Inspection Reports for The Village House
1155 INDIAN SPRINGS ROAD,, INDIANA, PA, 15701
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
6% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
86% occupied
Based on a November 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 36
Capacity: 42
Deficiencies: 9
Date: Nov 1, 2024
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements for THE VILLAGE HOUSE.
Findings
The inspection identified multiple deficiencies including lack of fire safety training for a staff member, uncovered trash receptacles, improper freezer temperature, outdated food items, unauthorized locking device on an egress door, limited exit routes used during fire drills, incomplete first aid kit in a transport vehicle, incorrect medication labeling, and lack of resident education on medication refusal rights. All deficiencies had plans of correction accepted and were implemented by 12/27/2024.
Deficiencies (9)
Staff person did not receive fire safety training completed by a fire safety expert or trained staff during the training year.
Partially full, uncovered, unattended trash can in the Woodlands kitchen.
Temperature in the upright freezer in the shared skilled nursing facility was 11 degrees Fahrenheit, above required 0°F.
Two undated bags of broccoli and four undated boxes of popsicles found in freezers.
Door in the Woodlands area by the elevator used as an egress route was equipped with a magnetic coded locking system without required written approval or variance.
Only dining room and/or laundry room hallway exits were used during fire drills, not alternate exit routes.
First aid kit in the home's Grand Caravan used for resident transport did not include a thermometer or breathing shields.
Resident medication label directions did not match prescribed directions for timing of doses.
Resident had not been educated on the right to refuse medication if a medication error is suspected.
Report Facts
License Capacity: 42
Residents Served: 36
Total Daily Staff: 42
Waking Staff: 32
Freezer Temperature: 11
Undated Broccoli Bags: 2
Undated Popsicle Boxes: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tim New | Director of Environmental Services | Completed fire safety train the trainer and responsible for annual fire safety training. |
| Danny Sacco | Fire Expert | Agreed to alternative ground exit location as third emergency exit route. |
Inspection Report
Renewal
Census: 32
Capacity: 42
Deficiencies: 3
Date: Oct 17, 2023
Visit Reason
The inspection was conducted as a renewal and incident review of THE VILLAGE HOUSE facility on 10/17/2023.
Findings
The report found multiple deficiencies including resident treatment violations, ventilation issues, and lighting problems. Corrective actions were accepted and implemented, with plans for ongoing preventative measures and staff training.
Deficiencies (3)
Staff member placed face approximately 8 inches away from resident #1's face while screaming, violating dignity and respect.
Continuous air draw ventilation in resident rooms #12 and #21 private bathrooms was not functioning; no window or mechanical ventilation present.
Resident #2's bedside lamp was not operational due to a partially unscrewed light bulb.
Report Facts
License Capacity: 42
Residents Served: 32
Total Daily Staff: 35
Waking Staff: 26
Current Hospice Residents: 1
Residents 60 Years or Older: 32
Residents with Mobility Need: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Human Resources Manager | Terminated employee involved in resident dignity violation | |
| Maintenance Manager | Managed ventilation repairs and lamp fixes | |
| EB | Dayshift employee who inspected bedside lamps |
Inspection Report
Complaint Investigation
Census: 34
Capacity: 42
Deficiencies: 0
Date: Jun 8, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation at THE VILLAGE HOUSE facility.
Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Licensed Capacity: 42
Residents Served: 34
Residents Age 60 or Older: 34
Residents with Mobility Need: 1
Residents with Physical Disability: 2
Residents in Hospice: 1
Inspection Report
Follow-Up
Census: 33
Capacity: 42
Deficiencies: 1
Date: Feb 21, 2023
Visit Reason
The inspection visit on 02/21/2023 was conducted as a follow-up to review the submitted plan of correction for previously identified deficiencies at THE VILLAGE HOUSE.
Findings
The submitted plan of correction was found to be fully implemented and the facility was determined to be in compliance. The specific deficiency involved missing health care provider information in a resident's support plan, which was corrected by the administrator.
