Inspection Report
Complaint Investigation
Census: 52
Capacity: 90
Deficiencies: 2
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.
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.
Complaint Details
The inspection was triggered by a complaint, and the plan of correction was accepted and fully implemented as of the inspection date.
Deficiencies (2)
| Description |
|---|
| 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
Renewal
Census: 60
Capacity: 90
Deficiencies: 10
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)
| Description |
|---|
| 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
Census: 48
Capacity: 60
Deficiencies: 1
Dec 14, 2023
Visit Reason
The inspection was conducted as a complaint investigation following allegations related to resident abuse and theft.
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.
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.
Deficiencies (1)
| Description |
|---|
| 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
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)
| Description |
|---|
| 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
Renewal
Census: 60
Capacity: 60
Deficiencies: 6
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)
| Description |
|---|
| 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
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
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
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
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)
| Description |
|---|
| 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
Jan 13, 2021
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were substantiated.
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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