Inspection Reports for Viva Senior Living at Harrisburg
150 Kempton Ave, Harrisburg, PA 17111, United States, PA, 17111
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Inspection Report
Plan of Correction
Census: 84
Capacity: 96
Deficiencies: 3
Oct 2, 2024
Visit Reason
The inspection was conducted as a follow-up to review the submitted plan of correction for the facility, ensuring that the corrective actions were fully implemented.
Findings
The report details the acceptance of the plan of correction for multiple deficiencies identified on 10/02/2024, including issues with resident personal equipment, medication storage, and support plan documentation. Immediate actions were taken and ongoing compliance measures were established with completion dates extending into early 2025.
Deficiencies (3)
| Description |
|---|
| The bedside mobility device on Resident bed has a large, uncovered section measuring about 10" x 6" that poses an entrapment risk. |
| A bottle of Rising Health medication was sticky and dripping inside the home's medication cart, and blister cards for residents contained punctured blisters still holding tablets. One medication was expired based on manufacturer instructions. |
| Resident support plans did not address the intended use, risks, resident ability, or specific identification of bedside mobility devices as required. |
Report Facts
License Capacity: 96
Residents Served: 84
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 15
Hospice Current Residents: 10
Residents Age 60 or Older: 83
Residents with Mental Illness: 3
Residents with Intellectual Disability: 1
Residents with Mobility Need: 38
Residents with Physical Disability: 1
Total Daily Staff: 122
Waking Staff: 92
Inspection Report
Renewal
Census: 87
Capacity: 96
Deficiencies: 18
Jul 30, 2024
Visit Reason
The inspection was conducted as a renewal and incident review of the facility to assess compliance with licensing requirements and regulations.
Findings
The inspection identified multiple deficiencies including abuse, inadequate CPR/First Aid training, incomplete staff training topics, unsafe resident personal equipment, hot water temperature violations, incomplete evacuations during fire drills, missing or unsigned support plans, medication administration errors, expired medications, and incomplete documentation for secured dementia care unit admissions. Plans of correction were accepted and scheduled for implementation.
Deficiencies (18)
| Description |
|---|
| Resident was verbally threatened by staff member during overnight shift. |
| Insufficient number of staff with current CPR and First Aid training during specified shifts. |
| Direct care staff did not receive required annual training on personal care needs, safe management, infection control, and care for residents with mental illness or intellectual disabilities. |
| Direct care staff did not receive training in Resident Rights and the Older Adult Protective Services Act during the training year. |
| Large U shaped bedside mobility devices attached to residents' beds posed entrapment risks due to lack of covering. |
| Hot water temperature in resident bathroom sinks exceeded 120°F on multiple occasions. |
| Residents did not fully evacuate to designated meeting places during fire drills. |
| Residents' medical evaluations were not current or missing. |
| Staff transporting residents had not completed required direct care training. |
| Medication administration error: staff failed to observe resident ingesting medication. |
| Expired prescription medications were found in medication carts. |
| Medications were not properly dated or stored; blister packs were tampered with. |
| Resident support plans did not document the need for and safe use of bedside mobility devices. |
| Resident support plans were not signed by residents or documented refusal to sign. |
| Cognitive preadmission screening was missing for a resident admitted to the secured dementia care unit. |
| No documentation that resident and designated person did not object to admission to secured dementia care unit. |
| Directions for operating key locking devices were not conspicuously posted at secured dementia care unit exits. |
| Direct care staff in secured dementia care unit had insufficient dementia care training hours. |
Report Facts
Residents Served: 87
License Capacity: 96
Residents Served in Secured Dementia Care Unit: 15
Capacity of Secured Dementia Care Unit: 24
Current Hospice Residents: 12
Residents Age 60 or Older: 86
Residents Diagnosed with Mental Illness: 4
Residents Diagnosed with Intellectual Disability: 3
Residents with Mobility Need: 42
Residents with Physical Disability: 1
Total Daily Staff: 129
Waking Staff: 97
Inspection Report
Follow-Up
Census: 87
Capacity: 96
Deficiencies: 3
Jan 17, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident, to review the submitted plan of correction and verify compliance.
Findings
The facility was found to have previously deficient practices related to medication administration, including failure to follow physician orders and incomplete medication records. The submitted plan of correction was determined to be fully implemented as of the inspection date.
