Deficiencies (last 5 years)
Deficiencies (over 5 years)
11.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
151% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
58% occupied
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Jun 25, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to protect a resident (Resident R1) from neglect, specifically related to improper assistance during bed mobility that led to a fall and injury.
Complaint Details
The complaint investigation was substantiated. The facility failed to protect Resident R1 from neglect when nurse aide Employee E1 did not obtain required assistance during bed mobility, resulting in a fall and injury on 5/3/25. The facility also failed to report this incident to the state agency within 24 hours.
Findings
The facility failed to provide the required two-person assistance for Resident R1 during bed mobility, resulting in the resident rolling out of bed, sustaining a head laceration and fall. Additionally, the facility failed to timely report the incident of neglect to the local state field office within 24 hours. Multiple staff interviews and policy reviews confirmed these failures.
Deficiencies (3)
Failure to protect resident from neglect related to improper assistance during transfers and bed mobility.
Failure to timely report an incident of neglect within 24 hours to the local state field office.
Failure to ensure appropriate assistance for bed mobility to prevent a roll out of bed.
Report Facts
Residents affected: 1
Residents affected: 3
Residents affected: 5
Date of incident: May 3, 2025
Date of survey completion: Jun 25, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee E1 | Nurse Aide | Named in neglect incident where resident rolled out of bed due to lack of assistance. |
| Employee E2 | Licensed Practical Nurse | Interviewed regarding nurse aides' responsibilities and transfer status documentation. |
| Employee E3 | Nurse Aide | Interviewed about transfer assistance requirements. |
| Employee E4 | Registered Nurse | Entered progress note documenting resident fall and injury. |
| Nursing Home Administrator | Confirmed facility failed to protect resident from neglect and failed to report incident timely. | |
| Director of Nursing | Confirmed facility failed to protect resident from neglect and failed to report incident timely. |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 90
Deficiencies: 2
Date: May 13, 2025
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with regulations and verify the submitted plan of correction.
Complaint Details
The inspection was triggered by a complaint, and the plan of correction was accepted and fully implemented as of the inspection date.
Findings
The inspection found two deficiencies related to physical site accommodations and unobstructed egress routes. Both deficiencies involved issues with door access codes and push-button activation for automatic doors, which were subsequently corrected with maintenance and staff education.
Deficiencies (2)
ADA push-button post in the courtyard did not activate the automatic door and lacked posted code, requiring staff assistance with a magnetic key card.
Egress routes from The Orchard main common area and adjacent room sides were obstructed by a locked gate with an incorrect posted keypad code.
Report Facts
License Capacity: 90
Residents Served: 52
Secured Dementia Care Unit Capacity: 10
Residents Served in Dementia Care Unit: 9
Current Hospice Residents: 5
Residents Age 60 or Older: 52
Residents with Mobility Need: 15
Staff Total Daily: 67
Staff Waking: 50
Inspection Report
Routine
Deficiencies: 6
Date: May 2, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to medication self-administration, catheter care, respiratory care, pharmaceutical services, medication storage, and infection prevention and control.
Findings
The facility was found deficient in multiple areas including failure to determine safety for medication self-administration, lack of physician order specifications for catheter size and balloon inflation, improper respiratory care and storage of CPAP equipment, missed medication doses due to pharmacy stock issues, improper medication storage and labeling, and failure to implement infection control practices and surveillance for COVID-19 negative residents during an outbreak.
Deficiencies (6)
Failed to determine it was safe to self-administer medications, lacked current order or care plan, or interdisciplinary assessment for one of five residents (Resident R302).
Failed to have physician order specifications relating to size of indwelling catheter and balloon inflation amount for one of three residents (Resident R305).
Failed to provide appropriate respiratory care for two of five residents (Residents R67 and R307), including improper storage of CPAP mask and unlabeled oxygen tubing.
Failed to implement pharmaceutical services to ensure accurate provision of medications for one of five residents (Resident R250), resulting in nine missed doses due to pharmacy stock unavailability.
Failed to store all drugs and biologicals in a safe, secure, and orderly manner for one of four nursing units (Building 2-2), including medications improperly stored on bedside table, suppositories commingling with oral medications, unlabeled COVID-19 testing solution and cold brick ice packs, and expired insulin syringes.
