencies. |
| Employee E5 | Dietary Manager | Participated in dietary department tour. |
| Employee E9 | Director of Therapy | Confirmed failure to assess need for occupational therapy. |
| Employee E10 | Dietician | Requested occupational therapy screen for resident. |
| Employee E11 | Registered Nurse | Confirmed resident tremors and lack of therapy screen. |
| Employee E3 | Infection Control Nurse | Confirmed lack of infection tracking and pneumococcal vaccination documentation. |
Inspection Report — Mar 29, 2023
Renewal
Date: Mar 29, 2023
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance and the submitted plan of correction.
Findings
The facility was found to have several deficiencies related to fire extinguisher maintenance, medication storage and transcription errors, and medication record keeping. All deficiencies were addressed with corrective plans and were fully implemented by the time of the report.
Citations (4)
Fire extinguisher W-3 in the Webb wing was overcharged and replaced immediately.
Incorrect transcription of accu check results into electronic medical records by staff.
PRN medication was not available in the medication cart but was corrected immediately.
Incorrect transcription of date on narcotic medication record; medication was administered twice without proper signature documentation.
Report Facts
Residents Served: 120
Secured Dementia Care Unit Residents Served: 22
Hospice Current Residents: 2
Residents 60 Years or Older: 120
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 76
Total Daily Staff: 196
Waking Staff: 147
Notice — Oct 14, 2021
Date: Oct 14, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Philadelphia Protestant Home, a 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
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Inspection Report — Sep 20, 2021
Renewal
Date: Sep 20, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection of the Philadelphia Protestant Home.
Findings
No regulatory citations or deficiencies were identified as a result of this unannounced full renewal inspection conducted on 09/20/2021 and 09/22/2021.
Report Facts
Residents Served: 123
Residents Served in Secured Dementia Care Unit: 22
Hospice Current Residents: 4
Residents Age 60 or Older: 123
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 53
Residents with Physical Disability: 1
Inspection Report — May 7, 2021
Complaint Investigation
Date: May 7, 2021
Visit Reason
The inspection was conducted as a complaint investigation, with an unannounced partial inspection on 05/07/2021.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were substantiated.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 122
Secured Dementia Care Unit Residents Served: 22
Hospice Current Residents: 5
Residents with Mobility Need: 55
Residents 60 Years or Older: 122
Residents with Physical Disability: 2
Inspection Report — Jun 3, 2020
Complaint Investigation
Date: Jun 3, 2020
Visit Reason
The inspection was conducted as a complaint investigation with multiple off-site review dates to assess compliance and follow-up on a plan of correction.
Complaint Details
The visit was complaint-related and the complaint involved delayed staff response to call bells, with some calls unanswered for over 15 minutes. The complaint was substantiated and a plan of correction was accepted and implemented.
Findings
The facility was found to have deficiencies related to the call bell system where staff failed to respond or turn off call bells within the required 15 minutes. The plan of correction was accepted and fully implemented by the follow-up date.
Citations (1)
223b - Service Procedures: The home’s written Communication System PC – Call Bells policy requires staff to respond within 15 minutes. The call bell log showed multiple occasions where staff failed to respond or turn off call bells, with response times up to 1 hour.
Report Facts
Residents Served: 142
Secured Dementia Care Unit Residents Served: 17
Call Bell Rings: 200
Calls answered under 5 minutes: 110
Calls answered 6-15 minutes: 61
Calls answered over 15 minutes: 29
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tahesia Thomas | Lead Inspector | Lead inspector for the complaint investigation |
| Mia Johnson | Human Services Licensing Supervisor | Lead reviewer for plan of correction submissions and document submission follow-ups |
| Mary Ann Parisee | Administrator | Facility administrator named in the report |
Inspection Report — Dec 18, 2019
Renewal
Date: Dec 18, 2019
Visit Reason
The inspection was conducted as a renewal inspection of the Philadelphia Protestant Home to review compliance with licensing requirements.
Findings
The submitted plan of correction for prior violations was fully implemented. Two violations were noted related to the use of a portable space heater and improper storage of medications, both of which were corrected.
Citations (2)
2600.127a Portable space heaters are prohibited. A portable space heater was in use in the front lobby on 12/18/19 at 9:00 AM, which was removed immediately upon inspection.
2600.183e Prescription and OTC medications must be stored properly with manufacturer instructions. Two bottles of latanoprost eye drops lacked open dates, contrary to manufacturer instructions requiring discard after 28 days.
