Inspection Reports for The Purple Iris at the Caring Place

103 NORTH 13TH STREET,, FRANKLIN, PA, 16323

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

15% better than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2023
2024

Census

Latest occupancy rate 78% occupied

Based on a December 2024 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

7 14 21 28 35 42 Oct 2021 Jan 2022 Dec 2022 Nov 2023 Jun 2024 Dec 2024

Inspection Report

Renewal
Census: 25 Capacity: 32 Deficiencies: 4 Date: Dec 10, 2024

Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance and the submitted plan of correction.

Findings
The submitted plan of correction was fully implemented and accepted. Several deficiencies related to annual medical evaluations, preadmission screening forms, initial assessments, and additional assessments were identified and addressed with corrective actions and audits.

Deficiencies (4)
Resident most recent medical evaluation was not timely completed.
Resident preadmission screening was not dated when completed, making timeliness unmeasurable.
Resident initial assessment did not include the resident's use of a bedrail/enabler.
Resident additional assessments were not completed timely as required.
Report Facts
License Capacity: 32 Residents Served: 25 Total Daily Staff: 25 Waking Staff: 19

Inspection Report

Complaint Investigation
Census: 23 Capacity: 32 Deficiencies: 0 Date: Jun 11, 2024

Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection of the facility.

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: 32 Residents Served: 23 Current Residents in Hospice: 1 Residents Age 60 or Older: 22 Residents with Mobility Need: 1

Inspection Report

Renewal
Census: 17 Capacity: 32 Deficiencies: 6 Date: Nov 29, 2023

Visit Reason
The inspection was conducted as a renewal inspection of the facility license.

Findings
The inspection identified multiple deficiencies including uncovered enabler bars posing entrapment hazards, unlabeled soap bars in shared bathrooms, improperly stored and outdated food, unclean furnace units without proper cleaning documentation, and unlabeled prescription medications. Plans of correction were accepted and implemented by 12/28/2023.

Deficiencies (6)
The enabler bar attached to resident bed was uncovered, exposing areas posing potential entrapment hazards.
There was an unlabeled used bar of soap in the shared bathroom.
The 3/4 full plastic bag of frozen sausage, pepper and onion mix in the home's walk-in freezer was opened and unsealed.
There was an unlabeled, undated plastic bag that was 3/4 full of a frozen sausage, pepper and onion mix in the home's walk-in freezer.
Multiple heating units in resident rooms had a build-up of dirt and debris and lacked documentation of cleaning per manufacturer's instructions.
Resident medications were not labeled with pharmacy labels or sliding scale information as required.
Report Facts
License Capacity: 32 Residents Served: 17 Total Daily Staff: 17 Waking Staff: 13

Inspection Report

Renewal
Census: 17 Capacity: 32 Deficiencies: 2 Date: Dec 28, 2022

Visit Reason
The inspection was conducted as a renewal review of the facility's license, including an unannounced full inspection on 12/28/2022 and 12/29/2022.

Findings
The inspection found two deficiencies: an uncovered trash can in the men's restroom and unlabeled, undated food items in the kitchen. Both issues were promptly corrected with removal, staff education, and implementation of monthly audits to ensure ongoing compliance.

Deficiencies (2)
Uncovered, unattended trash can in the men's restroom by the conference room.
Unlabeled, undated container of chocolate ice cream in the kitchen freezer and unlabeled, undated container of peanut butter in the kitchen cabinet.
Report Facts
License Capacity: 32 Residents Served: 17 Current Hospice Residents: 2 Staffing Hours: 18 Waking Staff: 14 Residents with Mobility Need: 1 Residents Age 60 or Older: 17

Inspection Report

Complaint Investigation
Census: 17 Capacity: 32 Deficiencies: 0 Date: Jan 13, 2022

Visit Reason
The inspection was conducted as a complaint investigation following an unannounced partial licensing inspection.

Complaint Details
The inspection was complaint-related and the follow-up type was noted as not required, indicating no substantiated deficiencies.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.

Report Facts
License Capacity: 32 Residents Served: 17 Total Daily Staff: 18 Waking Staff: 14 Residents 60 Years or Older: 17 Residents Diagnosed with Mental Illness: 4 Residents with Mobility Need: 1

Inspection Report

Renewal
Census: 15 Capacity: 32 Deficiencies: 4 Date: Oct 25, 2021

Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements for THE CARING PLACE - P.C.

Findings
The inspection identified several deficiencies including incomplete training records, uncovered trash receptacles in the kitchen, medication labeling discrepancies, and outdated support plans for hospice residents. Plans of correction were submitted and implemented with follow-up reviews.

Deficiencies (4)
The record of trainings required for staff person A did not include the date of the trainings.
There was a large, gray, uncovered trashcan in the kitchen that was approximately half full of various food trash.
Pharmacy label for a resident's medication indicated incorrect dosage instructions differing from the physician's order.
Support plan for a hospice resident was not updated to include the type and frequency of hospice services.
Report Facts
License Capacity: 32 Residents Served: 15 Current Hospice Residents: 2 Total Daily Staff: 16 Waking Staff: 12

Notice

Capacity: 32 Deficiencies: 0 Date: Feb 5, 2021

Visit Reason
The document serves as a renewal notification and license issuance for The Caring Place - P.C., 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
Maximum licensed capacity: 32

Employees mentioned
NameTitleContext
Jamie L. BuchenauerDeputy Secretary, Office of Long-term LivingSigned the renewal notification letter
Lynnie BurkhardtPCH AdministratorRecipient of the renewal notification letter

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