Failed to implement a surveillance plan for tracking and monitoring residents who tested negative for COVID during an outbreak for six months and failed to implement infection control practices to prevent cross contamination during a dressing change for one of three residents (Resident R67).
Report Facts
Residents affected: 5
Residents affected: 3
Residents affected: 5
Residents affected: 5
Residents affected: 4
Residents affected: 3
Missed medication doses: 9
Outbreak duration: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) Employee E1 | Confirmed Aquaphor ointment was in Resident R302's bathroom without label | |
| Director of Nursing | Confirmed lack of current order, care plan, and interdisciplinary assessment for Resident R1 | |
| Assistant Director of Nursing (ADON) Employee E7 | Confirmed lack of catheter size and balloon inflation specifications for Resident R305 | |
| Registered Nurse, Employee E3 | Confirmed improper storage of Resident R67's CPAP mask and improper infection control practices during dressing change | |
| Licensed Practical Nurse (LPN) Employee E2 | Confirmed unlabeled oxygen tubing and unlabeled COVID-19 testing solution | |
| Nursing Home Administrator (NHA) | Confirmed failure to provide appropriate respiratory care and pharmaceutical services | |
| Registered Nurse, Employee E10 | Confirmed TheraLith medication was not in stock for Resident R250 | |
| Registered Nurse (RN) Employee E8 | Confirmed suppositories commingling with oral medications in medication cart | |
| Licensed Practical Nurse (LPN) Employee E9 | Confirmed expired insulin syringes in medication storage | |
| Infection Preventionist (IP) Employee E7 | Confirmed failure to track residents who tested negative for COVID during outbreak |
Inspection Report
Renewal
Census: 60
Capacity: 90
Deficiencies: 10
Date: Oct 16, 2024
Visit Reason
The inspection was conducted as a renewal and new license review of Vincentian Home to assess compliance and approve a capacity increase from 60 to 90 residents.
Findings
The facility was found to be in compliance with the submitted plan of correction fully implemented. Several deficiencies were cited related to financial management, staff support plans, emergency telephone numbers, windows, exterior hazards, evacuation procedures, medication storage and labeling, and record of training, all with corrective plans accepted and implemented.
Deficiencies (10)
The home has not provided the resident a quarterly account of financial transactions on the resident's behalf.
Resident required extensive supervision in the secured dementia care unit (SDCU) was not adequately staffed during a fire alarm evacuation.
Emergency telephone numbers for nearest hospital, police, fire department, ambulance, poison control, local emergency management, and personal care home complaint hotline were not posted on or near telephones in resident rooms.
Multiple resident room windows were missing window screens.
Concrete walkway pad to main entrance and multiple concrete pads leading to main entry were cracked, deteriorated, and had moss growth.
No fire safe areas designated in the home's secure dementia care unit; residents were evacuated to other areas during fire drills.
Two almost full bottles of Nystop Nystatin Topical Powder were found unlocked and unattended in a resident's bathroom sink.
Pharmacy label for resident's Morphine Sulfate solution did not match prescribed dosage instructions.
Resident's medication administration records documented inconsistent blood glucose readings.
Direct care staff's medication administration training records were not signed or dated.
Report Facts
License Capacity: 60
Residents Served: 52
Secured Dementia Care Unit Capacity: 10
Residents Served in Secured Dementia Care Unit: 8
Current Residents in Hospice: 9
Approved Capacity Increase: 90
Staffing Hours - Total Daily Staff: 66
Staffing Hours - Waking Staff: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed approval letter for license capacity increase |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: May 31, 2024
Visit Reason
The inspection was conducted due to complaints regarding failure to administer medications as prescribed, failure to perform weekly skin assessments per physician orders, and failure to obtain weekly lab work for certain residents.
Complaint Details
The complaint investigation substantiated that the facility failed to administer medication as ordered, failed to perform weekly skin assessments for three residents, and failed to obtain weekly labs for one resident.
Findings
The facility failed to administer prescribed medication to one resident, failed to perform weekly skin assessments for three residents as ordered, and failed to obtain weekly lab work for one resident. These deficiencies were confirmed through clinical record reviews and staff interviews.