Report Facts
Residents Served: 149
Secured Dementia Care Unit Residents Served: 22
Hospice Current Residents: 3
Notice — Oct 11, 2019
Date: Oct 11, 2019
Visit Reason
The document is a renewal notification and license issuance for Philadelphia Protestant Home to operate as a Personal Care Home, including a statement about 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
Inspection Report — Apr 8, 2019
Routine
Date: Apr 8, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing conducted an inspection of the Philadelphia Protestant Home Midway Manor facility to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Inspection Report — Dec 17, 2018
Renewal
Date: Dec 17, 2018
Visit Reason
The inspection was a Department of Human Services Licensing annual inspection conducted on December 17, 2018, for renewal and provisional licensing of the Philadelphia Protestant Home Personal Care Home.
Findings
Violations of 55 Pa. Code Chapter 2600 relating to Personal Care Homes were found and specified in the enclosed violation report. The facility must correct all citations by the dates specified and maintain compliance with applicable laws and regulations.
Citations (1)
Regulation 55 Pa.Code §2600 2600.183(e) requires prescription medications, OTC medications, and CAM to be stored in an organized manner under proper conditions. On 12-17-18, the second floor medication cart had two loose pills, one yellow oval and one circular white pill.
Report Facts
Number of Residents Served: 143
Number of Residents Served in Secured Dementia Care Unit: 22
Number of Current Hospice Residents: 2
Number of Hospice Residents in Past Year: 20
Number of Residents Age 60 or Older: 143
Number of Residents with Mental Illness: 4
Number of Residents with Intellectual Disability: 0
Number of Residents with Mobility Need: 72
Number of Residents with Physical Disability: 2
Inspection Report — Oct 23, 2018
Routine
Date: Oct 23, 2018
Visit Reason
The Department's Bureau of Human Services Licensing representatives conducted an inspection of the Philadelphia Protestant Home, Midway Manor, Building 5, Floors 2, 3, and 4 on October 23, 2018.
Findings
No regulatory violations with 55 Pa. Code Ch. 2600 (relating to Personal Care Homes) were identified as a result of this inspection.
Inspection Report — May 1, 2018
Renewal
Date: May 1, 2018
Visit Reason
This document is a renewal license issued to Philadelphia Protestant Home to operate a Personal Care Home. The Department received a renewal application and issued a regular license in response.
Findings
No inspection findings are reported in this document. It confirms the issuance of a license and states that an onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Inspection Report — Mar 5, 2018
Complaint Investigation
Date: Mar 5, 2018
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident involving resident elopement and safety concerns at Philadelphia Protestant Home.
Complaint Details
The complaint investigation was substantiated, involving an incident where a resident eloped from the secured dementia unit due to staff negligence and failure to follow safety protocols.
Findings
The investigation found that a resident eloped from the secured dementia unit due to staff failing to follow proper procedures and secure the resident. Three certified nursing assistants were suspended and later terminated, and new policies and security measures were implemented to prevent future incidents.
Citations (2)
Regulation 55 Pa.Code §2600 2600.42(b): A resident was neglected and eloped from the secured dementia unit due to staff failing to secure the resident and follow proper procedures. Staff members responsible were suspended and terminated, and new policies were implemented including ID bracelets and hourly rounds.
Regulation 55 Pa.Code §2600 2600.201: The home failed to follow safe management techniques for a known wandering resident, allowing the resident to elope. Staff were suspended and terminated, and new security measures including access control and a Prevent Elopement Team were established.
Report Facts
Number of Current Hospice Residents: 2
Number of Hospice Residents in Past Year: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Ann Parisse | Vice President Residential Living and Personal Care | Administrator named in the report and signed plan of correction |
| Shawn Parker | Inspector conducting the complaint investigation | |
| David Carrion | Inspector conducting the complaint investigation |
Inspection Report — Jul 11, 2017
Renewal
Date: Jul 11, 2017
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing renewal inspections on July 11 and 12, 2017, for Philadelphia Protestant Home.
Findings
Violations related to Personal Care Homes under 55 Pa.Code Chapter 2600 were found, including non-working bedside lamps in bedrooms and improper freezer temperatures. Plans of correction were submitted and partially implemented as of August 2017.
Citations (2)
Regulation 55 Pa.Code §2600 2600.101(1)(7): Twelve bedrooms had bedside lamps that were not working at the time of inspection in bedroom #2604.
