Inspection Reports for Trillium Place

1520 HARRISBURG PIKE,, PA, 17601

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 2.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

40% better than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year

Deficiencies per year

12 9 6 3 0
2021
2022
2023
2024
2025

Census

Latest occupancy rate 76% occupied

Based on a January 2025 inspection.

Census over time

40 60 80 100 Nov 2022 May 2023 Mar 2024 Jan 2025
Inspection Report Renewal Census: 65 Capacity: 85 Deficiencies: 5 Jan 22, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility license to assess compliance with regulatory requirements.
Findings
The report indicates that the submitted plan of correction was fully implemented and compliance must be maintained. Several deficiencies were identified and corrected, including issues with refunds, bathroom ventilation, refrigerator temperatures, self-administration assessments, and following prescriber's orders.
Deficiencies (5)
Description
Refund due to resident for early move-out was not processed timely.
Ventilation fans in communal bathrooms were inoperable and there were no windows for ventilation.
Refrigerator temperatures exceeded required limits for food safety on multiple occasions.
Residents were not assessed by a qualified professional regarding ability to self-administer medications.
Medications were not administered according to prescriber's orders for multiple residents.
Report Facts
License Capacity: 85 Residents Served: 65 Refund Amount: 2605.21 Staffing Hours: 86 Waking Staff: 65 Secured Dementia Care Unit Capacity: 21 Secured Dementia Care Unit Residents Served: 14 Hospice Residents: 1 Residents with Mobility Need: 21 Residents 60 Years or Older: 65 Residents Diagnosed with Mental Illness: 1
Inspection Report Renewal Census: 48 Capacity: 85 Deficiencies: 9 Mar 19, 2024
Visit Reason
The inspection was conducted as a renewal review of the facility's compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies including uncovered trash receptacles inside and outside the facility, lack of thermometers in refrigerators and freezers, missing fire extinguisher locations on evacuation diagrams, overdue fire drills during sleeping hours, unsecured medications in a resident's room, and incomplete pharmacy labeling on medication packets. Plans of correction were accepted and implemented by mid-April 2024.
Deficiencies (9)
Description
Two full, uncovered, unattended trash cans in the dining rooms of the secured dementia care unit.
Two out of three outside dumpsters were uncovered.
Resident 2 does not have access to a source of light that can be turned on/off at bedside.
Boxes containing food items were stored on the floor in the walk-in refrigerator and freezer.
No thermometers in the 3rd floor freezer and refrigerators in the dining room and kitchenette on the 5th floor.
Emergency evacuation diagram near room 511 does not include the location of fire extinguishers.
The last fire drill during sleeping hours was conducted on 8/10/23, overdue for the required semi-annual drill.
Several unlocked, unattended medications found in Resident 1's bedroom.
Pharmacy labels on medication packets for multiple residents do not include prescribed dosage and administration instructions.
Report Facts
Residents served: 48 License capacity: 85 Staff total daily: 64 Waking staff: 48 Secured Dementia Care Unit capacity: 21 Secured Dementia Care Unit residents served: 16 Hospice current residents: 1 Residents aged 60 or older: 48 Residents diagnosed with mental illness: 1 Residents with mobility need: 16
Inspection Report Census: 54 Capacity: 85 Deficiencies: 0 May 30, 2023
Visit Reason
The inspection was conducted due to an incident, as part of a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations or deficiencies were identified during this unannounced partial inspection.
Report Facts
Total Daily Staff: 70 Waking Staff: 53 Residents Served: 54 License Capacity: 85 Secured Dementia Care Unit Capacity: 21 Secured Dementia Care Unit Residents Served: 16 Hospice Current Residents: 1 Residents Age 60 or Older: 54 Residents Diagnosed with Mental Illness: 1 Residents with Mobility Need: 16 Residents with Physical Disability: 1
Inspection Report Census: 55 Capacity: 85 Deficiencies: 0 Nov 30, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, with the reason stated as 'Incident'.
Findings
No regulatory citations or deficiencies were identified during this unannounced partial inspection.
Report Facts
Total Daily Staff: 68 Waking Staff: 51 Residents Served: 55 License Capacity: 85 Secured Dementia Care Unit Capacity: 21 Secured Dementia Care Unit Residents Served: 13 Residents Receiving Supplemental Security Income: 1 Residents Age 60 or Older: 55 Residents Diagnosed with Mental Illness: 3 Residents Diagnosed with Intellectual Disability: 1 Residents with Mobility Need: 13 Residents with Physical Disability: 1
Inspection Report Plan of Correction Deficiencies: 0 Oct 13, 2022
Visit Reason
The visit was conducted to review the submitted plan of correction for the facility.
Findings
The submitted plan of correction was determined to be fully implemented, and continued compliance must be maintained.
Notice Capacity: 125 Deficiencies: 0 Jan 22, 2021
Visit Reason
The document serves as a renewal notification and license issuance for The Mennonite Home Personal Care Home, confirming receipt of the renewal application and advising of the requirement for an annual 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 capacity: 125 Secure Dementia Care Unit capacity: 15
Employees Mentioned
NameTitleContext
Joshua Bashore-SteuryDirector of Personal CareRecipient of the renewal notification letter
Jamie L. BuchenauerDeputy Secretary, Office of Long-term LivingSigner of the renewal notification letter

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