Inspection Reports for Villa Angela at St. Anne Home
685 ANGELA DRIVE,, PA, 15601
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
10.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
126% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
74% occupied
Based on a August 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 40
Capacity: 54
Deficiencies: 0
Aug 19, 2025
Visit Reason
The inspection was conducted as a complaint investigation at Villa Angela at St. Anne Home on 08/19/2025.
Findings
No regulatory citations or deficiencies were identified as a result of this complaint inspection.
Complaint Details
The inspection was complaint-related and the findings indicate no deficiencies or citations were found, implying the complaint was not substantiated.
Report Facts
License Capacity: 54
Residents Served: 40
Current Hospice Residents: 4
Residents Age 60 or Older: 40
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 5
Inspection Report
Renewal
Census: 37
Capacity: 54
Deficiencies: 11
May 6, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license to ensure compliance with regulatory requirements.
Findings
The inspection identified multiple deficiencies including an elevator incident causing resident injury, unsecured poisonous materials, surface damages, food storage violations, lack of firearms policy, outdated fire extinguisher inspection, fire drill timing issues, medication storage and documentation problems, and incomplete resident support plans. Plans of correction were accepted and implemented with follow-up dates.
Deficiencies (11)
| Description |
|---|
| Elevator door struck resident causing skin tears and injury requiring medical treatment. |
| Poisonous materials were accessible to residents assessed unsafe around poisons. |
| Multiple small holes in wall in resident room. |
| Food items stored on the floor in walk-in freezer and dry food storage area. |
| No firearms/weapons policy in place at the home. |
| Fire extinguisher in administrator’s office last inspected in 2020, not current. |
| Fire drill evacuation time exceeded the required time; drills routinely held at end of month. |
| Unlocked and accessible medications and syringes found in residents’ rooms without proper orders or assessments. |
| Medications in the home without current physician orders. |
| Medication administration record discrepancy for resident inhaler medication. |
| Resident support plans missing documented medical diagnoses. |
Report Facts
License Capacity: 54
Residents Served: 37
Staffing Hours: 43
Waking Staff: 32
Hospice Residents: 6
Residents with Mental Illness: 13
Residents with Intellectual Disability: 1
Residents with Mobility Need: 6
Residents 60 Years or Older: 37
Fire Drill Evacuation Time: 14.37
Fire Drill Evacuation Time Required: 13
Inspection Report
Follow-Up
Census: 36
Capacity: 54
Deficiencies: 5
Mar 26, 2025
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to review the submitted plan of correction for previous deficiencies.
Findings
The facility was found to have multiple deficiencies related to annual medical evaluations, medication administration errors, and medication storage procedures. The submitted plan of correction was accepted and implemented to address these issues, with ongoing monitoring planned.
Deficiencies (5)
| Description |
|---|
| Resident medical evaluation form was signed but not dated; required date fields were blank. |
| Medications prescribed to a resident were not administered as ordered; medications were left next to the resident and not ensured to be taken. |
| Staff frequently counted and documented narcotics counts without a second staff member present, violating medication storage procedures. |
| Medication administration records were inaccurately initialed indicating medications were given when they were not. |
| Failure to follow prescriber's orders for multiple residents with missed medication doses at specified times. |
Report Facts
License Capacity: 54
Residents Served: 36
Current Residents in Hospice: 7
Resident Support Staff: 0
Total Daily Staff: 42
Waking Staff: 32
Inspection Report
Renewal
Census: 39
Capacity: 54
Deficiencies: 10
Apr 9, 2024
Visit Reason
The inspection was conducted as a renewal and provisional licensing inspection of Villa Angela at St. Anne Home to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
The facility was found to be in compliance overall, but several deficiencies were cited including issues with furniture and equipment, first aid kits, emergency procedures, fire drill records, annual medical evaluations, dietary needs, medication storage, and medication order changes. Plans of correction were submitted and implemented with follow-up inspections scheduled.
Deficiencies (10)
| Description |
|---|
| Rust under the ice maker in the freezer in the Garden Level kitchenette. |
| First aid kits in Terrace and Garden Level nurse’s stations missing scissors and tweezers. |
| Local emergency management plan not posted in the home. |
| Incomplete documentation of fire drill evacuation times and operability of fire alarms. |
| Resident #1’s medical evaluation form missing dates and results. |
| Resident #2 served uncut and unmoistened grilled cheese sandwich contrary to prescribed mechanical soft diet. |
| Resident #1 had several unlocked medications in bathroom including Atenolol and Losartan-HCTZ. |
| Resident #3 had unlocked bottle of Nystatin powder on nightstand. |
| Resident #4's Systane Gel Drops bottle was open and undated, exceeding manufacturer's discard timeframe. |
| Resident #4’s discontinued Norco medication lacked written prescriber order. |
Report Facts
License Capacity: 54
Residents Served: 39
Staffing Hours: 57
Waking Staff: 43
Hospice Residents: 4
Residents Age 60 or Older: 39
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 18
Inspection Report
Renewal
Census: 39
Capacity: 54
Deficiencies: 10
Apr 9, 2024
Visit Reason
The inspection was conducted as part of a renewal and provisional exit conference to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
The facility was found to be in compliance overall, but several deficiencies were cited including issues with furniture and equipment, first aid kits, emergency procedures, fire drill records, annual medical evaluations, dietary needs, medication storage, and medication administration documentation. Plans of correction were submitted and implemented with follow-up inspections scheduled.