Deficiencies (3)
Failed to administer medications as prescribed by the physician for one of five residents (Resident R174).
Failed to perform weekly skin assessments per physician order for three of ten residents (Resident R50, R382, and R385).
Failed to obtain weekly labs for one of six residents (Resident R50).
Report Facts
Missed weekly skin assessments: 19
Residents affected by skin assessment deficiency: 3
Residents affected by lab work deficiency: 1
Residents affected by medication administration deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Confirmed failure to administer medication as ordered and failure to perform weekly skin assessments and obtain weekly labs. | |
| Registered Nurse (RN) Employee E7 | Stated that nursing must sign the Treatment Administration Record (TAR) and complete a skin only evaluation assessment for it to be complete. |
Inspection Report
Routine
Deficiencies: 9
Date: May 31, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to medication administration, resident transfers, treatment and care, accident prevention, catheter care, nutrition, hospice services, and medication security at Vincentian Home.
Findings
The facility was found deficient in multiple areas including failure to determine residents' ability to self-administer medications, inadequate communication during resident transfers, failure to provide timely transfer notices to the Ombudsman, failure to administer medications as prescribed, incomplete skin assessments, inadequate neurological assessments after falls, improper catheter care, failure to address significant weight loss and weight monitoring, failure to coordinate hospice services properly, and failure to secure medication carts.
Deficiencies (9)
Failed to determine the ability to self-administer medications for one of six residents (Resident R114).
Failed to communicate necessary resident information to receiving health care providers for three residents during transfers (Residents R17, R38, R93).
Failed to provide transfer notice to the Office of the Long-Term Care Ombudsman for three residents (Residents R17, R38, R93).
Failed to administer medications as prescribed, failed weekly skin assessments for three residents, and failed to obtain weekly labs for one resident.
Failed to prevent accidents for one resident and failed to perform neurological assessments after unwitnessed falls for two residents.
Failed to ensure physician order for urinary catheter for one resident and failed to provide appropriate catheter care for two residents.
Failed to identify and address significant weight loss timely for one resident, failed to obtain daily weights for two residents, and failed to notify physician of weight gain for one resident.
Failed to obtain diagnosis for hospice services and failed to coordinate hospice services with facility services for three residents.
Failed to properly secure one of four medication carts observed unlocked and unattended.
Report Facts
Residents affected: 6
Residents affected: 3
Residents affected: 3
Residents affected: 5
Residents affected: 4
Residents affected: 3
Residents affected: 5
Residents affected: 3
Medication carts reviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee E6 | Registered Nurse | Confirmed medication was at bedside and removed medications for Resident R114 |
| Employee E7 | Registered Nurse | Confirmed failure to implement privacy bag for catheter and failure to see foley orders |
| Employee E8 | Registered Nurse | Confirmed failure to implement privacy bag for Resident R49 |
| Employee E5 | Nurse Aide | Reported incident of Resident R13 sliding off bed and hitting head |
| Employee E1 | Dietary Technician | Aware of Resident R78's weight loss but failed to document addressing it |
| Employee E2 | Registered Nurse | Confirmed medication cart was unattended, unlocked, and drawer open |
| Employee E3 | Licensed Practical Nurse | Described neurological assessment protocol after resident falls |
| Employee E4 | Nurse Aide | Described proper technique for changing residents in bed |
| Director of Nursing | Director of Nursing | Confirmed multiple deficiencies including medication administration, transfer notices, catheter care, weight monitoring, neurological assessments, and hospice coordination |
| Assistant Director of Nursing | Assistant Director of Nursing | Confirmed failure to communicate necessary resident information during transfers and failure to perform neurological assessments |
| Nursing Home Administrator | Administrator | Confirmed failure to secure medication cart and failure to address weight loss timely |
Inspection Report
Deficiencies: 1
Date: Feb 9, 2024
Visit Reason
The inspection was conducted to evaluate compliance with standards of practice and physicians' orders regarding surgical site care for residents at Vincentian Home.
Findings
The facility failed to ensure timely and appropriate treatment and care for surgical wounds for three of five residents, due to missing or delayed physician orders and inadequate documentation, resulting in minimal harm or potential for harm.
