Inspection Reports for
Vincentian Home

The facility was found to have multiple deficiencies including failure to conduct fire drills during sleeping hours within the required six-month period, incomplete resident assessments missing key diagnoses, and failure to post directions for key-locking devices near emergency exits. Plans of correction were accepted and fully implemented by the time of the report.

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.

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.

The inspection was triggered by a complaint, and the plan of correction was accepted and fully implemented as of the inspection date.

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.

The waiver is granted under specific conditions including documentation of education equivalency and record keeping. The Department will review this waiver annually during inspections to ensure compliance.

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.

The waiver is granted with conditions requiring documentation of the staff member's education to be maintained and made available upon request. The Department will review this waiver annually during inspections to ensure compliance.

The waiver is granted based on documentation that the staff member's education from outside the United States is equivalent to a U.S. high school diploma. The Department will review this waiver annually during inspections to ensure compliance with conditions.

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.

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.

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.

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.

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.

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.

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.

The waiver allows a specified employee to serve as direct care staff based on education equivalency from outside the United States, subject to documentation and annual review during inspections.

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.

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.

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.

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.

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.

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.

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.

No regulatory citations were identified as a result of this inspection.

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.

No regulatory citations or deficiencies were identified as a result of this inspection.

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.

The inspection was complaint-related, but no deficiencies or citations were substantiated.

No regulatory citations or deficiencies were identified as a result of this inspection.

No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application and advises that an annual inspection will be conducted within the next year.

The visit was complaint-related. The complaint involved failure to follow physician orders for catheter care. The plan of correction was accepted and fully implemented.

The facility failed to follow the prescriber's orders for Foley Catheter care for Resident #1 on multiple dates. The submitted plan of correction was determined to be fully implemented upon follow-up.

The inspection was complaint-related and included a review of the submitted plan of correction, which was found fully implemented. Resident #1 no longer resides in the facility.

The submitted plan of correction was determined to be fully implemented. The facility was found to have previously failed to provide documentation that a resident received ordered physical therapy services, but corrective actions including audits and EMR implementation were completed.

The complaint investigation was substantiated based on findings of unreported incidents and failure to adequately manage inappropriate sexual behaviors by resident #1 toward resident #2 and staff.

The facility failed to timely report an incident of inappropriate sexual behavior between residents and did not adequately address repeated inappropriate sexual behaviors by resident #1. The home documented 26 occurrences of inappropriate sexual behavior between 5/5/19 and 7/7/20 involving resident #2 and staff. Plans of correction were implemented including staff education, resident interviews, and revisions to support plans.

The inspection was triggered by a complaint. The exit conference was held on 07/08/2020. No deficiencies or citations were found, indicating the complaint was not substantiated.

No regulatory citations or deficiencies were identified during the inspection conducted on July 1, 2020.

No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future inspection requirements.

The inspection included a complaint investigation as indicated by the reason for inspection. Specific substantiation status is not stated.

Multiple violations of 55 Pa. Code Chapter 2600 were found, including issues with resident record confidentiality, unsigned resident contracts, fire drill procedures, medical evaluations, medication labeling, and preadmission screening documentation. Plans of correction were partially implemented with adequate progress noted.

No inspection findings are reported in this document as it is a license renewal notice and certificate.

Multiple violations of 55 Pa.Code Chapter 2600 were found, including failure to post current licensing inspection summary, inadequate staff training, unsafe storage of poisonous materials, uncovered trash receptacles, incomplete fire drill procedures, medication administration deficiencies, and missing preadmission screening for a resident.

No inspection findings are reported in this document. It serves as a license renewal notice and certificate of compliance.

No regulatory violations were identified as a result of this inspection.

No inspection findings are reported in this document. It primarily communicates the issuance of a regular license following the renewal application.

The waiver request is not needed because documentation confirms the staff member successfully obtained Registered Nurse status through the Nursing and Midwifery Council of Nigeria, exceeding the criteria for a high school diploma.

Multiple violations of 55 Pa.Code Chapter 2600 were found related to staff qualifications, training, medication administration, fire safety, resident assessments, and facility safety measures. Plans of correction were submitted and partially implemented with adequate progress noted.