Inspection Reports for
Wesley Enhanced Living Doylestown
200 VETERANS LANE,, DOYLESTOWN, PA, 18901
Back to Facility Profile31 Reports
Inspection Report — Nov 3, 2025
Monitoring
Date: Nov 3, 2025
Visit Reason
The inspection was a partial, unannounced monitoring visit conducted to review compliance and verify the implementation of the plan of correction.
Findings
The inspection identified multiple deficiencies related to resident record confidentiality, medication storage and labeling, medication administration procedures, and additional resident assessments. Plans of correction were accepted with completion dates in late 2025 and implementation verified by early 2026.
Citations (5)
Regulation 17: A clipboard with residents' vital signs was found unlocked and unattended on a medication cart, violating resident record confidentiality.
Regulation 183e: A loose half orange oblong pill and a punctured blister pack were found in the third floor medication cart.
Regulation 184b: Three packages of patches in the medication cart were not labeled with the resident's name.
Regulation 185a: A resident's blood glucose level was documented without a corresponding glucometer reading, and approximately 100 unidentified pills were found in a sharps container on a medication cart.
Regulation 225c: A resident's annual assessment did not include required details about the use of a bedside mobility device.
Report Facts
Residents Served: 52
Total Daily Staff: 54
Waking Staff: 41
Unidentified pills: 100
Inspection Report — Sep 8, 2025
Renewal
Date: Sep 8, 2025
Visit Reason
The inspection was a renewal visit conducted as a full, unannounced inspection to review compliance with licensing regulations and verify correction of previous deficiencies.
Findings
The facility had multiple deficiencies related to record confidentiality, quality management plan content, staff training, first aid kit contents, fire safety notifications and drills, medication storage and labeling, and resident assessments. All deficiencies had accepted plans of correction with implementation dates by January 28, 2026.
Citations (14)
2600.17 Resident medical information was left on an unlocked clipboard on the third-floor medication cart and the narcotics logbook was found unlocked on the second-floor medication cart.
2600.26b The quality management plan did not address reportable incident reporting, complaint procedures, staff training, or licensing violations and plans of correction.
2600.65b Two staff persons did not complete required training on resident rights, abuse reporting, and reportable incidents within 40 scheduled working hours.
2600.96a The first aid kit in the main kitchen lacked tweezers, a thermometer, and eye coverings.
2600.124 The home lacked documentation of written notification to the local fire department including resident evacuation assistance needs.
2600.125a Two containers of extremely flammable refrigerant were stored in the boiler room near heat sources.
2600.132g Fire drills were routinely held only on Tuesdays and Thursdays at similar times, not varying days or times as required.
2600.132h Several residents on higher floors were not checked on or advised to evacuate during fire drills.
2600.141b1 A resident's most recent medical evaluation was overdue.
2600.183e Prescription medications were stored improperly with a loose pill found and punctured blister packs exposing medication to contamination.
2600.184b OTC medications and CAM were not labeled with resident names or room numbers.
2600.184c A sample prescription medication lacked written instructions from the prescriber including dosage and administration details.
2600.185a Resident medication storage procedures were not properly implemented; blood sugar readings were missing and documentation was incomplete.
2600.225a A resident's initial assessment was not completed within 15 days of admission and support plans were outdated.
Report Facts
Residents Served: 49
Current Hospice Residents: 1
Residents 60 Years or Older: 49
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 2
Staff Total Daily: 51
Staff Waking: 38
Inspection Report — Sep 30, 2024
Complaint Investigation
Date: Sep 30, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection on 09/30/2024.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and the complaint was not substantiated.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 53
Total Daily Staff: 54
Waking Staff: 41
Residents 60 Years or Older: 53
Residents with Mobility Need: 1
Inspection Report — Sep 16, 2024
Renewal
Date: Sep 16, 2024
Visit Reason
The inspection was conducted as a renewal review of the facility Wesley Enhanced Living Doylestown on 09/16/2024 and 09/17/2024 to assess compliance with licensing requirements.
Findings
The inspection identified several deficiencies including hazards on the exterior exit walkway, improper food storage, obstructed emergency egress signage, medication administration errors, and incomplete medication administration training records. All deficiencies had plans of correction accepted and were implemented by 12/04/2024.