Deficiencies (1)
Failure to provide appropriate treatment and care according to orders, resident’s preferences and goals related to surgical site care.
Report Facts
Residents affected: 3
Wound size: 0.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) Employee E1 | Indicated no order for Aquacel dressing on Resident R1's hip | |
| Director of Nursing | Indicated failure to schedule physician orders for Resident R2 and delayed order entry for Resident CR1 | |
| Nursing Home Administrator | Confirmed failure to ensure timely treatment and care for residents |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 60
Deficiencies: 1
Date: Dec 14, 2023
Visit Reason
The inspection was conducted as a complaint investigation following allegations related to resident abuse and theft.
Complaint Details
The complaint involved alleged abuse and theft of a resident's credit card. The employee suspected of theft was terminated. The plan of correction included resident education on safeguarding valuables, audits of resident rooms for locking devices, staff training on abuse and reporting, and ongoing resident interviews to assess concerns.
Findings
The investigation found that a resident's credit card was taken without consent and used for unauthorized charges. The employee suspected of theft was terminated, and corrective actions including resident education, audits, and staff training were implemented and verified.
Deficiencies (1)
A resident's credit card was taken from their bedroom and used without their knowledge or consent for unauthorized charges.
Report Facts
Residents Served: 48
License Capacity: 60
Secured Dementia Care Unit Capacity: 10
Secured Dementia Care Unit Residents Served: 8
Current Residents in Hospice: 3
Residents Age 60 or Older: 48
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 12
Inspection Report
Follow-Up
Census: 48
Capacity: 60
Deficiencies: 1
Date: Oct 30, 2023
Visit Reason
The inspection visit on 10/30/2023 was a partial, unannounced review triggered by an incident at the facility.
Findings
The facility was found to have fully implemented the submitted plan of correction related to an abuse violation involving unauthorized use of a resident's debit card by a staff member. Continued compliance is required.
Deficiencies (1)
Staff person took resident #1's debit card without consent and used it for unauthorized charges at multiple businesses.
Report Facts
License Capacity: 60
Residents Served: 48
Secured Dementia Care Unit Capacity: 10
Secured Dementia Care Unit Residents Served: 7
Hospice Current Residents: 4
Residents Receiving Supplemental Security Income: 3
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 12
Residents Age 60 or Older: 48
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Oct 19, 2023
Visit Reason
The inspection was conducted as part of a facility survey completed on 10/27/2023 to assess compliance with regulatory requirements related to resident rights and equipment maintenance.
Findings
The facility failed to provide a dignified dining experience by using disposable styrofoam products for meals due to a non-operational dish machine in one nursing unit. Additionally, the facility failed to maintain essential equipment properly and did not keep maintenance logs or repair request records for the dish machine.
Deficiencies (2)
Failed to provide a dignified dining experience by using disposable styrofoam products for meals in one nursing unit due to a non-operational dish machine.
Failed to maintain equipment vital to the operation of the facility in proper working order and failed to maintain records for repair requests resulting in an incomplete timeline.
Report Facts
Number of country kitchens affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Food Service Manager | Confirmed dish machine non-operational and use of disposable styrofoam products | |
| Nursing Home Administrator | Confirmed use of disposable styrofoam products and failure to maintain equipment and repair records |
Inspection Report
Routine
Deficiencies: 8
Date: Jul 21, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to medication self-administration, resident abuse and neglect, investigation of incidents, nursing care standards, wound care, respiratory care, and infection control at Vincentian Home.
Findings
The facility was found deficient in multiple areas including failure to assess residents' ability to self-administer medications, failure to protect residents from neglect and physical abuse, inadequate investigation of incidents, failure to meet nursing care standards including wound care and respiratory care, delays in providing specialty briefs, improper pressure ulcer assessment, and failure to prevent potential cross contamination during dressing changes.
Deficiencies (8)
Failed to determine the ability to self-administer medications for two of five residents (Residents R123 and R129).
Failed to protect residents from neglect for two residents (R45 and R98) resulting in falls and failed to protect one resident (R20) from physical abuse.
Failed to initiate a thorough investigation including witness statements for an accident involving Resident R45.
