Inspection Report
Renewal
Census: 58
Capacity: 66
Deficiencies: 7
Nov 7, 2024
Visit Reason
The inspection was conducted as a renewal review of the facility's license and compliance with regulatory requirements.
Findings
The inspection identified multiple deficiencies including lack of certified staff in first aid/CPR during certain shifts, incomplete training records, missing emergency telephone numbers in resident rooms, outdated emergency preparedness procedures, fire safety hazards in the smoking area, incomplete first aid kit contents in the facility van, and incomplete documentation in resident support plans regarding medical equipment needs. Plans of correction were accepted and implemented for all deficiencies.
Deficiencies (7)
| Description |
|---|
| No staff certified in first aid and CPR on the 11p-7a shift despite requirement for at least 2 certified staff for 58 residents. |
| Training records for two direct care staff members did not indicate the length of time each training course took to complete. |
| Required emergency telephone numbers were not posted on or near the landline phone in a resident room. |
| Written emergency preparedness procedures had not been reviewed or submitted to the local emergency management agency in the last year. |
| Smoking area on east side of building had a cushion on the bench posing a fire hazard. |
| Facility first aid kit in the van was missing a breathing shield, thermometer, and eye protection. |
| Resident support plans did not document the need, intended use, risks, or safety considerations for bedside enabler bars used by residents. |
Report Facts
Residents Served: 58
License Capacity: 66
Total Daily Staff: 62
Waking Staff: 47
Current Residents in Hospice: 3
Residents Age 60 or Older: 58
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Wellness | Responsible for ensuring CPR training for new hires and auditing resident support plans monthly | |
| Executive Director | Responsible for monthly training and emergency preparedness submission | |
| Maintenance Director | Responsible for posting emergency phone numbers, checking rooms for phone postings, and monitoring smoking area fire hazards | |
| Activities Director | Responsible for monitoring first aid kit contents weekly | |
| DOW (Director of Wellness) | Fixed Resident Assessment and Support Plans (RASP) and responsible for auditing RASPs monthly |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 66
Deficiencies: 0
Apr 16, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related; however, no deficiencies were found and no follow-up was required.
Report Facts
Total Daily Staff: 62
Waking Staff: 47
Resident Support Staff: 0
Residents Served: 56
License Capacity: 66
Current Hospice Residents: 1
Residents Age 60 or Older: 56
Residents with Mobility Need: 6
Residents with Physical Disability: 1
Inspection Report
Renewal
Census: 55
Capacity: 66
Deficiencies: 7
Feb 26, 2024
Visit Reason
The inspection was conducted as a renewal review of the facility's license on 02/26/2024.
Findings
The facility was found to have multiple deficiencies including lack of documentation for staff qualifications and training, missing items in the first aid kit, combustible storage issues with cigarette butts in designated and undesignated smoking areas, improper medication storage, and incomplete resident support plans. The submitted plan of correction was accepted and fully implemented by April 2024.
Deficiencies (7)
| Description |
|---|
| The home did not have documentation of a high school diploma or GED for staff person A hired as a personal care aide. |
| The home did not have documentation that staff person A completed the required Direct Care Competency test. |
| The home’s first aid kit located on 2nd floor at the wellness desk was missing scissors, tape, and bandages. |
| Numerous cigarette butts were observed on the ground in designated smoking areas and outside a rear exit in a non-designated smoking area. |
| The Novolog Flexpen belonging to resident #1 was not dated and initialed when opened for use. |
| Resident #2's support plan did not reflect the specific need, risks, intended use, or safety considerations for an enabler bar attached to their bed. |
| Resident #3's support plan indicated a regular diet, but medical evaluation indicated a need for a mechanical soft diet. |
Report Facts
Residents Served: 55
License Capacity: 66
Total Daily Staff: 60
Waking Staff: 45
Current Residents in Hospice: 2
Residents Age 60 or Older: 55
Residents with Mobility Need: 5
Residents with Physical Disability: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rachel Bingaman | Executive Director | Named in plan of correction audit for new employee files and first aid kit oversight |
| Angela Wells | Activity Director | Responsible for weekly checking of emergency kits |
| JH | Implemented plan of correction for medication storage |
Inspection Report
Complaint Investigation
Census: 57
Deficiencies: 6
Jul 27, 2023
Visit Reason
The inspection was conducted as a complaint investigation and due to a change in legal entity for the facility.
Findings
Multiple deficiencies were identified including staff yelling at a resident, unsafe furniture equipment, missing first aid kit supplies, obstructed egress door, and fire drill deficiencies related to timing and frequency.
Complaint Details
The complaint involved staff person A yelling loudly at resident #1 during care and for not remembering directions.