Citations (5)
First-floor exit had an extension cord on the ground of the exit walkway path, creating a tripping hazard.
Four tubs of ice cream were opened or unsealed in the freezer box.
A sign with a RED STOP SIGN reading 'PC residents are not to use the stairs unless there is an emergency' was present on stairwell exit doors, obstructing emergency egress.
Resident #1 was administered medication incorrectly, not following prescriber's orders, with repeated violations noted.
Medication administration training records for two staff persons did not include documentation of successful completion of the annual practicum training.
Report Facts
Residents Served: 49
Current Hospice Residents: 5
Resident with Mobility Need: 1
Resident with Physical Disability: 1
Inspection Report — Feb 26, 2024
Complaint Investigation
Date: Feb 26, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection on 02/26/2024.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and the complaint was not substantiated.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 57
Total Daily Staff: 59
Waking Staff: 44
Residents Age 60 or Older: 57
Residents with Mobility Need: 2
Residents with Physical Disability: 1
Inspection Report — Jun 26, 2023
Renewal
Date: Jun 26, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the facility license for Wesley Enhanced Living Doylestown on 06/26/2023 and 06/27/2023.
Findings
The inspection found multiple deficiencies including unsigned resident contracts, delayed refund issuance after resident deaths, missing signed statements acknowledging receipt of resident rights, lack of emergency telephone numbers in a resident room, medication administration errors, incomplete controlled substance sign-out sheets, failure to follow prescriber's orders, and lack of resident education on the right to refuse medication. Plans of correction were accepted and fully implemented by 11/09/2023.
Citations (8)
Resident-home contracts for residents #1 and #2 were not signed by the residents.
Refund checks for residents #3 and #4 were not issued within the required timeframe after death and removal of personal belongings.
Resident #1 and #2's records did not contain a signed statement acknowledging receipt of resident rights and complaint procedures.
No emergency telephone numbers posted on or by the telephone in resident room #515.
Resident #5 was administered bedtime medications instead of the prescribed morning medication, failing to follow the 5 Rights of Medication Administration.
Controlled substance sign-out sheet for resident #6's Andro Gel ran out of space and no additional sheet was requested until late.
Resident #5's prescribed daily weights were not measured on 06/26/2023.
Residents #1 and #2 were not educated on their right to refuse medication if they believed there was a medication error.
Report Facts
Residents Served: 63
Total Daily Staff: 67
Waking Staff: 50
Hospice Residents: 1
Residents with Mobility Need: 4
Residents with Physical Disability: 2
Residents Diagnosed with Intellectual Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathy Pinzka | Administrator | Named as facility administrator in the report. |
Inspection Report — Jan 12, 2023
Follow-Up
Date: Jan 12, 2023
Visit Reason
The visit was conducted as a follow-up to verify that the submitted plan of correction was fully implemented following an incident-related partial inspection.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. The violation involved a delayed incident report regarding missing rings, which was corrected by new procedures and staff training.
Citations (1)
The home did not report an incident involving missing 14k diamond rings to the Department within the required 24-hour timeframe.
Report Facts
Residents Served: 58
Total Daily Staff: 60
Waking Staff: 45
Current Hospice Residents: 1
Residents Age 60 or Older: 58
Residents with Mobility Need: 2
Residents with Physical Disability: 3
Residents Diagnosed with Intellectual Disability: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Personal Care Administrator | Named as responsible for root cause of delayed incident reporting and involved in corrective training | |
| Executive Director | Trained on new incident reporting policy as part of corrective action | |
| Personal Care LPNs | Trained on new incident reporting policy as part of corrective action | |
| Security Guards | Trained on new incident reporting policy as part of corrective action | |
| Director of Facility Operations | Trained on new incident reporting policy as part of corrective action | |
| Facilities Supervisor | Trained on new incident reporting policy as part of corrective action | |
| Resident Life Services Manager | Trained on new incident reporting policy as part of corrective action |
Inspection Report — Nov 18, 2022
Date: Nov 18, 2022
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Residents Served: 59
Total Daily Staff: 61
Waking Staff: 46
Residents 60 Years or Older: 62
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 2
Residents with Physical Disability: 2
Inspection Report — Aug 22, 2022
Complaint Investigation
Date: Aug 22, 2022
Visit Reason
The inspection was conducted as a complaint investigation following an unannounced partial inspection on 08/22/2022.