Failed to provide care and services meeting accepted nursing standards for Resident R59, including not verifying physician's orders prior to dressing changes.
Failed to provide specialty briefs in a timely manner for Resident R104, resulting in delay of treatment.
Failed to properly assess pressure ulcers for Resident R59.
Failed to provide appropriate respiratory care for five residents (R348, R349, R359, R370, and R372) including unlabeled oxygen tubing and humidifiers.
Failed to implement measures to prevent potential cross contamination during dressing change for Resident R59.
Report Facts
Residents reviewed: 5
Residents affected: 2
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 5
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee E13 | Registered Nurse (RN) | Named in medication self-administration deficiency |
| Employee E3 | Registered Nurse (RN) | Named in medication self-administration and wound care deficiencies |
| Employee E18 | Named in neglect and fall incident | |
| Employee E16 | Registered Nurse (RN) | Named in neglect and fall incident |
| Employee E17 | Nursing Assistant (NA) | Named in neglect and fall incident |
| Employee E5 | Nursing Assistant (NA) | Named in neglect and fall incident |
| Employee E6 | Nursing Assistant (NA) | Named in neglect and fall incident |
| Employee E7 | Nursing Assistant (NA) | Named in neglect and fall incident |
| Employee E2 | Nursing Assistant (NA) | Named in neglect and fall incident |
| Employee E9 | Nursing Assistant (NA) | Named in physical abuse incident |
| Employee E10 | Nursing Assistant (NA) | Named in physical abuse incident |
| Employee E14 | Central Supply Employee | Named in delay of specialty briefs |
| Employee E1 | Registered Nurse (RN) | Named in respiratory care deficiencies |
| Employee E4 | Agency Registered Nurse (RN) | Named in respiratory care deficiencies |
| Employee E15 | Named in infection control deficiency |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Apr 11, 2023
Visit Reason
The inspection was conducted to assess the facility's compliance with care planning requirements as part of the annual survey process.
Findings
The facility failed to develop comprehensive, person-centered care plans with measurable objectives and timetables for two residents, despite documented needs and physician orders. This deficiency was confirmed by review of clinical records, Minimum Data Set assessments, and staff interviews.
Deficiencies (1)
Failed to develop a comprehensive care plan for two residents addressing activities of daily living and physician ordered transfer status.
Report Facts
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Confirmed facility failed to develop comprehensive care plans | |
| Director of Quality and Risk Management | Confirmed facility failed to develop comprehensive care plans |
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Mar 9, 2023
Visit Reason
The inspection was conducted following a complaint regarding the facility's failure to provide proper care for a resident with a Life Vest, a wearable defibrillator, specifically concerning battery maintenance and monitoring.
Complaint Details
The complaint was submitted by Resident R1's family member on 2023-03-06, indicating that Resident R1's Life Vest battery was dead for an unknown length of time. The facility failed to identify the event as possible neglect at the time of the family allegation and failed to fully investigate and report it as required by law.
Findings
The facility failed to protect residents from neglect by not providing appropriate care for a resident with a Life Vest, including lack of physician orders, failure to develop a baseline care plan addressing the Life Vest, failure to investigate and report the neglect allegation properly, and failure to ensure nursing staff had the necessary competencies and education to care for the resident with the Life Vest.
Deficiencies (5)
Failed to protect residents from neglect by not providing care for a resident with a Life Vest.
Failed to timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Failed to develop an initial baseline care plan that included instructions to provide person centered care for a resident with a Life Vest.
Failed to make certain of a physician order for the use of a Life Vest for a resident.
Failed to ensure licensed nurses have the specific competencies and skill sets necessary to provide care for a resident with a Life Vest.