Deficiencies (10)
| Description |
|---|
| Rust under the ice maker in the freezer in the Garden Level kitchenette. |
| First aid kits in Terrace and Garden Level nurse’s stations missing scissors and tweezers. |
| Local emergency management plan not posted in the home. |
| Incomplete documentation of fire drill evacuation times and operability of fire alarms. |
| Resident #1’s medical evaluation missing date, form completion date, and exam results. |
| Resident #2 served uncut and unmoistened grilled cheese sandwich contrary to prescribed mechanical soft diet. |
| Resident #1 had several unlocked medications in bathroom including Atenolol and Losartan-HCTZ. |
| Resident #3 had unlocked bottle of Nystatin Powder on nightstand. |
| Resident #4's Systane Gel Drops bottle was open and undated, violating storage instructions. |
| Resident #4’s medication change (Norco discontinuation) was not supported by a written order. |
Report Facts
License Capacity: 54
Residents Served: 39
Current Hospice Residents: 4
Staffing Hours: 57
Waking Staff: 43
Deficiency Count: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed the licensing letter and certificate of compliance. |
Inspection Report
Complaint Investigation
Census: 37
Capacity: 54
Deficiencies: 0
Dec 27, 2023
Visit Reason
The inspection was conducted as a complaint investigation and fine assessment at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was triggered by a complaint and fine, but no deficiencies were found and no substantiation status was stated.
Report Facts
License Capacity: 54
Residents Served: 37
Current Residents in Hospice: 5
Residents Age 60 or Older: 37
Residents Diagnosed with Mental Illness: 26
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 3
Inspection Report
Renewal
Deficiencies: 0
Sep 19, 2022
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing licensing inspections on 09/19/2022, 09/20/2022, and 09/23/2022 for the facility Villa Angela at St. Anne Home.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Complaint Investigation
Census: 34
Capacity: 54
Deficiencies: 1
Mar 18, 2022
Visit Reason
The inspection was conducted as a complaint and incident investigation at Villa Angela at St. Anne Home on 03/18/2022.
Findings
The investigation substantiated abuse by staff member A towards resident #1, including physical and verbal abuse. The staff member was suspended and subsequently terminated. A plan of correction was accepted, including staff education and increased supervision.
Complaint Details
The complaint was substantiated. Staff member A was suspended on March 15, 2022, and terminated on March 22, 2022 following investigation.
Deficiencies (1)
| Description |
|---|
| Resident #1 was physically and verbally abused by staff person A, including forcing a shoe on a sore toe, pushing a wet washcloth into the resident's mouth, and making derogatory statements. |
Report Facts
License Capacity: 54
Residents Served: 34
Staffing: 36
Waking Staff: 27
Residents with Mobility Need: 2
Residents 60 Years or Older: 34
Residents Receiving Supplemental Security Income: 0
Residents Diagnosed with Mental Illness: 0
Residents Diagnosed with Intellectual Disability: 0
Residents with Physical Disability: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janine Wenzig | Author of letters regarding inspection results and plan of correction acceptance | |
| Staff person A | Staff member found to have abused resident #1 and subsequently terminated |
Inspection Report
Follow-Up
Census: 38
Capacity: 54
Deficiencies: 5
Nov 1, 2021
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted on 11/01/2021 to review the facility's compliance with prior citations and plans of correction related to resident abuse reporting and supervision.
Findings
The facility was found to have repeat violations related to delayed reporting of suspected resident abuse, failure to immediately suspend or supervise staff involved in abuse allegations, and failure to promptly notify residents and their designated persons of abuse reports. The submitted plan of correction was accepted and determined to be fully implemented by the follow-up date.
Deficiencies (5)
| Description |
|---|
| Failure to immediately report suspected verbal/emotional abuse of a resident to the local area agency on aging and the Department. |
| Failure to immediately report physical abuse (slapping resident) to the local area agency on aging and the Department. |
| Failure to immediately develop and implement a plan of supervision or suspend staff person involved in alleged abuse. |
| Failure to immediately notify the resident and the resident’s designated person of a report of suspected abuse or neglect. |
| Failure to provide a written incident report of an allegation of abuse within 24 hours as required. |
Report Facts
License Capacity: 54
Residents Served: 38
Staffing Hours: 48
Waking Staff: 36
Residents with Mobility Need: 10
Notice
Capacity: 54
Deficiencies: 0
Oct 22, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Villa Angela at St. Anne Home, a Personal Care Home, confirming receipt of the renewal application and advising of the requirement for annual onsite inspections.