Complaint Details
The inspection was complaint-related, but no deficiencies or substantiated issues were found.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 64
Total Daily Staff: 67
Waking Staff: 50
Current Hospice Residents: 1
Residents with Mobility Need: 3
Residents with Physical Disability: 2
Residents 60 Years or Older: 64
Inspection Report — Mar 28, 2022
Renewal
Date: Mar 28, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility's license.
Findings
The submitted plan of correction related to medication administration discrepancies was fully implemented and compliance was maintained. The inspection identified minor discrepancies in glucometer readings recorded on the Medication Administration Record, but no medication errors resulted.
Citations (1)
Discrepancies in resident 1's glucometer readings recorded on the Medication Administration Record (MAR) on multiple dates.
Report Facts
Residents Served: 69
Staffing Hours: 73
Waking Staff: 55
Hospice Residents: 1
Residents with Mobility Need: 4
Residents with Physical Disability: 3
Residents Diagnosed with Intellectual Disability: 1
Residents 60 Years or Older: 69
Inspection Report — Nov 9, 2021
Complaint Investigation
Date: Nov 9, 2021
Visit Reason
The inspection was conducted as a complaint and incident investigation at Wesley Enhanced Living Doylestown.
Complaint Details
The visit was complaint-related, investigating medication errors involving insulin administration and incorrect medication given to residents. The submitted plan of correction was fully implemented.
Findings
The inspection found medication administration errors involving two residents, including incorrect insulin dosing due to misreading blood sugar levels and administration of incorrect eye drops. The facility submitted a plan of correction which was determined to be fully implemented.
Citations (2)
Resident #1 received 6 units of insulin instead of the prescribed 2 units due to staff misreading the blood sugar reading.
Resident #2 was administered Carbamide Peroxide ear drops in the eyes instead of prescribed Artificial Tears Solution.
Report Facts
Residents Served: 63
Staffing Hours - Resident Support Staff: 66
Staffing Hours - Waking Staff: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff person A | Named in medication error involving insulin administration |
Notice — Jun 22, 2021
Date: Jun 22, 2021
Visit Reason
The document serves as a response to the renewal application submitted on March 30, 2021, for the operation of Wesley Enhanced Living Doylestown Personal Care Home and notifies 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 a license issuance and renewal notification letter.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal application response letter. |
Inspection Report — May 13, 2021
Follow-Up
Date: May 13, 2021
Visit Reason
The inspection visit was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to support plan revisions for residents.
Findings
The facility was found to have fully implemented the plan of correction regarding updating residents' support plans to accurately reflect medication administration needs. Continued compliance is required.
Citations (1)
Resident #1's support plan was not updated to reflect changes in medication administration needs, despite the resident being unable to self-administer some medications.
Report Facts
Residents Served: 49
Staffing Hours - Total Daily Staff: 50
Staffing Hours - Waking Staff: 38
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Claire Mendez | Signed the letter confirming plan of correction implementation | |
| Director of Personal Care | Responsible for ensuring updates to Resident RASPs | |
| Personal Care Administrator | Audited residents' RASPs to ensure updates | |
| Personal Care Nurse | Involved in following procedures for updating/auditing RASPs |
Inspection Report — Feb 11, 2021
Renewal
Date: Feb 11, 2021
Visit Reason
The inspection was conducted as a renewal review of the facility Wesley Enhanced Living Doylestown on 02/11/2021 and 02/12/2021 by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
The inspection identified multiple deficiencies including failure to issue a timely refund after a resident's death, incomplete staff training plan, lack of current rabies vaccination certificates for pets, incomplete notice to the fire department, discrepancies in medication storage and documentation, failure to educate a resident on the right to refuse medication, incomplete preadmission screening documentation, and improper destruction of resident records. All deficiencies had accepted plans of correction and were reported as fully implemented.
Citations (8)
Resident refund was not issued within 30 days after resident's death and room clearance.
Staff training plan did not include job titles/positions of staff persons.
Two felines present at the home did not have current certificates of rabies vaccination.
Notice to the fire department did not document location of bedrooms, home layout, or total capacity.