Regulation 55 Pa.Code §2600 2600.103(f): On 7/12/17 at 6:45 AM, the walk-in freezer temperature was 16°F and the ice cream freezer was 5°F, exceeding required storage temperatures.
Report Facts
Number of Residents Served: 133
Number of Residents 60 Years or Older: 133
Number of Residents Served in Secured Dementia Care Unit: 20
Number of Current Hospice Residents: 1
Number of Hospice Residents in Past Year: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Ann Parisse | Administrator | Named as legal entity representative and administrator in relation to plan of correction |
Document — May 25, 2017
Date: May 25, 2017
Visit Reason
The document includes a licensing scoresheet indicating a partial inspection with reasons listed as new and incident. The license certificate reflects a revised license for the secured dementia care unit capacity.
Findings
No inspection findings or deficiencies are reported in the document. The licensing scoresheet provides demographic data and inspection details but no findings.
Report Facts
Inspection Date: May 25, 2017
Notice — May 11, 2017
Date: May 11, 2017
Visit Reason
The document serves as a renewal notification and license approval for Philadelphia Protestant Home to operate as a Personal Care Home. It also informs the facility 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 confirming the facility's approval to operate with a maximum capacity of 188 residents.
Report Facts
Inspection Report — Jul 12, 2016
Renewal
Date: Jul 12, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing renewal inspections on July 12 and July 13, 2016, for Philadelphia Protestant Home.
Findings
Multiple violations of 55 Pa.Code Chapter 2600 were found, including issues with resident confidentiality, cleanliness, maintenance, food storage, medication administration, and safety hazards. Plans of correction were submitted and partially implemented as of early September 2016.
Citations (14)
55 Pa.Code §2600.17 - Resident records were not kept confidential as resident appointment information was posted visibly in the 4th floor medication room.
55 Pa.Code §2600.81(b) - Wheelchairs and walkers were found stained and dirty, posing hygiene concerns.
55 Pa.Code §2600.85(a) - A male urinal containing urine was observed atop a toilet tank in room 4310.
55 Pa.Code §2600.88(a) - Floors, walls, ceilings, windows, doors, and other surfaces were unclean and in disrepair, including wet floors without signage and food crumbs on dining room chair rails.
55 Pa.Code §2600.89(a) - Insufficient hot water pressure was found in the 4th floor bathroom sink.
55 Pa.Code §2600.95 - Furniture and equipment were in disrepair, including a water flow stop device on the floor, missing magnets on medicine cabinet doors, a tripping hazard extension cord, and a rusted grate at a fire exit.
55 Pa.Code §2600.103(k) - Kitchen surfaces were dirty with grease and debris, including a stained refrigerator ledge and dish warmer.
55 Pa.Code §2600.103(o) - Food was found unlabeled and undated in refrigerators and freezers, including ice cream and juice containers.
55 Pa.Code §2600.103(i) - Outdated and dented canned food items were found in inventory.
55 Pa.Code §2600.105(g)(1) - Accumulation of lint was found in the lint trap of the resident laundry room dryer.
55 Pa.Code §2600.121(a) - The basement exit door was obstructed by medium sized boulders and a locked gate, impeding egress.
55 Pa.Code §2600.182(c) - Medication administration errors occurred, including medications left unattended on a small table in a resident's room.
55 Pa.Code §2600.183(b) - Prescription and over-the-counter medications were not properly dated after opening, risking expired medication administration.
55 Pa.Code §2600.187(d) - The facility failed to follow prescriber directions for medication administration, including anxiety medication given without proper documentation.
Report Facts
Number of Residents Served: 162
Number of Current Hospice Residents: 4
Number of Hospice Residents in Past Year: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Ann Parisse | VP Residential Living and Personal Care | Named as administrator and legal entity representative signing plans of correction. |
Inspection Report — May 17, 2016
Renewal
Date: May 17, 2016
Visit Reason
The document is a renewal license issued in response to a May 2, 2016 renewal application to operate the 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 outlines the Department's inspection policy for the facility.
Report Facts
Notice — December 3, 2020
Date: December 3, 2020
Visit Reason
The document serves as a renewal license approval and notification that an annual inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application.
Report Facts
3 CMS Surveys
CMS Survey — Nov 3, 2023
Nov 3, 2023
CMS Survey — Sep 19, 2024
Sep 19, 2024
CMS Survey — Jun 27, 2025
Jun 27, 2025
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