Inspection Reports for The Villages of Midtown Oaks
1020 GREEN AVENUE,, ALTOONA, PA, 16601
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
21% better than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
73% occupied
Based on a March 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 29
Capacity: 40
Deficiencies: 5
Date: Mar 25, 2025
Visit Reason
The inspection was conducted as a renewal and complaint investigation of the facility.
Complaint Details
The complaint involved failure to report a resident incident where a resident became unresponsive, CPR was initiated, and the resident passed away. The incident was not reported to the Department as required.
Findings
The inspection identified several deficiencies including failure to report a resident incident timely, incomplete first aid kits, incomplete fire drill records, unsigned support plans, and incomplete staff dementia training. Plans of correction were accepted and implemented by the facility.
Deficiencies (5)
Failure to report a resident incident to the Department within 24 hours.
First aid kits on each resident floor did not include thermometers, breathing shields, or eye coverings.
Fire drill record for the drill conducted on 7/6/24 did not include the number of residents in the residence at the time of the drill or the number of residents evacuated.
Resident participated in the development of support plan but did not sign and date the support plan.
Direct care staff person working in special care unit did not complete initial dementia care training within first 30 days of hire.
Report Facts
License Capacity: 40
Residents Served: 29
Special Care Unit Capacity: 16
Special Care Unit Residents Served: 8
Residents Diagnosed with Mental Illness: 3
Residents with Mobility Need: 12
Total Daily Staff: 41
Waking Staff: 31
Inspection Report
Census: 35
Capacity: 40
Deficiencies: 0
Date: Jun 25, 2024
Visit Reason
The inspection was an unannounced partial licensing inspection conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 06/25/2024 as an interim review of the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 40
Residents Served: 35
Special Care Unit Capacity: 12
Special Care Unit Residents Served: 11
Current Hospice Residents: 0
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 15
Inspection Report
Follow-Up
Census: 34
Capacity: 40
Deficiencies: 5
Date: Nov 16, 2023
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 11/16/2023 to review the facility's plan of correction submission and verify compliance with previous deficiencies.
Findings
The facility was found to have fully implemented the submitted plan of correction addressing multiple deficiencies related to indoor temperature, sanitary conditions, medication storage procedures, medication records, and confidential handling of resident records. Continued compliance and ongoing audits were required.
Deficiencies (5)
Indoor temperature in the activity room on the fourth floor was 62.6°F when residents were present, below the required minimum of 70°F.
Medication cart on the fifth floor contained an unlabeled glucometer with multiple stored blood sugar readings, posing a sanitation violation and infection risk.
Discrepancies between blood sugar readings on Resident 4's medication administration record (MAR) and glucometer readings.
Medication administration records (MAR) for Residents 1, 2, 3, and 4 did not include diagnoses or purposes for multiple prescribed medications.
Controlled substances logbook was left unlocked and unattended on the fourth-floor medication cart, and a computer terminal on the fifth-floor medication cart was open and unattended, allowing unauthorized access to resident medication information.
Report Facts
License Capacity: 40
Residents Served: 34
Special Care Unit Capacity: 12
Special Care Unit Residents Served: 9
Staffing Hours: 45
Waking Staff: 34
Inspection Report
Follow-Up
Census: 35
Capacity: 35
Deficiencies: 1
Date: May 4, 2023
Visit Reason
The inspection visit on 05/04/2023 was a partial, announced follow-up inspection triggered by a complaint and a change in legal entity to verify the submitted plan of correction.
Complaint Details
The visit was complaint-related, concerning an incident where Resident #1 had a fall requiring hospitalization that was not reported to the Department. The complaint was substantiated as the violation was confirmed.
Findings
The facility was found to have fully implemented the submitted plan of correction related to failure to report a resident hospitalization incident to the Department. The plan included assigning additional staff responsibility, daily tracking, weekly reviews, and staff training to ensure compliance.
Deficiencies (1)
Failure to report a resident hospitalization incident to the Department within 24 hours as required.
Report Facts
Residents Served: 35
License Capacity: 35
Special Care Unit Capacity: 16
Special Care Unit Residents Served: 11
Total Daily Staff: 48
Waking Staff: 36
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