Discrepancies between glucometer readings and medication administration record entries for Resident #2.
Resident #3 was not educated on the right to refuse medication if a medication error is suspected.
Resident #2's preadmission screening form was completed after admission date.
The home destroyed 7 resident records for individuals discharged less than 3 years ago.
Report Facts
Residents Served: 55
Current Hospice Residents: 2
Total Daily Staff: 60
Waking Staff: 45
Number of Residents Age 60 or Older: 55
Number of Residents with Intellectual Disability: 1
Number of Residents with Physical Disability: 2
Number of Residents with Mobility Need: 5
Inspection Report — Dec 8, 2020
Date: Dec 8, 2020
Visit Reason
The inspection was a partial, unannounced licensing inspection conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 54
Resident Support Staff: 59
Waking Staff: 44
Residents 60 Years or Older: 54
Residents with Mobility Need: 5
Residents with Physical Disability: 1
Inspection Report — Jul 22, 2020
Complaint Investigation
Date: Jul 22, 2020
Visit Reason
The inspection was conducted as a complaint investigation with unannounced partial inspections on 07/22/2020, 07/29/2020, and 08/04/2020 to review compliance and plan of correction implementation.
Complaint Details
The inspection was complaint-driven and involved review of medical evaluations and support plans related to wound care. The submitted plan of correction was accepted and fully implemented.
Findings
The facility was found to have deficiencies related to incomplete medical evaluations and failure to update support plans to reflect wound care services. The submitted plan of correction was accepted and fully implemented with ongoing monthly chart audits to ensure compliance.
Citations (3)
141a: The resident's medical evaluation did not include medical information pertinent to diagnosis and treatment. The facility corrected this by noting 'see medication addendum' in the evaluation.
141b2: Resident #1's medical evaluation was not updated to include wound care treatments and the need for compression stockings and boots. The facility attached evaluation notes as updates to the annual evaluation.
227c: Resident #1's support plan dated 8/15/19 was not updated to include wound care services. The support plan was immediately updated to reflect these services.
Report Facts
Residents Served: 47
Current Hospice Residents: 3
Total Daily Staff: 51
Waking Staff: 38
Residents with Mobility Need: 4
Residents with Physical Disability: 1
Notice — May 5, 2020
Date: May 5, 2020
Visit Reason
The document serves as a renewal license approval and notification that an annual onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application.
Report Facts
Inspection Report — Dec 11, 2019
Routine
Date: Dec 11, 2019
Visit Reason
The Department’s Bureau of Human Services Licensing Representatives conducted an inspection of the facility to assess compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Notice — Apr 10, 2019
Date: Apr 10, 2019
Visit Reason
The document addresses the Department's review and determination regarding a waiver request related to qualifications for direct care staff at Wesley Enhanced Living Doylestown.
Findings
The Department determined that the individual meets the educational requirement to serve as a direct care staff person and recommends maintaining documentation in the personnel file.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Kachmar | Regulatory Licensing Manager | Signed the letter regarding the waiver determination. |
Notice — Mar 28, 2019
Date: Mar 28, 2019
Visit Reason
The document serves as a renewal notification and license issuance for Wesley Enhanced Living Doylestown, indicating the Department will conduct an annual onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It is a license renewal and notification letter with an attached certificate of compliance.
Inspection Report — Jan 9, 2019
Renewal
Date: Jan 9, 2019
Visit Reason
The inspection was a renewal inspection conducted by the Department's Bureau of Human Services Licensing on January 9, 2019, to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.
Findings
The inspection found violations related to staff qualifications, medication storage and administration, and medication record documentation. Plans of correction were submitted and partially implemented with adequate progress noted.
Citations (4)
55 Pa.Code §2600.54(a): Direct care staff person A lacks a high school diploma, GED diploma, or active registration on the Pennsylvania nurse aide registry.
55 Pa.Code §2600.185(a): The home failed to develop and implement procedures for safe storage, access, security, distribution, and use of medications and medical equipment by trained staff.
55 Pa.Code §2600.185(a): On 1/9/19, a resident's glucometer was not set to the correct date and time, with prior incorrect settings noted on 9/10/18 and 7/6/18.
55 Pa.Code §2600.187(a): Medication administration record for resident #1 lacked signatures for multiple dates for hydrocortison cream administration as ordered by the physician.