Deficiencies (3)
| Description |
|---|
| Failure to manage diabetic resident's sliding scale insulin orders and lack of physician's order clarification, resulting in incorrect medication administration. |
| Medication Administration Record (MAR) did not indicate diagnosis or purpose for prescribed medications. |
| Failure to follow prescriber's orders, including omission of prescribed medications from the MAR and failure to administer medications as ordered. |
Report Facts
License Capacity: 96
Residents Served: 87
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 13
Hospice Residents: 7
Total Daily Staff: 100
Waking Staff: 75
Inspection Report
Complaint Investigation
Census: 67
Capacity: 96
Deficiencies: 2
Oct 10, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility on 10/10/2023.
Findings
Two deficiencies were found: sanitary conditions were not maintained in the secure dementia care unit, including ungloved utensil handling and unclean tables; and the designated smoking area did not meet fire safety guidelines, with non-fire resistant furniture cushions and cigarette butts found outside the fireproof container.
Complaint Details
The visit was complaint-related and included an incident investigation. The plan of correction was accepted and fully implemented by 11/06/2023.
Deficiencies (2)
| Description |
|---|
| Sanitary conditions not maintained: staff handling utensils without gloves, unclean tables, and lack of hairnet use in the secure dementia care unit. |
| Smoking area guidelines not followed: non-fire resistant cushions on furniture and cigarette butts outside fireproof receptacles. |
Report Facts
License Capacity: 96
Residents Served: 67
Residents in Secured Dementia Care Unit: 16
Capacity of Secured Dementia Care Unit: 24
Current Hospice Residents: 6
Residents with Mobility Need: 22
Residents Diagnosed with Mental Illness: 5
Residents Diagnosed with Intellectual Disability: 2
Residents with Physical Disability: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff Person A | Named in sanitary conditions deficiency for handling utensils without gloves and not wearing a hairnet. | |
| Food Service Director/Cook | Provided training on safe food handling and sanitation; responsible for spot checks. | |
| Maintenance Director | Removed cushions from outside furniture, posted signs, and responsible for checking smoking area compliance. | |
| Executive Director | Provided staff training on smoking policy and regulations; planned replacement of fire retardant cushions. |
Inspection Report
Renewal
Census: 57
Capacity: 96
Deficiencies: 25
Aug 15, 2023
Visit Reason
The inspection was conducted as a renewal and complaint investigation visit to assess compliance with licensing requirements and complaint allegations.
Findings
Multiple deficiencies were identified including failure to report incidents timely, lack of carbon monoxide detector, unsigned resident contract, delayed refunds, privacy violations due to video cameras in common areas, insufficient CPR trained staff, improper storage and handling of medications, ventilation issues, hot water temperature violations, missing emergency telephone numbers, and incomplete fire drill records. Plans of correction were accepted and many were implemented by early October 2023.
Complaint Details
The visit included a complaint investigation related to incidents of resident elopement, falls, and medication storage issues. The complaint was substantiated with findings of failure to report incidents and medication storage violations.
Deficiencies (25)
| Description |
|---|
| Failure to report incidents such as resident elopement and falls to the Department within 24 hours. |
| No carbon monoxide alarm near the gas stove in the basement. |
| Resident home contract not signed by the resident. |
| Refund due to resident was not issued within required timeframe. |
| Video cameras recording common areas including lobby and activity area, violating resident privacy. |
| Only one staff member certified in CPR and First Aid present during night shift for 57 residents. |
| Staff person did not receive required fire safety orientation prior to first work day. |
| Direct care staff person had not completed required Department-approved training and competency test. |
| Poisonous materials found unlocked and accessible to residents in secure dementia care unit. |
| Ventilation fan grate clogged with lint and dust preventing airflow in common bathroom. |
| Hot water temperature exceeded 120°F in resident bedrooms. |
| Emergency telephone numbers missing on or by telephones in resident bedrooms. |
| Unlabeled bar of soap found in common bathroom vanity cabinet. |
| Thick layer of lint found in commercial dryer in basement. |
| Written emergency procedures not reviewed or submitted to local emergency management agency in 2022. |
| Dog present without current certificate of rabies vaccination. |
| Furnaces not inspected or cleaned annually as required. |
| Unannounced fire drill not held during July 2023. |
| Fire drill records incomplete, missing evacuation times, exit routes, and resident counts. |
| Resident medical evaluations not completed annually as required. |
| Smoking occurred in non-designated area (SDCU courtyard). |
| Medications and syringes not kept locked and accessible to residents who are not assessed to self-administer. |
| Medications stored improperly with loose tablets found in medication cart. |
| Glucometer times incorrect, not adjusted for daylight savings time. |
| Resident records accessible in unattended employee break room, violating confidentiality. |
Report Facts
License Capacity: 96
Residents Served: 57
Secured Dementia Care Unit Capacity: 24
Residents in SDCU: 13
Current Hospice Residents: 5
Residents Age 60 or Older: 57
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 23
Residents with Physical Disability: 0
Total Daily Staff: 80
Waking Staff: 60
Resident CPR Staff Ratio: 1
Hot Water Temperature Bedroom 3: 122.5
Hot Water Temperature Bedroom 7: 125.7
Inspection Report
Complaint Investigation
Census: 58
Capacity: 96
Deficiencies: 20
Jan 4, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation, unannounced, to review compliance with regulations and the submitted plan of correction.