Deficiencies (1)
Resident #1's support plan did not include the name, address, and telephone number of all the resident’s sources of health care.
Report Facts
License Capacity: 42
Residents Served: 33
Current Hospice Residents: 1
Total Daily Staff: 37
Waking Staff: 28
Residents Age 60 or Older: 33
Residents with Mobility Need: 4
Residents with Physical Disability: 1
Inspection Report
Renewal
Census: 36
Capacity: 42
Deficiencies: 5
Date: Nov 2, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility license.
Findings
The submitted plan of correction was found to be fully implemented. Deficiencies included issues with quality management plan content, refrigerator/freezer thermometer placement, fire drill records, evacuation times exceeding safe limits, and medication record inaccuracies. All deficiencies had corrective plans accepted and implemented by early February 2023.
Deficiencies (5)
Quality management meetings did not include review and evaluation of staff person training.
No thermometer in the freezer section of the refrigerator in the Nutrition room.
Fire drill records did not include number of residents in the home or number evacuated on multiple dates.
Evacuation times during fire drills exceeded the maximum safe evacuation time determined by a fire safety expert.
Medication prescribed twice per day was not on the resident’s November 2022 medication administration record.
Report Facts
License Capacity: 42
Residents Served: 36
Current Hospice Residents: 2
Diagnosed with Mental Illness: 3
Have Mobility Need: 2
Are 60 Years of Age or Older: 36
Fire Drill Dates with Exceeded Evacuation Times: 3
Inspection Report
Complaint Investigation
Census: 30
Capacity: 42
Deficiencies: 2
Date: Jun 29, 2022
Visit Reason
The inspection was conducted as a complaint investigation following allegations of resident abuse reported at the facility.
Complaint Details
The complaint involved an allegation of resident abuse by staff person A. After investigation by the facility, Area Aging, DHS, and Protective Services, the allegations were found to be unsubstantiated. Staff member A was suspended during the investigation and completed required training before returning to work.
Findings
The investigation found that the allegation of abuse was unsubstantiated after internal and external reviews. The facility implemented corrective actions including staff suspension, training, and policy reviews, with the plan of correction fully implemented by November 1, 2022.
Deficiencies (2)
Allegation that staff person A pinched a resident's leg while applying lotion and provided rough care, which was not reported to the Area Agency on Aging immediately.
Failure to immediately develop and implement a plan of supervision or suspend the staff person involved in the alleged abuse incident.
Report Facts
License Capacity: 42
Residents Served: 30
Resident Diagnosed with Mental Illness: 5
Residents 60 Years of Age or Older: 30
Residents with Mobility Need: 1
Residents with Physical Disability: 0
Residents Receiving Supplemental Security Income: 0
Current Hospice Residents: 0
Inspection Report
Renewal
Deficiencies: 0
Date: Sep 16, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing for the facility THE VILLAGE HOUSE.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Renewal
Census: 26
Capacity: 42
Deficiencies: 0
Date: Aug 11, 2021
Visit Reason
The inspection was conducted as a renewal of the facility's license.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 26
License Capacity: 42
Total Daily Staff: 26
Waking Staff: 20
Residents 60 Years or Older: 25
Residents Diagnosed with Mental Illness: 4
Notice
Capacity: 42
Deficiencies: 0
Date: Apr 13, 2021
Visit Reason
The document serves as a certificate of compliance and a license renewal notification for The Village House Personal Care Home. It confirms receipt of the renewal application and advises that an onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It is an administrative notice confirming license renewal and outlining the requirement for a future annual inspection.
Report Facts
Maximum capacity: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter. |
Notice
Capacity: 42
Deficiencies: 0
Date: Oct 15, 2021
Visit Reason
The document serves as a renewal notification and license issuance for The Village House Personal Care Home, confirming receipt of the renewal application and advising that an annual inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document; it is an administrative notice confirming license renewal and outlining the requirement for an upcoming annual inspection.
Report Facts
Maximum capacity: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
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