Report Facts
Number of Residents Served: 54
Total Daily Staff: 60
Waking Staff: 45
Number of Hospice Residents in Past Year: 12
Number of Residents 60 Years or Older: 54
Number of Residents with Mobility Need: 6
Number of Residents with Physical Disability: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Martine Minninger | PCHA | Signed legal entity representative on violation reports |
| Denise Gillespie | Inspector who authored violation report |
Inspection Report — Oct 25, 2018
Complaint Investigation
Date: Oct 25, 2018
Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident involving carbon monoxide alarms at the facility.
Complaint Details
The investigation was substantiated. On 10/23/18, carbon monoxide detectors alarmed on the first floor. The facility staff did not open doors or windows or move residents to fresh air as required. Fire and emergency services evacuated the building. Residents were eventually evacuated and accounted for, and the source of the alarm was identified as a delivery truck idling at the loading dock.
Findings
The carbon monoxide detectors alarmed on the first floor, but the facility did not initiate their carbon monoxide preparedness plan properly. Doors and windows were not opened to introduce fresh air, and residents were not moved to the nearest source of fresh air or accounted for until after first responders arrived.
Citations (1)
55 Pa.Code §2600.18 - The facility failed to comply with carbon monoxide alarms standards by not opening doors or windows to introduce fresh air and not accounting for residents during the alarm event on 10/23/18.
Report Facts
Number of Residents Served: 57
Total Daily Staff: 63
Waking Staff: 47
Number of Current Hospice Residents: 2
Number of Hospice Residents in past year: 11
Number of Residents 60 Years or Older: 57
Number of Residents with Intellectual Disability: 1
Number of Residents with Mobility Need: 6
Number of Residents with Physical Disability: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Martine Minninger | Administrator | Named in plan of correction and signature on violation report |
Inspection Report — Jun 26, 2018
Complaint Investigation
Date: Jun 26, 2018
Visit Reason
The inspection was conducted as a complaint investigation due to an incident at Wesley Enhanced Living Doylestown.
Complaint Details
The visit was complaint-related due to an incident. Specific violations were found and documented. No substantiation status was explicitly stated.
Findings
The inspection found violations related to incomplete medical evaluations, medication administration errors, and inadequate support planning for mental health needs of a resident. Plans of correction were submitted to address documentation and care planning deficiencies.
Citations (3)
55 Pa.Code §2600 141(a)(2) - The medical evaluation for Resident #1 did not include the mental health diagnosis of Major Depression Disorder present on the resident's admission record.
55 Pa.Code §2600 187(d) - Resident #1 was prescribed Gabapentin 3 times daily but received the medication 2 times daily from 5-1-18 to 5-10-18, contrary to the doctor's order.
55 Pa.Code §2600 227(d) - The support plan for Resident #1 does not address how the home will assist with meeting the resident's mental health needs.
Report Facts
Number of Residents Served: 60
Total Daily Staff: 68
Waking Staff: 51
Number of Current Hospice Residents: 2
Number of Hospice Residents in past year: 12
Residents Age 60 or Older: 60
Residents with Mental Illness: 1
Residents with Mobility Need: 8
Residents with Physical Disability: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Martine Minninger | PCHA | Signed plan of correction documents related to violations |
| Natasha Braswell | Department representative on-site during inspection |
Inspection Report — Apr 19, 2018
Renewal
Date: Apr 19, 2018
Visit Reason
The document is a renewal application and license issuance for Wesley Enhanced Living Doylestown Personal Care Home. The Department received a renewal application on March 16, 2018, and will conduct an annual onsite inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It primarily communicates the issuance of a regular license following the renewal application and outlines the requirement for an annual inspection within the next year.
Notice — Apr 16, 2018
Date: Apr 16, 2018
Visit Reason
The document serves to notify the facility of a new license issuance due to a recent name change from Heritage Towers to Wesley Enhanced Living Doylestown.
Findings
No inspection findings are reported. The document includes a certificate of occupancy specifying the maximum capacity of 75 residents.
