Deficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 65
Capacity: 75
Deficiencies: 0
Apr 8, 2025
Visit Reason
The inspection was conducted as a complaint investigation at THE RESIDENCE AT FITZ FARM on 04/08/2025.
Findings
No regulatory citations or deficiencies were identified during this unannounced partial inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or regulatory citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 75
Residents Served: 65
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 15
Hospice Current Residents: 5
Residents Age 60 or Older: 65
Residents with Mobility Need: 33
Total Daily Staff: 98
Waking Staff: 74
Inspection Report
Follow-Up
Census: 68
Capacity: 75
Deficiencies: 3
Mar 4, 2025
Visit Reason
The inspection was an unannounced partial incident investigation conducted on 03/04/2025 to review compliance following a reported incident and plan of correction submission.
Findings
The inspection found multiple deficiencies including abuse of a resident by another resident, disrespectful treatment of a resident by staff resulting in termination, and failure to update a resident's support plan to reflect condition changes. Plans of correction were accepted and implemented by 04/11/2025.
Complaint Details
The visit was incident-related, triggered by reports of resident abuse and mistreatment. The investigation included interviews, observations, and follow-up with protective services. The abuse case was closed with no further concerns.
Deficiencies (3)
| Description |
|---|
| Resident was physically abused by another resident, resulting in redness and fear among residents. |
| Staff member verbally abused a resident, using disrespectful language, leading to immediate termination. |
| Resident's support plan was not updated to reflect changes in condition and needs. |
Report Facts
License Capacity: 75
Residents Served: 68
Secured Dementia Care Unit Capacity: 24
Residents Served in Memory Care: 17
Current Hospice Residents: 4
Residents Age 60 or Older: 68
Residents with Mobility Need: 34
Total Daily Staff: 102
Waking Staff: 77
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff Member B | Terminated for verbally abusing a resident by telling the resident to 'bite me.' |
Inspection Report
Renewal
Census: 70
Capacity: 75
Deficiencies: 12
Nov 13, 2024
Visit Reason
The inspection was conducted as a renewal visit to review compliance and verify the implementation of the submitted plan of correction for the facility.
Findings
The inspection found multiple deficiencies including failure to post current licenses, inadequate CPR/First Aid trained staff during certain hours, entrapment risks from resident equipment, unsecured poisonous materials, heat sources without adequate guards, locked resident bedrooms restricting access, incomplete emergency management submissions, incomplete fire drill records, medication record errors, failure to follow prescriber's orders, incomplete resident assessments, and missing key-locking device instructions. All deficiencies had plans of correction accepted and were implemented by 12/31/2024.
Deficiencies (12)
| Description |
|---|
| Failure to post the current license and inspection summaries in a conspicuous and public place. |
| No staff person present during certain hours who was certified in CPR and First Aid. |
| Resident beds equipped with partial bedrails and bed enablers posing entrapment risks. |
| Poisonous materials were not locked and accessible to residents in the Secure Dementia Care Unit. |
| Heat sources such as electric fireplaces produced surface temperatures exceeding 120°F without sufficient guards. |
| Resident bedrooms on the Secure Dementia Care Unit were locked and residents could not access their rooms without staff intervention. |
| Written emergency procedures had not been reviewed, updated, and submitted annually to the local emergency management agency. |
| Fire drill records recorded evacuation times in minutes only, without seconds. |
| Medication administration record did not match the medication present in the cart for a resident. |
| Medication was administered outside of prescribed parameters based on resident heart rate. |
| Resident assessments did not include the need for enabler bars. |
| Directions for operating keypad locking devices were not posted at an exit door in the Secure Dementia Care Unit. |
Report Facts
License Capacity: 75
Residents Served: 70
Memory Care Capacity: 24
Memory Care Residents Served: 17
Current Hospice Residents: 4
Total Daily Staff: 105
Waking Staff: 79
Residents Age 60 or Older: 70
Residents with Mobility Need: 35
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Wellness Director | Named in multiple findings related to training, medication errors, audits, and education. | |
| Executive Operations Officer | Involved in posting licenses, coaching staff, and conducting audits. | |
| Area General Manager | Provided education and oversight related to multiple deficiencies and plans of correction. | |
| Safety and Maintenance Engineer | Noted unsecured poisonous materials and disconnected heat sources. | |
| Lifestories Director | Responsible for audits and walk-throughs to assure compliance. |
Inspection Report
Follow-Up
Census: 45
Capacity: 75
Deficiencies: 5
Jun 25, 2024
Visit Reason
The inspection visit was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to an incident and abuse reporting at the facility.
Findings
The facility was found to have fully implemented the plan of correction related to abuse reporting and incident management. Staff involved in abuse incidents were terminated, and staff were retrained on resident rights, abuse reporting, and timely reporting protocols. Additional corrective actions include audits and ongoing training through the end of 2024.
Deficiencies (5)
| Description |
|---|
| Failure to report an incident of abuse within 24 hours as required. |
| Resident was subjected to physical abuse by staff member. |
| Resident was verbally abused by staff member. |
| Medical evaluation for admission to secured dementia care unit was not completed within 60 days prior to admission. |
| Support plan did not identify resident's physical, medical, social, cognitive, and safety needs adequately. |
Report Facts
Residents Served: 45
License Capacity: 75
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 17
Hospice Current Residents: 7
Residents Age 60 or Older: 62
Residents with Mobility Need: 17
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lee Groff | Spoke with Area Agency on Aging during reporting of abuse incident |
Inspection Report
Renewal
Census: 34
Capacity: 75
Deficiencies: 2
Nov 1, 2023
Visit Reason
The inspection was conducted as a renewal and complaint investigation of the facility to review compliance and the submitted plan of correction.
Findings
Two deficiencies were found: improper use of glucometers resulting in cross-use between residents, and failure to correctly record or administer insulin orders on the Medication Administration Records (MAR), causing confusion and errors.
Complaint Details
The visit included a complaint investigation as indicated by the reason for inspection and findings related to medication administration errors.
Deficiencies (2)
| Description |
|---|
| Glucometers were switched between Resident 1 and Resident 2, resulting in inaccurate blood glucose measurements. |
| Staff did not correctly record or administer insulin orders onto MAR, combining sliding scale and routine insulin orders causing confusion and errors. |
Report Facts
License Capacity: 75
Residents Served: 34
Secured Dementia Care Unit Capacity: 24
Residents Served in Dementia Care Unit: 7
Total Daily Staff: 41
Waking Staff: 31
Residents with Mobility Need: 7
Residents 60 Years or Older: 34
Inspection Report
Capacity: 24
Deficiencies: 0
Jul 25, 2023
Visit Reason
The inspection was a licensing inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, on 07/25/2023 for The Residence at Fitz Farm facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 0
Capacity: 24
Current Residents: 0
Loading inspection reports...