Findings
Multiple deficiencies were found including failure to report incidents timely, abuse and neglect allegations, medication administration errors, inadequate staff training and orientation, unsafe storage of poisonous and combustible materials, incomplete resident medical evaluations and assessments, and incomplete resident support plans.
Complaint Details
The visit was complaint-related and unannounced, triggered by incidents and allegations including abuse, neglect, medication errors, and regulatory noncompliance. The complaint was substantiated with multiple violations found.
Deficiencies (20)
| Description |
|---|
| Failure to report incidents to the Department within 24 hours as required. |
| Resident #3 was neglected and verbally abused; staff failed to send resident to hospital despite complaints and resident was found deceased. |
| Resident #1 was treated without dignity and respect; staff told resident 'You're stressing me out' multiple times causing distress. |
| Resident #1 was recorded on personal video by staff and video posted on social media without consent. |
| Insufficient staff certified in first aid and CPR present during shifts for 58 residents. |
| New staff did not receive required fire safety and emergency preparedness orientation on first day. |
| New staff did not receive required orientation on resident rights, emergency medical plan, and abuse reporting within 40 hours. |
| Poisonous materials and combustible materials were stored unlocked and accessible to residents in the secured dementia care unit. |
| Lint accumulation in dryer lint trap not cleaned, posing fire risk. |
| Medical evaluations for residents were not completed timely or missing. |
| Medications were removed from original containers and pre-poured improperly; medication administration records were incomplete or missing staff initials. |
| Medication administered to resident without physician order and without notifying physician. |
| Failure to follow prescriber's orders for wound care treatment. |
| Staff administering medications had not completed required annual practicums or MAR reviews. |
| Preadmission screening forms missing for some residents. |
| Initial assessments within 15 days of admission were not completed for some residents. |
| Annual additional assessments were not completed timely for a resident. |
| Resident support plans were incomplete, missing descriptions of needs, plans, frequency, and responsible parties. |
| No notation of refusal or inability to sign support plans for some residents. |
| Resident records missing photographs. |
Report Facts
Residents served: 58
License capacity: 96
Secured Dementia Care Unit capacity: 14
Secured Dementia Care Unit residents served: 13
Hospice residents: 7
Residents with mental illness: 6
Residents with intellectual disability: 2
Residents with mobility need: 13
Residents aged 60 or older: 58
Staff total daily: 71
Waking staff: 53
Staff certified in first aid and CPR: 1
Inspection Report
Plan of Correction
Deficiencies: 0
Sep 7, 2022
Visit Reason
The document confirms that the submitted plan of correction for the facility was reviewed and determined to be fully implemented.
Findings
The Pennsylvania Department of Human Services determined that the submitted plan of correction is fully implemented and requires continued compliance.
Inspection Report
Plan of Correction
Deficiencies: 0
Jul 20, 2022
Visit Reason
The document is a follow-up review by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to confirm that the submitted plan of correction for the facility was fully implemented following inspections on 07/19/2022 and 07/20/2022.
Findings
The submitted plan of correction was determined to be fully implemented, and continued compliance must be maintained.