Deficiencies (6)
| Description |
|---|
| Staff person A frequently yells loudly at resident #1, including telling the resident to 'Get up' loudly and yelling for not remembering how to get back to their room. |
| An enabler bar in resident room 224 had an 8 inch gap without a cover to prevent limb entrapment and was not securely attached to the bed. |
| The first aid kit at the 2nd floor nurse’s station was missing scissors. |
| The activity room exit door did not open without using excessive force against the push bar. |
| The home’s last sleeping hour fire drill was conducted on 11/23/22, more than six months ago. |
| Fire drills were routinely scheduled towards the end of the month on dates including 11/23/22, 12/31/22, 1/26/23, 2/21/23, 3/24/23, 4/26/23, 5/31/23, and 6/26/23. |
Report Facts
Residents Served: 57
Staffing Hours - Total Daily Staff: 63
Staffing Hours - Waking Staff: 47
Residents with Mobility Need: 6
Residents 60 Years or Older: 57
Residents with Physical Disability: 1
Gap in Enabler Bar: 8
Fire Drill Dates Count: 8
Inspection Report
Complaint Investigation
Census: 57
Capacity: 66
Deficiencies: 6
Jul 25, 2023
Visit Reason
The inspection was conducted due to a complaint and a change in legal entity. It was a partial announced inspection to assess compliance with regulations for a newly licensed personal care home.
Findings
The facility was found to be in substantial compliance but not complete compliance. Several deficiencies were cited including staff treating a resident without dignity, unsafe furniture equipment, missing first aid kit items, obstructed egress door, and fire drill scheduling issues.
Complaint Details
The complaint involved staff yelling loudly at a resident, failing to treat the resident with dignity and respect. This was substantiated through staff interviews.
Deficiencies (6)
| Description |
|---|
| Staff person frequently yelled loudly at resident #1, failing to treat the resident with dignity and respect. |
| An enabler bar in resident room 224 had an 8-inch gap without a cover, posing a limb entrapment hazard and was not securely attached to the bed. |
| The first aid kit at the 2nd floor nurse’s station was missing scissors. |
| The activity room exit door did not open without excessive force against the push bar. |
| The home’s last sleeping hour fire drill was conducted more than six months ago, violating the requirement for semiannual drills during sleeping hours. |
| Fire drills were routinely scheduled towards the end of the month, not on different days and times as required. |
Report Facts
License Capacity: 66
Residents Present: 57
Residents Age 60 or Older: 57
Residents with Mobility Need: 6
Residents with Physical Disability: 1
Total Daily Staff: 63
Waking Staff: 47
Dates of Fire Drills: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Juliet Marsala | Deputy Secretary | Signed the licensing letter and report cover letter. |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 66
Deficiencies: 2
Oct 5, 2022
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received by the Pennsylvania Department of Human Services.
Findings
The inspection found deficiencies related to inadequate assistance with activities of daily living and failure to update the resident's support plan to reflect changes in condition. The submitted plan of correction was accepted and fully implemented.
Complaint Details
The visit was complaint-related, triggered by observations made by resident #1's family regarding inadequate care and failure to update the resident's support plan. The plan of correction was accepted and fully implemented.
Deficiencies (2)
| Description |
|---|
| Resident #1 was found soaked in urine with a soiled brief on the floor and an uneaten breakfast tray in the room, indicating inadequate assistance with activities of daily living. |
| Resident #1's support plan was not updated to reflect the resident becoming immobile and requiring total care with all activities of daily living. |
Report Facts
License Capacity: 66
Residents Served: 54
Current Residents in Hospice: 2
Residents 60 Years or Older: 54
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 6
Total Daily Staff: 60
Waking Staff: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Wellness | Named in relation to implementing plan of correction, monitoring level of care and support plans, and educating staff |
Inspection Report
Renewal
Census: 55
Capacity: 66
Deficiencies: 13
Aug 9, 2022
Visit Reason
The inspection was a full, unannounced renewal inspection conducted to review compliance with licensing requirements and verify the submitted plan of correction.
Findings
The report found multiple deficiencies including issues with record confidentiality, staffing hours, first aid/CPR training, poisonous materials labeling, trash receptacles, food storage, fire extinguisher inspection, fire drills, preadmission screening, unobstructed egress, and combustible storage. All deficiencies had plans of correction accepted and were implemented by the facility.