Inspection Report — May 2, 2017
Renewal
Date: May 2, 2017
Visit Reason
The inspection was an annual licensing renewal inspection conducted by the Pennsylvania Department of Human Services on May 2, 2017, to assess compliance with 55 Pa.Code Chapter 2600 for Heritage Towers Personal Care Home.
Findings
Multiple violations were found related to safety, resident care, staffing, and regulatory compliance. The facility submitted plans of correction for each violation, with partial implementation progress noted as of June 24, 2017.
Citations (8)
55 Pa.Code §2600.18 - The home did not have carbon monoxide detectors inside the boiler room.
55 Pa.Code §2600.23(a) - Resident #1 required supervision outside the home but did not receive assistance as indicated in the support plan on 1-9-17.
55 Pa.Code §2600.51 - The home did not have a criminal background check with the State Police seal for staff person A as required.
55 Pa.Code §2600.60(c) - Ancillary department staff were unable to complete housekeeping tasks and environmental emergencies on weekends according to resident council minutes.
55 Pa.Code §2600.91 - Telephones in rooms 229 and 306 did not have emergency service numbers posted near the phones.
55 Pa.Code §2600.103(f) - No thermometer was found in the refrigerator located on the 2nd floor activity area on 5-2-17 at 9:45 am.
55 Pa.Code §2600.187(d) - Resident #3 was prescribed Ensure vanilla but was administered Ensure chocolate.
55 Pa.Code §2600.225(a) - The initial assessment for resident #2 was finalized three days past the 15-day grace period.
Report Facts
Number of Residents Served: 69
Total Daily Staff: 73
Walking Staff: 55
Number of Current Hospice Residents: 2
Number of Hospice Residents in past year: 8
Number of Residents Age 60 or Older: 69
Number of Residents with Mobility Need: 4
Number of Residents with Physical Disability: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Martine Minninger | Administrator | Named as administrator and legal entity representative signing plans of correction. |
| Jacqueline L. Rowe | Director | Signed cover letter as Director of Bureau of Human Services Licensing. |
Inspection Report — Mar 22, 2017
Renewal
Date: Mar 22, 2017
Visit Reason
The document is a renewal application response for Heritage Towers, a Personal Care Home, confirming issuance of a regular license and advising that an annual onsite inspection will be conducted within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms the license renewal and states that the Department will conduct an inspection within the next year and take enforcement action if noncompliance is found.
Notice — Oct 5, 2016
Date: Oct 5, 2016
Visit Reason
The document is a response to a waiver request for staff qualification requirements under Pennsylvania Code Chapter 2600 for Heritage Towers.
Findings
The waiver request was returned for additional information because the submitted documentation did not sufficiently demonstrate that the non-U.S. educational credentials met U.S. education requirements. Alternatives for meeting the education requirements were suggested.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tara Pride | Director of Regulatory Implementation | Signed the letter regarding the waiver request. |
Inspection Report — May 16, 2016
Renewal
Date: May 16, 2016
Visit Reason
The inspection was conducted as an annual licensing renewal inspection of Heritage Towers, a personal care home, to assess compliance with 55 Pa.Code Chapter 2600.
Findings
Violations were found related to staff hiring background checks and staff training requirements under the Older Adult Protective Services Act. Plans of correction were submitted to address these issues.
Citations (2)
55 Pa.Code §2600 - A criminal background check was not requested until three days after a staff member was hired. This delay was an isolated incident.
55 Pa.Code §2600.65(g) - Staff person B did not receive required training on the Older Adult Protective Services Act during the 2015 training year.
Report Facts
Number of Residents Served: 65
Total Daily Staff: 71
Walking Staff: 63
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Martine Minninger | Administrator | Signed legal entity representative on violation report and plan of correction |
Notice — May 12, 2016
Date: May 12, 2016
Visit Reason
The document serves as a renewal notification and license issuance for Heritage Towers, a Personal Care Home, confirming the facility's authorized capacity and informing about the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.
Notice — October 25, 2016
Date: October 25, 2016
Visit Reason
The document serves to notify the recipient that a waiver request for qualifications of direct care staff persons under Pennsylvania Code 55 Pa.Code § 2600.54(a) has been granted.
Findings
The Department of Human Services determined that the non-U.S. educational program is similar to U.S. educational requirements and granted the waiver accordingly.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the waiver approval letter. |
Viewing
Loading inspection reports...