Report Facts
Inspection dates: 2
Inspection Report
Complaint Investigation
Census: 55
Capacity: 96
Deficiencies: 14
Jul 19, 2022
Visit Reason
The inspection was conducted as a complaint and incident investigation at Viva Senior Living at Harrisburg on 07/19/2022 and 07/20/2022.
Findings
Multiple deficiencies were found including abuse resulting in resident injury, staff lacking required qualifications and training, unsafe resident equipment, unsecured poisonous materials, lint accumulation in dryers, medication administration documentation errors, and incomplete resident records. Plans of correction were accepted with specified completion dates.
Complaint Details
The inspection was complaint-driven and included incident investigation. The abuse allegation involving Staff Person E was substantiated, resulting in suspension and separation of employment.
Deficiencies (14)
| Description |
|---|
| Resident was physically abused when a staff person forcefully pushed a wheelchair causing the resident to fall and sustain bruising. |
| Staff person does not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry. |
| No First Aid or CPR trained staff present during overnight shifts on multiple dates with 55-56 residents in the home. |
| Staff person did not receive orientation on general fire safety and emergency procedures on first day of work. |
| Staff person did not receive training in residents rights, emergency medical plan, mandatory reporting, and reportable incidents within first 40 scheduled working hours. |
| Direct care staff person provided unsupervised ADL services without completing required Department-approved direct care training course. |
| Resident has an uncovered enabler bar on mattress with openings exceeding federal safety guidelines, posing entanglement risk. |
| Poisonous material (odor eliminator) found in unlocked cabinet accessible to residents in secure dementia care unit. |
| Lint accumulation of approximately 1/4 inch found in lint trap of clothes dryer, posing fire hazard. |
| Resident medication administration record did not indicate medications were given as prescribed on a specific date and time. |
| Staff person administering medications has not completed Department-approved medication administration course including competency test. |
| Staff person administering insulin injections has not completed required medication administration training. |
| Resident's most recent assessment does not reflect use of enabler bar on bed. |
| Resident record missing eye color, hair color, identifying marks, and photo. |
Report Facts
License Capacity: 96
Residents Served: 55
Residents in Secured Dementia Care Unit: 13
Hospice Residents: 8
Residents 60 Years or Older: 56
Residents Diagnosed with Mental Illness: 7
Residents Diagnosed with Intellectual Disability: 2
Residents with Mobility Need: 26
Residents with Physical Disability: 2
Total Daily Staff: 81
Waking Staff: 61
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff Person E | Named in abuse finding; suspended and separated from employment following substantiated allegation. | |
| Staff Person A | Did not have required high school diploma, GED, or active registry status. | |
| Staff Person B | Did not receive required orientation and training within first day and first 40 hours. | |
| Staff Person C | Provided unsupervised ADL services without completing required direct care training. | |
| Staff Person D | Administers medications and insulin without completing required medication administration training. |
Inspection Report
Follow-Up
Census: 50
Capacity: 50
Deficiencies: 5
Jun 2, 2022
Visit Reason
The inspection was conducted due to a change in legal entity and as a follow-up to verify the implementation of a previously submitted plan of correction.
Findings
The facility was found to have implemented all required corrections from the plan of correction, including maintenance of sanitary conditions, provision of bedside tables or shelves, proper soap dispensers, combustible material restrictions, and securing confidential resident records.
Deficiencies (5)
| Description |
|---|
| Heavy coating of dust on air return vents and dirty pleated air filters inside electrical rooms. |
| No bedside table or shelf beside the resident’s bed in Room #3 in the secured care unit. |
| Unlabeled used bar of green soap in the shower of shared room #146. |
| Two 20 pound cylinder propane tanks stored unlocked, unattended, and accessible to residents outside the rear exterior door beside the grill. |
| Assessment and support plans for four previous residents found accessible on an unlocked and unattended table in the administrator's office; boxes containing multiple records of current and former residents and staff found in an unlocked and unattended room in the secured care unit. |
Report Facts
Residents Served: 50
License Capacity: 50
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 13
Hospice Current Residents: 5
Residents Age 60 or Older: 50
Residents Diagnosed with Mental Illness: 9
Residents Diagnosed with Intellectual Disability: 3
Residents with Mobility Need: 19
Residents with Physical Disability: 0
Total Daily Staff: 69
Waking Staff: 52
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