Deficiencies (13)
| Description |
|---|
| Resident records were posted with privacy page identifying resident. |
| Direct care staff hours were below required levels for residents with mobility needs. |
| Waking hours staffing was below required levels for residents with mobility needs. |
| Staffing did not meet the needs of residents requiring 2 staff for ambulating and transferring during certain shifts. |
| Only one CPR certified staff member was verified during certain shifts instead of required staffing. |
| A clear plastic spray bottle on a cleaning cart was unlabeled. |
| Three uncovered garbage cans in the kitchen were not being actively used and lids were not verified. |
| Food in the activities room refrigerator was not in a sealed container and was not labeled or dated. |
| Fire extinguisher near outside smoking area lacked a tag to determine last inspection date. |
| Fire drills were not held on different days and times as required. |
| Preadmission screening form for Resident 1 was incomplete and did not indicate if needs could be met. |
| Chair obstructed exit leading from stairwell to outside smoking patio. |
| Towel and washcloth observed on exhaust vent of dryer in 2nd floor laundry room. |
Report Facts
License Capacity: 66
Residents Served: 55
Current Residents in Hospice: 3
Residents Age 60 or Older: 55
Residents with Mental Illness: 1
Residents with Mobility Need: 8
Direct Care Staff Hours Required: 64
Direct Care Staff Hours Verified: 63.5
Direct Care Waking Hours Required: 48
Direct Care Waking Hours Verified: 42
CPR Certified Staff: 1
Uncovered Garbage Cans: 3
Inspection Report
Follow-Up
Census: 57
Capacity: 66
Deficiencies: 2
Apr 14, 2022
Visit Reason
The inspection was conducted as a follow-up to verify that the submitted plan of correction was fully implemented after previous incident and medication refusal violations.
Findings
The facility was found to have fully implemented the plan of correction related to a failure to report an incident involving a resident's physical aggression and failure to report medication refusals. Continued compliance was noted.
Deficiencies (2)
| Description |
|---|
| Failure to submit an incident report within 24 hours detailing a resident's physical aggression requiring law enforcement intervention. |
| Failure to document and report resident medication refusals to the prescribing physician or nurse practitioner within 24 hours. |
Report Facts
Resident Support Staff: 57
Total Daily Staff: 122
Waking Staff: 92
License Capacity: 66
Residents Served: 57
Residents Age 60 or Older: 57
Residents with Mobility Need: 8
Current Residents on Hospice: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Executive Director | Named in incident report deficiency related to failure to report incident |
| Director of Wellness | Director of Wellness | Named in incident report and medication refusal deficiencies as responsible for compliance and staff education |
Inspection Report
Renewal
Deficiencies: 0
Jan 4, 2022
Visit Reason
The inspection was conducted as a 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.
Inspection Report
Renewal
Census: 58
Capacity: 66
Deficiencies: 5
Sep 21, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the Vintage Knolls facility to assess compliance with licensing requirements.
Findings
Several deficiencies were identified including unlabeled and undated leftover food, blocked emergency egress routes, lack of notification to the fire department, combustible storage hazards, and improper documentation of glucometer readings. Plans of correction were accepted and implemented with follow-up documentation submitted.
Deficiencies (5)
| Description |
|---|
| Two clear bags of bacon bits and one bag of breakfast sausage links were found in the freezer not dated or labeled. |
| Emergency exits in the dining room, kitchen, and recreation room were blocked by furniture, service carts, and plastic milk cartons. |
| Documentation notifying the local fire department of the home's address, bedroom locations, and evacuation assistance needs was not available. |
| Tiny tissues and lint were found between the home's first floor washer and dryer, posing a fire hazard. |
| Glucometer readings for a resident were documented incorrectly or not documented at all. |
Report Facts
License Capacity: 66
Residents Served: 58
Staffing Hours: 11
Staffing Hours: 80
Staffing Hours: 60
Hospice Residents: 1
Residents with Mental Illness: 2
Residents 60 Years or Older: 58
Residents with Mobility Need: 11
Notice
Capacity: 66
Deficiencies: 0
Aug 31, 2021
Visit Reason
The document serves as a renewal notification and license issuance for the Personal Care Home 'Vintage Knolls' following receipt of a renewal application dated July 13, 2021. It also advises that an onsite inspection will be conducted within the next twelve months as required by regulation.
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 licensed capacity: 66
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
Inspection Report
Routine
Deficiencies: 0
Jul 20, 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 or deficiencies were identified as a result of this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michele Moskalczyk | Human Services Licensing Supervisor | Signed the inspection report letter. |
Inspection Report
Follow-Up
Census: 46
Capacity: 66
Deficiencies: 1
Mar 16, 2021
Visit Reason
The visit was conducted as a follow-up to review the submitted plan of correction for previously identified deficiencies at Vintage Knolls.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. The main deficiency involved missing signatures on resident support plans, which has been addressed through audits and corrective actions.
Deficiencies (1)
| Description |
|---|
| Resident 1's RASP dated 08/24/2020 was not signed by the resident and there was no indication that the resident refused or was unable to sign. |
Report Facts
Residents served: 46
License capacity: 66
Current hospice residents: 2
Residents with mobility need: 12
Residents aged 60 or older: 46
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