Report Facts
Residents affected: 1
Residents in sample: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee E1 | Registered Nurse (RN) Clinical Coordinator | Confirmed facility had not provided education to nursing staff on care required by a resident with Life Vest |
| Employee E3 | Licensed Practical Nurse (LPN) | Confirmed she had not checked or changed the battery for Resident R1's Life Vest and had provided care on two shifts |
| Employee E5 | Registered Nurse (RN) | Confirmed she had not checked or changed the battery for Resident R1's Life Vest and had provided care on three shifts |
| Employee E2 | Licensed Practical Nurse (LPN) | Confirmed he had not been provided education for care of a resident with Life Vest |
| Employee E4 | Registered Nurse (RN) | Confirmed she had not been provided education for care of a resident with Life Vest and would need training before providing care |
Inspection Report
Renewal
Census: 60
Capacity: 60
Deficiencies: 6
Date: Nov 2, 2022
Visit Reason
The inspection was conducted as a renewal review of the Vincentian Home facility on 11/02/2022 and 11/03/2022 to assess compliance with licensing requirements.
Findings
The facility was found to have multiple deficiencies including unlocked resident records, improper use of the term 'assisted living' in contracts, uncovered food storage, incomplete annual medical evaluations, unsecured medications, and missing documentation of resident consent for admission to the secured dementia care unit. The submitted plan of correction was fully implemented by 12/20/2022.
Deficiencies (6)
Resident information was unlocked, unattended and accessible at the 2nd floor nurse's station including assessments, support plans, face sheets, medication lists, and hospice binders.
Use of the term 'Vincentian Home Assisted Living' in resident-home contracts despite not being licensed as an assisted living residence.
Eight trays of uncovered shepherd's pie meat and vegetable gravy mix were stored uncovered in the walk-in freezer.
Resident #7's annual medical evaluation was incomplete and did not indicate continued need for secured dementia care unit (SDCU) placement.
A bottle of prescription medication was unlocked, unattended and accessible in an unlocked drawer at the 2nd floor nurse's station.
No documentation present indicating resident #7 and resident #8 or their designated persons had not objected to admission to the secured dementia care unit.
Report Facts
Residents Served: 60
Capacity: 60
Residents Served in Secured Dementia Care Unit: 9
Current Hospice Residents: 3
Uncovered Food Items: 8
Inspection Report
Routine
Deficiencies: 0
Date: Nov 16, 2021
Visit Reason
The inspection was conducted as a routine licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Notice
Capacity: 60
Deficiencies: 0
Date: Sep 1, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Vincentian Home, a Personal Care Home, confirming receipt of the renewal application and advising of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it is a license renewal notice and certificate of compliance indicating the facility is authorized to operate with a maximum capacity of 60 residents.
Report Facts
Maximum licensed capacity: 60
Secure Dementia Care Unit capacity: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 42
Capacity: 60
Deficiencies: 0
Date: Jun 15, 2021
Visit Reason
The inspection was conducted as a renewal licensing inspection of the Vincentian Home facility on 06/15/2021 and 06/16/2021.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 42
License Capacity: 60
Secured Dementia Care Unit Capacity: 10
Secured Dementia Care Unit Residents Served: 8
Total Daily Staff: 54
Waking Staff: 41
Current Residents Receiving Hospice: 2
Residents Age 60 or Older: 42
Residents with Mobility Need: 12
Inspection Report
Follow-Up
Census: 40
Capacity: 60
Deficiencies: 1
Date: Mar 11, 2021
Visit Reason
The inspection was a partial, unannounced follow-up review conducted due to an incident, to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have fully implemented the plan of correction related to a violation involving staff mistreatment of a resident. The plan included staff termination, resident interviews, mandatory staff training, and education modules, all completed by the follow-up date.
Deficiencies (1)
Staff person A angrily yelled at and threatened to hit resident #1 with a dining cart, violating the requirement that residents be treated with dignity and respect.
Report Facts
Residents Served: 40
License Capacity: 60
Staffing Hours - Total Daily Staff: 49
Staffing Hours - Waking Staff: 37
Secured Dementia Care Unit Capacity: 10
Secured Dementia Care Unit Residents Served: 7
Residents Age 60 or Older: 40
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 9
Inspection Report
Complaint Investigation
Census: 40
Capacity: 60
Deficiencies: 0
Date: Jan 13, 2021
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were substantiated.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 40
License Capacity: 60
Secured Dementia Care Unit Capacity: 10
Residents Served in Dementia Care Unit: 5
Current Hospice Residents: 1
Residents Age 60 or Older: 40
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 8
Residents Receiving Supplemental Security Income: 1
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