Findings
No inspection findings are reported in this document; it is an administrative notice confirming license renewal and outlining future inspection requirements.
Report Facts
Total licensed capacity: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
Inspection Report
Renewal
Census: 37
Capacity: 54
Deficiencies: 7
Oct 18, 2021
Visit Reason
The inspection was a renewal licensing inspection conducted on 10/18/2021 and 10/19/2021 to assess compliance with Department statutes and regulations for Villa Angela at St. Anne Home.
Findings
The inspection identified several deficiencies including uncovered trash receptacles, outdated food storage, missing emergency procedures posting, incomplete medical evaluations, and incomplete resident assessments and support plans. Plans of correction were accepted and fully implemented.
Deficiencies (7)
| Description |
|---|
| Three uncovered trash cans in the main kitchen, one overflowing with trash. |
| Open and unsealed bag of meat patties in the main kitchen commercial freezer. |
| Emergency procedures for the municipality were not posted in a conspicuous and public place in the home. |
| Medical evaluation for resident #1 did not include type of medical evaluation or mobility assessment. |
| Initial assessment not completed for resident #2 within 15 days of admission. |
| Support plan not completed for resident #2 within 30 days of admission. |
| Resident #3 participated in support plan development but did not sign the support plan. |
Report Facts
License Capacity: 54
Residents Served: 37
Current Hospice Residents: 4
Total Daily Staff: 49
Waking Staff: 37
Number of uncovered trash cans: 3
Inspection Report
Follow-Up
Census: 39
Capacity: 54
Deficiencies: 1
Mar 4, 2021
Visit Reason
The inspection was a follow-up visit to verify that the submitted plan of correction related to a resident abuse allegation was fully implemented.
Findings
The submitted plan of correction was determined to be fully implemented, with education provided to the Administrator regarding immediate reporting requirements for suspected resident abuse.
Complaint Details
The visit was related to a complaint of resident abuse where a direct care staff member took a resident's call bell pendant for about 2 hours and was verbally abusive. The abuse was not reported to the Area Agency on Aging, Protective Services until several hours later than required.
Deficiencies (1)
| Description |
|---|
| Failure to immediately report suspected abuse of a resident served in the home as required by the Older Adult Protective Services Act. |
Report Facts
License Capacity: 54
Residents Served: 39
Current Hospice Residents: 4
Residents Age 60 or Older: 39
Residents with Mobility Need: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason Williams | Lead Inspector | Educated the Administrator on immediate reporting requirements for suspected abuse |
Inspection Report
Follow-Up
Census: 37
Capacity: 54
Deficiencies: 3
Jan 27, 2021
Visit Reason
The inspection was a follow-up review conducted on 01/27/2021 to verify that the facility's submitted plan of correction was fully implemented following a prior incident.
Findings
The facility was found to have implemented the submitted plan of correction related to resident care deficiencies, including assistance with activities of daily living, abuse prevention, and support plan documentation. Staff education, audits, and policy reviews were completed or scheduled to maintain compliance.
Complaint Details
The visit was a follow-up to a complaint or incident involving neglect and abuse of resident #1, substantiated by findings of failure to provide timely toileting assistance and resulting physical harm.
Deficiencies (3)
| Description |
|---|
| Resident #1 did not receive required assistance with toileting and judgment as per the support plan; the resident was left on the toilet unattended for over four hours. |
| Resident #1 experienced neglect and potential abuse when left on the toilet unattended, resulting in a reddened area on the buttocks and distress to the resident. |
| Resident #1's support plan did not include documentation of hospice services provided or frequency of those services. |
Report Facts
License Capacity: 54
Residents Served: 37
Current Hospice Residents: 4
Staffing Hours - Total Daily Staff: 48
Staffing Hours - Waking Staff: 36
Reddened Area Size: 3.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jason Williams | Signed the letter confirming plan of correction implementation | |
| Staff member A | Direct care staff involved in neglect incident | |
| Staff member C | Direct care staff involved in neglect incident | |
| Director | Director | Owner of corrective actions including staff suspension, termination, and education |
| RCC | Responsible for resident care plans and education |
Inspection Report
Renewal
Capacity: 54
Deficiencies: 0
Jan 25, 2021
Visit Reason
The document is a renewal application and license issuance for Villa Angela at St. Anne Home, a Personal Care Home, pursuant to Title 55, PA Code, Chapter 2600. The Department advises that an onsite inspection will be conducted within the next twelve months as part of the annual inspection requirement.
Findings
The Department has issued a regular license in response to the renewal application. No findings of noncompliance are stated in this document. The Department will conduct an inspection within the next twelve months and take enforcement action if noncompliance is found.
Report Facts
Total licensed capacity: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed letter regarding renewal license issuance |
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