Inspection Reports for The Winds At Mattern Orchard by New Perspective
PA, 16635
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Inspection Report
Complaint Investigation
Census: 52
Capacity: 70
Deficiencies: 2
Feb 13, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 02/13/2025.
Findings
Two deficiencies were identified: insufficient staff trained in first aid and CPR during the night shift for 52 residents, and a new staff member did not receive required fire safety orientation on their first day. Both deficiencies had plans of correction accepted and were implemented by 04/02/2025.
Complaint Details
The inspection was triggered by a complaint, as stated under Inspection Information with Reason: Complaint.
Deficiencies (2)
| Description |
|---|
| Only one staff member trained in first aid and certified in obstructed airway techniques and CPR was present from 11:00 PM to 7:00 AM for 52 residents, which is below the required ratio of one trained staff per 35 residents. |
| A new staff member did not receive orientation on fire safety and emergency preparedness topics including evacuation procedures, staff duties during fire drills, designated meeting place, smoking safety, fire extinguisher use, smoke detectors, fire alarms, and emergency telephone use. |
Report Facts
Residents present during inspection: 52
Total licensed capacity: 70
Total daily staff: 76
Waking staff: 57
Inspection Report
Complaint Investigation
Census: 52
Capacity: 70
Deficiencies: 4
Jan 17, 2024
Visit Reason
The inspection was conducted as a complaint investigation following an unannounced partial inspection on 01/17/2024.
Findings
The inspection found multiple deficiencies related to abuse/neglect, privacy violations, incomplete staff training within required hours, and direct care staff providing unsupervised services without completing required training and competency testing. Plans of correction were accepted and implemented by 03/22/2024.
Complaint Details
The visit was complaint-related, with findings substantiated by observations of staff misconduct and training deficiencies. Staff member D was suspended and released from employment due to profane language towards a resident. Staff member C received verbal education and training reminders regarding privacy violations.
Deficiencies (4)
| Description |
|---|
| Staff member D was observed using derogatory and profane language towards a resident. |
| Staff member C used a cellular phone to record an incident involving a resident and staff member D without their knowledge. |
| Staff member A had not completed required training within the first 40 scheduled working hours including resident rights, emergency medical plan, mandatory reporting of abuse and neglect, reporting of reportable incidents, safe management techniques, and core competency training. |
| Direct care staff members A and B provided unsupervised assisted living services without completing the Department-approved direct care training course and passing the competency test. |
Report Facts
License Capacity: 70
Residents Served: 52
Total Daily Staff: 60
Waking Staff: 45
Current Residents in Hospice: 6
Residents with Mobility Need: 8
Inspection Report
Renewal
Census: 54
Capacity: 70
Deficiencies: 2
Jul 27, 2023
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for THE WINDS AT MATTERN ORCHARD AL.
Findings
Two deficiencies were identified: one related to a delayed Pennsylvania State Police background check for a staff member, and another concerning improper freezer temperature readings. Both deficiencies had plans of correction submitted and were implemented by September 15, 2023.
Deficiencies (2)
| Description |
|---|
| Staff Member A hired in 2022 did not have a Pennsylvania State Police background check completed until 7/27/23. |
| On 7/27/23, the walk-in freezer was observed at 24 degrees Fahrenheit, exceeding the required temperature for frozen food storage. |
Report Facts
License Capacity: 70
Residents Served: 54
Current Hospice Residents: 3
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 13
Staffing Hours - Total Daily Staff: 67
Staffing Hours - Waking Staff: 50
Inspection Report
Plan of Correction
Census: 48
Capacity: 70
Deficiencies: 1
Mar 9, 2023
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
The facility was found to have not revised a resident's final support plan within the required 30 days following an assessment and changes in care needs. The submitted plan of correction was accepted and determined to be fully implemented.
Deficiencies (1)
| Description |
|---|
| Resident #1’s support plan was not revised to reflect participation in physical therapy, wound care treatment, and safety needs within 30 days of assessment. |
Report Facts
License Capacity: 70
Residents Served: 48
Total Daily Staff: 52
Waking Staff: 39
Inspection Report
Original Licensing
Census: 50
Capacity: 70
Deficiencies: 3
Jun 28, 2022
Visit Reason
The inspection was conducted due to a change of legal entity and as part of the initial licensing inspection for the newly licensed assisted living facility.
Findings
The facility was found to be in substantial compliance with applicable regulations, though the licensing inspector was unable to complete a full inspection due to the new legal entity status. Several deficiencies were identified related to resident equipment repair, sanitary conditions, and fire safety drills, with plans of correction submitted and implemented.
Deficiencies (3)
| Description |
|---|
| Resident #3 and #4 had enabler bars on beds that were not securely fastened, posing a potential limb or head entrapment risk. |
| Resident #1's Reli On glucometer had a dime size area of dried blood on the front screen. |
| During the fire drill conducted on 3/31/22, there were 47 residents in the residence; however, the residence only evacuated 46 residents. |
Report Facts
License Capacity: 70
Residents Served: 50
Current Residents in Hospice: 2
Residents Age 60 or Older: 50
Residents with Mobility Need: 10
Staffing Hours - Total Daily Staff: 60
Staffing Hours - Waking Staff: 45
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